This document appears to be a detailed catalog or promotional material for a medical publication focused on cardiac care, specifically detailing various heart conditions, treatments, and related costs. It includes contact information for the author and the foundation involved in the publication, as well as references to other related resources. The price for the publication is noted as Tk 500.00 or US $50.

1. ü`‡ivM K_KZv
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AvBGmweGb bst 978-984-33-4764-0
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GB eB‡qi we qjä mgy`q A_©
ÔWvt wU ingvb KvwW©qvK †Kqvi dvD‡ÛkbÕ-G
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‘Ridrog Kothokata’ (Volume 1) written by Dr. Md. Toufiqur Rahman Faruque was
published by ‘Dr. T Rahman Cardiac Care Foundation’ in February 2012,) Cover designed
by Mr. Dawodul Islam, Price. Tk. 500.00 (Five hundred)/US $ 50 (Fifty Dollar only)
Wvt †gvt †ZŠwdKzi ingvb (dviæK)
GgweweGm, GdwmwcGm, GgwW
mn‡hvMx Aa¨vcK, KvwW©IjRx
RvZxq ü`‡ivM Bbw÷wUDU I nvmcvZvj
†ki-B-evsjv bMi, XvKv

2. evev †gvt Av‡bvqvi †nv‡mb †gvjøv I gv wg‡mm †iv‡Kqv LvZzb
hv‡`i FY KL‡bvB †kva Kiv hvq bv|
Ges
wcÖqZgv ¯¿x Zûiv LvZzb (kiwgb)
hvi Aby‡cÖiYvq Rxe‡bi KwVb c_Pjv
DrmM©
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wewfbœ cwÎKvq m¤úv`K I mn-m¤úv`K‡`i Aby‡iv‡a ¯^v¯’¨ I ü`‡ivM welqK
wewfbœ wel‡q wfbœ wfbœ mg‡q A‡bK¸wj mvÿvZKvi w`‡qwQjvg| †ivMx I
myaxR‡bi Aby‡iv‡a ü`‡ivM wel‡q Rbm‡PZbv e„w×i j‡ÿ¨ D³ mvÿvZKvi
¸wj‡K GK‡Î msKjb K‡iB eB cÖKvk Kiv nj|
G‡Z Avkv Kwi ü`‡ivMxiv QvovI Ab¨vb¨ cvVK I †gwW‡Kj wkÿv_©xiv DcK…Z
n‡eb| G‡ZB Avgvi ¯^v_©KZv|
h‡_ó cwikªg I †Lqvj Kiv m‡Ë¡I g~`ªYRwbZ fzj-ÎæwU¸‡jv gvR©bxq| †h‡Kvb
wel‡q Dc‡`k I w`Kwb‡`©kbv K…ZÁwP‡Ë ¯§ibxq|
Wvt †gvt †ZŠwdKzi ingvb (dviæK)
B ‡gBj t drtoufiq19711@yahoo.com
drtoufiq1971@gmail.com
†gvevBj t +8801715024994

3. m~PxcÎ
G ü`‡ivM wPwKrmvq B›Uvi‡fbkbvj KvwW©IjwR 1
G ü`‡ivM wbY©‡q BwmwR I Ab¨vb¨ cixÿv 5
G gwnjv‡`i ü`‡ivM I KiYxq 7
G ü`wc‡Ûi i³bvjxi (K‡ivbvix) wfZi eøK wbY©‡q GbwRIMÖvg 10
G ü`‡iv‡Mi DcmM© I jÿYmg~n 14
G k¦vmKó †ivMx‡`i KiYxq 16
G ü`wcÛ eo n‡q †M‡j KiYxq 18
G Wvqv‡ewUm I ü`‡ivM 20
G K‡ivbvwi ü`‡ivM I D”P i³Pvc ü`‡ivMx‡`i 24
Rb¨ Lv`¨ ms všÍ civgk©
G ‡ivRvq ü`‡ivMx‡`i KiYxq 25
G Wvq‡ewUK I ü`‡ivMx‡`i Lv`¨ 28
G evZR¡i I ü`‡ivM 30
G evZR¡i RwbZ ü`‡ivM I Rb¥MZ ü`‡ivMx‡`i civgk© 33
G D”Pi³ Pvc I ü`‡ivM 34
G eq¯‹‡`i D”P i³Pv‡c KiYxq 37
G evZR¡i RwbZ I fvje& RwbZ ü`‡iv‡M B›Uvi‡fbkb 38
G Mf©Kvjxb D”P i³Pvc 51
G ü`‡ivM wPwKrmvq †cm‡gKvi 43
G cwikª‡g ey‡K e¨_v n‡j KiYxq 45
G ü`‡ivM wbY©‡q BwUwU 48
G nvU© G¨vUvK †ivMx‡`i Kibxq 51
G evZ e¨_v I ü`‡ivM 52
G nvB‡cv_vBiqwWRg I ü`‡ivM 54
G i‡³ Pwe©i AvwaK¨ KviY, cÖwZKvi, cÖwZ‡iva 57
G R¤§MZ ü`‡iv‡Mi wQ`ª wPwKrmvq B›Uvi‡fbkb 63
G wd« †gwW‡Kj K¨v¤ú I mvsMVwbK mdi 65
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4. ü`‡ivM wPwKrmvq B›Uvi‡fbkbvj KvwW©IjwR

