DUREREA TORACICA - UMF

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Bypass-ul coronarian clasicON PUMP - CIRCULATIA EXTRACORPOREALA• Incanulare standard:• canula arteriala in aortaascendenta• o canula venoasa in AD si VCI• Oxigenator cu membrana• 2 canule de cardioplegie in aorta• ascendenta si sinusul coronarian• Clamparea aortei• Administrarea cardioplegiei• pana la oprirea cordului
BYPASS-UL CORONARIAN CLASIC, ON PUMPPROTECTIA MIOCARDICA• Se realizeaza prin:- hipotermie moderata - 28 - 32 0 C- cardioplegie sanguina rece, bogata in potasiu, adm.antero- si retrograd- racire locala a suprafetei miocardului cu ser fiziologic la 4-6 0 C pentru mentinerea unei temperaturi de suprafata de15 0 C (tehnica Schumway modificata)• Se urmareste oprirea cordului in diastola, reducereanecesarului energetic si a metabolismului celuleimiocardice.
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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
Page 24 and 25: DIAGNOSTIC CLINICAL ANGINEI PECTORA
Page 27: EXAMINARI PARACLINICECele mai impor
Page 30 and 31: TRATAMENTangina pectorala stabilaSc
Page 32 and 33: TRATAMENT MEDICAMENTOSangina pector
Page 34 and 35: PREVENTIA SECUNDARAPacienţii cu an
Page 36: SINDROMULCORONARIANACUT
Page 40 and 41: SINDROAMELE CORONARIENEACUTEexamin
Page 42 and 43: SINDROAMELE CORONARIENEACUTE ECGinf
Page 45: SINDROAMELE CORONARIENE ACUTEenzime
Page 48 and 49: UnstableAngina• Non occlusivethro
Page 50: COMPLICATIILE INFARCTULUIMIOCARDIC
Page 53 and 54: ANEVRISM DE VENTRICUL STING
Page 55 and 56: 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: OPTIUNI INREVASCULARIZAREACORONARIA
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 109 and 110: EXAMEN OBIECTIVSindrom de ischemie
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
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INDICATIA CHIRURGICALATratamentul m
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STENTUL ENDOLUMINAL O proportie din
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STENT GRAFT IMPLANTAT IN Ao TORACIC
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PERICARDITELE
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ANATOMIA PERICARDULUI
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PERICARDITA ACUTĂ - SERO-FIBRINOAS
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PERICARDITE PURULENTE Apar prin con
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PERICARDITA CAZEOASĂ Apare rar.Eti
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EXAMINARI PARACLINICEElectrocardiog
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TROMBEMBOLISMPULMONAR
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FACTORII DE RISCPENTRU TROMBOZA VEN
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FIZIOPATOLOGIE (2)
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CLINICA- durerea toracică se insta
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WESTERMARK SIGN
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SEMNE RADIOGRAFICEHampton’s Hump,
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ANGIOGRAFIA PULMONARA“Gold Standa
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TRATAMENT 1. Suportul hemodinamic
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