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damatebuli testebi

kardiologia

\\\\ beta-blokerebis moqmedebis ra meqanizmi ganapirobebs maT efeqturobasgulis iSemiuri daavadebis dros?\\ miokardiumis Jangbadze moTxovnilebis Semcireba\\\ koronarebis gafarToveba\\\ periferiuli sisxlZarRvebis spazmi\\\ miokardiumis kumSvadobis gazrda

\\\\ romeli aritmia warmoadgens beta-blokerebis daniSvnis ukuCvenebasmiokardiumis infarqti dros?\\\ mocimcime aritmia\\\ winagulovani eqstrasistolia\\\ parkuWovani eqstrasistolia\\ atrioventrikuluri blokada

\\\\ nitratebis moqmedebis ra meqanizmi ganapirobebs maT antianginalurmoqmedebas?\\\ koronarebis gafarToveba\\ venebis gafarToveba\\\ marcxena parkuWis saboloo diastoluri wnevis gazrda\\\ postdatvirTvis gazrda

\\\\ rogor icvleba gulis iSemiuri daavadebis riski sisxlSi dabali simkvrivisqolesterinis donis momatebis dros?\\ izrdeba\\\ mcirdeba\\\ riski ar arsebobs\\\ riskis gansazRvrisas es maCvenebeli mniSvnelovani ar aris

\\\\ CamoTvlilTagan romeli miekuTvneba seleqciur beta 1 adrenoblokators\\\ atenololi\\\ nadloli\\ metoprololi\\\ betaqsololi

\\\\ romeli niSani ar aris damaxasiaTebeli konstriqciuli perikarditisTvis?\\\ kisris venebis daberva\\\ asciti\\ dabali venuri wneva\\\ gulis normaluri zomebi

\\\\kvlevis romeli meTodia yvelaze informaciuli vazorenuli arteriulihipertenziis diagnostikaSi?\\\ Tirkmlebis eqoskopia\\\ Tirkmlebis scintigrafia\\\ Tirkmlis arteriebis eqoskopia\\ Tirkmlebis arteriografia

\\\\ romeli antibiotikia efeqturi mwvave revmatizmis dros?\\ penicilini\\\ makrolidebi\\\ ftorqinolonebi

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\\\ cefalosporinebi

\\\\ ra cvlilebebi aRiniSneba ekg-ze I xarisxis atrioventrikuluri blokadisdros\\\ QRS kompleqsis gamovardna\\ PR intervalis gaxangrZliveba\\\ voltaJis daqveiTeba\\\ araTanabari R-R intervalebi

\\\\ ra cvlilebebi ar aRiniSneba ekg-ze II xarisxis atrioventrikuluriblokadis (mobitc II) dros?\\\ QRS kompleqsis gamovardna\\\ Tanabari PR intervalebi\\\ hisis konis blokadis xSiri Tanxleba\\ venkebaxis periodebi

\\\\ romelia miokardiumis utkivilo iSemiis gamovlenis ZiriTadi meTodi?\\\ ekg mosvenebis mdgomareobaSi\\\ eqokardiografia\\ 24 sT-iani ekg monitorireba\\\ sisxlis analizi transaminazebze

\\\\ romeli ekg kriteriumia sarwmuno infarqtis diagnostikaSi?\\\ gulis eleqtruli RerZis marcxniv gadaxra\\\ ST segmentis depresia\\ 2 da met ganxraSi paTologiuri Q kbilis gaCena\\\ ST segmentis elevacia an depresia 1 mm-ze metad j wertilSi or mosazRvreganxraSi

\\\\ romli preparati ar warmoadgens angiotenzin II receptoris blokers?\\\ lozartani\\\ valsartani\\ enalaprili\\\ irbesartani

\\\\ romeli paTologia ar warmoadgens restriqciuli kardiomiopaTiis mizezs?\\\ eozinofiluri endomiokardiuli fibrozi\\\ sarkoidozi\\ virusuli miokarditi\\\ sklerodermia

\\\\ romelia restriqciuli kardiomiopaTiis tipiuri eqokardiografiuliniSani?\\\ gulis Rruebis gafarToeba\\\ gulis Rruebis Semcireba\\ diastoluri funqciis darRveva\\\ endokardiumis gasqeleba

\\\\ romelia mwvave revmatizmis didi kriteriumi\\\ arTralgia\\\ poliarTriti\\ beWdiseburi eriTema\\\ karditi\\\ cxeleba

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\\\\ romelia perikardiumis punqciis absoluturi Cveneba?\\ gulis tamponada\\\ varaudi perikardiumSi hemoragiuli gamonaJonis arsebobze\\\ gamonaJonis xasiaTis dadgena\\\ gamonaJonis neli gawova

\\\\ romelia perikardiumSi transudatis dagrovebis mizezi?\\\ tuberkulozi\\\ mwvave revmatuli cxeleba\\ gulis ukmarisoba\\\ radiacia\\\ travma

\\\\ stenokardiis romeli forma ar miekuTvneba arastabilurs\\\ pirvelad aRmocenebuli stenokardia\\\ RamiT ganviTarebuli stenokardiis Setevebi\\\ bolo 2 Tvis ganmavlobaSi stenokardiuli Setevebis gaxSireba,gaxangrZliveba da gaZliereba\\ fizikuri datvirTvis dros ganviTarebuli stenokardia

\\\\ ekg romel ganxrebSi viTardeba cvlilebebi marcxena parkuWis ukanagverdiTi kedlis infarqtis dros\\\ II, III, aVF, V1-V3\\ II, III aVF, V4-N6\\\ I, II, avL, V4-V6\\\ II, III, aVF

\\\\ romeli simptomi ar aris damaxasiaTebeli kardiogenuli SokisTvis\\\ sistoluri wnevis daqveiTeba 90 mm vwy sv qveviT\\\ gulis indeqsis daqveiTeba 1,8 l/wT/m2-ze qveviT\\\ saaTSi 20 ml-ze naklebi raodenobis Sardis gamoyofa\\ diastoluri wnevis daqveiTeba 70 mm vwy sv qveviT

\\\\ qvemwvave infeqciuri endokarditis dros gamomwvevis dadgenamde romeliantibiotikiT tardeba mkurnaloba\\ penicilini 10-20 mln dReSi\\\ ampicilini 2g 6-jer dReSi da gentamicini 1,5 mg/kg 3-jer dReSi\\\ cefalosporini 3g dReSi\\\ oqsacilini 3g dReSi

\\\\ romeli niSania damaxasiaTebeli mitaluri stenozisTvis\\ tkacuna I toni\\\ aortaze II toni aqcenti da gaoreba\\\ gulis mwvervalze sistoluri Suili, romelic Zlierdeba CasunTqvaze\\\ filtvis arteriaze II tonis Sesusteba

\\\\ aortis sarqvlebis naklovanebis dros gulis tonebis romeli cvlilebaatipiuri\\\ II tonis Sesusteba mwvevalze\\ I tonis Sesusteba mwvervalze\\\ II tonis gaZliereba\\\ I tonis gaZliereba

\\\\ romelia arCevis preparati obstruqciiT mimdinare hipertrofiulikardiomiopaTiis dros\\\ sagule glikozidebi

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\\ beta-blokerebi\\\ nitratebi\\\ simpatomimetikebi

\\\\ romeli eqokardiografiuli niSani ar aris tipiuri obstruqciiT mimdinarehipertrofiuli kardiomiopaTiisTvis\\\ mitraluri sarqvlis wina karedis sistoluri moZraoba win\\\ marcxena parkuWis asimetriuli hipertrofia\\\ marcxena winagulis dilatacia\\ marcxena parkuWis dilatacia

\\\\ romeli aritmiisTvisaa damaxasiaTebeli sruli kompensatoruli pauza\\ parkuWovani eqstrasistolia\\\ winagulovani eqstrasistolia\\\ sruli atrioventrikuluri blokada\\\ hisis konis blokada

\\\\ ra SemTxvevaSi viTardeba tkivili III funqciuri klasis daZabvisstenokardiis dros?\\\ mosvenebisas\\ 100-200 m gavlis an 1 sarTulze asvlis dros\\\ 500 m gavlis Semdeg\\\ swrafi siarulis dros

\\\\ romelia arCevis preparatebi arastabiluri stenokardiis samkurnalod?\\\ sagule glikozidebi, kaliumis preparatebi, Sardmdenebi\\ nitratebi, beta-blokerbi, heparini, aspirini\\\ fibrinolizuri saSualebebi, narkotikuri analgetikebi, aspirini\\\ aranarkotikuli analgetikebi, agf inhibitorebi, kalciumis blokerebi

\\\\ romelia miokardiumis mwvave infarqtis yvelaze informatiuli markeri\\\ C reaqtiuli cila\\\ aspartataminotransferaza\\\ laqtatdehidrogenaza\\ kreatinkinazas MB fraqcia

\\\\ romeli ar aris infeqciuri endokarditis qirurgiuli mkurnalobisabsoluturi Cveneba?\\\ gamoxatuli gulis mZime ukmarisoba\\\ 3 kviris ganmavlobaSi konservatul mkurnalobis uefeqtoba\\\ gulis abscesi\\ aortis sarqvlebze vegetaciebis arseboba

\\\\ romeli simptomia damaxasiaTebeli mitraluri sarqvlis naklovanebisTvis?\\\ I tkacuna tomi\\\ mezodiastoluri Suili\\\ sistoluri Suili gulis fuZeze\\ sistoluri Suili mwvervalze

\\\\ rodis moismineba ukeT diastoluri Suili aortis sarqvlebis naklovanebisdros?\\\ pacientis fexze dgomisas\\\ pacientis wolisas\\ vertikalur mdgomareobaSi amosunTqvaze\\\ Rrma CasunTqvaze

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\\\\ romeli preparati iniSneba pirvel rigSi parkuWovani taqikardiis SeteviskupirebisTvis?\\\ finoptini\\ lidokaini\\\ sagule glikozidebi\\\ obzidani

\\\\ romelia renoparenqimuli arteriuli hipertenziis ZiriTadi niSani?\\\ Tirkmlis distopia\\\ Tirkmlis arteriis Seviwroveba 20%-iT\\ Tirkmlis funqciis darRveva\\\ Tirkmlis menjSi kenWis arseboba