5. B›Uvi‡fbkbvj KvwW©IjwR wK ?
wewfbœ Device ev hš¿ ev Baloon Gi mvnv‡h¨
ü`&‡iv‡Mi wewfbœ wPwKrmv Kivi c×wZ‡K
B›Uvi‡fbkbvj KvwW©IjwR e‡j| G Kvi‡b
B›Uvi‡fbkbvj KvwW©IjwR wPwKrmv
Zzjbvg~jKfv‡e e¨q mv‡c¶|

6. B›Uvi†fbkbvj KvwW©IjwR÷‡`i
wPwKrmv weÁv‡b fywgKv wK wK ?
wKQy RwUj ü`‡ivM wPwKrmv ‡hgb : Mitral
Stenosis, Aortic Stenosis, Aortic Regurgitation, Pulmonary Stenosis,
nv‡U©i i³bvjx‡Z eø‡KR, ü`h‡š¿i kø_MwZ A_ev Malignant
arrhythmia, nv‡U©i wQ`ª wPwKrmvq, GgbwK nvU© †dBji wPwKrmvq
B›Uvi‡fbkbvj KvwW©IjwRó‡`i fywgKv Acwimxg|

7. nv‡U©i i³bvjx‡Z eø‡KR wK ?
nv‡U©i i³bvjx‡Z A‡bK mgq Pwe©i Av¯—i c‡o i³bvjxi Diameter
K‡g †h‡Z cv‡i Ges i³bvjx mi“ n‡j i³ PjvP‡j euvav n‡Z cv‡i,
Zv‡K nv‡U©i i³bvjxi eø‡KR ev Coronary artery stenosis e‡j|

8. nv‡U©i i³bvjx‡Z wK wK Kvi‡b eø‡KR n‡Z cv‡i ?
mvavibZ : Wvqv‡ewUm _vK‡j, aygcvb Ki‡j, D”P i³Pvc _vK‡j ev
i‡³ Pwe©i AvwaK¨ _vK‡j ev †R‡bwUK Kvi‡b nv‡U©i i³bvjx‡Z Pwe©
R‡g i³bvjx eø‡KR n‡Z cv‡i|

9. nv‡U©i i³bvjxi eøK wPwKrmvq B›Uvi†fbkbvj KvwW©IjRx‡÷i
fywgKv wK ?
nv‡U©i i³bvjxi eøK wPwKrmvq B›Uvi†fbkbvj KvwW©IjwR‡÷iv eøK `yi Kivi
Rb¨ wcwUwmG, †÷bwUs ev wis jvMv‡bv, †ivUv‡eøkb, †jmvi cÖf…wZ c×wZ Aej¤^b
K‡i _v‡Kb| G mKj wPwKrmv AwZ AvaywbK, †ivMxi eyK KvUv †uQovi cÖ‡qvRb
1
c‡o bv, GgbwK †ivMx 1/2 w`‡bi wfZi c~b© my¯’ n‡q ¯^vfvweK Rxeb hvcb
Ki‡Z cv‡i| G‡Z ‡ivMxi †Kvb i³ †`qviI cÖ‡qvRb nq bv|

