Structure of the heart
Mitral stenosis
Physical symptoms
Touching heart snout: During diastole seen a feeling like touching the cat's back so touching language is called diastolic miu vibration.
Listen to the heart:
At the tip: Seeing three symptoms especially diastolic vibration, the first English review, systolic murmur.
Vibrato in diastolic length, pitch like we're about small UI on a blank
surface tension, the last paragraph of diastole, accompanied by atrial
squeeze blood component atrial node to make the timbre vibrato sounds
like a voice Short-called blow blowing systolic money.
Mechanism arising born vibrato is due diastolic blood flow from the
left atrium into the left ventricle through the mitral valvular stenosis
was made to go through the eye of blood vortex induced vibration down.
Blood back to the ligaments and muscles of the ventricles and the
column was so hard because inflammation is more audible vibration.
The first language of the heart beat stronger because the leaves were
hardened valve should close the valve when the valve edges touching born
reviews more often known, in part because mitral stenosis, blood in the
left ventricle is not very full, if cardiac massage was good and go
fast ejection, more compact voice heard in the case of myocardial
contractility slow. This factor contributed to the best-known letter reviews.
In pulmonary arterial drive: Monday is heard strong reviews and cup double.
English reviews since Monday in mitral stenosis, blood stasis in the
left atrium, thereby obstructing venous blood left atrium and pulmonary
difficult to pulmonary artery blood pressure increased, the pressure
acting on the valves when valve at the top of the diastolic heart sounds
letters make two strong beat.
Monday also known as split pulmonary artery pressure increased, low
interest must be used to squeeze a big pressure to win his ejection from
the right ventricle and the pulmonary artery through the time of right
ventricular systolic so long than left ventricular systolic time (then
still not be affected), so the two aortic and pulmonary artery shut and
not make Monday separated heart sounds quite common but is the sound
Monday incomplete separation means the end of the first hour coincides
with the beginning of the second and more, on the center bar chart will
see two waves together comb set, place the sound waves overlap, low
amplitude, space of two hours, higher amplitude.
Symptoms of x rays
Photo slide straight:
Coast to: Provide as will the two contours due to left atrium.
Left Bank: Figure 4 offers from top to bottom:
Aortic arch.
Supply pulmonary artery.
Primary normal left atrium after cardiac.
The left ventricle.
Shaded area between the heart: There are dark shadow of the left atrium, left ventricle darker than both.
Navel pulmonary very dark.
Figure soi tilted 90 degrees left:
Will see the left atrium to crush the ball into the esophagus, want
clear symptoms, people take medication for patients with barium sulfate
fat (the dye X-ray detector when the heart, we will see clearly forced
esophagus ).
Mitral valve insufficiency
Most importantly listen to your heart. Primarily known brothel is heard in systolic mitral valve drive, this murmur of the following characteristics:
Occupy end-systolic period, intensity, timbre sound like jet of water through a small hole.
Audible at the apex or tip a little heart.
Encroaching on the armpit, to the blade tip, to the spinal cavity three- time.
No change with posture and breathing of the patient.
If palpable vibration miu systolic mitral valve insufficiency in
patients is typical murmur entity, to distinguish the murmur function
(see auscultation) when diagnosed.
Mechanism systolic murmur arises: In the two ventricular systolic
ejection contraction in the aorta and pulmonary artery, then the
atrioventricular valve (mitral and tricuspid) are closed.
If the mitral valve open, with a blood ejected from the left ventricle
through the left ventricle back Nhii openings should arise that murmur.
Due to high pressure in the left ventricle in the circulatory system,
this force ejection murmur went up sharply this powerful nature: raw
sound, spread as far as mentioned above.
Aortic valve insufficiency
Physical symptoms
At the heart:
See outcrops heart beating.
Severe heart felt tip on the palm.
Type Perforated Heart to Heart shows off electric front of the left ventricle.
Listening Heart: The most important part of the diagnosis.
We will hear a murmur in the two drives and diastolic aortic
intercostal two right next to the breastbone (but usually heard in
drive-Botkin Eck third intercostal left sternal edge, under a drive
around the pulmonary artery associated rib).
Murmur has the following properties:
Timbre is very quiet, far away.