\\\\ romeli paTologia ar ganapirobebs vazorenuli arteriuli hipertenziisganviTarebas?\\\ Tirkmlis arteriis stenozi\\\ Tirkmlis arteriis Trombozi\\\ Tirkmlis arteriis fibrovaskuluri hiperplazia\\ SardkenWovani daavadeba

\\\\ romelia arteriuli hipertenziis yvelaze mniSvnelovani riskis faqtori?\\\ sxeulis Warbi wona\\\ alkoholis Warbi moxmareba\\\ cilis Warbi miReba\\ sufris marilis Warbi miReba

\\\\ romeli ekg niSania damaxasiaTebeli arteriuli hipertenziisTvis?\\\ II da III ganxrebSi maRali P kbilebi\\ marcxena parkuWis hipertrofiis niSnebi\\\ hisis konis marjvena fexis blokada\\\ I da II ganxrebSi farTo orkuziani P kbilebi

\\\\ Sardis analiziT romeli cvlileba ar aris damaxasiaTebeli arteriulihipertenziisTvis?\\\ xvedriTi wonis daqveiTeba\\\ mikrohematuria\\\ cilindruria\\ xvedriTi wonis momateba

\\\\ Tvalis fskeris ra cvlileba ar aris damaxasiaTebeli arteriulihipertenziisTvis?\\ venebis Seviwroveba\\\ arteriebis Seviwroveba\\\ baduraze sisxlCaqcevebi\\\ mxedvelobis dvrilis SeSupeba

\\\\ ekg romeli cvlilebaa damaxasiaTebeli stabiluri stenokardiisTvis?\\\ paTologiuri Q kbili\\ ST segmentis depresia\\\ uaryofiTi T kbili\\\ hisis konis gardamavali blokada

\\\\ romeli niSania damaxasiaTebeli angiospastikuri stenokardiisTvis?\\ ST segmentis elevacia tkivilis dros\\\ uaryofiTi T kbilis gaCena tkivilis dros

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\\\ tkivilis ganviTareba datvirTvis dros\\\ ST segmentis depresia tkivilis dros

\\\\ romeli niSania damaxasiaTebeli arastabiluri stenokardiisTvis?\\\ ritmis da gamtareblobis darRveva\\ tkivilis Setevebis xangrZlivobis da intensiobis cvlileba\\\ arteriuli wnevis daqveiTeba hipotenziuri mkurnalobis gareSe\\\ ekg-ze paTologiuri Q kbilis gaCena

\\\\ romelia stenokardiis da koronaruli aTerosklerozis ekg niSani?\\\ QT intervalis gaxangrZliveba\\\ PQ intervalis gaxangrZliveba\\\ Q kbilis amplituda metia R kbilis 1/3-ze da xangrZlivoba metia 0,03wm-ze\\ ST segmentis depresia 1 mm-ze metad

\\\\ romelia variantuli (princmetalis) stenokardiis mizezi?\\\ wvrili koronarebis dazianeba\\ epikardiuli koronarebis spazmi\\\ koronarebis Trombozi\\\ marcxena parkuWSi wnevis momateba

\\\\ romeli eqokardiografiuli niSania damaxasiaTebeli miokardiumisinfarqtisTvis?\\\ difuzuri hiperkinezia\\\ difuzuri hipokinezia\\ lokaluri hipokinezia\\\ lokaluri hiperkinezia

\\\\ romeli niSania damaxasiaTebeli kardiogenuli SokisTvis?\\\ arteriuli hipertenzia\\\ pulsuri wnevis Semcireba 30 mm vwy sv-ze qveviT\\\ bradikardia\\ oliguria

\\\\ romelia mocimcime aritmiisTvis damaxasiaTebeli ekg niSani?\\\ parkuWovani kompleqsebis ricxvi wm-Si 120-ze metia\\ P kbilebis ar arseboba\\\ naadrevi QRS kompleqsebis warmoqmna\\\ delta talRebis gaCena

\\\\ romeli ar aris parkuWovani eqstrasistolisTvis damaxasiaTebeli ekgniSani?\\\ naadrevi QRS kompleqsebi\\\ sruli kompensatoruli pauzis arseboba\\ Seucvleli QRS kompleqsebi\\\ eqstrasistoluri kompleqsis win Secvlili P kbilebis arseboba

\\\\ romeli ar aris supraventrikuluri eqstrasistolisTvis damaxasiaTebeliekg niSani?\\\ naadrevi QRS kompleqsebi\\\ Seucvleli QRS kompleqsebi\\ sruli kompensatoruli pauzis arseboba\\\ eqstrasistoluri kompleqsis win Secvlili P kbilebis arseboba

\\\\ romeli daavadebebis dros ar viTardeba mocimcime aritmia?

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\\ aortis sarqvlebis naklovaneba\\\ mitraluri stenozis dros\\\ Tireotoqsikozi\\\ glikoziduri intoqsikacia

\\\\ romeli daavadebis dros viTardeba morgan-adam-stoqsis sindromi?\\\ parkuWovani eqstrasistolia\\\ mocimcime aritmia\\ atrioventrikuluri blokada\\\ paroqsizmuli taqikardia

\\\\ romeli ritmis darRvevaa cudi prognozis maCvenebeli miokardiumisinfarqtis dros?\\\ mocimcime aritmia\\\ naadrevi parkuWovani eqstrasistolia\\ jgufuri parkuWovani eqstrasistolia\\\ I xarisxis atrioventrikuluri blokada

\\\\ miokardiumis infarqtis romeli garTulebaa yvelaze xSiri, adreuli dasaSiSi?\\\ kardiogenuli Soki\\\ filtvebis SeSupeba\\ parkuWTa fibrilacia\\\ gulis gaskdoma

\\\\ romeli rentgenologiuri niSania damaxasiaTebeli mitraluristenozisTvis?\\ saylapavis ukan gadanacvleba\\\ marjvena winagulis gadideba\\\ marcxena parkuWis hipertrofia\\\ aRmavali aortis gafarToveba

\\\\ romeli simptomi viTardeba mitraluri stenozis dros?\\\ Tavbru da gulis wasvla\\\ moWeriTi tkivili mkerdis Zvlis ukan\\ sisxliani xvela\\\ arteriuli hipertenzia

\\\\ romeli daavadeba ar aris samkariani sarqvlis izolirebuli dazianebismizezi?\\\ revmatizmi\\\ sistemuri wiTeli mglura\\\ ebSteinis anomalia\\ hipertrofiuli kardiomiopaTia\\\ infeqciuri endokarditi

\\\\ romeli ar warmoadgens trikuspidaluri regurgitaciis klinikurgamovlinebas?\\\ asciti\\\ hepatomegalia\\ venuri wnevis daqveiTeba\\\ SeSupeba\\\ holosistoluri Suili mkerdis ZvalTan

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\\\\ romeli niSani ar vlindeba rentgenologiurad trikuspidaluriregurgutaciis dros?\\\ plevruli gamonaJoni\\ marcxena winagulis da parkuWis dilatacia\\\ diafragmis maRla dgoma\\\ marjvena winagulis da parkuWis dilatacia

\\\\ ra SemTvevaSi ismeba mitraluri sarqvlis naklovanebis diagnozi:\\\ hemodinamikuri gadatvirTvis Sedegad marcxena parkuWis Rrus da fibrozulirgolis gafarToveba\\ mitraluri sarqvlis karedebis arasruli daxurva maTi organuli dazianebisSedegad\\\ papilaruli kunTebis disfunqcia\\\ qordis gaskdoma\\\ xandazmul asakSi sarqvlis rgolis kalcinozi

\\\\ romeli auskultaciuri niSani axasiaTebs mitraluri sarqvlisnaklovanebas?\\ mwvervalze sistoluri Suili\\\ tkacuna I toni\\\ mezodiastoluri Suili\\\ sistoluri Suili gulis fuZeze

\\\\ CamoTvlilTagan romeli niSani axasiaTebs mitraluri sarqvlisnaklovanebas?\\\ RviZlis pulsacia\\\ asTeniuri konstitucia\\ gulis marcxena sazRvris gadideba\\\ sistoluri rxeva marjvniv II neknTaSua areSi

\\\\ romeli simptomia damaxasiaTebeli aortis stenozisTvis?\\\ kanis difuzuri cianozi\\ dabali sistoluri wneva\\\ miuses simptomi\\\ karotidebis cekva

\\\\ romeli mankis dros viTardeba marcxena parkuWis maqsimaluri hipertrofia?\\\ aortis sarqvlebis naklovaneba\\ aortis xvrelis stenozi\\\ mitraluri sarqvlis naklovaneba\\\ samkariani sarqvlis naklovaneba

\\\\ CamoTvlilTagan, romeli simptomokompleqsia tipiuri infeqciuriendokarditisTvis?\\\ cxeleba, anemia, splenomegalia, plevriti, albuminuria, kreatinemia\\ cxeleba, anemia, splenomegalia, kanze sisxlCaqcevebi, hematuria, kreatinemia\\\ cxeleba, anemia, splenomegalia, siyviTle, retikulocitozi,mikrosferocitozi\\\ cxeleba, pancitopenia, hepatosplenomegalia, asciti, siyviTle

\\\\ yvelaze xSirad Tirkmlis romeli paTologia viTardeba infeqciuriendokarditis dros?\\\ kerovani nefriti\\ difuzuri imunokompleqsuri nefriti\\\ amiloidozi\\\ Tirkmlis infarqti

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\\\\ romelia miokarditis ZiriTadi mizezi?\\ infeqcia\\\ parazituli invazia\\\ kolagenozebi\\\ idiopaTiuri

\\\\ romeli simptomebia yvelaze ufro damaxasiaTebeli miokarditisTvis?\\ tkivili gulis areSi, gulisfriali, qoSini\\\ tkivili gulis areSi, gulisfriali, guliswasvla\\\ tkivili gulis areSi, gulisfriali, asciti\\\ tkivili gulis areSi, temperatures momateba, mSrali xvela

\\\\ romeli ekg cvlilebaa yvelaze metad damaxasiaTebeli miokarditisTvis?\\\ dabali voltaJi, PQ=0,22 wm, QRS=0,12 wm\\ ST segmentis cdoma izoeleqtruli xazis qvemoT da uaryofiTi T kbili\\\ ST segmentis diskordantuli aweva\\\ QRS kompleqsebis deformacia

\\\\ romelia konstriqciuli perikarditis yvelaze xSiri mizezi?\\\ travma\\\ kolagenozebi\\\ gulze operacia\\ tuberkulozi\\\ uremia

