DUREREA TORACICA - UMF

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DIAGNOSTIC Moarte subita Durere severa, aparuta brusc la nivelul toracelui Anxietate HTA in antecedente in 75-85% din cazuri Asimetrie a pulsului si TA intre cele 2 membre superioare
EXAMEN OBIECTIVSindrom de ischemie prin ocluzia ramurilor arteriale: carotida (AVC ischemic in 5%), mezenterica (infarct intestino-mezenteric in 10-15%), coronariana (infarct miocardic in 20%).Insuficienta acuta severa a valvei aortice (33%)Ruptura in pleura (dispnee si hemoptizie),pericard (tamponada pericardica in25%).Insuficienta renalaSindrom de ischemie periferica (ischemie acuta demembre superioare sau inferioare in 20%)Paraplegia (prin ocluzia arterelor spinale in 2-5%)
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DUREREATORACICA
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CARDIOPATIA ISCHEMICAANATOMIEFata v
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TERITORIILE CORONARELOR
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Myocardial OxygenMcCance Kathryn L.
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Porth Carol, Essentials of Pathophy
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Porth Carol, Essentials of Pathophy
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Endothelial Cell Dysfunctioninappro
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CONSEQUENCES
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INFARCTUL TRANSMURAL• Definiţie:
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Infarct in ventricular wall with lo
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CLASIFICARE CLINICAa cardiopatiei i
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DIAGNOSTIC CLINICAL ANGINEI PECTORA
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EXAMINARI PARACLINICECele mai impor
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TRATAMENTangina pectorala stabilaSc
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TRATAMENT MEDICAMENTOSangina pector
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PREVENTIA SECUNDARAPacienţii cu an
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SINDROMULCORONARIANACUT
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SINDROAMELE CORONARIENEACUTEexamin
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SINDROAMELE CORONARIENEACUTE ECGinf
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SINDROAMELE CORONARIENE ACUTEenzime
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UnstableAngina• Non occlusivethro
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COMPLICATIILE INFARCTULUIMIOCARDIC
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ANEVRISM DE VENTRICUL STING
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TRATAMENTUL SINDROMULUICORONARIAN A
Page 57 and 58: TROMBOLIZATromboliza: se initiaza i
Page 59 and 60: TRATAMENTAngiologicangioplastia cu
Page 63 and 64: ALTE PROCEDURIAlte proceduri interv
Page 65 and 66: BY-PASS-UL AORTO-CORONARIANEste pro
Page 67 and 68: INDICATII DE REVASCULARIZARECHIRURG
Page 69 and 70: INDICATII DE REVASCULARIZARECHIRURG
Page 71 and 72: GREFOANE ARTERIALEA. MAMARA INTERNA
Page 73 and 74: OPTIUNI INREVASCULARIZAREACORONARIA
Page 75 and 76: BYPASS-UL CORONARIAN CLASIC, ON PUM
Page 77 and 78: REVASCULARIZAREA MIOCARDICACONVENTI
Page 79 and 80: BYPASS-UL AORTO-CORONARIANOFF PUMPU
Page 81 and 82: ARTERIALIZAREA COMPLETAPermeabilita
Page 83 and 84: ARTERIALIZARE COMPLETA-IMAGINICORON
Page 85 and 86: NU SE OBSERVA DIFERENTE INTREOFF- S
Page 87 and 88: CHIRURGIA CORONARIANA CU ASISTAREVI
Page 89 and 90: Care sunt rezultatele chirurgiei de
Page 91 and 92: RUPTURĂ SEPTALĂDSV POSTINFARCTrar
Page 93 and 94: INSUFICIENŢĂ MITRALĂ ACUTĂ▶ r
Page 95 and 96: CHIRURGIA COMPLICAŢIILOR MECANICE
Page 97 and 98: RUPTURA DE PERETE LIBER3% din pacie
Page 99 and 100: DefinitieReprezintǎ ruptura intime
Page 101 and 102: FACTORI PREDISPOZANTI Hipertensiune
Page 103: MECANISMTWO THEORIES Tear in intima
Page 106: CLASIFICARE
Page 113 and 114: TOMOGRAFIE COMPUTERIZATA CUSUBSTANT
Page 115 and 116: PROGNOSTIC36-72% din pacienti deces
Page 117 and 118: TRATAMENTUL DISECTIEI DE TIP AEvolu
Page 119 and 120: CONTRAINDICATII OPERATORIIVirsta av
Page 121 and 122: TRATAMENT CHIRURGICAL
Page 123 and 124: TRATAMENTUL CHIRURGICAL
Page 125 and 126: INDICATIA CHIRURGICALATratamentul m
Page 127 and 128: STENTUL ENDOLUMINAL O proportie din
Page 129 and 130: STENT GRAFT IMPLANTAT IN Ao TORACIC
Page 131 and 132: PERICARDITELE
Page 133 and 134: ANATOMIA PERICARDULUI
Page 135 and 136: PERICARDITA ACUTĂ - SERO-FIBRINOAS
Page 137 and 138: PERICARDITE PURULENTE Apar prin con
Page 139 and 140: PERICARDITA CAZEOASĂ Apare rar.Eti
Page 141 and 142: EXAMINARI PARACLINICEElectrocardiog
Page 143 and 144: TROMBEMBOLISMPULMONAR
Page 145 and 146: FACTORII DE RISCPENTRU TROMBOZA VEN
Page 147 and 148: FIZIOPATOLOGIE (2)
Page 149 and 150: CLINICA- durerea toracică se insta
Page 151 and 152: WESTERMARK SIGN
Page 153 and 154: SEMNE RADIOGRAFICEHampton’s Hump,
Page 155 and 156: ANGIOGRAFIA PULMONARA“Gold Standa
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TRATAMENT 1. Suportul hemodinamic
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