循環(huán)系統(tǒng)診斷常見(jiàn)癥征(參考版)
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【正文】 上午 11時(shí) 30分 2秒 上午 11時(shí) 30分 11:30: MOMODA POWERPOINT Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce id urna blandit, eleifend nulla ac, fringilla purus. Nulla iaculis tempor felis ut cursus. 感謝您的下載觀看 專家告訴 。 2023年 1月 上午 11時(shí) 30分 :30January 22, 2023 ? 1業(yè)余生活要有意義，不要越軌。 :30:0211:30:02January 22, 2023 ? 1意志堅(jiān)強(qiáng)的人能把世界放在手中像泥塊一樣任意揉捏。 11:30:0211:30:0211:30Sunday, January 22, 2023 ? 1知人者智，自知者明。 11:30:0211:30:0211:301/22/2023 11:30:02 AM ? 1越是沒(méi)有本領(lǐng)的就越加自命不凡。 上午 11時(shí) 30分 2秒 上午 11時(shí) 30分 11:30: ? 楊柳散和風(fēng)，青山澹吾慮。 2023年 1月 上午 11時(shí) 30分 :30January 22, 2023 ? 1少年十五二十時(shí)，步行奪得胡馬騎。 2023年 1月 22日星期日 上午 11時(shí) 30分 2秒 11:30: ? 1楚塞三湘接，荊門(mén)九派通。 11:30:0211:30:0211:30Sunday, January 22, 2023 ? 1不知香積寺，數(shù)里入云峰。 11:30:0211:30:0211:301/22/2023 11:30:02 AM ? 1成功就是日復(fù)一日那一點(diǎn)點(diǎn)小小努力的積累。 上午 11時(shí) 30分 2秒 上午 11時(shí) 30分 11:30: ? 沒(méi)有失敗，只有暫時(shí)停止成功！。 2023年 1月 上午 11時(shí) 30分 :30January 22, 2023 ? 1行動(dòng)出成果，工作出財(cái)富。 2023年 1月 22日星期日 上午 11時(shí) 30分 2秒 11:30: ? 1比不了得就不比，得不到的就不要。 11:30:0211:30:0211:30Sunday, January 22, 2023 ? 1乍見(jiàn)翻疑夢(mèng)，相悲各問(wèn)年。 11:30:0211:30:0211:301/22/2023 11:30:02 AM ? 1以我獨(dú)沈久，愧君相見(jiàn)頻。Signs and symptoms of some mon heart diseases Wei Meng Shanghai sixth people’s hospital Shanghai jiaotong university Contents ? Mitral stenosis(MS) ? Mitral regurgitation(MR) ? Aortic stenosis(AS) ? Aortic regurgitation(AR) ? Pericardial effusion ? Heart failure(HF) Mitral stenosis ? Conditions causing left ventricular inflow obstruction Congenital Acquired Valvular mitral stenosis Valvular mitral stenosis Cor triatriatum Atrial myxoma Subvalvular ring Thrombus Pulmonary vein stenosis Neoplasm Infective vegetation Prosthetic valve disfunction Mitral stenosis ? Cause of MS requiring intervention(n=1050) Cause Number percentage Rheumatic fever 562 Rheumatic equivalent 139 Scarlet fever 111 Infective endocarditis 35 Degenerative 28 Congenital 13 Others 162 Pathophysiology of Mitral stenosis LV inflow obstruction Left atrial pressure ?Lung congestion O2 supply shortage pulmonary A V hypertension(RHF hemoptysis ?left atrial enlargement Atrial fibrillation thrombosis embolism hoarseness Common Symptoms of Mitral stenosis ? Asymptomatics ? Exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea ? Palpitation due to arhythmia ? Miscellaneous ? Hemoptysis, bloodtinge sputum, pink frothy sputum, chest pain, mitral facies, Cough, hoarseness, dysphagia Relation between dyspnea and MVA Class MVA (cm2) manifestation minimal none Mild ~ Minimal dyspnea with marked exertion Moderate Dyspnea,orthopnea, paroxysmal nocturnal dyspnea,pulmonary edema Severe Resting dyspnea Signs of Mitral stenosis ? Inspection ? Mitral facies, increased impulse at precardial area /or with local elevation of the thoracic cavity, those due to right heart failure ? Palpation ? Apical impulse is normal or decreased ? Right ventricular heave is present if with pulmonary hypertension ? Apical diastolic thrill may be present Symptoms of Mitral stenosis ? Percussion ? Dullness area of the heart shifts toward the lef
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