\\\\ romeli niSani ar axasiaTebs konstriqciul perikardits?\\ gulis normaluri wuTmoculoba\\\ paradoqsuli pulsi\\\ perikardiumis kalcinozi\\\ gulis normaluri zomebi

\\\\ romel daavadebasTan xdeba xSirad saWiro mSrali perikarditisdiferencireba?\\\ diafragmuli Tiaqari\\ miokardiumis infarqti\\\ miokarditi\\\ mwvave pankreatiti

\\\\ romeli faqtori ar warmoadgens perikardiumis punqciis Cvenebas?\\\ gulis tamponada\\\ varaudi Cirqovani procesis arsebobaze\\\ diagnostika\\\ eqsudatis neli gawova\\ periferiuli SeSupebis ganviTareba

\\\\ rentgenologiurad romeli niSani ar aris damaxasiaTebeli eqsudaciuriperikarditisTvis?\\\ rkalebis gadasworeba\\\ konturebis pulsaciis Semcireba\\ gulis siluetis normaluri zoma\\\ gulis trapeciuli forma

\\\\ romeli saxis perikarditisTvisaa damaxasiaTebeli ekg-ze ST segmentiselevacia?\\ mSrali

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\\\ eqsudaciuri\\\ konstriqciuli\\\ idiopaTiuri eqsudaciuri

\\\\ Tanamedrove pirobebSi romelia gulis qronikuli ukmarisobis yvelazexSiri mizezi?\\\ gulis revmatuli mankebi\\ gulis iSemiuri daavadeba\\\ kardiomiopaTiebi\\\ miokarditebi

\\\\ romeli daavadebis dros viTardeba gulis diastoluri ukmarisoba?\\\ miokardiumis infarqti\\ hipertrofiuli kardiomiopaTia\\\ dilataciuri kardiomiopaTia\\\ aortis stenozi

\\\\ romel daavadebaze miitanT eWvs, Tu avadmyofs aReniSneba gviani sistoluriSuili mwvervalze da gviani sistoluri tkacuni?\\\ mitraluri stenozi\\ mitraluri prolafsi\\\ revmatuli mitraluri naklovaneba\\\ qordis gaglejva

\\\\ romeli niSania damaxasiaTebeli aortis stenozisTvis?\\\ mocimcime aritmia\\ sinkope\\\ sisxliani xvela\\\ arteriuli hipertenzia

\\\\ mitraluri stenoziT avadmyofs garkveuli drois Semdeg Seumcirda qoSinida pulmonuri hipertenziis niSnebi da ganuviTarda periferiuli SeSupeba,asciti, hepatomegalia. CamoTvlilTagan romeli mosazrebaa swori?\\\ moxda mitraluri stenozis progresireba\\\ moxda mitraluri naklovanebis progresireba gulis ukmarisobisganviTarebiT\\ ganviTarda samkariani sarqvlis naklovaneba da marjvena parkuWis ukmarisoba\\\ ganviTarda aortuli manki

\\\\ gulis romeli mankisTvisaa damaxasiaTebeli grehem-stilis Suili?\\\ mitraluri sarqvlis prolafsi\\ mitraluri stenozi\\\ aortis sarqvlebis naklovaneba\\\ aortis stenozi

\\\\ romeli paTfiziologiuri cvlileba axasiaTebs mitralur stenozs?\\\ marcxena parkuWis avsebis gazrda\\ marcxena winagulSi wnevis momateba\\\ gulis wuTmoculobis gazrda\\\ marjvena parkuWSi wnevis daqveiTeba

\\\\ romelia filtvis arteriis Tromboemboliis yvelaze xSiri mizezi?\\\ menjis venebis Trombozi\\\ marjvena winagulis Trombozi\\ qveda kidurebis Trombozi\\\ zeda kidurebis Trombozi

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\\\\ ras ewodeba paradoqsuli pulsi?\\\ xelebze pulsis asimetrias\\\ pulsis ritmulobis darRvevas\\ Rrma CasunTvisas pulsuri talRebis Semcireba\\\ calkeuli pulsuri talRis gamovardnas

\\\\ romelia aortis koarqtaciis yvelaze tipiuri fizikaluri niSani?\\\ sistoluri Suili gulis mwvervalze\\\ fexebze wneva 10-20mm.vw.ysv-iT ufro maRalia, vidre xelebze\\ fexebze wneva 10-20mm.vw.ysv-iT ufro dabalia, vidre xelebze\\\ sistoluri Suili aortaze

\\\\ romelia fizikuri datvirTvis dadebiTi testis ekg kriteriumi?\\\ ST segmentis horizontaluri depresia 0.5 mm-ze\\\ ST segmentis iribad aRmavali depresia\\ ST segmentis horizontaluri depresia 1mm-ze metad\\\ ST segmentis iribad daRmavali depresia

\\\\ romeli preparatebis daniSvna ar aris mizanSewonili gulis diastoluriukmarisobis dros?\\\ Sardmdenebis\\ sagule glikozidebis\\\ beta-blokerebis\\\ agf inhibitorebis

\\\\ CamoTvlilTagan, romeli paTologiis dros viTardeba alternaciulipulsi?\\\ miokardiumis infarqti\\ aortis sarqvlis naklovaneba\\\ anemia\\\ gulis ukmarisoba

\\\\ romel daavadebas ar axasiaTebs marcxena parkuWis moculobiTi datvirTva?\\\ mitraluri sarqvlis naklovaneba\\\ aortis sarqvlis naklovaneba\\ arteriuli hipertenzia\\\ falos tetrada

\\\\ Tirkmlebis ra saxis dazianebaa damaxaiaTebeli esenciuri hipertenziisTvis?\\\ amiloidozi\\ nefrosklerozi\\\ glomerulonefriti\\\ papilaruli nekrozi

\\\\ arteriuli hipertenziis dros sikvdilis xSiri mizezia yvela, garda:\\\ miokardiumis infarqti\\ filtvis arteriis Tromboembolia\\\ cerebruli insulti\\\ gulis ukmarisoba

\\\\ romeli Tandayolili mankis dros aris ukunaCvenebi qirurgiulimkurnaloba?\\\ falos tetrada\\\ winagulTaSua Zgidis defeqti

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\\ eizenmengeris sindromi\\\ parkuWTaSua Zgidis defeqti

\\\\ romeli daavadebisTvisaa damaxasiaTebeli tkacuna I toni?\\\ aortis stenozi\\ mitraluri stenozi\\\ aortis naklovaneba\\\ mitraluri naklovaneba

\\\\ romeli daavadebisTvisaa damaxasiaTebeli flintis Suili?\\\ mitraluri stenozi\\\ filtvis arteriis stenozi\\ aortis sarqvlis naklovaneba\\\ aortis koarqtacia

\\\\ romelia konstriqciuli perikarditis yvelaze efeqturi samkurnalosaSualeba?\\\ sagule glikozidebi\\\ periferiuli vazodilatatorebi\\\ perikardiocentezi\\\ Sardmdenebi\\ perikardeqtomia

\\\\ ekg-ze aRiniSneba ST segmentis elevacia II, III, aVF ganxrebSi. ralokalizaciisaa miokardiumis infarqti?\\\ marcxena parkuWis wina kedlis\\\ parkuWTaSua Zgidis\\ marcxena parkuWis ukana kedlis\\\ marjvena parkuWis

\\\\ ekg-ze aRiniSneba ST segmentis elevacia I da aVL ganxrebSi. ralokalizaciisaa miokardiumis infarqti?\\ marcxena parkuWis wina kedlis\\\ parkuWTaSua Zgidis\\\ marcxena parkuWis ukana kedlis\\\ marjvena parkuWis

\\\\ ekg-ze aRiniSneba ST segmentis elevacia V1 da V2 ganxrebSi. ralokalizaciisaa miokardiumis infarqti?\\\ marcxena parkuWis wina kedlis\\ parkuWTaSua Zgidis\\\ marcxena parkuWis ukana kedlis\\\ marjvena parkuWis

\\\\ CamoTvlilTagan ra ar aris damaxasiaTebeli falos tetradisTvis?\\\ parkuWTaSua Zgidis defeqti\\ winagulTaSua Zgidis defeqti\\\ filtvis arteriis stenozi\\\ gadamjdari aorta

\\\\ romeli faqtori ar monawileobs gulSida hemodinamikis darRvevaSirestriqciuli kardiomiopaTiis dros?\\\ parkuWebis miokardiumis modunebis SeuZlebloba\\\ parkuWebis diastoluri avsebis Semcireba\\\ gulis dartymiTi moculobis Semcireba\\ miokardiumis kumSvadobis daqveiTeba

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\\\\ romel daavadebas ar aqvs kavSiri restriqciul kardiomiopaTiasTan?\\\ endomiokardiuli fibrozi\\\ lefleris eozinofiluri endokarditi\\ abramov-fidleris miokarditi\\\ sarkoidozi

\\\\ ra ewodeba gulis qronikul daavadebas, ris drosac viTardeba parkuWebismiokardiumis paTologiuri rigidoba, rac xels uSlis maT diastolur avsebas?\\\ dilataciuri kardiomiopaTia\\\ hipertrofiuli kardiomiopaTia\\ restriqciuli kardiomiopaTia\\\ postinfarqtuli kardiosklerozi

\\\\ romeli preparatis gamoyeneba ar aris mizanSewonili hipertrofiulikardiomiopaTiis dros?\\\ kordaroni\\\ propranoloni\\\ verapamili\\ nitroglicerini

\\\\ ra ewodeba gulis qronikul daavadebas, romelic vlindeba marcxenaparkuWis gamoxatuli hipertrofiiT aortis xvrelis stenozis da arteriulihipertenzis gareSe da axlavs parkuWTaSua Zgidis hipertrofia?\\\ dilataciuri kardiomiopaTia\\ hipertrofiuli kardiomiopaTia\\\ restriqciuli kardiomiopaTia\\\ gulis iSemiuri daavadeba

\\\\ romeli paTologiuri procesi ar monawileobs dilataciurikardiomiopaTiis klinikuri suraTis CamoyalibebaSi?\\\ ritmis darRvevebi\\\ gulis ukmarisoba\\\ Tromboembolia\\ infeqcia

\\\\ ra ewodeba gulis qronikul araiSemiur, araanTebiT daavadebas, romelic araris dakavSirebuli metabolur darRvevebTan, vlindeba miokardiumis difuzuridazianebiT, kumSvadobis mkveTri daqveiTebiT da Rruebis dilataciiT?\\ dilataciuri kardiomiopaTia\\\ hipertrofiuli kardiomiopaTia\\\ restriqciuli kardiomiopaTia\\\ gulis iSemiuri daavadeba\\\ miokarditi

\\\\ paTogenezis romeli Taviseburebaa tipiuri mitraluri stenozis da aortissarqvlis naklovanebis Serwymisas, rodesac Warbobs mitraluri stenozi?\\ mitraluri stenozi xels uSlis marcxena parkuWis moculobiT gadatvirTvas\\\ mitraluri stenozi auaresebs aortis naklovanebiT gamowveul hemodinamikurdarRvevebs\\\ mitraluri stenozi auaresebs aortis naklovanebiT gamowveul gulisukmarisobas\\\ mitraluri stenozi xels uwyobs infeqciuri endokarditis ganviTarebas

\\\\ ra moyveba mitralur-aortuli mankiT avadmyofebSi trikuspidaluriukmarisobis ganviTarebas?

