影像学3循环.pptVIP

* Title Title Cardiovascular system Title Title Title Title Jian hua Liu The second hospital CARDIOVASCULAR INTRODUCTION CARDIOVASCULAR DISEASE Methods of radiologic investigation Congenital heart disease Plain film Atrial Septal Defect (ASD) Cardiac catheterization Ventricular Septal Defect (VSD) Computed tomography Patent Ductus Arteriosus (PDA) Magnetic resonance imaging Tetralogy of fallot Ultrasonography Rheumatic heart disease Radionuclide imaging Mitral stenosis Normal anatomay Mitral insufficiency Plain film Hypertensive heart disease Computed tomography CAD Magnetic resonance imaging Pulmonary heart disease Common abnormal imaging signs Pericarditis Plain film Pericarditis with effusion CTMRI Constrictive pericarditis Cardiomyopathy Diseases of aorta secondary Renal artery stenosis , adrenal hyperplasia , Coarctation of aorta Hypertensive Heart Disease Background The rate of HHD in adult is about 8%~18%.Essential hypertension accounts for 90% of cases of hypertension in adults. Secondary causes of hypertension account for the remaining 10% of cases of chronically elevated BP. Symptoms Headache and faint are common symptom. easy fatigability and exertional dyspnea. Pathology hemodynamics Hypertensive Heart Disease LV LA RV RA Ao. PA LM signs ↑ ↑ ↑ ↑ Findings of plain film LM:lung markings PA :pulmonary artery Left ventricular enlargement the apex of the heart extends downward to the gastric bubble the apex of the heart extends to the left the left side of the heart becomes more globular the retrocardial space becomes narrow or disappears the point of opposite pulsation is pushed upwards ------Radiologic feature Aortic knob becomes big Hypertensive Heart Disease plain film Hypertensive Heart Disease plain film Hypertensive Heart Disease CT Hypertensive Heart Disease CT Hypertensive Heart Disease secondary When disease occurs, the third sound could appear Coron