10. †ejyb GbwRIcøvwó wK ?
†ejyb GbwRI cøvwó GK ai‡bi nv‡U©i i³bvjxi AvaywbK wPwKrmv †hLv‡b
i³bvjx‡Z eøK n‡j Zv †ejyb w`‡q dzwj‡q eøK `yi Kiv hvq ev eø‡Ki
gvÎv Kgv‡bv nq|

11. †÷w›Us ev wis wPwKrmv wK ?
†÷w›Us ev wis jvMv‡bv wPwKrmv n‡jv nv‡U©i i³bvjxi eøK ev stenosis
wPwKrmvi GKwU AvaywbK c×wZ| G wPwKrmvq nv‡U©i i³bvjxi eøK †ejyb
w`‡q dzwj‡q Zvi Dci GKwU wis ev †÷›U ewm‡q †`qv nq | d‡j
i³bvjxi cybivq eøK nIqvi SuzwK A‡bKvs‡k K‡g hvq|

12. †÷›U ev wis wK wRwbm ?
†÷›U ev wis nj GK ai‡bi AwZ my¶ Zv‡ii ˆZix Kj‡gi wis Gi gZ
†`L‡Z, hv †ejyb w`‡q dzjv‡j i³bvjxi Mv‡q AvU‡K _v‡K|

13. wis KZ cÖKvi ?
wis mvavibZ: `yB cÖKvi BMS Ges DES. BMS nj Bare Metal Stent
Ges DES nj Drug Eluting Stent. BMS wewfbœ cÖKv‡ii Metal Gi
Alloy Øviv ˆZwi Ges G¸‡jvi `vg DES Gi †P‡q Kg, cÖvq A‡a©K ev
wZbfv‡Mi GK fvM| DES wewfbœ cÖKvi Drug Øviv Coated.

14. BMS Gi myweav I Amyweav n‡jv wK wK ?
BMS n‡jv Kg `vgx, jvMv‡bvi ci `xN© mgq Anti platelet Jla bv
n‡jI P‡j, d‡j Acute or sub-acute stent thrombosis Gi Szu&wK Kg|
wKš‘ Restenosis A_v©r cybivq eøK nIqvi m¤¢vebv †ekx|

15. DES Gi myweav I Amyweav wK wK ?
DES n‡jv AwZg~‡j¨i, jvMv‡bvi ci `xN© mgq Anti platelet Jla †L‡Z
nq Ges †ekx †Wv‡R, Ab¨_vq Acute Stent thrombosis or sub acute
stent thrombosis S„yuwK A‡bK ¸b †ekx| wKš‘ DES Gi myweav n‡jv
Restenosis A_©vr cybivq eøK nIqvi Gi m¤¢vebv A‡bK Kg|

16. †Kvb& †Kvb& †¶‡Î DES e¨envi Kiv DwPZ ?
DES or Drug eluting stent mvavibZ: †h me †¶‡Î Restenosis Gi SzuwK
†ekx †hgb - Wvqv‡ewUm †ivMx‡`i †¶‡Î, mi“ K‡ivbvix i³bvjxi ‡¶‡Î,
2
K
K
4

17. Left main coronary artery disease Gi †¶‡Î, Restenosis wPwKrmvq
DES e¨envi Kiv DwPr| G‡Z cybivq Stenosis Gi Szu&wK K‡g |

18. DES jvMv‡bvi ci wK wK mveavbZv Aej¤^b Kiv DwPZ ?
DES or drug eluting stent jvMv‡bi ci `xN© mgq, Kgc‡¶ 1 ev 11
/2
eQi Anti-Platelet Jla wظb †Wv‡R LvIqv DwPZ| †Kvb †Kvb †¶‡Î
mvivRxeb LvIqv DwPZ| DES jvMv‡bvi ci †Kvb †ivMxi Acv‡ikb
Kivi cÖ‡qvRb n‡j Anti Platelet eÜ Kivi †¶‡Î mveavbZv cÖ‡qvRb|

