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Introduction to cardiology Dr. Judit Keller
Cardiovascular disease Importance ,[object Object],[object Object],[object Object],[object Object],[object Object]
CV mortality
Case history in cardiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical history ,[object Object],[object Object],[object Object],[object Object]
Chest pain ,[object Object],[object Object],[object Object]
Angina Classification  (Canadian Cardiovascular Society) < 20 W alatt <  4 METs Any physical activity,  sometimes occurring at rest C C S-4.  degree 20–80 W  – 5-6 METs Walking, even 1 or 2 blocks at usual pace and on level ground.  Climbing stairs, even 1 flight C C S-3.  degree 80–120 W  – 6-8 METs  Walking rapidly or uphill Emotional stress C CS -2.  degree > 120 W  – 10 METs Strenuous, rapid, or prolonged exertion  C C S-1.  degree Excercise toleranc e Activities triggering Chest pain Angina
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object]
Dyspnea   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Physical examination ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Basic cardiological „hardware”
Heart auscultation
Cardiac Cycle Diastole Systole
Systolic murmurs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diastolic murmurs ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Importance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology of CHD ,[object Object]
Risk factors  for coronary heart disease (CHD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multimetabolic catastrophe!
22  22 Smoking   9  22  Physical inactivity   12  28  Diabetes 23  33  Overweight   27  63  High cholesterin level   72  58   Hypertension stroke CHD Risk factor   Ezzati M et al.  Lancet  2003;362:271-80.   (%) Increasing of the incidence of CHD and stroke
 
?
Risk stratification - Euroscore
Effects of   hypertension, smoking and  hypercholester ol aemia  to  CHD ri sk X1.6 x4 x3 x6 x16 X4.5 x9 hypertension (SBP 195 Hgmm) High TC (8.5 mmol/L, 330 mg/dl) smoking (Poulter  et al,  1993)
hypertension High TC diabetes x3 x2 x2 x5 x4 x3 x8 Effects of hypertension,  diabetes and   hypercholester ol aemia  to  CHD ri sk
Stable angina pectoris - diagnostics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you for your attention!

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Cardiology 3rd Year

  • 1. Introduction to cardiology Dr. Judit Keller
  • 2.
  • 4.
  • 5.
  • 6.
  • 7. Angina Classification (Canadian Cardiovascular Society) < 20 W alatt < 4 METs Any physical activity, sometimes occurring at rest C C S-4. degree 20–80 W – 5-6 METs Walking, even 1 or 2 blocks at usual pace and on level ground.  Climbing stairs, even 1 flight C C S-3. degree 80–120 W – 6-8 METs Walking rapidly or uphill Emotional stress C CS -2. degree > 120 W – 10 METs Strenuous, rapid, or prolonged exertion C C S-1. degree Excercise toleranc e Activities triggering Chest pain Angina
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 27. 22 22 Smoking 9 22 Physical inactivity 12 28 Diabetes 23 33 Overweight 27 63 High cholesterin level 72 58 Hypertension stroke CHD Risk factor Ezzati M et al. Lancet 2003;362:271-80. (%) Increasing of the incidence of CHD and stroke
  • 28.  
  • 29. ?
  • 31. Effects of hypertension, smoking and hypercholester ol aemia to CHD ri sk X1.6 x4 x3 x6 x16 X4.5 x9 hypertension (SBP 195 Hgmm) High TC (8.5 mmol/L, 330 mg/dl) smoking (Poulter et al, 1993)
  • 32. hypertension High TC diabetes x3 x2 x2 x5 x4 x3 x8 Effects of hypertension, diabetes and hypercholester ol aemia to CHD ri sk
  • 33.
  • 34. Thank you for your attention!