Cardio

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Author:
t014_b
ID:
219888
Filename:
Cardio
Updated:
2013-05-16 03:17:12
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cardio
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cardio
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  1. Complicatii ale purtatorilor de proteze valvulare ( 6 )
    • Endocardite¬†
    • Tromboza protezelor
    • Accid hemor
    • Degenerescenta
    • Dezinsertiile
    • Hemoliza
  2. Endocardita la protezele valvulare
    • precoce <1 an : staf, BGN
    • DD mediastinita
    • mortalitate 60%

    • tardive >1 an : staf, BGN, strep
    • 5 ori mai frecv pe aorta
    • DD tromboza de valva
  3. Degenerescenta mai frect la (4)
    tineri sub 30 cu anomolie a metablismului fosfocalcic

    femeia insarcinata

    diabetic

    pozitie mitrala
  4. Hemoliza importanta sau evolutiva, la cei cu proteze de valva duce la cauatrea (3)
    • dezinsertrie
    • tromboza
    • endocardita
  5. Monitorizare valve mecanice
    ex. C-V complet - anual

    ORL(radio sinusuri) / stoma - anual

    hemoleucogr(schizocite?), LDH, haptoglob - anual

    EKG, RxT

    INR lunar + carnetel
  6. Fact risc trombembolic la purtatorii de valve mecanice (8)
    • - inlocuire valva mecanica in poz mitrala/ tric / pulm
    • - antecedente de trmembolism arterial
    • - FiA
    • - AS > 50mm
    • - contrast spontan in As (protromb)
    • - SM
    • - FEVS < 35%
    • - hipercoagulabil

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