The intensity of light, sometimes listening intently to see.
Lan along the sternum and heart down the ledge.
The mechanism of this diastolic murmur when diastolic aortic valve normally closed.
Quickly put out the periphery, not back ventricles, while blood poured
from two atria of the two ventricles in preparation for systolic heart
massage next time, here aortic valve does not close, each the diastolic
part of aortic blood flow from the left ventricle through the openings
arise diastolic murmur.
In the periphery:
The artery systolic jerked when, clearly the carotid artery, temples, neck artery.
Jugular popping and banging makes people sick or nodding head (signs Musset).
Circuit slamming, and sinking fast amplitude up blood (Corrigan circuit).
Press lightly on the headset large arteries such as the femoral artery, you will hear a double blow compartment.
Due to the strong heart massage each systole and lost some blood from the aorta back when the left ventricle diastolic should:
Obvious signs flashing in fingernails (capillary vessels) for red nail
when tamthu rhythmically alternating with pale when diastolic.
Maximum arterial pressure and arterial blood pressure increases the
minimum reduced when reduced to zero, the difference of two very large
number of blood pressure, for example up to 150mmHg, at least 20 mm Hg
produces, the difference in blood pressure: 150mmHg - 20 mm Hg produces:
130mmHg.
Symptoms of x rays
Tim squeeze very strong.
Delivery under the left ventricle (LV) to the, good heart tip down, point G 'low and slightly off.
Delivery on the left (aortic arch) also enlarged, partial supply overwhelms between left.
Aortic valve stenosis
This disease is less common in three patients, aortic valve stenosis
may be the result of rheumatic heart diseases can also be a congenital.
Physical symptoms
At the heart:
Touching the second rib to the sternum close Shake miu in systole.
Type: At the stage of disease progression can be seen in cardiac electrical opaque to the left.
Listen: Seeing a systolic murmur in the drive to the aorta, spread from
the breast side up to the collarbone, here Monday blurred or lost
hours.
In the periphery:
Seeing the small vessels, blood pressure may experience gaps in the maximum listening.
Symptoms of x rays
The left ventricle to the left to make provision under the bulge, point
G to high, to the aorta also can see the point of lime infected aortic
valve.
Pulmonary valve stenosis
Usually congenital, the disease is rare.
Physical symptoms
Mom heartbeat outward deflection, beating many cases found in the
epigastrium (because the right ventricle becomes enlarged due to work
pressure to win big in the pulmonary artery).
Touching the intercostal 2 or 3 left edge memory Shake systolic miu.
Listen in pulmonary artery systolic murmur see a big, rough, spreading
up close to appreciate left clavicle, and may radiate to the back post. At the same time the second heart sound blurred and lost.
Symptoms of x rays
Due to the right ventricle, the heart apex pushed the ball shaped like a heart comedy. Delivery is usually between floating to the left and hit (due to pulmonary artery relaxation in the blockage).
The pulmonary valve insufficiency
The pulmonary valve open valve itself or because of damage or because
of other illnesses dilated right ventricle or pulmonary artery
relaxation makes holes pulmonary artery valve openings although not
hurt. The pulmonary valve insufficiency is rare.
Physical symptoms
Mostly hear a diastolic murmur in the pulmonary artery drive, spreading along the left sternal go down. Where the function open (valve does not hurt), the murmur lighter
Symptoms of x rays
Tim pictures right ventricular hypertrophy.
Tricuspid valve insufficiency
Very rare type of valve openings due to injury, but common types of
functional tricuspid valve insufficiency due to dilated ventricles (eg
mitral stenosis, the heart failure due to pulmonary disease). The main symptom is a systolic murmur heard at the left sternal shore near the xiphoid.
When the heart beats found floating jugular vein and beat rhythmically,
touching and feeling the liver dam, press liver jugular vein stand to
see more.
Tricuspid stenosis
Very rare, never have they necessarily associated with mitral stenosis may not alone.
The main symptom is heard vibration in drive diastolic tricuspid valve.
Symptoms x rays show two ball right atrium, left and enlarged right ventricle hypertrophy image.
Không có nhận xét nào:
Đăng nhận xét