Cough. Haemoptysis
Cough
Congestion of blood in pulmonary circulation Occurs and increases in supine position
Pulmonary embolism
Dry or productive, sometimes with haemoptysis
Haemoptysis
Congestion of blood in pulmonary circulation and passage of RBC through capillary wall
Palpitation and arrhythmia
Causes:
Supraventricular and ventricular ectopic beatsAtrial fibrillation
Paroxysmal supraventricular tachycardiaParoxysmal ventricular tachycardia
Edema
Accumulation of fluid in tissues and cavities of the organism Cardiac edema:
Start from the anklesSymmetric
Increase in the evening
Causes:
–Low contractility of right chambers of the heart;
–Pulmonary hypertension;
–Right ventricular MI;
–Dilated cardiomyopathy;
–Myocarditis
|
Edema syndrome |
Ascites |
Hydrothorax |
|
Ascites is accompanied |
|
by edema of anterior |
|
abdominal wall |
Main mechanism of fluid accumulation in pleural cavities: elevation of hydrostatic pressure in both circuits of circulation
Anamnesis morbi et Anamnesis vitae
Intensity of symptoms
Duration of symptoms
Results of previous investigations
Results of previous treatment
Compliance to treatment
History of infectious diseases
Surgical history
Family history (Family history of premature CVD)
Harmful habits (smoking, alcohol abuse, narcotics)
Examination of patient with cardiovascular diseases
Plan
Condition
Consciousness
Position
BMI
Skin, subcutaneous fat, visible mucus layers
Examination of patients with CVD
Examination of patients with CVD