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\\ venuri Segubeba didi wris da portuli sistemis venebSi\\\ filtvebis SeSupeba\\\ RviZlis steatozi\\\ sisxliani xvela

\\\\ ra paTologiuri mniSvneloba aqvs ovaluri xvrelis defeqts?\\\ iwvevs Suntirebas marcxnidan marjvniv mZime hemodinamikuri darRvevebiT\\\ iwvevs Suntirebas marjvnidan marcxniv mZime hemodinamikuri darRvevebiT\\ ar iwvevs janmrTelobis seriozul darRvevas\\\ mniSvnelovnad auaresebs winagulTaSua Zgidis defeqtis – ostium primarum -mimdinareobas

\\\\ romelia aortis koarqtaciis yelaze xSiri lokalizacia\\\ aRmavali nawili\\ rkalis daRmaval nawilSi gadasvlis adgili\\\ daRmavali aorta\\\ gul-mkerdis aorta

\\\\ ra aris difuzuri cianozis ganviTarebis mizezi winagulTaSua Zgidisdefeqtis dros?\\ marjvena winagulSi ufro maRali wnevis arseboba, vidre marcxenaSi\\\ marcxena winagulis ukmarisoba\\\ marjvena winagulis ukmarisoba\\\ mocimcime aritmiis ganviTareba

\\\\ ra paTologiuri procesi ar aris damaxasiaTebeli kompensirebuliwinagulTaSua Zgidis defeqtisTvis?\\\ sisxlis gadasrola marcxena winagulidan marjvenaSi\\\ marcxena winagulis moculobiTi gadatvirTva\\\ marjvena winagulis moculobiTi gadatvirTva\\ marcxena parkuWis moculobiTi gadatvirTva\\\ marjvena parkuWis moculobiTi gadatvirTva

\\\\ sad mdebareobs winagulTaSua Zgidis defeqti - ostium primarum ?\\\ parkuWTaSua Zgidis zemo nawilSi\\\ winagulTaSua Zgidis SuaSi ovaluri xvrelis axlos\\ winagulTaSua Zgidis qveda nawilSi\\\ ovaluri xvrelis zemoT zemo Rru venis SeerTebis adgilTan

\\\\ sad mdebareobs winagulTaSua Zgidis defeqti - ostium secundum ?\\\ parkuWTaSua Zgidis zemo nawilSi\\ winagulTaSua Zgidis SuaSi ovaluri xvrelis axlos\\\ winagulTaSua Zgidis qveda nawilSi\\\ ovaluri xvrelis zemoT zemo Rru venis SeerTebis adgilTan

\\\\ ra periodSi yalibdeba Ria arteriuli sadinari?\\\ mucladyofnisas\\ dabadebis Semdeg\\\ sqesobrivi momwifebis periodSi\\\ zrdasrul asakSi

\\\\ Tandayolili mankebis romel jgufs miekuTvneba aortis koarqtacia?\\\ lurji manki veno-arteriuli SuntiT\\\ TeTri manki arteriul-venuri SuntiT\\ manki Suntis gareSe, marcxena parkuWidan sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils

15

\\\\ Tandayolili mankebis romel jgufs miekuTvneba falos tetrada?\\ lurji manki veno-arteriuli SuntiT\\\ TeTri manki arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils

\\\\ Tandayolili mankebis romel jgufs miekuTvneba Ria arteriuli sadinari?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils

\\\\ Tandayolili mankebis romel jgufs miekuTvneba winagulTaSua Zgidisdefeqti?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils

\\\\ Tandayolili mankebis romel jgufs miekuTvneba parkuWTaSua Zgidisdefeqti?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils

\\\\ romeli faqtori ar monawleobs Tandayolili mankis ganviTarebaSi?\\\ genetikuri faqtorebi\\\ virusuli infeqcia\\\ dedis alkoholizmi\\\ teratogenuli preparatebis miReba\\ asfiqsia mSobiarobis dros

\\\\ romelia endokardiuli stimulaciis absoluturi Cveneba miokardiumismwvave infarqtis dros?\\ II an III xarisxis mdgradi atrioventrikuluri blokada\\\ gardamavali atrioventrikuluri blokada\\\ hisis konis marcxena fexis wina totis blokada\\\ gardamavali atrioventrikuluri blokada hisis konis marcxena fexisgardamavali blokada

\\\\ romeli auskultaciuri niSani ar axasiaTebs mitralur stenozs?\\\ tkacuna I toni mwvervalze\\\ mitraluri sarqvlis gaRebis xmianoba\\ aortaze gaZlierebuli II toni\\\ mwvervalze protodiastoluri Suili

\\\\ romeli auskultaciuri niSani ar axasiaTebs mitralur stenozs?\\ mwvervalze I tonis Sesusteba\\\ mitraluri sarqvlis gaRebis xmianoba\\\ mwvervalze protodiastoluri Suili\\\ mitraluri sarqvlis gaRebis xmianoba

\\\\ CamoTvlilTagan, romelia I tonis gaZlierebis mizezi?\\\ mitraluri sarqvlis naklovaneba

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\\\ aortis xvrelis stenozi\\ mitraluri stenozi\\\ aortis sarqvlis naklovaneba

\\\\ miuTiTeT, romelia mwyeris ritmis Semadgeneli komponenti\\\ mwvervalze Sesustebuli I toni\\\ aortaze gaZlierebuli II toni\\\ gayofili I toni\\ mwvervalze tkacuna I toni

\\\\ miuTiTeT, romelia mwyeris ritmis Semadgeneli komponenti\\\ mwvervalze Sesustebuli I toni\\\ aortaze gaZlierebuli II toni\\ mitraluri sarqvlis gaRebis xmianoba\\\ gayofili II toni

\\\\ romelia galopis ritmis warmoqmnis meqanizmi\\\ I tonis gayofa\\\ II tonis gayofa\\ III tonis paTologiuri gaZliereba\\\ mitraluri sarqvlis gaRebis xmianoba

\\\\ romelia galopis ritmis warmoqmnis meqanizmi\\\ I tonis gayofa\\\ II tonis gayofa\\ IV tonis paTologiuri gaZliereba\\\ samkariani sarqvlis gaRebis xmianoba

\\\\ raze miuTiTebs galopis ritmis gaCena?\\\ mitralur stenozze\\\ aortis stenozze\\\ aortis sarqvlis naklovanebaze\\ miokardiumis kumSvadobis mZime darRvevaze

\\\\ ra aris pulsis deficitis mizezi?\\ winagulebis cimcimi\\\ arteriuli hipertenzia\\\ aortis koarqtacia\\\ hipertrofiuli subaortuli stenozi

\\\\ romel daavadebas axasiaTebs: heqtiuri cxeleba, Zlieri oflianoba,Semcivneba, qoSini, saerTo sisuste\\\ revmokarditi\\ qvemwvave infeqciuri endokarditi\\\ miokardiumis infarqti\\\ stenokardia

\\\\ romelia gulis iSemiuri daavadebis yvelaze xSiri morfologiurisafuZveli\\\ vaskuliti\\ koronaruli aTerosklerozi\\\ sisxlZarRvTa hialinozi\\\ koronarospazmi

\\\\ romeli ar aris gulis iSemiuri daavadebis risk-faqtori\\\ hiperlipidemia

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\\\ Tambaqo\\\ arteriuli hipertenzia\\ Tireotoqsikozi

\\\\ romeli ar aris gulis iSemiuri daavadebis risk-faqtori?\\\ glukozisadmi tolerantobis darRveva\\\ hiperfibrinogenemia\\ hiper-alfalipoproteidemia\\\ marcxena parkuWis hipertrofia

\\\\ CamoTvlilTagan, romeli ar aris veloergometriis Catarebis ukuCveneba?\\\ miokardiumis infarqtis mwvave periodi\\\ arastabiluri stenokardia\\\ mwvave Tromboflebiti\\ I xarisxis atrioventrikuluri blokada

\\\\ CamoTvlilTagan, romeli ar aris veloergometriis Catarebis ukuCveneba?\\\ III-IV fk gulis ukmarisoba\\\ sunTqvis mZime ukmarisoba\\\ aortis mniSvnelovani stenozi\\ daZabvis stenokardia

\\\\ CamoTvlilTagan, romeli ar axasiaTebs IV fk daZabvis stenokardias?\\\ Setevis ganviTareba nebismier fizikur datvirTvaze\\ kibis 2 sarTulze asvlisas tkivilis dawyeba\\\ mosvenebisas stenokardiuli tkivili\\\ Setevis ganviTareba fsiqoemociur daZabvaze

\\\\ CamoTvlilTagan, romeli ar axasiaTebs III fk daZabvis stenokardias\\\ stenokardiuli Setevis ganviTareba 1 sarTulze asvlis Semdeg\\\ stenokardiuli Setevis ganviTareba 100-500 m-is gavlis Semdeg\\ stenokardiuli Setevis ganviTareba 500m-ze meti manZilis gavlisas\\\ Setevis dawyeba fsiqoemociur daZabvaze

\\\\ 40 wlis avadmyof mamakacs aqvs miokardiumis mwvave infarqti, daavadebispirvel dRes ganuviTarda taqikardia 140 wT-Si, arteriuli wneva 70/40 mmvwysv,kani civi, fermkrTali. romeli preparatiT unda daiwyoT mkurnaloba\\\ digoqsini\\ dopmini\\\ morfini\\\ kalciumis qloridi

