内科学教学课件514 Valvular Heart Disease.ppt

Clinical Manifestations 2. Physical Examination 2) Systolic ejection murmur: At the base of the heart, sometimes with systolic thrill, often radiating both to the neck and to the apex. Laboratory Examination 1. ECG Left ventricular hypertrophy T wave inversion and ST segment depression There may be atrial fibrillation, ventricular rhythm disturbances. Laboratory Examination 2. Radiological Findings The heart is usually of normal size or slightly enlarged. Post-stenotic dilation of the ascending aorta is a common finding. There may be sighs of pulmonary venous hypertension. 3. Echo