DISEASE OF BODIES OF BLOOD CIRCULATION : CARDIO-VASCULAR INSUFFICIENCY, CHRONIC (INSUFFICIENTIA CARDIO-VASCULARIS CHRONICA)
- etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
What is the CARDIO-VASCULAR INSUFFICIENCY, CHRONIC (INSUFFICIENTIA CARDIO-VASCULARIS CHRONICA) and how it is treated?
Кровеносная система, сердце, сосуды, кровь
Etiology and pathogenesis CARDIO-VASCULAR INSUFFICIENCY, CHRONIC (INSUFFICIENTIA CARDIO-VASCULARIS CHRONICA)
Etiology. The defeat of various heart defects, myocarditis, aneurysm of heart disease pericardium), and the violation of vascular tone. The pathogenesis is determined by the nature of the underlying disease.
Symptoms and course CARDIO-VASCULAR INSUFFICIENCY, CHRONIC (INSUFFICIENTIA CARDIO-VASCULARIS CHRONICA)
There are three degrees of heart failure
towards the ordinary physical signs of corruption and its hemodynamic features joins a number of mainly subjective sensations: General malaise, fatigue, irritability, poor sleep, palpitations, various unpleasant feelings in the heart area; when muscle tension increasing shortness of breath, sometimes appearing and when you talk (you have to break the phrase to rest).
it describes the feelings, the intensity of which increased, join and objective symptoms: in the evening edemas on legs, liver increases and slightly painful (gravity in the right hypochondrium, a reduced amount of urine, she concentrated, contains traces of protein and gives when standing sediment (urates)daily diuresis moves at night (nocturia).
characterized by further circulation disorder: common swelling, fluid accumulation in cavities (hydrothorax, hydroperiod, ascites), the stagnation in the lungs (moist rales, cough, sometimes with primasia bloody sputum); sharp decline diuresis is sometimes supremicism state (uraemia cardiaca); liver severely painful, can descend below the navel, the skin becomes subcarinal color; the belly swollen because of flatulence, which is very painful for the patients (gain breathlessness due to the high standing of the diaphragm); alternate with constipation diarrhea, which in General facilitate the sick. Physical examination of the heart finds expansion of its cavities causing sometimes the relative lack of butterfly valves in the aortic vices and tricuspid - with mitral; noise and accents weaken; often first appear upset the rhythm (premature beats in aortic defects, atrial fibrillation with mitral dominated stenosis holes); frequent heart attacks in the lungs (pain, hemoptysis with increasing temperature, the silencing of percussion sound above the light and a challenge noise pleural friction) are usually companion when narrowing of the left atrioventricular holes. Patients are usually confined to bed, but could not be named lying, as often forced by difficulty breathing, to sit with flat feet (orthopnoe). Agonal period of prolonged; bolanle almost until the very end retain consciousness, many are aware of the proximity of a fatal ending