\\\\ romeli preparati ar gamoiyeneba miokardiumis mwvave infarqtis drosTrombolizisis Casatareblad\\\ urokinaza\\\ streptokinaza\\ heparini\\\ qsovilovani plazminogenis aqtivatori

\\\\ CamoTvlilTagan, romeli ar aris marTebuli princmetalisstenokardiisTvis\\ uaxloesi prognozi keTilsaimedoa\\\ Setevis dros ekg-ze aRiniSneba ST segmentis elevacia\\\ Setevis dros xSiria parkuWovani aritmiebi

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\\\\ CamoTvlilTagan, romeli ar aris marTebuli princmetalisstenokardiisTvis?\\ Setevis dros ekg-ze aRiniSneba ST segmentis depresia\\\ Setevis dros xSiria parkuWovani aritmiebi\\\ avadmyofTa umravlesobas aReniSneba koronarebis tranzitoruli spazmi\\\ Seteva Cveulebriv viTardeba mosvenebiT mdgomareobaSi

\\\\ romelia kardiostimulatoris implantaciis absoluturi Cveneba?\\\ sinusuri bradikardia guliscemis sixSiriT 40-mde wuTSi\\ II xarisxis 2 tipis av blokada morgan-adam-stoqsis sindromiT\\\ I xarisxis av blokada hisis konis marcxena fexis blokadiT\\\ sagule glikozidebis dozis gadaWarbebiT gamowveuli bradisistolurimocimcime aritmia

\\\\ CamoTvlilTagan romeli debuleba ar aris swori av blokadisTvis?\\\ ufro xSirad viTardeba ukana kedlis miokardiumis infarqtis dros\\\ viTardeba sagule glikozidebiT intoqskaciis dros\\\ axasiaTebs bradikardia\\ yovelTvis saWiroebs ritmis wamyvanis implantacias

\\\\ romel aritmias ar udevs safuZvlad ReEntry meqanizmi?\\\ winagulebis cimcimi\\\ av kvanZovani taqikardia\\ parkuWovani parasistolia\\\ supraventrikuluri taqikardia WPW sindromis dros

\\\\ miokardiumis infarqtiT avadmyofs ganuviTarda bradikardia guliscemissixSiriT 40-mde wuTSi. romeli aritmiis arsebobaa yvelaze naklebadSesaZlebeli am dros?\\\ sinusuri bradikardia\\\ III xarisxis av blokada\\\ II xarisxis 2 tipis av blokada\\ mocimcime aritmia

\\\\ romelia arCevis preparati WeSmariti kardiogenuli Sokis dros?\\ dopmini\\\ digoqsini\\\ adrenalini\\\ noradrenalini

\\\\ romeli daavadebis dros ar viTardeba mocimcime aritmiis paroqsizmi?\\\ Tireotoqsikozi\\\ hipertrofiuli kardiomiopaTia\\\ mitraluri stenozi\\\ gulis iSemiuri daavadeba\\ aortis sarqvlebis naklovaneba

\\\\ miokardiumis infarqtis dros ra situaciaSia naCvenebi beta-blokerebisgamoyeneba?\\ sinusuri taqikardiis da arteriuli hipertenziis dros\\\ winagulovani eqstrasistoliis dros\\\ I xarisxis av blokadis dros\\\ sruli atrioventrikuluri bloadis dros

\\\\ romeli simptomia damaxasiaTebeli marcxena parkuWis mwvave ukmarisobisTvis\\\ pCO2is momateba

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\\ taqikardia\\\ marcxena parkuWSi normaluri saboloo diastoluri wneva\\\ periferiuli SeSupeba

\\\\ CamoTvlilTagan romeli ekg niSani axasiaTebs av blokadas\\ PQ intervalis gaxangrZliveba 0,2 wm-ze metad\\\ PQ intervalis TandaTanobiTi Semcireba QRS kompleqsis gamovardniT\\\ winagulebis da parkuWebis damoukidebeli ritmi, rodesac QRS kompleqsebisraodenoba aWarbebs P kbilebis raodenobas\\\ ekg-ze ar aris P kbilebi

\\\\ CamoTvlilTagan romeli ekg niSani axasiaTebs av blokadas\\\ PQ intervalis TandaTanobiTi Semcireba QRS kompleqsis gamovardniT\\\ winagulebis da parkuWebis damoukidebeli ritmi, rodesac QRS kompleqsebisraodenoba aWarbebs P kbilebis raodenobas\\\ ekg-ze ar aris P kbilebi\\ winagulebis da parkuWebis damoukidebeli ritmi, rodesac P kbilebisraodenoba QRS kompleqsebis raodenobas aWarbebs

\\\\ frederikis sindromi aris Serwyma:\\ mocimcime aritmiis da sruli av blokadis\\\ winagulSida da parkuWSida gamtareblobis Seneleba\\\ mocimcime aritmiis da hisis konis marcxena fexis blokadis\\\ winagulovani taqikardiis da hisis konis marcxena fexis blokadis

\\\\ CamoTvlilTagan romelia parkuWovani taqikardiis ekg niSani\\\ parkuWovani ritmia 200-300 wT-Si\\ QRS kompleqsis sigane 0,12wm-ze metia\\\ aRiniSneba delta talRa\\\ Tanabari R-R intervalebi

\\\\ 18 wlis mamakacs aRmoaCnda arteriuli hipertenzia. daTvalierebiTaReniSneba zeda da qvemo kidurebis araproporciuli ganviTareba, pulsaciaSesustebulia qveda kidurebze, auskultaciiT – sistoluri Suili beWebsSoris. ekg-ze marcxena parkuWis hipertrofiis da gadaZabvis niSnebi. daasaxeleTsavaraudo diagnozi:\\\ mitraluri sarqvlis naklovaneba\\\ winagulTaSua Zgidis defeqti\\ aortis koarqtacia\\\ Tirkmlis arteriis stenozi

\\\\ 18 wlis mamakacs aRmoaCnda arteriuli hipertenzia. daTvalierebiTaReniSneba zeda da qvemo kidurebis araproporciuli ganviTareba, pulsaciaSesustebulia qveda kidurebze, auskultaciiT – sistoluri Suili beWebsSoris. ekg-ze marcxena parkuWis hipertrofiis da gadaZabvis niSnebi.CamoTvlilTagan romeli garTuleba ar axasiaTebs am daavadebas:\\\ infeqciuri endokarditi\\ Tromboembolia\\\ aortis ganSreveba\\\ hemoragiuli insulti

\\\\ 45 w mamakacs saRamos daewyo Zlieri tkivili epigastriumis areSi,gulisreva, Rebineba. bolo erTi wlis ganmavlobaSi aReniSneboda tkivilimkerdis Zvlis ukan fizikur datvirTvaze. obieqturad: pulsi 100 wT-Si, art.wneva – 80/50 mmvwysv, muceli rbili, mcired mtkivneuli epigastriumis areSi.

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peritoneumis gaRizianebis niSnebi ar aris. ekg-ze sinusuri taqikardia, R kbilisvoltaJis Semcireba II, III da aVF ganxrebSi, amave ganxrebSi aRiniSneba STsegmentis gumbaTiseburi elevacia. daasaxeleT savaraudo diagnozi:\\\ princmetalis stenokardia\\\ wina kedlis miokardiumis mwvave infarqti\\ ukana kedlis miokardiumis mwvave infarqti\\\ mwvave pankreatiti

\\\\ 45 w mamakacs saRamos daewyo Zlieri tkivili epigastriumis areSi,gulisreva, Rebineba. bolo erTi wlis ganmavlobaSi aReniSneboda tkivilimkerdis Zvlis ukan fizikur datvirTvaze. obieqturad: pulsi 100 wT-Si, art.wneva – 80/50 mmvwysv, muceli rbili, mcired mtkivneuli epigastriumis areSi.peritoneumis gaRizianebis niSnebi ar aris. ekg-ze sinusuri taqikardia, R kbilisvoltaJis Semcireba II, III da aVF ganxrebSi, amave ganxrebSi aRiniSneba STsegmentis gumbaTiseburi elevacia. CamoTvlilTagan sisxlis romeli cvlilebaar aris damaxasiaTebeli am paTologiisTvis:\\\ leikocitozi\\\ eds-is momateba\\\ kreatinkinaza MB fraqciis momateba\\ amilazas momateba

\\\\ 67 wlis mamakaci uCivis Zlier SeteviT qoSins, mSral xvelas, aseTimdgomareoba ganuviTarda pirvelad, RamiT, Zilis dros. bolo 5 welia aqvsarteriuli hipertenzia, mkurnalobda araregularulad. avadmyofi agznebulia,aReniSneba orTopnoe, saxis cianozi, sunTqva 40 wT-Si, pulsi – 120 wT-Siritmuli, art. wneva – 220/110 mmvwysv. gulis marcxena sazRvari gadidebulia,aRiniSneba galopis ritmi, filtvebSi qvemo wilebSi wvrilbuStukovani svelixixini orive mxares. ekg- sinusuri taqikardia, marcxena parkuWis hipertrofiisniSnebi. daasaxeleT pacientis mdgomareobis savaraudo mizezi;\\\ miokardiumis mwvave infarqti\\ marcxena parkuWis mwvave ukmarisoba – kardiuli asTma\\\ bronqulis asTma\\\ marjvena parkuWis mwvave ukmarisoba

\\\\ 53 wlis mamakacs bolo 3 kviris ganmavlobaSi aRieniSneba tkivilis Setevebifizikur datvirTvaze: siarulis da kibeze asvlis dros. pacienti mwevelia,dedas hqonda arteriuli hipertenzia, mamas- gid. obieqturad: pulsi 72 wT-Si,art. wneva – 130/80 mmvwysv, ekg: ritmi sinusuri, gulis el RerZis normalurimdebareoba, gulmkerdis marcxena ganxrebSi uaryofiTi T kbilebi. romeliawinaswari diagnozi:\\\ stabiluri stenokardia I fk\\\ princmetalis stenokardia\\ pirvelad aRmocenebuli stenokardia\\\ progresirebadi stenokardia

\\\\ qvemoT CamoTvliliPpaTologiebidan romlis dros aRiniSneba yvelazexSirad parkuWovani ariTmiis ganviTareba:\\ gulis iSemiuri daavadeba\\\ kardiomiiopaTia\\\ metaboluri darRvevebi\\\ medikamenturi intoqsikacia

\\\\ romelia parkuWovani taqikardiis kupirebis saukeTeso saSualebaa\\ eleqtruli kardioversia;\\\ intravenuri lidokaini;

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\\\ intravenuri novokainamidi;\\\ intravenuri amiodaroni (kordaroni);

\\\\ qvemoT CamoTvlili daavadebebis gulis ukmarisobiT garTulebisas, romlisdros aRiniSneba ZiriTadad sistoluri moculobis gazrda:\\ hiperTireozi;\\\ gulis iSemiuri daavadeba;\\\ kardiomiopaTiebi;\\\ miokarditi.

