Disease sexually transmitted:

Late congenital syphilis

Abdominal aortic aneurysm

Аневризма брюшной аорты
Abdominal aortic aneurysm

According to E. F. Bernstein, 24 abdominal aortic aneurysms are asymptomatic and are identified incidentally during preventive examinations, palpation of the abdomen about any disease of the intestine, stomach, kidney, radiography of abdominal cavity organs (subject to the calcification of the walls of the aneurysm), laparotomy, produced on another occasion. Often aneurysms detected at autopsy and cause of death.

In recent years, in connection with the distribution of rentgenocontrast-STN angiography performed for conditions of the lower extremities vessels, kidneys, digestive system, often asymptomatic abdominal aortic aneurysm is a random finding on the angiogram.

Abdominal aortic aneurysm

Аневризма брюшной аорты
Abdominal aortic aneurysm

According to E. F. Bernstein, 24 abdominal aortic aneurysms are asymptomatic and are identified incidentally during preventive examinations, palpation of the abdomen about any disease of the intestine, stomach, kidney, radiography of abdominal cavity organs (subject to the calcification of the walls of the aneurysm), laparotomy, produced on another occasion. Often aneurysms detected at autopsy and cause of death.

In recent years, in connection with the distribution of rentgenocontrast-STN angiography performed for conditions of the lower extremities vessels, kidneys, digestive system, often asymptomatic abdominal aortic aneurysm is a random finding on the angiogram.

Acute rheumatic fever (rheumatic fever)

Острая ревматическая лихорадка (ревматизм)
Acute rheumatic fever (rheumatic fever)

In typical cases of rheumatism, especially when the attack starts in the school and adolescence within 1-2 weeks after acute or exacerbation of chronic streptococcal infection (tonsillitis, pharyngitis). Then the disease becomes latent period (lasting from 1 to 3 weeks), characterized by a uti or slight malaise, arthralgia, sometimes low-grade fever.

Alcoholic dilated cardiomyopathy

Алкогольная дилатационная кардиомиопатия
Alcoholic dilated cardiomyopathies

Alcoholic cardiomyopathy is most often develops in men aged 30-55 years who abuse alcohol (whiskey, brandy, vodka), beer or wine for over 10 years. Women suffer alcoholic cardiomyopathy is significantly less, and the duration of alcohol abuse, necessary for the manifestation of its cardiotoxic effect of developing the disease, usually lesser compared to men. Total cumulative dose of alcohol (lifetime dose of alcohol), causes the development of alcoholic cardiomyopathy in women, is much smaller and is 60 of the dose in males. This is due to the much greater sensitivity of women to the cardiotoxic effects of alcohol.

aortic insufficiency

аортальная недостаточность
aortic insufficiency

Patients with aortic insufficiency may not make any complaints for decades, performing sometimes considerable physical activity (Biking, skating, skiing, swimming). This is due to the formation mechanisms of long-term compensation of Vice, and, in some cases, the fact that when the defect acquired during childhood, patients do not perceive the sensations of palpitations, pulsation in the neck and shortness of breath even when a certain load level as pathological, getting used to them since childhood. Over time, these feelings arising in the early stages of defect mainly under load, begin to disturb the patient and out of touch with her.

aortic stenosis

аортальный стеноз
aortic stenosis

With a small narrowing of the mouth of the aorta, acquired at a young age, subjective symptoms blemish missing sometimes for decades, and some patients have a physically demanding job and is even able to play sports. With more severe aortic stenosis occurs relatively early palpitations (strong shocks, and not as determined by their frequency) associated with the powerful contractions of the hypertrophied left ventricle of the heart. By decreasing cardiac output complaints appear, indicating the formation of centralization of a circulation: fatigue, muscle weakness, pale skin.

Arrhythmogenic right ventricular cardiomyopathy

Аритмогенная правожелудочковая кардиомиопатия
Arrhythmogenic right ventricular cardiomyopathy

The first clinical manifestations usually occur in young patients (<40 years). Usually, in the clinic AP-ILC is manifested primarily ventricular arrhythmias (often monomorphic ventricular tachycardia, many patients also meet with ventricular premature beats, episodes of ventricular fibrillation, less flickering, or atrial flutter), in connection with pathology and got this name. In typical cases the patient complains of attacks of palpitation, tachycardia, frequent dizziness and fainting. However, arrhythmic disorders are not the only or specific symptom complex at the AP-ILC. As with any other ILC, these patients have many other problems, especially those associated with SN (isolated right ventricular or biventricular).

