Curs 4

Question 1

Tahicardia sinusala (apare)

Answer 1

• fiziologic: emotii, stres, efort, sarcina
• boli extracardiace: febra, anemii, hipertiroidism, hipovolemie, cafea, tutun, alcool
• boli CV: miocardita, IC, valvulopatii, crize anginoase

Question 2

Bradicardia sinusala (apare)

Answer 2

• fiziologic: tineri, sportivi supraantrenati
• boli extracardiace: HT intracraniana, icter, hipotiroidism, hipotermie, boala Addison
• boli CV: unele forme de HTA, IMA inferior,
  boala de nod sinusal (SSS)
  medicam bradicardizante - morfina, B bl, clonidina, digitalice)

Question 3

Bradicardie sinusala - simptome + semne

Answer 3

scaderea debitului cardiac: lipotimii/sincopa, angor, agravarea CI
AV < 60 b/m, ortostatismul creste frecventa, nu raspunde la adm de Atropina (SSS)

Question 4

Tahicardie sinusala - simptome + semne

Answer 4

asiptomatic/ cefalee, ameteli, angor, palpitatii
ritm regulat + frecv > 100 b/m
!!! inceputul si sf sunt TREPTATE

Question 5

Fibrilatia atriala - examen fizic

Answer 5

batai cardiace neregulate
TA variabila
deficit de puls - diferenta semnificativa intre AV si puls

Question 6

Flutter atrial - cauze cardiace

Answer 6

boala coronariana
cardita reumatismala
dilatarea atriului stang (stenoza mitrala)
cardiopatie hipertensiva
cauze iatrogene: intoxicatie digitalica

Question 7

Flutter atrial - manevre vagale*

Answer 7

Manevrele vagale NU opresc aritmia, doar raresc frecventa prin cresterea BAV si revine la frecventa initiala dupa oprirea compresiei