19. BMS (Bare Metal Stent) Gi LiP wK ai‡bi ?
BMS jvMv‡bvi Rb¨ Cathlab charge eve` 45-65 nvRvi UvKv I wis
Gi LiP cÖwZwU 45-75 nvRvi UvKv n‡Z cv‡i, hv wewfbœ Brand ev
quality †f‡`|

20. Drug Eluting stent Gi g~j¨ wK ai‡bi n‡Z cv‡i ?
Drug Eluting stent Gi g~j¨ cÖKvi †f‡` Ges †KvqvwjwU †f‡`
1,20,000/- †_‡K 2 jÿ ch©š— n‡Z cv‡i Ges Gi mv‡_ K¨v_j¨ve
PvR© eve` 45 nvRvi †_‡K 65 nvRvi UvKv jv‡M|

21. wis ev †÷›U Gi ci †ivMx my¯’ n‡Z KZ mgq jv‡M ?
wis ev †÷›U Gi ci mvavibZ: 2/3 w`‡bi g‡a¨ †ivMx c~b© my¯’ n‡q
evox †h‡Z cv‡i I 1 mßv‡ni g‡a¨ ¯^vfvweK Rxeb hvcb Ki‡Z cv‡i|

22. wis ev †÷›U civ‡bv †ivMx‡`i Rxeb hvÎv †Kgb nIqv DwPZ ?
wis jvMv‡bv ev †÷›U Gi †ivMxiv ¯^vfvweK Rxeb hvcb Ki‡Z cv‡i|
†ivMx‡K ˆ`wbK 30 †_‡K 45 wgwbU nuvUv DwPZ| Lvev‡ii g‡a¨ ‰Zjv³
ev Pwe©i AvwaK¨ eR©b Kiv DwPZ| aygcvb cy‡ivcywi eÜ Ki‡Z n‡e|
kvKmwâ djgyj ‡ekx K‡i †L‡Z n‡e| we‡kl K‡i Wvqv‡ewUm m¤úyb©
wbqš¿b Ki‡Z n‡e | i‡³i Pwe© wbqš¿‡b †i‡L gv‡S gv‡S mswkó ü`‡ivM
we‡klÁ‡`i civgk© Abyhvqx Pj‡Z n‡e| Ab¨_vq cybivq i³bvjx‡Z
ev †÷›U Gi wfZi Pwe© R‡g †h‡Z cv‡i|

23. nv‡U©i i³ bvjx‡Z eø‡KR n‡j wK wK mgm¨v n‡Z cv‡i ?
nv‡U©i i³bvjx‡Z eø‡KR n‡j i³ bvjx mi“ n‡q i³ PjvP‡j evav m„wó
K‡i| d‡j nv‡U©i gv‡mj ch©vß cwigvb Aw·‡Rb I Lvevi cvq bv|
e¨vqvg ev AwaK cwikª‡gi mgq hLb Aw·‡Rb I Lvev‡ii Pvwn`v †e‡o
3
hvq Z_vwc mieivn bv evo‡j nv‡U© GK ai‡bi Zxeª Chest discomfort nq
hv‡K Angina e‡j | d‡j Chronic stable angina n‡Z cv‡i| G Qvov
i³bvjxi Pwe©i ¯—i †d‡U wM‡q Gi Dci i‡³i `vbv Rgv n‡q i³bvjx
AvswkK ev cy‡iv eÜ n‡q Acute coronary syndrome n‡Z cv‡i|

24. Chronic stable angina wPwKrmvq Avcbv‡`i B›Uvi†fbkbvj
KvwW©IjwR÷†`i fywgKv wK ?
Chronic stable angina ‡Z Jla wPwKrmv †ivMxi Kó Dckg Ki‡Z bv
cvi‡j †ivMxi GbwRI MÖvg K‡i †`Lv nq i³bvjx‡Z †Kv_vq †Kv_vq I
KZ¸wj eøK Av‡Q Ges G Rb¨ cieZx©‡Z wK wPwKrmv Ki‡Z n‡e| eøK
_vK‡j mvavibZ: Angioplasty Ges stenting ev Acv‡ikb Ki‡Z nq|