Arrhythmogenic right ventricular cardiomyopathy

Аритмогенная правожелудочковая кардиомиопатия
Arrhythmogenic right ventricular cardiomyopathy

The first clinical manifestations usually occur in young patients (<40 years). Usually, in the clinic AP-ILC is manifested primarily ventricular arrhythmias (often monomorphic ventricular tachycardia, many patients also meet with ventricular premature beats, episodes of ventricular fibrillation, less flickering, or atrial flutter), in connection with pathology and got this name. In typical cases the patient complains of attacks of palpitation, tachycardia, frequent dizziness and fainting. However, arrhythmic disorders are not the only or specific symptom complex at the AP-ILC. As with any other ILC, these patients have many other problems, especially those associated with SN (isolated right ventricular or biventricular).

Arrhythmogenic right ventricular dysplasia

Аритмогенная дисплазия правого желудочка
Arrhythmogenic right ventricular dysplasia

Clinical picture there are 4 typical flow patterns of the disease: the hidden form, in which SCD due to ventricular fibrillation is the first manifestation of the disease - arrhythmic form, characterized by the presence of documented symptomatic ventricular tachyarrhythmias (ventricular extrasystole and ventricular tachycardia) with the configuration of the QRS complex by type of blockade of the left bundle branch- "paicisymptomatic form" – form with symptoms of moderate severity, such as heart attacks, pain in the heart - shape, manifest cardiac insufficiency (SN), predominantly right heart, with the presence or absence of arrhythmias.

Arterial hypertension

Артериальная гипертензия
Arterial hypertension

Hypertension is often compared to silent killer, because its effects on health are often in the later stages of the disease. Launched hypertension is one of the main causes of heart attacks and strokes. But even if suffering from hypertension feels fine and up to a heart attack or stroke, it would seem, is still far, hypertension, if left untreated, can have negative effects on almost all organs of the human body.

Arterial hypertension

Артериальная гипертензия
Arterial hypertension

Hypertension is often compared to silent killer, because its effects on health are often in the later stages of the disease. Launched hypertension is one of the main causes of heart attacks and strokes. But even if suffering from hypertension feels fine and up to a heart attack or stroke, it would seem, is still far, hypertension, if left untreated, can have negative effects on almost all organs of the human body.

Candidal endocarditis

Кандидозный эндокардит
Candidal endocarditis

The clinical picture of Candida and bacterial endocarditis are similar. For Candida endocarditis is characterized only by an increased frequency of emboli, accompanied by prolonged fever and formation of vegetations on the heart valves. Embolism of the coronary arteries mushrooms leads to the development of ischemia or myocardial infarction. In 60 patients with the diagnosis of endocarditis is established only at autopsy. Approximately 80 patients with endocarditis revealed a positive growth of the Candida in a blood culture.

Combined aortic heart defect

Сочетанный аортальный порок сердца
Combined aortic heart defect

The symptoms typical of isolated aortic defects, are observed with the combination of the blemish, and their expression reflects the predominance of either aortic stenosis or aortic insufficiency. More often than isolated forms of Vice, marked angina and ventricular premature beats.

Dilated cardiomyopathy

Дилатационная кардиомиопатия
Dilated cardiomyopathy

According to the classification of J. Goodwin (1989) distinguish 3 groups of the PMC: 1. Dilatation of the ILC (DCM) is characterized by significant dilation of the heart chambers, the systolic-diastolic left myocardial dysfunction and the absence of pronounced hypertrophy of the heart muscle. 2. Hypertrophic ILC (HCM) is characterized by significant, often asymmetrical, myocardial hypertrophy of the left and/or right ventricles, a distinct predominance of diastolic dysfunction of the myocardium and the absence of dilatation of the heart cavities. 3. Restrictive ILC (RCMP) is characterized by impaired diastolic filling of LV and/or RV, reduction, normal or nearly normal systolic function.

Essential arterial hypertension

Эссенциальная артериальная гипертензия
Essential arterial hypertension

Before the development of complications of the disease is often asymptomatic, and the only manifestation of it is the increased blood pressure. Complaints are absent or nonspecific. Patients report recurring headache, usually in the forehead or neck, dizziness and tinnitus.

