heart disease瓣膜性心脏疾病ppt课件.pptVIP

心脏瓣膜病;;;Rheumatic Fever;Rheumatic Heart Disease;Rheumatic Heart Disease, cont.;Rheumatic Heart Disease;Rheumatic Heart Disease;What Are the Types of Valve Disease?;Types ;Mitral Stenosis;A 75 year old woman with loud first heart sound and mid-diastolic murmur;Mitral Stenosis: Etiology;Mitral Stenosis:Pathophysiology;MS→进入左室的血流受阻→LAP↑ →PVP↑→左心衰甚至肺水肿 →PAP↑长期重度肺动脉高压 →右室扩大→右心衰 ;Usually there are no symptoms until the valve orifice is moderately stenosed (i.e. has an area of 1.5cm2). Because of pulmonary venous hypertension and recurrent bronchitis, progressively severe dyspnoea develops. A coug