Triu chng bnh tim mch v suy tim

TS Quc Hng Vin Tim mch Vit nam

Triu chng bnh tim mch: au ngc

au ngc in hnh: - tnh cht p, nu NMCT th t/c nng hn nh dao m - v tr sau xng c - thi gian vi pht-15 - hng lan vai , tay tri au ngc khng in hnh nguyn nhn ngoi tim: - au c xng - au d dy thc qun - Vim phi mng phi - Vim tu - Vim dy thn kinh lin sn

Triu chng bnh tim mch: kh th

Kh th: l tnh trng th khng thoi mi, c th i hi phi tng thng kh. Kh th do bnh tim thng sau gng sc, ngy cng nng v thm ch c khi ngh. Bnh tim nng hay xut hin cn KTKF v m v c bit nng l cn PPC.

Triu chng bnh tim mch: ngt

Ngt : l mt thc tm thi v ng nm nu ang ng hoc ngi. Nguyn nhn ti tim do gim lu lng mu ti no Hay gp: RL nhp tim nhp nhanh, chm, BAV, RT cc bnh van tim, BCT ph i, Fallot 4, u nhy NT, TDMT gy p tim, NMCT, chong ph v, tt HA t th. Cc nguyn nhn ngoi tim: thiu mu, tng thng kh qu mc do lo lng, au na u, ng kinh Phn bit ngt vi u c quay cung,chng mt

Triu chng bnh tim mch: nh trng ngc

L tnh trng ngi bnh t nhn bit s kh chu nhp p ca tim. Tim p thnh thnh nh nh trng, tn s tim nhanh c th nhp tim khng u Hay gp: nhp nhanh xoang, rung nh, bnh cng gip trng, thiu mu, bnh beriberi, suy tim

Triu chng bnh tim mch: ph

Ph c m t l s tp trung dch m lin kt. Ph do tim thng ph ngoi bin thy chi di, v ph tm Ph mt v chi trn thng gi ph o khoc do khi u chn p phi hoc trung tht. Ph trng mt v ton thn hay gp ngi c bnh thn mn tnh. Ph 1 chi th nn xem c bnh v mch mu khng

Triu chng bnh tim mch: ho ra mu

L th ra t ngt tng m c dnh mu ra khi kh ph qun Nguyn nhn: ph phi, TAMP, tc mch phi dn n NM phi, v phnh mch trong lng PQ Thng gp: bnh HHL, NM phi, h/chng Eisenmenger, d TM phi, v phnh mch Ho ra mu khng phi do tim thng l: lao phi, VPhi-ph qun, K phi, COPD..

Triu chng bnh tim mch: tm mi v u chi

Hay gp trong bnh tim bm sinh c dng mu thng t phi sang tri: Fallot 4, h/chng Eisenmenger i km vi ngn tay di trng, suy tim mn tnh, NM phi, bnh v.tc ng mch c th thy hoi t u chi b tc.

Du hiu triu chng chung

Mt mi Chn n Nn v bun nn Vng da vng mt Da xanh St

Suy tim : khi nim chung

Chc nng tm thu ca tim do 4 yu t chi phi: +Tnh trng co bp +tin gnh ca tht (TT cui TTr v di si c) +Hu gnh (sc cn tng mu ca TTri) +Tn s tim C ch gy ra ST +Qu ti th tch +Qu ti p lc +Tng qu mc cung lng tim +Gim sc co bp c tim hoc ri lon Ch.n tm trg

Suy tim : cc biu hin lm sng

Triu chng: +ST phi: mu TH ngoi bin, p lc tm tng, ph gan to, tm c ni +ST tri: kh th khi GS, ho, mt mi, kh th khi nm, cn KTKF v m, tim to, ran phi, nhp nga phi, mu phi.. +Suy c 2 tht

Suy tim : cc biu hin lm sng

Du hiu: +ST lu ngy c dh suy mn, tm, nhp nhanh, h HA, mch ny yu, u chi lnh, ra m hi +Khm mch cnh pht hin hp van MC +Khm tuyn gip +Khm phi c th thy TDMP, ran FQ do ST +Gan to, c trng

Suy tim : cc thm d, xt nghim c bn

Sinh ho: CN thn, tuyn gip, G Huyt hc: CTM, ML XQ lng ngc: thng nghing T Siu m tim Chp bung tim Thng tim chp mch

Suy tim : nguyn tc iu tr

iu tr theo nguyn nhn Ch n ung, sinh hot, luyn tp Thuc:

Tr tim Li tiu Gin mch B sung vitamin v cc thuc T triu chng