\\\\ marcxena parkuWis mwvave ukmarisoba xSirad viTardeba yvela qvemoTCamoTvlili daavadebis fonze, garda erTisa:\\\ miokardiumis infarqti;\\\ hipertenzia;\\\ aortuli da mitraluri mankebi;\\ konstriqciuli perikarditi;\\\ miokarditi

\\\\ filtvebis SeSupebisTvis damaxasiaTebelia yvela qvemoT CamoTvlilisimptomi, garda erTisa:\\\ moxrCobis SegrZneba;\\\ qafiani naxveli;\\\ qoSini;\\\ civi ofli;\\ sisxliani xvela

\\\\ marcxena parkuWis mwvave ukmarisobis dros ZiriTadad rogori xasiaTisaanaxveli:\\\ Cirqovani;\\\ sisxliania;\\ qafiani da vardisferi;\\\ lorwovani da webovani;

\\\\ hipertenzia SeiZleba ganviTardes yvela qvemoT CamoTvlili medikamentiTmkurnalobis fonze, garda erTisa:\\\ arasteroiduli anTebis sawinaaRmdego preparatebi;\\\ kontraceptuli saSualebebi;\\\ kortikosteroidebi;\\ III jgufis antiariTmuli preparatebi

\\\\ renoparenqimuli arteriuli hipertenzia viTardeba yvela qvemoTCamoTvlili daavadebis fonze, garda erTisa:\\\ glomerulonefriti;\\\ pielonefriti;\\\ intersticiuli nefriti;\\ Tirkmlis arteriebis aTerosklerozi;

\\\\ arteriuli hipertenzia gulisxmobs:\\\ mxolod sistoluri wnevis matebas;\\\ mxolod diastoluri wnevis matebas;\\\ sistoluri da diastoluri wnevebis erTdroulad matebas;\\ sisxlis sistoluri da/an diastoluri wnevis matebas.

\\\\ esenciuri arteriuli hipertenziis risk-faqtorebia yvela CamoTvlili,garda:\\\ nervul-fsiqikuri gadaZabva;

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\\\ genetikuri ganwyoba;\\\ araxelsayreli garemo pirobebi;\\ Tirkmlis parenqimis anTebiTi daavadebebi;\\\ sufris marilis Warbi raodenobiT moxmareba.

\\\\ romeli garTulebebis ganviTarebis safuZvels ar warmoadgens arteriulihipertenziis Semdgomi marcxena parkuWis hipertrofia:\\\ gulis kunTis iSemia;\\\ gulis ukmarisoba;\\\ sxvadasxva ariTmia;\\ koronaruli arteriebis stenozi da Trombozi;

\\\\ endokrinul hipertenziebs iwvevs yvela qvemoT CamoTvlili daavadeba, garda:\\\ pirveladi aldosteronizmi;\\\ icenko-kuSingis sindromi;\\\ feoqromocitoma;\\ Tirkmlis arteriis stenozi;\\\ akromegalia;

\\\\ ZiriTadad romel paTologias axasiaTebs arteriuli hipertenziis krizulimimdinareoba:\\\ pirvelad reninizms;\\\ hiperTireozs;\\ feoqromocitomas;\\\ pirvelad aldosteronizms.

\\\\ romelia arteriuli hipertenziis mkurnalobisaTvis saukeTeso Sardmdeni?\\ hipoTiazidi;\\\ laziqsi;\\\ veroSpironi;\\\ etakrinis mJava.

\\\\ qvemoT CamoTvlili antiariTmuli preparatebis klasebidan romeliamembranomastabilizebeli?\\ I klasis;\\\ II klasis;\\\ III klasis;\\\ IV klasis;\\\ III da IV klasis.

\\\\ qvemoT CamoTvlilTagan romeli ekg cvlilebebi ar aris damaxasiaTebelistenokardiisTvis;\\\ cvlilebebi yovelTvis ar aRiniSneba;\\\ ST segmentis cdoma;\\\ iSemiuri T kbili;\\ paTologiuri Q kbili;\\\ uaryofiTi T kbili.

\\\\ romeli movlena ar aris damaxasiaTebeli dresleris sindromisaTvis:\\\ perikarditi;\\\ plevriti;\\ peritoniti;\\\ pnevmonia;\\\ cxeleba.

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\\\\ romelia marcxena parkuWis naklovanebis marjvenaparkuWovaninaklovanebisagan sadiferenciacio umTavresi kriteriumi:\\\ RviZlis gadideba;\\ filtvebis SeSupeba;\\\ asciti;\\\ periferiuli SeSupeba

\\\\ romeli ekg niSnebi ar vlindeba mitraluri stenozis dros\\\ marjvena winagulis hipertrofiis niSnebi;\\ marcxena parkuWis hipertrofiis niSnebi;\\\ marjvena parkuWis hipertrofiis niSnebi;\\\ marcxena winagulis hipertrofiis niSnebi;\\\ gulis eleqtruli RerZis marjvniv gadaxra.

\\\\ romeli paTologia iwvevs mitraluri naklovanebis ganviTarebasxandazmulebSi?\\\ revmatizmi;\\\ infeqciuri endokarditi;\\\ mitraluri prolafsi;\\\ miokardiumis infarqti;\\ mitraluri sarqvlis kalcinozi.

\\\\ romeli daavadebis pirveli klinikuri gamovlineba SeiZleba gaxdesqronikuli mocimcime ariTmia:\\\ gulis revmatuli dazianeba;\\\ arteriuli hipertenzia;\\ Tireotoqsikozi;\\\ filtvis qronikuli daavadeba;\\\ mitraluri sarqvlis ararevmatuli genezis gamoxatuli naklovaneba.

\\\\ miokardiumis infarqtis dros parkuWovani ariTmiis aRmocenebisas “arCevis”preparatia:\\\ intravenuri amiodaroni (kordaroni)\\ intravenuri lidokaini;\\\ intravenuri novokainamidi;\\\ intravenuri propranololi.

\\\\ kardiogenuri Sokis klinikuri niSnebia yvela CamoTvlili, garda erTisa:\\\ arteriuli wnevis daqveiTeva 80 mm.vwy.sv da qveviT;\\\ kidurebis gaciveba;\\\ cianozi;\\ poliuria\\\ namiani kanis safarveli;

\\\\ romel faqtorzea damokidebuli kardiogenuri Sokis ganviTareba da simZime:\\\ miokardiumis infarqtis lokalizacia;\\\ avadmyofis sqesi;\\ dazianebuli (nekrozuli) miokardiumis moculoba;\\\ am garTulebis ganviTarebis vada;

\\\\ romelia miokardiumis infarqtis umwvaves stadiaSi sikvdilis yvelaze xSirimizezi:\\ ariTmia;\\\ marcxena parkuWis gaskdoma;\\\ gulis SegubebiTi ukmarisoba;\\\ Soki;

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\\\ filtvebis SeSupeba.

\\\\ miokardiumis aratransmuruli infarqti diagnostirdeba Tu ekg-zeaRiniSneba:1. T kbilis cvlilebebi; 2) ST segmentis cvlilebebi; 3) R kbilisamplitudis daqveiTeba; 4) paTologiuri Q kbili\\\ sworia yvela CamoTvlili;\\ sworia 1, 2;\\\ sworia 1, 3, 4.\\\ sworia 1, 2, 4.\\\ sworia 3, 4.

\\\\ rodis moismineba miokardiumis mwvave infarqtis ganviTarebisas sistoluriSuili:\\\ anamnezSi revmatizmis arsebobisas;\\ dvriliseburi kunTebis disfunqciiT ganpirobebuli mitraluri sarqvlisnaklovanebis Sedegad;\\\ dvriliseburi kunTebis disfunqciiT ganpirobebuli mitraluri xvrelisstenozis Sedegad;\\\ aortis sarqvlis meoradi naklovanebis Sedegad

\\\\ romelia daZabvis stenokardiis yvelaze mgrZnobiare sadiagnostiko meTodi:\\\ 24 saaTiani ekg monitorireba;\\ dozirebuli fizikuri datvirTvis sinji;\\\ farmakologiuri sinjebi;\\\ sicivis sinji.

\\\\ winagulebis cimcimis kriteriumebia yvela qvemoT CamoTvlili, gardaerTisa:\\ winagulebSi arsebuli erTi eqtopiuri kera aigzneba maRali 350-650 imp/wTsixSiriT;\\\ QRS kompleqsis forma iseTivea, rogorc regularuli kardiuli riTmisdros;\\\ cimcimis msxvili (F) an wvrili (f) talRebi cvlian P kbilebs;\\\ parkuWebis reaqcia ukiduresad araregularulia.

\\\\ frideriqsenis klasifikaciiT hiperlipoproteinrmiis romeli tipiwarmoadgens yvelaze aTerogenuls?\\\ I, II, III\\\ I, III\\ II, III\\\ IV, V

\\\\ 30 wlis qals aqvs mitraluri stenozi. orsulobis me-8 Tves daewyofiltvebis SeSupebis epizodebi. ra saxis murnalobaa am dros naCvenebi?\\\ sagule glikozidebi\\ saswrafo komisurotomia\\\ orsulobis Sewyveta\\\ woliTi reJimi mSobiarobamde

\\\\ ra warmoadgens mitraluri stenozis dros komisurotomiis Cvenebas?\\\ gul-sisxlZarRvTa ukmarisoba\\ filtvis arteriis hipertenzia\\\ grehem-stilis Suili\\\ mocimcime ariTmia

\\\\ ra warmoadgens mitraluri stenozis dros komisurotomiis Cvenebas?

