cardiovascular-symptoms心血管症状 ppt课件

《cardiovascular-symptoms心血管症状 ppt课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、CommonsymptomsoftheCardiovascularSystemDr.hechaoThecardiologydepartmentoffirstclinicmedicalcollegeInterestingfacts...TheheartdoesnotrestformorethanafractionofasecondatatimeDuringalifetimeitcontractsmorethan4billiontimesCoronaryarteriessupplymorethan10millionlitersofbloodtothemyocardiuminalifetimeIn

2、terestingfacts….Cardiacoutput(heartrateXstrokevolume)canvaryunderphysiologicconditionsfrom3to30liters/minuteRemember:Normalcardiacoutputforadultsis5-6liters/minuteCardiacindexcorrectsforbodysize(Cardiacoutputdividedbybodysurfacearea)CommonDiseasesoftheHeartCoronaryarterydiseaseHypertensionRheumatich

3、eartdiseaseBacterialendocarditisCongenitalheartdiseaseOTHERVERYCOMMONDISEASESOFTHEHEARTCONGESTIVEHEARTFAILURECARDIOMYOPATHYARRHYTHMIASCommonSymptomschestpainPalpitationoedemaDyspneaSyncopeChestPainChestPainCardiovasculardiseaseisthe1stcauseofdeathintheUnitedStates5.4%ofallvisitstotheEDareforchestpai

4、n2.5%ofpatientswithanacutemyocardialinfarction(AMI)aresenthome20%ofallEDmalpracticeclaimsareformisdiagnosedchestpaincomplaints.BedifficulttodiagnoseChestPainWhythediseasesofdifferentorgansystemspresentwithsimilarsymptoms?VisceralpainSomaticpain9VisceralPainSensorynervesfrominternalorgansenterthespin

5、alcordatmultiplelevelsandthusthepainisdifficulttodescribeandlocalizeAchingPressureHeavinessSomaticPainSensorynervesfromthesestructuresenterthespinalcordatspecificlevelsandthepainiseasilydescribedandlocalizedSharp,stabbingPatientswillpointtoanareaofwelllocalizedpainBone,skin,muscle,parietalpleuraCaus

6、esofchestpainCardiovascularA.C.S.(AcuteCoronarysyndrome)PericarditisAorticdissectionAorticstenosisPulmonaryPulmonaryembolismPleurisyPneumothoraxPneumoniaPediatricsKawasakidiseaseHypertrophiccardiomyopathyCongenitalheartdiseaseGastrointestinalEsophagealrefluxEsophagealspasmEsophagealrupturePepticulce

7、rdiseaseGallbladderdiseasePancreatitisChestWallPainHerpesZosterCostochondritisCervicalradiculopathyRibfractureAnxietyEvaluationofChestPainGOALEarlydetectionandsafemanagementoflife-threateningdiseasesC