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.

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.

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.

The first clinical manifestations usually occur in young patients (

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.

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.

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.

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.

Acute and subacute infective endocarditis:

- bacterial,

- infectious without detailed clarification

- slow current,

- malignant,

septic,

- ulcerative.

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.

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.

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.