Contracting narrowly pericarditis plump type myocardium disease _'s general knowledge of differentiation of the expansion type myocardium disease

Contracting narrowly pericarditis, plump type myocardium disease, _'s general knowledge of differentiation of the expansion type myocardium disease
1,Draw back narrow pericarditis:Mean the heart is surrounded by the dense and thick fiber pericardium, make the heart relaxation one full of clinic sign of the limited a series of circulation obstacle producing. It is the most early symptom that the labour has difficulty in breathing, the intravenous anger one of neck is the most important physical sign (note: If there is this that describes while doing that will consider that draw back narrow pericarditis in the question) . Hepatomegaly, ascites, the lower extremities edema are the common physical sign (note: It has this that behaves too that the heart function is not complete) . Systolic pressure is reduced, the diastolic pressure is raised (note: Because systolic pressure lowers reflectivity to cause arteriolar convulsion around and cause the diastolic pressure to rise) ,Pulse is thin and delicate and unable, have more strange pulse (note: Strange pulse is solicited, but does not have a specificity by an individual, it means there can also be strange pulse in other diseases) ,Heart the intersection of voiced sound and normal circle expand, have more person who shoulder apex of the heart beat, can hear and pericardium knock hit the transliteration (note: This is that one relatively has specific physical sign) . ECG is QRS hypotension, T wave is smooth or inverts.
2,Plump type myocardium disease:Diminish as characteristic with myocardium the intersection of asymmetry and plump, the intersection of ventricle and, blood flow plentiful to obstruct with left room, the relaxation one complies with the myocardium disease which drops to the essential feature (note: If the question describes the heart relaxation function drops, need to consider the plump type myocardium disease is possible) . More than half does not have obvious symptom, main symptom is that palpitation, chest ache, have difficulty in breathing, die suddenly. The incidence of the room arrhythmia is 50%. Check the poor period of injection systolic phases noise of brestbone of body. ECG show lead unite, presenting dark and narrow Q wave in 2, aVF and V4-6 by 30%-50% patient ' 0.04s) . UCG (the interesting picture of supersound) Show interventricular septum to be obviously plump to greater than or equal to 1.5cm, bicuspid valve frontal lobe moved close to the interventricular septum (SAM solicits the masculine gender) in front of systolic phase (Note: Behavior to pay attention to USG, set theme often, if similar information this under question, want, consider getting plump myocardium disease) ,One is narrow that the left room is flowed out, the aorta one shrinks in middle period and presents and closes partly.
3,Expanding myocardium disease:DCM main characteristic is that left ventricle or one pair of ventricles heart expands and shrinks function obstacle, it is in heart failure (note to produce: If there are not hypertension, coronary heart disease medical history in the question, get up the disease is not complete for the heart function, not normal with rhythm of the heart, need considering expanding myocardium disease) . Often not normal with rhythm of the heart, mortality is relatively high. There is no symptom one: The physical examination is very normal, the X-ray examination heart increases slightly. There is symptom one: Being mainly shown as is extremely tired, palpitation, shortness of breath after the activity. The later period of condition: Hepatomegaly, edema, ascites,etc. are congestive and in heart failure to behave, the physical sign at this moment is cardiac dilatation, galloping horse's law, the lung circulates and systemic circulation extravasated blood. ECG: QRS hypotension, a few patients can be seen pathology Q wave, ST reduces, T wave inverted. X-ray ambition than greater than 0.5. show to increase UCG four chamber,can't expand as rooms left prominent, the left ventricle flows out one to expand, the sport of the wall is weakened behind interventricular septum and left room.
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