ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ‘ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗ꯭ꯔꯥ?

ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯟꯖꯤꯅꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯏꯟꯖꯤꯟ ꯑꯁꯤ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ, ꯃꯁꯤꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯂꯦꯞꯄꯥ ꯃꯊꯧ ꯇꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯝꯕꯔ ꯑꯃꯗꯤ ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤꯅꯤ꯫ ꯉꯁꯤꯗꯤ ꯃꯁꯤ ꯀꯅꯥꯅꯣ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯔꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ꯫ ꯃꯁꯤꯒꯤ ꯂꯦꯐꯠ ꯃꯦꯟ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯥꯈꯥ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ (ꯑꯇꯣꯞꯄꯥ ꯑꯃꯕꯨ ꯂꯦꯐꯠ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯗꯤꯁꯦꯟꯗꯤꯡ (LAD) ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ ꯊꯣꯏꯗꯣꯛꯅꯥ LCx ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯚꯦꯅꯝ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯈꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯄꯝꯄ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯥ ꯑꯁꯦꯡꯕꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯕꯅꯤ꯫ ꯍꯥꯏꯕꯗꯤ:

• ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ - ꯂꯪꯁꯇꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯃꯐꯝ꯫
• ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ (left ventricle) - ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯆꯦꯝꯕꯔ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯃꯁꯂꯁꯤꯡ꯫

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ, ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯌꯕꯗꯤ ꯁꯤꯅꯣꯑꯦꯠꯔꯤꯌꯥꯜ (SA) ꯅꯣꯗꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯄꯦꯁꯃꯦꯀꯔꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯥ, ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯚꯦꯟ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ? ꯃꯁꯤ ꯁꯥꯈꯥ ꯑꯣꯏꯕꯔꯥ?

ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯤꯚ ꯂꯦꯌꯥꯔ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯄꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ (ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯃꯁꯨꯡ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯒ꯭ꯔꯨꯞ (groove-like section) ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯠꯂꯤ꯫

ꯍꯣꯌ, ꯎꯄꯥꯜ ꯑꯃꯒꯤ ꯃꯁꯥꯒꯨꯝꯅꯥ, ꯚꯦꯅꯝ ꯑꯁꯤꯁꯨ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯥꯁꯤꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯁꯥꯈꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯥꯈꯥ ꯑꯍꯨꯝ ꯂꯩ, ꯃꯈꯣꯌꯕꯨ ꯑꯣꯕꯇꯨꯁ ꯃꯥꯔꯖꯤꯅꯦꯜ ꯕ꯭ꯔꯥꯟꯆ' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯥꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯆꯠꯂꯤ꯫

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ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏꯗꯥ ‘ꯗꯣꯃꯤꯅꯦꯟꯁ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯔꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯐꯝꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯥꯔꯇꯦꯔꯤ (PDA) ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯣꯃꯤꯅꯦꯟꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ PDA ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯒꯤ (i.e. Circumflex ꯅꯠꯠꯔꯒꯥ LAD) ꯏ ꯂꯧꯔꯀꯄꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫

ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

ꯑꯇꯣꯞꯄꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯨꯝꯅꯥ, ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (CAD) ꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯅꯤ꯫

ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯗꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯁꯥ ꯌꯥꯎꯔꯀꯄꯒꯨꯝꯅꯥ, ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ (ꯄ꯭ꯂꯦꯛ) ꯀꯧꯕꯥ ꯂꯦꯌꯔ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ (ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯚꯦꯅꯝ ꯑꯃꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ? ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯅꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯟꯖꯤꯅꯥ ꯊꯣꯀꯏ꯫ꯅꯍꯥꯛꯅꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯕꯨ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯩ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ . ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯐꯤꯚꯝ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (Angiogram): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ (CCTA): ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯊ꯭ꯔꯤ-ꯗꯤꯃꯦꯟꯁꯤꯑꯦꯜ (3D) ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯤ.ꯇꯤ.
• ꯏꯟꯠꯔꯥꯚꯦꯁꯀꯨꯂꯥꯔ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (IVUS): ꯃꯁꯤꯗꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯚꯦꯅꯝ ꯋꯥꯂꯗꯥ ꯆꯦꯅꯕꯥ ꯄ꯭ꯂꯦꯛ ꯂꯦꯌꯥꯔꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯐ꯭ꯔꯦꯀꯆꯅꯦꯜ ꯐ꯭ꯂꯣ ꯔꯤꯖꯔꯚ (FFR): ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯦꯄꯊꯣꯛꯇꯨꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯀꯌꯥꯝ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯗꯤ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯟꯇꯤꯡꯅꯤ .

ꯃꯁꯤꯗꯥ, ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯒꯨꯝꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯦꯂꯨꯟ ꯇꯤꯞ ꯇꯤꯎꯕ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕꯦꯂꯨꯟ ꯑꯗꯨ ꯄ꯭ꯂꯦꯛ ꯑꯗꯨ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯍꯟꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯇꯦꯟꯇ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁ ꯇꯨꯕ ꯑꯃꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯝꯃꯤ ꯃꯗꯨꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯣꯡ ꯇꯔꯃꯗꯥ ꯑꯐꯕꯥ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯩꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯀꯃꯐ꯭ꯂꯦꯛꯁ ꯑꯥꯔꯇꯦꯔꯤ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯚꯦꯁꯀꯨꯂꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯀꯗꯤ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯌꯥꯑꯣꯍꯅꯕꯅꯤ꯫

• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯌꯨ: ꯍꯞꯇꯥꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30 ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡꯅꯤ꯫
• ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ: ꯊꯥꯎ, ꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯌꯦꯔꯨꯝ, ꯑꯄꯤꯀꯄꯥ ꯉꯥ, ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯆꯦꯡ-ꯍꯋꯥꯏꯁꯤꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯌꯥꯎꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯥ ꯆꯥꯟꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯌꯥꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯃꯨ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ: ꯌꯣꯒ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯇꯦꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫

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