Video: Dab tsi yog hnov hauv aortic stenosis?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Tus raug yws ntawm aortic stenosis cov tsos mob yog lub suab nrov, "pob zeb diamond zoo li" crescendo-decrescendo, midsystolic ejection yws hnov zoo tshaj plaws ntawm txoj cai sab sauv sab sauv ntawm lub caj dab thiab cov hlab ntsha carotid (saib daim duab hauv qab no). Hauv me me aortic stenosis cov tsos mob , cov yws yws txog thaum ntxov systole.
Ua kom pom qhov no, yam yws yws hnov nrog aortic stenosis?
Cov yws ntawm aortic stenosis cov tsos mob feem ntau yog ib nrab-systolic ejection yws , hnov qhov zoo tshaj plaws ntawm aortic cheeb tsam” los yog txoj cai thib ob intercostal qhov chaw, nrog hluav taws xob mus rau hauv caj dab sab xis.
Tsis tas li ntawd, dab tsi yog qhov hnyav aortic stenosis? Mob hnyav aortic stenosis (AS) yog tam sim no tau txhais los ntawm ib qho aortic cheeb tsam valve (AVA) <1.0 cm2 thiab/los yog lub ntsiab lus transaortic siab gradient (MPG)> 40 mm Hg thiab/los yog lub ncov aortic dav hlau dav hlau (Vmax)> 4 m/s.
Ib qho ntxiv, qhov twg aortic stenosis yws hnov zoo tshaj?
Cov aortic stenosis yws yog pob zeb diamond-puab thiab systolic thiab radiates raws tus aortic txoj kev tawm. Qhov peaking ntawm yws txav mus rau S2 raws li cheeb tsam valve nqaim. Classicically, lub aortic stenosis yws yog hnov zoo tshaj ntawm txoj cai sab sauv sab sauv sab sauv (qhov uas nws hnyav thiab nrov nrov).
Yam tshuaj twg yuav tsum zam nrog aortic stenosis?
Yog li tag nrho afterload txo tus neeg sawv cev ( angiotensin-hloov pauv enzyme inhibitors , calcium channel blockers , blockers) yog contraindicated. Txawm li cas los xij, hauv cov neeg mob uas mob me mus rau nruab nrab aortic stenosis vasodilators xws li hydralazine tuaj yeem ua rau lub plawv tso zis ntau ntxiv.
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Dab tsi yws hnov hauv aortic stenosis?
Aortic stenosis yws yog pob zeb diamond-puab thiab systolic thiab radiates raws txoj hlab ntshav tawm. Lub suab nrov ntawm qhov yws txav mus rau S2 raws li qhov chaw nqaim. Classically, aortic stenosis yws yws zoo tshaj plaws nyob rau sab xis sab sauv ciam teb (qhov twg nws hnyav thiab nrov)