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\\\ gul-sisxlZarRvTa ukmarisoba\\ Tromboembolia\\\ grehem-stilis Suili\\\ mocimcime ariTmia

\\\\ ra warmoadgens revmatuli mitraluri mankis dros komisurotomiisukuCvenebas\\\ warsulSi gadatanili Tavis tvinis sisxlZarRvis embolia\\\ stenozis III stadia (qirurgiuli klasifikaciiT)\\ mitraluri sarqvlis naklovanebis siWarbe\\\ asaki 50 wels zeviT

\\\ romeli daavadebisTvisaa yvelaze metad damaxasiaTebeli sistolur-diastoluri Suili marcxniv II-III neknTaSua areSi, romelic aRiniSnebabavSvobidan:\\\ mitraluri manki\\\ parkuWTaSua Zgidis defeqti\\\ aortis koarqtacia\\ Ria arteriuli sadinari

\\\\ romlia sikvdilis yvelaze xSiri mizezi infeqciuri endokarditis dros?\\\ mioardiumis abscesi\\ gulis SegubebiTi ukmarisoba\\\ Tavis tvinis sisxlZarRvTa Tromboembolia\\\ intoqsikacia

\\\\ romeli daavadebisTvisaa damaxasiaTebeli pulsuri talRis swrafi aweva daSemdgomSi swrafi daweva?\\\ mitraluri stenozi\\\ mitraluri sarqvlis naklovaneba\\\ aortis stenozi\\ aortis sarqvlis naklovaneba

\\\\ rasTan aris dakavSirebuli ekg-ze V1 ganxraSi P kbilis pirveli dadebiTifaza?\\\ marcxena winagulis agznebasTan\\ marjvena winagulis agznebasTan\\\ orive winagulis agznebasTan\\\ eleqtrodis araswor dadebasTan

\\\\ ras asaxavs janmrTelebSi ekg-ze Q kbili?\\ winagulTaSua Zgidis agznebas\\\ marjvena parkuWis agznebas\\\ marcxena parkuWis gaaqtivebis dros\\\ parkuWebis eleqtrul sistolas

\\\\ romel ganxrebSi aris aucileblad Q kbili normalur ekg-ze?\\\ V1-V2\\\ V3\\ V5-V6\\\ aVF

\\\\ ekg romel ganxrebSi iTvleba paTologiad Tundac mcire amplitudis Qkbilis gaCena\\ V1-V2\\\ V3

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\\\ aVR, I, II, III\\\ aVL

\\\\ gulis naadrevi SekumSvebis ra minimaluri raodenoba iTvleba taqikardiisepizodad?\\\ 10-12\\\ 8 da meti\\ 6 da meti\\\ 2 da meti

\\\\ ramden Tanmimdevrul eqstrasistolas ewodeba `jgufuri~?\\\ 1-3\\ 3-5\\\ 5-7\\\ 7-10

\\\\ 27 w mamakacs aReniSneba arteriuli hipertenzia; pulsi meryeobs 85-90dartyma wuTSi, art. wneva 145/95 – 175/105 mmvwysv. sxva sistemebis mxrivcvlilebebi ar aris. romelia arCevis preparati am SemTxvevaSi?\\\ kalciumis antagonistebi\\ beta-blokerebi\\\ agf inhibitorebi\\\ Sardmdenebi

\\\\ 42 wlis mitraluri mankiT avadmyofs ganuviTarda xSiri winagulovanieqstrasistoluri ariTmia. rogori prognozi aqvs avadmyofs?\\\ gulis ukmarisobis ganviTareba\\ mocimcime ariTmiis ganviTareba\\\ koronaruli naklovaneba\\\ Tromboembolia

\\\\ CamoTvlilTagan romeli debuleba axasiaTebs yvelaze ukeT aortissarqvlis naklovanebas?\\\ mwvaved ganviTarebuli aortis naklovanebis dros mniSvnelovnad matulobsdartymiTi moculoba mravali fizikaluri monacemis ganviTarebiT\\\ ZiriTadi kompensaciuri meqanizmia marcxena parkuWis koncentrulihipertrofia\\\ mberavi diastoluri Suili ukeT moismineba mwoliare mdebareobaSi\\ flintis Suilis arseboba zomier an mZime naklovanebaze miuTiTebs\\\ kvinkes pulsi ukeTesadaa gamoxatuli barZayis arteriaze

\\\\ 40 wlis zeviT gulis ukmarisobiT avadmyofebSi romelia yvelazemniSvnelovani fizikaluri niSani?\\ gulis III toni\\\ gulis IV toni\\\ filtvebSi xixini\\\ asciti\\\ SeSupeba

\\\\ CamoTvlilTagan romeli mosazreba axasiaTebs yvelaze ukeT samkarianisarqvlis naklovanebas?\\\ Suilis intensioba mcirdeba CasunTqvaze\\ xSirad axlavs infeqciuri endokarditi\\\ Tanmxlebi marcxena parkuWis ukmarisobis koreqcia iSviaTad aumjobesebsavadmyofis mdgomareobas\\\ diagnostikisTvis aucilebelia gulis kaTeterizacia

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\\\\ romeli paTofiziologiuri anomalia axasiaTebs mitralur stenozs?\\\ marcxena parkuWis avsebis gazrda\\ marcxena winagulSi wnevis momateba\\\ gulis dartymiTi moculobis gazrda\\\ marjvena parkuWSi wnevis daqveiTeba

\\\\ CamoTvlilTagan, romelia kardiomiopaTiis ganviTarebis yvelaze xSirimizezi?\\\ endokrinopaTiebi\\\ metaboluri darRvevebi\\ qronikuli alkoholizmi\\\ doqsorubicinis didi dozebiT mkurnaloba

\\\\ ra SemTxvevaSi mcirdeba sistoluri Suili hipertrofiuli kardiomiopaTiisdros?\\\ valsalvis cdis Catarebisas\\ wolisas\\\ fexze dgomisas\\\ sagule glikozidis miRebisas

\\\\ 35 wlis qali uCivis tkivils gulis areSi, romelic grZeldeba 5-10 wT,viTardeba mosvenebis mdgomareobaSi, xan datvirTvaze. Zlieri fizikuridatvirTvis dros hqonda gonebis dakargvis epizodi. Aarteriuli wnevaa 120/70mm vwy sv, pulsi 70 wT-Si. Ggulis saZgeri gaZlierebulia, mkerdis Zvlismarcxena kidis gaswvriv moismineba sistoluri Suili.Eekg-ze T kbilebis da STsegmentis araspecifikuri cvlilebebia. romelia yvelaze Sesaferisisamkurnalo saSualeba?\\\ saswrafo qirurgiuli Careva\\ beta-blokerebi\\\ sagule glikozidebi\\\ vazodilatatorebi

\\\\ romeli daxasiaTeba Seesabameba miokardiumis infarqtis dros ganviTarebultkivils?\\\ intensiuri tkivili mkerdis Zvlis ukan, romelic mcirdeba mjdomare, wingadaxril mdgomareobaSi\\ umetesad viTardeba dilis saaTebSi, Zlieria, moWeriTi xasiaTis, grZeldeba>30wT, aqvs iradiaciis farTo zona.\\\ lokalizebulia gulmkerdis Sua nawilSi, intensiuri, mWreli xasiaTis,Zlierdeba ylapvisas\\\ viTardeba TandaTan fizikur datvirTvaze, lokalizebulia mkerdis Zvlisukan, grZeldeba 1-15wT da qreba nitroglicerinis miRebidan 1-2wT-Si

\\\\ romeli daavadebisTvisaa damaxasiaTebeli Semawuxebeli xvela, romelicviTardeba upiratesad RamiT, horizontalur mdebareobaSi yofnisas?\\\ filtvis atreriis Tromboembolia\\\ filtvebis alveoluri SeSupeba\\ mitraluri stenozi\\\ aortis sarqvlis naklovaneba

\\\\ romeli niSani ar axasiaTebs stenokardias?\\ pacienti aforiaqebulia da adgils ver poulobs tkivilis gamo\\\ tkivili viTardeba fizikur datvirTvaze\\\ tkivili lokalizebulia mkerdis Zvlis ukan\\\ tkivilis kupireba xdeba nitrogliceriniT

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\\\\ romeli niSani ar axasiaTebs marjvena parkuWis qronikul ukmarisobas?\\\ umadoba, gulisreva\\\ simZime marjvena ferdqveSa areSi\\\ fexebis SeSupeba\\\ asciti\\ sisxliani xvela fizikur datvirTvaze

\\\\ ra ar ganapirobebs gonebis dakargvas miokardiumis infarqtis dros?\\\ gulis dartymiTi moculobis daqveiTeba didi infarqtis gamo\\\ parkuWovani taqikardiis ganviTareba\\\ bradiaritmiis ganviTareba\\ marcxena parkuWis baroreceptorebis gaRizianeba

\\\\ romelia ZiriTadi Civili sisxlis mimoqcevis mcire wreSi Segubebis dros?\\\ Tavis tkivili\\ qoSini\\\ SeSupeba\\\ simZime marjvena ferdqveSa areSi

\\\\ romeli daavadebis simptomebia simZime marjvena ferdqveSa areSi, muclisTandaTanobiTi zrda siTxis dagrovebis gamo?\\\ marjvena parkuWis mwvave ukmarisoba\\ marjvena parkuWis qronikuli ukmarisoba\\\ marcxena parkuWis mwvave ukmarisoba\\\ marcxena parkuWis qronikuli ukmarisoba

\\\\ romelia marcxena parkuWis mwvave ukmarisobis ZiriTadi niSani?\\\ saerTo sisuste\\\ fexebis SeSupeba\\\ asciti\\ kardiuli asTma

\\\\ CamoTvlilTagan romeli cvlileba ar axasiaTebs aortis sarqvlisnaklovanebas?\\\ miuses simptomi\\\ gulis SedarebiTi moyruebis marcxena sazRvris gadideba\\ dabali sistoluri wneva\\\ didi pulsuri wneva

\\\\ romeli daavadebis mqone pacientebi ikaveben iZulebiT mjdomare mdebareobaswin gadaxriT?\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\ mSrali perikarditi\\\ aortis naklovaneba

\\\\ romeli daavadebis dros aRiniSneba sxeulis temperaturis momateba?\\\ kardiomiopaTia\\\ stenokardia\\ infeqciuri endokarditi\\\ Ria arteriuli sadinari

\\\\ risi Semcirebis xarjze aumjobesebs subieqtur mdgomareobas orTopnoe?\\\ gulis areSi tkivilis\\\ Tavis tkivilis

