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Bolile valvulare

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bolile valvulare
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     BOLILE VALVULARE      INSUFICIENTA MITRALA    1.Definitie2.Etiologie  Afectarea valvei  Afectarea cordajelor   Afectarea mm papilari    3. Fizioptologie  IMt cronica:  Supraincarcare volum VS →  VTD →  P de umplere →  HVS excentrica (dilatare VS)  P de umplere VS →  dilatare AS  Tensiunea parietala sistolica a VS  →  ener!ia contractila VS foloseste la scurtarea fi relor →  #$ se mentine multa vreme % →    IMt cr este ine tolerata mult timp  In timp: D&  →  fati!a ilitate' o oseala la efort  VTS este cel mai imp factor predictiv pt evaluarea:  #unctiei VS  iscului operator de deces  Insuficientei VS periop  IMt acuta:oAS * vv pulmonare + incarcare rusca oAS * VS + incapa ile sa se dilateoHTP (venoasa' capilara' arteriala) + $PAo,TA * soc
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