25. Stenting ev wis jvMv‡bv A_ev Angioplasty KLb Kiv nq ?
nv‡U©i i³bvjxi eøK hw` Left main coronary artery †Z bv nq A_ev
Ab¨vb¨ i³bvjxi Dchy³ RvqMvq nq Ges Zv GKwU `ywU A_ev wZbwU
i³bvjx‡KB involve K‡i Zvn‡j stenting ev wis jvMv‡bv m¤¢e| i³bvjxi
wZb ev Z‡ZvwaK eø‡Ki wPwKrmvqI Angioplasty ev wis jvMv‡bv †h‡Z cv‡i
hw` Stenosis ¸‡jv Suitable nq ev †ivMx Acv‡ikb bv K‡i wis jvMv‡bvi
Rb¨ wcovcxwo K‡i | Left main coronary artery stenosis n‡j mvavibZ
CABG Kiv nq wKš— eZ©gv‡b wewfbœ KvwW©qvK †m›Uv‡i Interventional
cardiologist iv left main G AZ¨š— mdjZvi mv‡_ Stenting Ki‡Qb|

26. CABG bv K‡i Stenting Kiv hvq wK bv ?
n¨vu, CABG bv K‡i Stenting Kiv nq hw` Stenosis ¸‡jv Stenting Gi
Rb¨ Suitable nq A_ev †ivMxi eyK †K‡U Acv‡ikb Ki‡Z ivRx bv _v‡K
ZLb †Kvb †Kvb †¶‡Î AvswkK Revascularization Kiv ‡h‡Z cv‡i|
4
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mvÿvrKviwU ÔAvb›` Av‡jvÕ 16 gvP© 2011 msL¨v ÔI Wv³viÕ cvZvq 39 c„ôvq cÖKvwkZ nq
wPÎ t †ejybmn †÷›U ev wis

28. K‡ivbvix AvU©vix wWwR‡R (CAD) KLb BwmwR ¯^vfvweK _vK‡Z cv‡i ?
mvavibZ: nvU© A¨vUvK ev gv‡qvKvwW©qvj BbdviKkb bv nIqv ch©š—
BwmwRi †Kvb ¸i“Z¡c~b© cwieZ©b Av‡m bv| ZvB, †Kvb i“Mxi nv‡U©i
i³bvjx‡Z GK ev GKvwaK eøK _vK‡jI BwmwR ¯^vfvweK n‡Z cv‡i|

29. ‡m‡¶‡Î Avgiv wKfv‡e K‡ivbvix AvU©vix‡Z eøK Av‡Q Zv Abygvb Ki‡Z cvwi ?
hw` BwmwR ¯^vfvweK nq, wKš‘ †ivMxi eqm 40 eQ‡ii †ekx nq, ey‡K
e¨_v nq A_ev †ivMx aygcvqx nq A_ev †ivMxi Wvqv‡ewUm _v‡K ev †ivMxi
D”P i³Pvc ev i‡³i †Kv‡jóij Gi gvÎv †ekx _v‡K Z‡e Aek¨B
†ivMx‡K mwVK g~j¨vq‡bi (Proper evaluaion) Gi Rb¨ ETT ( Exercise
Tolerance Test) Kiv DwPZ| Zvn‡j nv‡U©i i³bvjx‡Z hw` 70% Gi
†ekx eøK (Stenosis) _v‡K Zv aiv covi m¤¢vebv †ekx|

30. BwmwR ¯^vfvweK _vK‡j ETT Kivi Av‡M wK Echo Kivi cÖ‡qvRb Av‡Q ?
wKQy wKQy ü`‡ivM Av‡Q †hgb Aortic Senosis A_ev HOCM
(Hypertrophic Obstructive Cardiomyopathy) ‡hLv‡b BwmwR ¯^vfvweK
_v‡K wKš‘ ETT Kiv‡j ETT Kivi mgq gvivZ¡K `~N©Ubv NU‡Z cv‡i|
G mg¯— †ivMx‡K Avgiv ETT †_‡K weiZ ivwL| ZvB wKQy wKQy †ivM
†hLv‡b BwUwU Kiv‡j SzuwK †ekx †m mg¯— †ivM Exclude Kivi Rb¨I
A‡bK mgq ETT Kivi Av‡M Echo cix¶v Kiv‡Z nq|

