Disfunctia Diastolica Vs

Diapozitivul 1

DISFUNCTIE DIASTOLICA VS

CORD NORMAL / HVSFE = VNSCADE = COMPLIANTA + RELAXAREA VSDISFUNCTIA DIASTOLICA DE VS

SEMNE CLINICE DE HTP INSTALATA BRUSCCRIZA ANGINOASA,TAHIARITMIE,SALT TENSIONALLA PACIENT CU CORD NEREACTIONAT SI FE NORMALADISFUNCTIE DIASTOLICA SECUNDARA=CARDIOMEGALIE+STAZA PULMONARA+FE VS NORMALA1DISFUNCTIA SISTOLICA VS

DILATARE CORDSCADE FESINDROM CONGESTIV= DISPNEE+HTP+HTA+GALOP VS+CARDIOMEGALIEFE < 40 %2ECOCARDIAC FLUX DIASTOLIC TRANS MITRALTRI=TIMP DE RELAXARE IZOVOLUMETRICA = 60-100 msTIMP DE ACCELERATIE UNDA EVmaxE=VITEZA MAXIMA UNDA E VITEZA MAXIMA A UMPLERII PROTODIASTOLICEVmaxA=VITEZA MAXIMA UNDA A V MAXIMA A UMPLERII VENTRICULARE IN TIMPUL CONTRACTIEI ATRIALEE/A=VmaxE/VmaxA = 1-2 (SE CORELEAZA CU P IN AS)TD=TIMP DECELERATIE UNDA E = 150-220 msTA=TIMP DE ACCELERATIEDUV=DURATA MAXIMA A UMPLERII VENTRICULAREEmiDUR=DURATA UMPLERII PRECOCEAmiDUR=DURATA UMPLERII TARDIVE

3DISFUNCTIA DIASTOLICA A VS

RELAXARE VENTRICULARA INTIRZIATATRI>100msTD>220msVmaxA >VTIA >E/A TD < 140 msVmaxA