Echocardiography:

Valve orifice, calcification, pliability, size of the chambers, other valvular disease, quantification of stenosis and pulm. HTN

Echo – TTE:

Echo – TEE:

LAE

AO

LV

Failure aortic valve (aortic insufficiency) (NAK. AN)

Etiology:

-rheumatism (80% of all cases of AN in a young age):

-infective endocarditis:

-syphilitic mesoaortitis:

-blunt chest trauma;

-aortic atherosclerosis (advanced age):

-less often other systemic diseases connective tissue.

A circulatory disorder in this case vice is manifested in the fact that during diastole through deformed and loosely closed aortic valves from the aorta to the left ventricle a returnable wave of blood rushes. AT as a result of this, the left ventricle during diastole gets the normal amount blood from the left atrium and additional the amount of blood returning from aorta. Tonogenic expansion sets in cavity of the left ventricle, and then hypertrophy of his muscles.

Clinic:

The general well-being of patients with aortic valve insufficiency can remain good for a long time, T.K. vice is compensated for for a long time by work powerful left ventricle. With time symptoms appear gradually heart failure: shortness of breath, palpitations, weakness.

Complaints:

during the period of defect decompensation) -Noise and throbbing in the head:

. Heartbeat;

.Pain in the region of the heart by type angina pectoris;

.Dizziness and loss of consciousness with a sharp change in the position of the body.

. Shortness of breath, palpitations, edema

Inspection, palpation and percussion:

1.Pallor of the skin:

2.Pulsation of large arteries "dance of carotids": Musset

3.Symptoms (wiggle head).

Muller (pulsation of the uvula in the mouth);

3.Quincke's capillary pulse, pupil pulsation;

4.Elevating apical impulse. Defined in VI intercostal space. On palpation in the 2nd child and in the jugular fossa

the pulsation of the aorta is also determined. In the epigastrium sometimes

there is a pulsation of the abdominal aorta.

5.Expansion of the vascular bundle and UTS down and to the left;

6.Large, fast, high pulse (rulsus magnus, celer,

altus);

7. High pulse pressure: increased systolic and

Auscultation of the heart:

1)Weakening 1 tone at the top:

2)1 tone weakens or disappears due to

wrinkling of the aortic valve cusps.

3)Diastolic murmur, in the aorta, including Botkin and even, sluggish, at the top, due a backward wave of blood from the aorta to the LV. Noise occurs immediately after the I tone, gradually decreases in intensity towards the end diastole., differs in soft blowing character.

4)Presystolic murmur (Flint murmur) over top of the heart .

5)With mitralization of the defect - systolic murmur at the apex.