Currently proven that these symptoms can be indicators of elevated BP and probably have a functional origin. They occur in patients with arterial hypertension more frequently than in the General population, and does not correlate with the level of blood pressure.

Hypertrophic cardiomyopathy

Гипертрофическая кирдиомиопатия
Hypertrophic cardiomyopathy

There are three hemodynamic obstructive variant of HCM: with subaortic obstruction at rest (basal obstruction)- with labile obstruction, characterized by significant spontaneous oscillations of intraventricular pressure gradient for no apparent reason - with latent obstruction, which is called only when the load and provocative pharmacological samples (if you are taking nitrates or intravenous isoproterenol). The range of clinical variants of the course varies from asymptomatic to steadily progressive, and difficult to treat pharmacologically forms, accompanied by severe symptoms.

Idiopathic dilated cardiomyopathy

Идиопатическая дилатационная кардиомиопатия
Idiopathic dilated cardiomyopathy

Idiopathic dilated cardiomyopathy ill more often than men aged 30-45 years (85). The disease is 3 times more common among people of black race. About 30 patients indicate that the development of clinical manifestations preceded the acute respiratory viral infection, tonsillitis, community-acquired pneumonia and other infectious diseases.

Insulated spongy myocardium

Изолированный губчатый миокард
Insulated spongy myocardium

Clinical manifestations can be seen on the example of the patient N., 54 fly. At admission he complained of slight discomfort in the heart, dyspnea on moderate exertion, weakness. From history we know that the last 15 years, the patient was observed on arterial hypertension with a maximum blood pressure of 240 to 110 mm Hg. article the Patient is regularly examined, took angiotensin converting enzyme inhibitors, diuretics, b-blockers).

Ischemic dilated cardiomyopathy

Ишемическая дилатационная кардиомиопатия
Ischemic dilated cardiomyopathy

More likely to develop in men over the age of 45-55 years. Usually we are talking about patients who have already suffered an earlier heart attack or suffer from angina. However, in some cases, ischemic cardiomyopathy develops in patients who have not suffered a myocardial infarction and do not suffer from angina. Perhaps such patients is silent myocardial ischemia, not previously diagnosed. In typical cases, the clinical picture is characterized by a triad of symptoms: angina pectoris, cardiomegaly, CHF. Many patients otsutstvuet clinical and ECG signs of angina.

mitral disease

митральная болезнь
mitral disease

Clinical manifestations and course of combined mitral defect depend on the ratio of the severity of stenosis and insufficiency. With a small amount of regurgitation and significant narrowing of the left atrioventricular orifice (up to 1 cm2 or less) the main clinical manifestations are similar to those with isolated mitral stenosis, auscultatory picture but has a lower amplification of the first heart sound and the presence of a systolic murmur. The greater the volume of regurgitation, the more pronounced systolic murmur, the more often found III the tone and the clearer signs of left ventricular hypertrophy, as reflected in the ECG.

Mitral stenosis (mitral valve stenosis)

Митральный стеноз (стеноз митрального клапана)
Mitral stenosis (mitral valve stenosis)

From the first rheumatic fever before the appearance characteristic of mitral stenosis complaints in countries with a temperate climate on average 20 years, so complaints usually appear in 30-40 years. Increasingly, there are patients in whom the connection of the disease with rheumatism cannot be established. According to the data obtained prior to the distribution of cardiac surgery, after the onset of shortness of breath at rest to death usually takes 2-5 years.

Myocarditis

Миокардиты
Myocarditis

All acute inflammatory processes in the myocardium in the International classification listed as myocarditis. In appearance ethnological agent they separated PA myocarditis in bacterial diseases, myocarditis in viral diseases, myocarditis in other infectious and parasitic diseases, myocarditis in diseases classified elsewhere myocarditis peacockery. All chronic processes in the heart muscle, inflammatory and nevospalitelnogo gepta in ICD-10 are called cardiomyopathies.

Neurocirculatory dystonia

Due to the high prevalence of the disease doctors of many specialties, but especially neurologists, pediatricians and physicians clinics, often establish the diagnosis of N. d. This, in practice, gave rise to unjust treatment diagnosis H.d. how easy, though actually to put it because of the absence of any specific symptoms, it is very difficult and in each case it is necessary to exclude diseases with similar symptoms, i.e. always in the differential diagnosis.

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