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		<h1 class="catchCopy">合計150点超のイラストとエコー画像で，心エコー・ドプラ・循環力学がひと目で理解できる！</h1>
		

		<h1 class="copy">イメージで理解する</h1>
		<h1 class="title">心エコー・ドプラ・循環力学（電子版のみ）<span class="version"></span></h1>
		

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					著：菅原基晃（ 東京女子医科大学名誉教授，姫路獨協大学名誉教授）
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					<span class="transparent">著</span>　仁木清美（東京都市大学教授）
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					<span class="transparent">著</span>　大手信之（名古屋市立大学病院教授）
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				<ul class="property"><li class="disc">B5判・252頁・2色刷(一部4色刷)</li><li class="disc">ISBN&nbsp;978-4-8306-1907-6</li><li class="disc">2011年6月15日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">エコーを行う上で，流体力学や心力学の知識は必須でありながら非常に難しい．「きちんと学びたいけど，簡単に学びたい」と思われている方のために，本書は企画された．「イメージで理解する」をテーマに，合計150 点超のイラストとエコー画像を提示している．特に，エコー画像とＣＴ画像を重ね合わせた第1 章は必見．心エコー・ドプラ・循環力学にもっと詳しくなりたい方必読の一冊である．</section><section class="indexes">第1章　超音波でみた血流<br>　1．血流計測の位置<br>　２．正常例でみられる血流<br>　　1）大動脈血流<br>　　2）肺動脈血流<br>　　3）僧帽弁血流<br>　　4）肺静脈血流<br>　　5）総頸動脈血流<br>　3．病的な症例でみられる血流<br>　　1）逆流と狭窄<br>　　2）大動脈弁逆流<br>　　3）大動脈弁逆流におけるドプラ計測<br>　　4）僧帽弁逆流<br>　　5）三尖弁逆流<br>　　6）大動脈弁狭窄<br>　　7）僧帽弁狭窄<br>　　8）動脈の狭窄<br>　血流計測便利メモ<br>第2章　血流の構造<br>　1．大動脈内の3次元的血流の構造<br>　2．大動脈各部位における速度プロフィール<br>　3．肺動脈内の3次元的血流速度分布<br>　4．左室内の血流<br>　5．頸動脈内の血流<br>　　1）速度プロフィール<br>　　2）頸動脈の3次元的形状<br>　　3）流れの離<br>　　4）2次流れ<br>第3章　圧較差と血流<br>　1．左室−大動脈圧較差と大動脈血流および右室−肺動脈圧較差と肺動脈血流<br>　2．左房−左室圧較差と僧帽弁血流<br>第4章　心臓と血管の相互作用<br>　1．ウェーヴ・インテンシティー<br>　2．ウェーヴ・インテンシティーの物理的性質から何がわかるか<br>　3．ウェーヴ・インテンシティーの生理学的性質<br>　4．従来の心収縮性の指標とウェーヴ・インテンシティーの第1のピークの高さ（W1）との関係<br>　5．ウェーヴ・インテンシティーの超音波測定—頸動脈のウェーヴ・インテンシティー<br>　6．頸動脈ウェーヴ・インテンシティーの性質<br>　7．