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Keywords: heart, cardiovascular system, physiopathology, ischemic illness of heart, an ischemic disease, a heart failure, cardiac edemas, an idiopathic hypertensia, a myocardium, a circulation, coronary failure
Physiopathology of a systemic circulation. Infringements of function of heart. A heart failure, its kinds, mechanisms of development
Key concepts
- the Circulatory unefficiency- the functional state of cardiovascular system which are not providing a blood supply according to requirement of an organism in Oxygenium.
- the Heart failure- downstroke of delivery (constriction) function of the myocardium, described by disability of system of a circulation to deliver to organs and tissues amount of a blood (Oxygenium) necessary for normal functioning according to requirement of an organism.
- Ischemic illness of heart (ischaemia - to intercept, haima - a blood) - a dysfunction of heart, acute or chronic, arising owing to downstroke (absolute or relative) supply of a myocardium by an arterial blood. Such dysfunction is connected to pathological process in system of coronary arteries (CART) more often.
- the Stenocardia (an armour. angina pectoris - an angina pectoris; steno - to press, narrow, throttle, kardia - heart) - the acute form of ischemic illness of the heart, arising owing to absolute or relative downstroke of supply of a myocardium by Oxygenium. A characteristic sign of a stenocardia - a pain behind a breast bone with an irradiation.
- the Myocardial infarction (an armour. infarctus - filled, filled) - the stage of ischemic illness of heart at which the necrosis of a field of a muscle of heart koronarogennogo and nekoronarogennogo parentages educes, is characterized by downstroke of delivery function of heart.
- the Asthma cardiac (asthma cardiale; asthma - serious short respiration, a dyspnea, kardia - cердце) - serious short respiration, a dyspnea caused by development of acute failure of the left departments of heart or an exacerbation of their chronic failure.
- the Cardiogenic shock (kardia - heart; choc - impact) - complication of ischemic illness of the heart, accompanying with a pain set of symptoms, cardiac delicacy, sharp downstroke of a systolic pressure and development of acute cardiovascular failure.
Educational elements
I. A general etiology and a pathogeny of distresses of function of cardiovascular system
- - an etiology
- - the general mechanisms of development
II. A circulatory unefficiency, a general characteristic
- - forms: acute, chronic
- - the basic haemodynamic parameters
- - exhibitings
III. A heart failure, concept, forms, pathophysiological mechanisms of development
- - forms of a heart failure: miocardial, reloading, pericardiac, arrhythmic
- - pathophysiological mechanisms of a heart failure
- infringement of delivery (constriction) function of heart
- biopower failure
- electromechanical interdigitation
IV. The miocardial form of a heart failure, the cause and mechanisms of development: ischemic illness of heart, myocardites
V. Ischemic illness hearts (ischemic disease), concept, forms, stages, the causes
- - acute forms of an ischemic disease
- - a stenocardia (donekroticheskaja, an ischemic stage)
- pathophysiological mechanisms of formation of a pain set of symptoms
- - a myocardial infarction (a necrotic stage)
- infringement of a metabolism, electrogenic and constriction properties of a myocardium in region ischemias and outside of it
- - chronic forms of an ischemic disease - a cardiosclerosis
- - complications and outcomes
VI. Absolute coronary failure (koronarogennye mechanisms of an ischemic disease)
- - morphogenetic mechanisms
- - centrogenic mechanisms of a coronary spasm
- - reflex mechanisms of a coronary spasm
VII. Relative coronary failure (nekoronarogennye mechanisms of an ischemic disease)
- - metabolic mechanisms
- - haemodynamic mechanisms
VIII. The reloading form of a heart failure, the cause, mechanisms of development
- - an overload in volume of a blood in cardial cavities
- - an overload pressure in the big and small circle krovobrashchenija
- - mechanisms of urgent and long-term acclimatization of heart to overloads
- - a physiological and pathological hypertrophy of a myocardium
IX. The pericardiac form of a heart failure, the cause, mechanisms of development
- - infringement of function of heart at a pathology of a pericardium
- an acute cardiac tamponade
X. The arrhythmic form of a heart failure, the cause, mechanisms of development
- - arrhythmias at infringements of function of heart as the pathogenic factor of development of a heart failure
- - infringements of functions of heart: automatism, an excitability, conduction and sokratimosti, them elektrokardiograficheskie exhibitings
XI. The acute form a heart failure, concept, the causes, mechanisms of development
- - failure of the left departments of heart
- - a cardiac asthma
- respiratory failure
- - a cardiogenic shock
- a pain set of symptoms, sharp downstroke of a systolic pressure, cardiovascular failure
XII. The chronic form a heart failure, concept, the causes, mechanisms of development
- - the general distresses - a short wind, a cyanosis, edemas
- - haemodynamic
XIII. Compensator reactions of an organism at a heart failure
- - intracardiac (geterometrichesky, gomeometrichesky the mechanism)
- a hypertrophy of a myocardium, a dilatation, a tachycardia, augmentation of cardiac index
- - extracardiac
- augmentation of an external respiration, vascular tone, volume of a circulating blood, recycling of Oxygenium
- - principles of therapy of a heart failure
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Keywords: heart, cardiovascular system, physiopathology, ischemic illness of heart, an ischemic disease, a heart failure, cardiac edemas, an idiopathic hypertensia, a myocardium, a circulation, coronary failure
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