Diagnosis
Chronic rhumatitis. Associated mitralno-aortic vice. Mitral
valve
insufficiency. Aortic valve insufficiency.
AG II art. MK II B on
NYHA. Justification of the diagnosis: About mitralno-combined presence
of Vice-arterial (mitral valve
insufficiency, aortic valve
insufficiency) from the data of the patient''s medical history: In 12
years, a diagnosis: rheumatoid vice mitral valve. With 12 years have
seen a constant cures, bitsillinoprofilaktika conducted annually. Last
lungs attack - at the age of 14. In 2007, with a control Echo-KG
diagnosed combined mitralno-aortic heart disease. Data palpation: verhushechnogo push offset by 1 cm left. Data percussion: The boundaries of the relative cordial humor: • Right-: IV interribal at 1 cm from the right edge of the sternum • Left: V interribal line on the left sredneklyuchichnoy • Upper: III mezhrebere Width heart - see 17.5 Vascular bundle - 5 cm level II mezhreberya Data Auscultation: HR: 74 beats per minute
1. Top heart (Vova valve): tone heart varying loudness.
Cistolo-diastolic noise with the on-brahio
tsefalnye artery. No
splitting tones. 2. The first and second tones normal rhythm. Net.Sistolo tones-splitting noise of the diastolic at brahio-tsefalnye artery. 3. No splitting tones. Cistolo-diastolic noise with the on-brahio tsefalnye artery. 4. Point Botkina-Erba. Cistolo-diastolic noise with the on-brahio tsefalnye artery. These objective study: At ECHO-KG of 6.02.08
Sealing walls aorta, aortic valve valves. Dilatation of the left
chambers of the heart, right predserdiya. Combined aortalno-mitralnoe
defeat: aortalnaya expressed insufficiency expressed mitral
insufficiency.