頸動脈ウェーヴ・インテンシティーの臨床測定<br>　　1）拡張型心筋症<br>　　2）肥大型心筋症<br>　　3）僧帽弁逆流症<br>　　4）高血圧症<br>　8．ニトログリセリンの舌下投与<br>第5章　血流から評価する左室拡張機能<br>　1．左室圧，左房圧と僧帽弁口血流速度波形<br>　2．左室拡張障害の進行と僧帽弁口血流速度波形<br>　3．拡張期心不全（左室駆出率の維持された心不全）の病態<br>　4．拡張期心不全における僧帽弁口血流速度波形<br>　5．僧帽弁口血流速度波形の生理的弛緩障害パターン，病的弛緩障害パターン<br>　6．僧帽弁口血流速度Eと僧帽弁輪移動速度e’を利用した左室拡張機能の評価<br>　7．E/e’による平均左房圧の推定<br>　8．左室弛緩の規定因子<br>　9．収縮後期大動脈駆出血流の慣性力<br>　10．収縮後期大動脈駆出血流の慣性力と左室収縮機能<br>　11．左室収縮機能と左室弛緩の連関<br>　12．左室suctionと急速流入血流の左室内伝播速度Vp<br>　13．suctionの可視化と病態生理的な意義<br>　　コラム：左室の捩れと“ほどけ”（torsion &amp; untwisting）<br>　14．e’とVpの互換性<br>　15．suctionと左室弛緩能にはどうして密な関係がないのか？<br>第6章　血流からみる加齢と動脈硬化<br>　1．加齢による頸動脈スティッフネス・パラメータの変化<br>　2．頸動脈直径の加齢による変化<br>　3．若年者と高齢者の大動脈圧波形の違い<br>　4．加齢による血圧波形の変化が心臓に及ぼす影響<br>　　コラム：早期動脈硬化の指標—内膜中膜複合体厚とスティッフネス・パラメータ<br>　5．高齢者の頸動脈血流<br>　6．加齢による総頸動脈血流速度の変化<br>第7章　知っておきたい心力学<br>　1．圧−容積関係に基づく収縮期の心力学—Emaxとは—<br>　　コラム：心臓の収縮性<br>　2．Emaxと駆出率<br>　3．大動脈圧と駆出率<br>　4．収縮期心室圧と心室壁の発生張力<br>　5．フランク・スターリングの法則<br>　6．静脈還流<br>　7．運動負荷<br>　8．ウィンドケッセル・モデル<br>　　コラム：駆出率と拡張末期容積<br>　9．実効動脈エラスタンス<br>　　コラム：圧−容積関係に基づく心力学—拡張期<br>　10．Emaxはなぜ心臓の大きさに依存するか？<br>第8章　知っておきたい局所心力学<br>　1．応力の概念<br>　2．単純応力<br>　3．垂直応力と剪断応力<br>　　コラム：変形性，弾性，塑性，硬さ，コンプライアンス<br>　4．流体中の応力—圧力，粘性応力<br>　5．垂直ひずみ<br>　6．剪断ひずみ<br>　7．変位とひずみ<br>　8．ひずみ速度<br>　　コラム：オイラーの方法とラグランジュの方法の混同<br>　9．ひずみとひずみ速度の測定<br>　10．心室壁内の剪断ひずみ<br>　11．弾性率<br>　12．血管の圧力—ひずみ弾性率とスティッフネス・パラメータ<br>　　コラム：血管は収縮したら硬くなるか？<br>　13．壁張力−面積関係<br>　14．心室壁局所の奇異運動<br>　15．規格化された局所仕事<br>　16．面積ひずみ<br>　17．面積ひずみと壁厚の逆数<br>　18．スティッフネス定数—規格化されたEmax<br>　　コラム：平均壁応力と応力集中<br>第9章　心エコードプラ法による左室全体および局所収縮機能の評価<br>　1．心エコー図による左室駆出率の計測<br>　　コラム：僧帽弁閉鎖不全における左室駆出率<br>　2．左室駆出率とは<br>　3．wall motion score indexで左室収縮機能を評価する<br>　4．長軸方向の心筋移動速度とひずみ・ひずみ速度計測<br>　　コラム：ひずみ・ひずみ速度の負荷依存性<br>　5．ひずみを用いて左室“壁”の長軸方向収縮機能を評価する<br>　6．左室における収縮期短軸方向の（陽性）ひずみ発生のメカニズム<br>　7．局所心筋機能のひずみ解析が有用な場面（長軸方向）<br>　8．