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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

  1. the Circulatory unefficiency- the functional state of cardiovascular system which are not providing a blood supply according to requirement of an organism in Oxygenium.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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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