Getting plump the elderly myocardium disease diagnose check the intersection of _ and treatment

Getting plump the elderly myocardium disease diagnose, check the intersection of _ and treatment
Diagnosis: Combine the inspection result of pursuing etc. aroused in interest of electrocardiogram and supersound according to the patient's clinical symptom, physical sign, HCM is generally easy to diagnose. When the above still can't make a definite diagnosis of to check, radiography and heart conduit blood flow dynamics of feasible cardiovascular vessel are checked, a disease of the elderly is relatively rare, should pay attention to leaking and examine and misdiagnose.
Check in the laboratory: Liver function is unusual at the time of liver extravasated blood in later period.
Other auxiliary examination:
1.Electrocardiogram Most HCM patients have unusual electrocardiograms. A most common one show as left ventricle to be plump straining, it is obvious for ST-T to change, the intersection of T and the intersection of wave and similar " preceded form T " sometimes ,The district leads and unites V5 if the spacious T wave (> 10mm) inverting appears in front of the heart It may be plump indication of the apex of the heart. About 30%- 50% of the patients have abnormality Q wave, leads and unites commonly in 2, aVF, V1, V2, V5, V6, Q wave dark narrow, <0.03-0.04s often, appear Q wave lead, unite T wave stand upright, difficult to distinguish with myocardium infarction sometimes while being the same. Unusual Q might until cardiac muscle arrange disorder and fiber take change the sex and the intersection of heart and electric the intersection of activity and pathway have something to do unusually in mechanism in production of wave. It is obvious the intersection of P and wave sometimes and change, react the left room to expand. In addition it is obvious various arrhythmia, such as sex tachycardia, proteiform room early propping up block, block,etc. in the room by auricular fibrillation, Left deviation, the intersection of right and bunch on the room.
2.The supersound aroused in interest is pursued The interesting picture of the supersound has not achieved the best method to diagnose HCM, not merely can fix and diagnose, can also carry on the dividing type to HCM. It main to it displays to be as follows, while being positive
(1)The interventricular septum is plump and sports are unusual: Present asymmetry to be plump more, adult thickness in 15mm above more, interventricular septum and the intersection of left the intersection of room and the intersection of thickness and proportion> and 1.3- 1.5 (normal =1.03 0.07) ,The interventricular septum movement range and systolic phase increase the thick rate to lower. The ventricle is diminished, there are the plump one of interval of middle parts that can see left room middle part systolic phase to lock, and one of major axes of heart is shortened, locked as the characteristic of the department HCM of apex of the heart in the apex of the heart department. The myocardium sports of normal position are normal or the compensating is strengthened.
(2)The left room flows out one narrowly: It is 2.0- 2.5cm, plump because of the interventricular septum that the normal left room flows out a width, the intersection of frontal lobe of bicuspid valve and body department, to sports before systolic phase, make the left room flow out one narrowly <2.0cm.
(3)The bicuspid valve, to sports before systolic phase: Because the interventricular septum asymmetry is plump, especially aorta one is left plumply, the heart is diminished, the seat of skin of papilla nears the interventricular septum, make the bicuspid valve leaf relative and too long. Ventricle systolic phase, the blood flow forms the relative low pressure area through narrow flowing out one rapidly, make the intersection of bicuspid valve and frontal lobe flow out line, expand, appear to low-voltage left room, cause, it flows out line to be narrow or block. The old patient can be seen the bicuspid valve ring calcificatedly. Diagnose: Combine the inspection result of pursuing etc. aroused in interest of electrocardiogram and supersound according to the patient's clinical symptom, physical sign, HCM is generally easy to diagnose. When the above still can't make a definite diagnosis of to check, radiography and heart conduit blood flow dynamics of feasible cardiovascular vessel are checked, a disease of the elderly is relatively rare, should pay attention to leaking and examine and misdiagnose.
[1]' >Next page
|