内科学课件: 心功能不全(英文版)-.pptVIP

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  • 2023-12-31 发布于山东
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内科学课件: 心功能不全(英文版)-.ppt

HeartFailure

DefinitionofHeartFailureHFisacomplexclinicalsyndrome,inwhichpatientshavetypicalsymptoms(e.g.breathlessness呼吸急促,ankleswllingandfatigue疲劳)andsigns(e.g.elevatedjugularvenouspressure,pulmonarycrackles)resultingfromanabnormalityofcardiacstructureorfunction.

GeneralConsiderationsSystolicfunctionoftheheartisgovernedbyfourmajordeterminants:ContractilestateofthemyocardiumPreloadoftheventricleAfterloadappliedtotheventriclesHeartrate

UnderliningCausesofHeartfailure

---fromaclinicalviewpoint(1)Underlyingcauses,comprisingthestructuralabnormalities—congenitaloracquired—thataffecttheperipheralandcoronaryvessels,myocardium,orcardiacvalvesandleadtotheincreasedhemodynamicburden,increasedmyocardialstress,orcoronaryinsufficiencyresponsibleforheartfailure.

UnderliningCausesofHeartfailure

---fromaclinicalviewpoint(1)Underlyingcauses:SystemichypertensionCoronaryarterydiseaseCardiomyopathyValvularheartdiseaseDiabetesBeriberi

UnderliningCausesofHeartfailure

---fromaclinicalviewpoint(2)Precipitatingcauses,includingthespecificcausedorincidentsthatprecipitateworseningheartfailurein50to90percentofepisodesofclinicalheartfailure.

PrecipitatingCausesofHeartfailureInfection,especiallypulmonaryinfections.Arrhythmias,mostcommonlyatrialfibrillation,markedbradycardia.MyocardialischemiaorinfarctionPulmonaryembolism

PrecipitatingCausesofHeartfailurePhysicalandemotionalstressInappropriatereductionoftherapyAdministrationofmyocardialdepressantorsalt-retainingdrugs

ClinicalClassification1.AcuteVersusChronicHeartFailure2.Right-SidedVersusLeft-SidedFailure3.SystolicVersusDiastolicHeartFailure

ChronicHeartFailure

CausesofHFinWesternWorldForasubstantialproportionofpatients,causesare:CoronaryarterydiseaseHypertensionDilatedcardiomyopathy

ClinicalManifestations

Left-sidedhear

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