局所心筋機能のひずみ・ひずみ速度解析が有用な場面（短軸方向）<br>第10章　知っておきたい流れの性質<br>　1．層流と乱流<br>　　1）定常流の層流と乱流<br>　　2）非定常流の層流と乱流—大動脈内の乱流<br>　2．入口領域<br>　3．管の中の流れの速度分布<br>　　コラム：スタート流れとストップ流れ<br>　4．大動脈内の血流速度分布<br>　5．動脈の曲がりが速度分布に与える影響<br>　　1）曲がった管の入口領域の流れ<br>　　2）曲がった管の中の2次流れ<br>　6．狭窄による流れの離と圧力損失<br>　　1）流れの離<br>　　2）簡易ベルヌーイの式<br>　　3）簡易ベルヌーイの式が成り立つ条件<br>　　コラム：圧力損失の分類<br>　7．自由乱流ジェット—逆流，短絡流，狭窄流の評価<br>　8．カラードプラによるジェット流量の評価<br>　9．吸い込み運動—PISA法による弁逆流の定量<br>　10．循環器系の入口領域<br>第11章　流体力学の基礎<br>　1．1次元流れ<br>　2．連続の式<br>　3．連続の式の臨床応用—弁口面積の推定<br>　4．連続の式を用いる際の注意<br>　5．運動方程式—オイラーの方程式<br>　6．ラグランジュの方法とオイラーの方法<br>　　コラム：オイラー的見方とラグランジュ的見方<br>　　コラム：流れのマッピング—流線，粒子軌跡，ストリーク線<br>　7．ベルヌーイの定理と静圧と総圧<br>　8．加速度と圧力勾配<br>　9．左室−大動脈圧較差と大動脈血流の加速・減速<br>　　コラム：左室内の圧力勾配<br>　　コラム：左室内血流のマッピング<br>　10．拍動流の圧力損失の評価	<br>　11．運動量保存式<br>　　コラム：運動量保存式の応用—心房の収縮力<br>　　コラム：簡易ベルヌーイの式による圧力損失過大評価の修正<br>　12．エネルギー流束<br>　13．エネルギー保存則—心房の仕事率<br>　　コラム：左室の心力学と右室の心力学の精度<br>第12章　波動<br>　1．脈波速度<br>　　コラム：脈波速度の式<br>　2．心臓−動脈系の波動<br>　　コラム：脈波速度の1点測定とSugawara and Nikiの式<br>　3．脈波の非線形性<br>　4．waterhammerの式<br>第13章　ウェーヴ・インテンシティーの理論と超音波測定法<br>　1．前進波と後退波の性質<br>　　コラム：ウェーヴ・インテンシティーの由来<br>　2．ウェーヴ・インテンシティーの超音波測定<br>　3．頸動脈のウェーヴ・インテンシティーと血圧および血流速度の関係<br>　　コラム：心臓からの血流を止めるのは何か？<br>　　コラム：頸動脈圧波形を求めるのに上腕動脈圧で較正してよいのか？<br>　4．大動脈圧波形の形成<br>　5．augmentation<br>　6．頸動脈でみるaugmentation<br>　　コラム：トノメトリー法と橈骨動脈でのaugmentation index<br>　7．手首でのaugmentation<br>　　コラム：ウェーヴ・インテンシティーの臨床応用の実際<br>　8．ウェーヴ・インテンシティーの前進成分と後退成分への分解<br>　　コラム：血管壁の解剖学的構造と超音波断層像<br>　　コラム：エコートラッキングを行うべき点の位置<br>第14章　粘性<br>　1．流体の粘性の概念<br>　2．粘性係数の定義<br>　3．粘性係数の単位<br>　4．ハーゲン・ポアゼイユ流れ<br>　5．血液粘性の非ニュートン性<br>　6．無次元化とレイノルズ数<br>　　コラム：レイノルズ数の物理的意味<br>　7．抵抗係数とレイノルズ数<br>　8．レイノルズ数の意味と抵抗法則<br>　9．摩擦による圧力損失と形態による圧力損失の比較<br>　　コラム：レイノルズ数の大きさ<br>　　コラム：血液粘性と剪断応力<br>索引</section></article>
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