heart disease瓣膜性心脏疾病ppt课件.pptVIP

心脏瓣膜病;;;Rheumatic Fever;Rheumatic Heart Disease;Rheumatic Heart Disease, cont.;Rheumatic Heart Disease;Rheumatic Heart Disease;What Are the Types of Valve Disease?;Types ;Mitral Stenosis;A 75 year old woman with loud first heart sound and mid-diastolic murmur;Mitral Stenosis: Etiology;Mitral Stenosis:Pathophysiology;MS→进入左室的血流受阻→LAP↑ →PVP↑→左心衰甚至肺水肿 →PAP↑长期重度肺动脉高压 →右室扩大→右心衰 ;Usually there are no symptoms until the valve orifice is moderately stenosed (i.e. has an area of 1.5cm2). Because of pulmonary venous hypertension and recurrent bronchitis, progressively severe dyspnoea develops. A cough productive of blood-tinged, frothy sputum and occasionally frank haemoptysis may occur. Right heart failure and its symptoms of weakness, fatigue and abdominal or lower limb oedema. Atrial fibrillation, giving rise to palpitations. Atrial fibrillation may result in systemic emboli.;Mitral Stenosis: Symptoms;Recognizing Mitral Stenosis;Mitral Stenosis: Physical Exam;Common Murmurs and Timing;Mitral Stenosis ;Mitral Stenosis: EKG;A 75 year old woman with loud first heart sound and mid-diastolic murmer;Mitral Stenosis;;Mitral Stenosis;Mitral Stenosis: Role of Echocardiography;;Rheumatic mitral stenosis;M型见“城垛样”改变;Mitral Stenosis ;Mitral Stenosis: Complications;Mitral Stenosis: Natural History;Mitral Stenosis:Therapy;Mitral Stenosis:Therapy;Valvular Heart Disease Mitral Regurgitation;Mitral Regurgitation;An 80 year old woman with increasing dyspnea;Mitral Regurgitation:Etiology;MR Etiology:Surgical series ;MR Pathophysiology;MR Symptoms;Recognizing ChronicMitral Regurgitation;Recognizing Acute SevereMitral Regurgitation;Comparing AS and MR;Mitral Regurgitation ;Mitral Regurgitation;Mitral Regurgitation;MR Echocardiography;MR Echocardiography;MR Echo/Doppler;Mitral Regurgitation ; Complication: Atrial fibrillation; congestive heart failure; thromboembolism; infective endocarditis Management: - Medical treatment - Surgical treatment ;Treatment;Valvular Heart