心脏体格检查.pptVIP

Increase in the area of cardiac dullness An increase in the area of cardiac dullness is most strikingly seen in patients with cardiac disease. we cannot detect by percussion an appreciable increase of the cardiac dullness in hypertrophy of the heart unless there is an accompanying dilatation. Cardiac enlargement Enlargement of the left ventricle produces an increase in the relative cardiac dullness to the left and often downward on this side. The heart silhouette looks like a shoe Enlargement of the left ventricle appears in aortic insufficiency, in aortic stenosis, in mitral insuffi