31. GKRb †ivMxi eyKe¨_v _vK‡j I ECG ¯^vfvweK n‡j wK Kiv DwPZ ?
GKRb †ivMxi ey‡K e¨_v n‡j I ECG ¯^vfvweK n‡j †mme †¶‡Î ey‡K e¨_vi
KviY wbb©‡qi Rb¨ Echocardiography (B‡KvKvwW©IMÖvwd), ETT (BwUwU),
USG of Upper abdomen(‡c‡Ui AvjUªvm‡bvMÖvg), CXR P/A View(ey‡Ki
G·‡i) Ges cÖ‡qvR‡b Angiogram(GbwRIMÖvg) Kiv DwPZ|
5

32. †Kvb ‡ivMxi eyK e¨_v n‡j ‡c‡Ui AvjUªvm‡bvMÖvg (USG of Upper
abdomen) †Kb Kiv‡Z n‡e ?
A‡bK mgq wcË_jx‡Z Bb‡dKkb ev cv_i n‡j we‡klZ: gwnjv
†ivMx‡`i †¶‡Î (Cholelithiasis) ey‡K e¨_v n‡Z cv‡i ev Upper
Abdomen discomfort ev eyK e¨_v e‡j g‡b n‡Z cv‡i| ZvB ‡c‡Ui
AvjUªvm‡bvMÖvg (USG of Upper Abdomen) cix¶v Kiv‡bv DwPZ|

33. ey‡K e¨_v †ivMxi wK G‡ÛvmKwc (Endoscopy of Upper) GIT
cix¶vi †Kvb fywgKv Av‡Q ?
n¨vu, ey‡K e¨_v †ivMxi G‡ÛvmKwc (Endoscopy of Upper GIT) cix¶v
Kiv‡bv jvM‡Z cv‡i| KLbI KLbI †ccwUK Avjmvi wWwRR ev Non Ulcer
Dyspepsia n‡j A_ev Ab¨vb¨ Stomach pathology ev Lv`¨bvjx
(esophagus) Gi mgm¨vi Kvi‡b we‡kl K‡i GERD(Reflux esophagitis)
n‡j cÖPÛ eyK e¨_v n‡Z cv‡i| ZvB G mg¯— †ivM Exclude Kivi Rb¨I
G‡ÛvmKwc (Endoscopy of Upper GIT) Kiv jvM‡Z cv‡i|

34. †Kvb †ivMxi BwmwR ¯^vfvweK n‡j ey‡Ki G·‡i (CXR P/AView) cix¶vi fywgKv wK ?
BwmwR ¯^vfvweK n‡jI ey‡K e¨_vi Ab¨vb¨ KviY †hgb dzmdzm Gi (Pahology)
Gi mgm¨v wbi“c‡bi Rb¨ ey‡Ki G·‡i (CXR P/A View) cix¶v Kiv‡bv nq|

35. BwmwR ¯^vfvweK _vK‡jI ey‡K e¨_v n‡j wK †Kvb †ivMxi K‡ivbvix
GbwRIMÖvg (Coronary angiogram) Kiv jvM‡Z cv‡i ?
ey‡K e¨_v n‡j I BwmwR ¯^vfvweK _vK‡j, hw` †ivMxi eqm 40 Gi †ekx nq
ev Wvqv‡ewUm ev D”Pi³Pvc _v‡K ev aygcvqx nq ev BwUwU cwRwUf nq ev
BwUwU †Kvb Kvi‡b Kiv bv hvq Z‡e K‡ivbvix GbwRIMÖvg (Coronary
angiogram) mivmwi Kiv ‡h‡Z cv‡i ‡h, i³bvjx‡Z †Kvb eøK (Stenosis)
Av‡Q wKbv Zv †`Lvi Rb¨| BwmwR ¯^vfvweK _vK‡jI †Kvb †ivMxi i³bvjx‡Z
GK ev GKvwaK Zvrch©c~b© ev AZvrch©c~b© eøK (Stenosis) _vK‡Z cv‡i|

36. BwmwR ¯^vfvweK _vK‡jI wK †Kvb i“Mxi nv‡U© gvivZœK mgm¨v _vK‡Z cv‡i ?
n¨vu, BwmwR ¯^vfvweK _vK‡jI †Kvb †Kvb i“Mxi nv‡U© gvivZ¡K mgm¨v
_vK‡Z cv‡i| †hgb : †ivMxi Ischaemic Heart Disease A_ev Valvular
Heart Disease, Cardiomyopathy, Pericardial Heart Disease _vK‡Z
cv‡i, †hLv‡b ECG cy‡ivcywi ¯^vfvweK n‡Z cv‡i|
6
K
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6

