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- •II курс, семестр IV, лекция III
- •Anatomy of cardiovascular system
- •Surface marking of the valves of heart
- •Conducting system of the heart
- •Complaints
- •Chest pain
- •Chest pain
- •Pain
- •Main cause of coronary pain
- •Description of angina by patients
- •Localization and radiation of typical coronary pain
- •Duration of pain
- •Pain relief
- •Summary on coronary chest pain
- •Angina is unlikely
- •Classification of chest pain
- •Distinguishing between angina and cardialgia
- •Dyspnea
- •Suffocation
- •Cough. Haemoptysis
- •Palpitation and arrhythmia
- •Edema
- •Anamnesis morbi et Anamnesis vitae
- •Examination of patient with cardiovascular diseases
- •Plan
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Facies mitralis
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of patients with CVD
- •Examination of the heart
- •Examination of the heart
- •Examination of the vessels
- •Palpation of the heart
- •Myocardial hypertrophy
- •Dilation
- •Types of cardiomegaly
- •Types of cardiac overload
- •Increased postload
- •Increased preload
- •Remodelling of the heart
- •Palpation of the heart
- •Sequence of palpation of the heart
- •Apex beat
- •Palpation of apex beat
- •Apex beat shift
- •Apex beat shift
- •Features of apex beat
- •Features of apex beat
- •Palpation of apex beat
- •Palpation of right ventricular lift
- •Epigastric pulsation
- •Pathologic pulsation
- •Palpation of main arteries
- •Pathologic pulsations
- •Heart thrill (purring thrill)
- •Heart thrill (purring thrill)
- •Percussion of the heart
- •Rules of percussion
- •Borders of relative dullness
- •Detection of relative dullness
- •Detection of relative dullness
- •Detection of relative dullness
- •Transverse size of the heart
- •Borders of vessel bundle
- •Absolute dullness
- •Configuration of the heart
- •Normal configuration of the heart.
- •Mitral configuration
- •Aortic configuration
II курс, семестр IV, лекция III
Cardiovascular diseases
Complaints and history.
Physical examination. Palpation. Percussion
Anatomy of cardiovascular system
Surface marking of the valves of heart
1 |
2 |
|
3
4
5
1.Sternum.
2.Semilunar valves
3.Base of the heart.
4.Apex of the heart.
5.Diaphragm.
6.Atrio-ventricular valves
6
Conducting system of the heart
Sinus node
AV node
His bundle
Bundle branches
Complaints
Chest pain
Dyspnea
Episodes of suffocation
Cough and haemoptysis
Palpitations
Edema
Dizziness
Weakness
Syncope (fainting)
Chest pain
Chest pain
1.Coronarogenic (ischaemic) – angina pectoris
2.Non-coronarogenic - cardialgia
Pain
–Localisation
–Radiation
–Character
–Duration
–Initiating agent
–What brings a relief
- Accompanying symptoms
Main cause of coronary pain
NB |
Imbalance between |
|
oxygen demand and |
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|
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|
supply in myocardium |
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