心肌损伤标志物实验室检查(章)资料.ppt

第十二章第十二章心血管系统疾病的生物化学检验心血管系统疾病的生物化学检验 Chapter 12. Biochemistry Investigation on Chapter 12. Biochemistry Investigation on the Cardiovascular Diseases the Cardiovascular Diseases 重庆医科大学医学检验系重庆医科大学医学检验系涂植光涂植光 KEY POINTS KEY POINTS ?? The regulation of cardiovascular system function and The regulation of cardiovascular system function and the characters of cardiac blood supply. the characters of cardiac blood supply. ?? The evaluation parison of risk factors of The evaluation parison of risk factors of atherosclerosis and coronary heart disease. atherosclerosis and coronary heart disease. ?? The origin and dynamic change characters of The origin and dynamic change characters of myocardial injury markers in blood. myocardial injury markers in blood. ?? Clinical significance of myocardial injury markers, Clinical significance of myocardial injury markers, the early and determinant markers of myocardium the early and determinant markers of myocardium injury, and the guideline of clinical application for injury, and the guideline of clinical application for myocardial injury makers. myocardial injury makers. ?? The laboratory investigation of cardiac insufficiency. The laboratory investigation of cardiac insufficiency. Major Objectives Major Objectives ?重点致动脉粥样硬化的主要危险因子的生物化学检验、心肌损伤标志物的生物化学检验及临床应用、心功能不全的有关生物化学检验及临床意义。?难点心肌损伤标志物的生物化学检验、评价及临床应用。 Brief Contents Brief Contents 第一节第一节心血管系统的结构和功能心血管系统的结构和功能第二节第二节动脉粥样硬化及冠心病动脉粥样硬化及冠心病第三节第三节心肌损伤及再灌注的生物化学检验心肌损伤及再灌注的生物化学检验第四节第四节高血压的相关生物化学检验(自学) 高血压的相关生物化学检验(自学) 第五节第五节心功能不全的生物化学检验心功能不全的生物化学检验心血管系统主要疾病心血管系统主要疾病动脉粥样硬化动脉粥样硬化( ( AS AS ) ) 冠心病冠心病( coronary atherosclerotic heart disease )一过性心肌缺血; 急性心肌梗死急性心肌梗死( acute myocardial infarction, AMI )局部心肌因缺血而发生坏死; 急性冠状动脉综合征( acute coronary syndrome , ACS )泛指动脉粥样硬化斑块破裂、血小板聚集、血栓形成等使冠状动脉狭窄、阻塞引起的心肌缺血以至梗死( UAP AMI) 。心肌疾病( myocardial disorder) 心肌炎心肌病非炎性心肌肥厚、扩张、纤维化、甚至心肌小范围变性、坏死心力衰竭( cardiac failure ) 急性左心衰:肺水肿慢性充血性心力衰竭( CHF) 高血压第一节第一节心血管系统的结构和功能心血管系统的结构和功能一、心脏的结构和功能