37. BwmwRi wi‡cvU© ¯^vfvweK
_vK‡jI wK ü`‡ivM
_vK‡Z cv‡i ?
n¨vu, BwmwRi wi‡cvU© ¯^vfvweK
_vK‡jI wewfbœ cÖKvi
ü`‡ivM _vK‡Z cv‡i|
ü`‡ivM wbY©‡q BwmwR I Ab¨vb¨ cixÿv
Ôˆ`wbK hyMvšÍiÕ cwÎKvq 30 GwcÖj 2011 Zvwi‡L cÖKvwkZ nq|

39. gwnjv‡`i wK wK R¤§MZ ü`‡ivM nq ?
gwnjv‡`i mvavibZ: ü`wc‡Ûi Af¨š—‡i wQ`ªRwbZ ü`‡ivM †hgb :
ASD, VSD, PDA ai‡bi ü`‡ivM †`Lv hvq| ZvQvov TOF(Tetralogy
of fallot) ai‡bi ü`‡ivM I †`Lv hvq|

40. gwnjv‡`i wK ai‡bi evZR¡i RwbZ ü`‡ivM †`Lv hvq ?
gwnjv‡`i `xN©w`b evZR¡i _vK‡j Zv ü`wc‡Ûi wewfbœ fvj&e Av gb K‡i
Zv bó K‡i †d‡j, d‡j fvj&e mi“ n‡q hvq A_ev fvj&e wVKgZ eÜ nq bv
d‡j fvj&e wjK K‡i | fvj&e mi“ n‡q †M‡j Avgiv (‡÷‡bvwmm) Stenosis
ewj Ges fvj&e wjK Ki‡j Avgiv regurgitation(wiMviwR‡Ukb) ewj |

41. evZR¡i RwbZ ü`‡iv‡M mvavibZ: ü`wc‡Ûi †Kvb& fvj&e Av vš— n‡q _v‡K ?
evZR¡i RwbZ ü`‡iv‡M mvavibZ: ü`wc‡Ûi gvBUªvj fvj&e (Mitral
Valve) †ekx Av vš— n‡q _v‡K| Zvici Aortic Valve Ges KLbI
KLbI Tricuspid fvj¦ Av vš— nq| d‡j Mitral Stenosis A_ev Mitral
regurgitation, Aortic Stenosis A_ev Aortic regurgitation A_ev
Tricuspid Stenosis †ivM †`Lv hvq|

42. i³bvjx‡Z eøK RwbZ ü`‡iv‡M gwnjv‡`i Av vš— nevi SyuwK KZLvwb ?
gwnjv‡`iI ü`wc‡Ûi i³bvjx‡Z eøKRwbZ ü`‡ivM †`Lv hvq| Z‡e
gvwmK eÜ nIqvi c~‡e© A_©vr 50 eQi eqm nIqvi c~‡e© G †ivM nIqvi
7
m¤¢vebv Lye Kg| Z‡e gvwmK eÜ nIqvi ci A_ev 50 eQi eqm nIqvi
ci eøKRwbZ ü`‡iv‡Mi SzuwK A‡bK ev‡o|

43. gvwmK eÜ (Premenopausal) nIqvi Av‡M wK Kvi‡Y mvavibZ:
gwnjv‡`i eøKRwbZ ü`‡ivM nq ?
Kg eq¯‹ gwnjv‡`i hv‡`i wbqwgZ gvwmK nq Zv‡`i mvavibZ: eøKRwbZ
ü`‡ivM Kg †`Lv hvq| wKš— gwnjviv `xN© mgq R¤§wbqš¿b ewo †L‡j
A_ev `xN©w`b Wvqv‡ewUm †iv‡M fyM‡j, D”P i³Pvc _vK‡j, aygcvb
Ki‡j, Aí eq¯‹ gwnjv‡`iI eøKRwbZ ü`‡ivM n‡Z cv‡i|