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\\ qoSinis\\\ fexebis SeSupebis

\\\\ romeli daavadebis dros aRiniSneba pulsacia saZile arteriebze?\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\ aortis naklovaneba\\\ aortis stenozi

\\\\ romeli daavadebis dros aRiniSneba gulis mwvervalze diastoluri katiskrutuni?\\\ aortis stenozi\\ mitraluri stenozi\\\ samkariani sarqvlis stenozi\\\ filtvis arteriis stenozi

\\\\ romeli daavadebis dros aRiniSneba marjvniv II neknTaSua areSi sistolurikatis krutuni?\\ aortis stenozi\\\ mitraluri stenozi\\\ samkariani sarqvlis stenozi\\\ aortis naklovaneba

\\\\ romeli midamos pulsacia Seesabameba gulis saZgers?\\\ mwvervalis\\\ marjvniv II neknTaSua are\\ marcxniv 3-4 neknTaSua are\\\ marcxniv II neknTaSua are

\\\\ romeli daavadebis dros xdeba gulis saZgeris marcxniv da qvemoTgadanacvleba?\\\ aortis stenozi\\ aortis naklovaneba\\\ miokardiumis infarqti\\\ miokarditi

\\\\ ra aris damaxasiaTebeli gulismieri SeSupebisTvis?\\\ viTardeba saxis areSi\\\ viTardeba erTi koWis areSi da axlavs cianozi\\ dRis bolos viTardeba koWebis areSi\\\ viTardeba Tvalebis areSi

\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis SedarebiTi moyruebissazRvrebi: marjvena – mkerdis Zvlis marjvena kididan 3 sm-iT gareT, marcxena –marcxena laviwSua xazidan 1 sm-iT SigniT, zeda – II neknis zeda kide:\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\ samkariani sarqvlis naklovaneba\\\ aortuli mankebi

\\\\ CamoTvlilTagan, romeli zrdis gulis absoluturi moyruebis sazRvrebs?\\ marjvena parkuWis dilatacia\\\ marcxena parkuWis dilatacia\\\ marcxena winagulis dilatacia\\\ marjvena winagulis dilatacia

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\\\\ riTia ganpirobebuli gulis marcxena sazRvris marcxniv gadanacvleba?\\\ marcxena winagulis hipertrofiiT\\\ marjvena winagulis hipertrofiiT\\\ marjvena winagulis dilataciiT\\ marcxena parkuWis dilataciiT

\\\\ romeli daavadebisTvis araa damaxasiaTebeli marjvena parkuWishipertrofia?\\\ mitraluri stenozi\\ samkariani sarqvlis stenozi\\\ qronikuli filtvismieri guli\\\ filtvis arteriis stenozi

\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis SedarebiTi moyruebissazRvrebi: marjvena – mkerdis Zvlis marjvena kididan 1 sm-iT gareT, marcxena –wina aqsilaruli xazi, zeda – II neknis zeda kide:\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\\ samkariani sarqvlis naklovaneba\\ aortuli mankebi

\\\\ romeli paTologiis dros moismineba mitraluri sarqvlis gaRebis xmianoba?\\\ mitraluri naklovaneba\\ mitraluri stenozi\\\ marcxena parkuWis hipertrofia\\\ marcxena parkuWis dilatacia

\\\\ ra ar monawileobs gulis II tonis warmoqmnaSi?\\\ aortis sarqvlebis daxurva\\\ filtvis arteriis sarqvlebis daxurva\\\ diastolis dasawyisSi aortis kedlebis rxeva\\\ diastolis dasawyisSi filtvis arteriis kedlebis rxeva\\ mitraluri sarqvlis daxurva

\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli filtvis arteriaze IItonis aqcenti?\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\\ qronikuli filtvismieri guli\\ arteriuli hipertenzia\\\ filtvebis emfizema

\\\\ romeli komponenti ar monawileobs gulis I tonis warmoqmnaSi?\\\ sarqvlovani\\\ kunTovani\\\ sisxlZarRvovani\\ reologiuri

\\\\ ra formisaa Suili mitraluri stenozis dros?\\\ klebadi\\\ mzardi\\ mzardi-klebadi (rombiseburi)\\\ lentiseburi

\\\\ romeli niSani ar vlindeba aortis stenozis dros?\\ I tonis Sesusteba aortaze

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\\\ uxeSi sistoluri Suili aortaze\\\ Suilis gatareba saZile arteriebze\\\ traubes ormagi toni\\\ II tonis Sesusteba aortaze

\\\\ CamoTvlilTagan romeli niSania damaxasiaTebeli mitraluri stenozisTvis?\\ tkacuna I toni mwvervalze\\\ II tonis aqcenti aortaze\\\ sistoluri Suili mwvervalze\\\ maRali da Zlieri pulsi

\\\\ ra moismineba mitraluri naklovanebis dros?\\\ tkacuna I toni mwvervalze\\ Sesustebuli I toni mwvervalze\\\ mitraluri sarqvlis gaRebis xmianoba\\\ II tonis aqcenti aortaze

\\\\ romeli mankis dros aRiniSneba traubes ormagi toni?\\\ mitraluri naklovaneba\\\ mitraluri stenozi\\ aortis naklovaneba\\\ aortis stenozi\\\ samkariani sarqvlis naklovaneba

\\\\ ra ar Sedis gulis I tonis warmoqmnis meqanizmSi?\\\ mitraluri sarqvlis daxurva\\\ samkariani sarqvlis daxurva\\\ parkuWebis miokardiumis daZabva\\\ magistralur sisxlZarRvebSi sissxlis gadasvla\\ aortis sarqvlebis daxurva

\\\\ romeli mankis dros tardeba Suili saZile arteriebze?\\\ mitraluri stenozi\\\ filtvis arteriis stenozi\\ aortis stenozi\\\ aortis naklovaneba\\\ samkariani sarqvlis naklovaneba

\\\\ romeli daavadebis dros moismineba galopis protodiastoluri Suili?\\\ arteriuli hipertenziis II stadia\\ aortis stenozi\\\ mitraluri stenozi\\\ aortis naklovaneba\\\ gulis postinfarqtuli anevrizma

\\\\ romeli niSani ar aris damaxasiaTebeli filtvis arteriisTromboemboliisTvis?\\\ kisris venebis daberva\\\ Wenebis ritmi\\\ sisxlis hiperkoagulacia\\ marcxena parkuWis dilatacia

\\\\ romeli daavadeba ar iwvevs filtvebis SeSupebis ganviTarebas?\\\ mitraluri stenozi\\\ miokardiumis infarqti\\\ mitraluri naklovaneba

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\\ filtvis arteriis Tromboembolia\\\ hipertonuli krizi

\\\\ romeli cvlileba viTardeba filtvismieri gulis dros?\\\ pulsacia mkerdis Zvlis marcxniv II neknTaSua areSi\\ gulis absoluturi moyruebis sazRvrebis gadideba\\\ I tonis Sesusteba IV mosasmen wertilSi\\\ II tonis aqcenti aortaze

\\\\ miokardiumis mwvave infarqtis dros ekg romeli cvlileba Seesabamebanekrozis zonas?\\\ ST segmentis depresia\\\ ST segmentiscelevacia\\\ Rrma uaryofiTi T kbili\\ Rrma farTo Q kbili\\\ R kbilis amplitudes Semcireba

\\\\ romeli cvlileba ar Seesabameba arteriuli hipertenziis III stadias?\\\ gulis qronikuli ukmarisoba\\\ Tirkmlebis qronikuli ukmarisoba\\\ Tavis tvinis sisxlis mimoqcevis mwvave moSla\\ sisxlSi qolesterinis da lipoproteinebis donis momateba

\\\\ romeli cvlileba ar axasiTebs aortis sarqvlebis naklovanebas?\\\ maRali pulsuri wneva\\\ gulis saZgeris marcxniv da qveviT gadanacvleba\\\ karotidebis cekva\\ dabali sistoluri wneva\\\ miuses simptomi

\\\\ romeli niSani ar axasiaTebs samkariani sarqvlis naklovanebas?\\\ sistoluri Suili IV mosasmen wertilSi\\\ dadebiTi venuri pulsi\\\ I tonis Sesusteba sarqvlis proeqciaze\\ gulis SedarebiTi moyruebis marcxena sazRvris gadanacvleba gareT

\\\\ sisxlis romeli cvlileba ar aris damaxasiaTebeli miokardiumisinfarqtisTvis?\\\ CK-MB fraqciis momateba\\\ leikocitebis raodenobis TandaTanobiT Semcireba\\ leikocitebis raodenobis TandaTanobiT gazrda\\\ eds-is TandaTanobiT mateba

\\\\ romeli cvlileba axasiaTebs aortis sarqvlebis naklovanebas?\\\ I tonis gaZliereba mwvervalze\\\ gulis eleqtruli RerZis vertikaluri mdebareoba\\\ gulis trapeciuli konfiguracia\\\ kanis da lorwovanebis cianozi\\ sistoluri wnevis momateba

\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli mocimcime aritmia?\\\ mitraluri stenozi\\\ miokardiumis infarqti\\ aortis naklovaneba\\\ Tireotoqsikozi

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\\\\ romeli cvlileba vlindeba aortis naklovanebis dros?\\\ gulis trapeciuli konfiguracia\\\ susti da neli pulsi\\ didi pulsuri wneva\\\ grehem-stilis Suili

\\\\ romeli cvlileba ar viTardeba filtvismieri gulis dros?\\\ pulsacia mkerdis Zvlis marcxniv II neknTaSua areSi\\ II tonis aqcenti aortaze\\\ gulsi absoluturi moyruebis zonis gadideba\\\ I tonis Sesusteba IV mosasmen wertilSi

\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli marjvena parkuWishipertrofia?\\\ mitraluri stenozi\\\ samkariani sarqvlis naklovaneba\\ samkariani sarqvlis stenozi\\\ qronikuli filtvismieri guli\\\ filtvis arteriis stenozi

\\\\ romeli cvlileba ar aris damaxasiaTebeli arteriuli hipertenziis IIstadiisTvis\\\ marcxena parkuWis hipertrofia\\\ mikroalbuminuria\\\ aortis da saZile arteriebis aTerosklerozi\\ Tirkmlebis qronikuli ukmarisoba\\\ baduras sisxlZarRvebis Seviwroveba

\\\\ xandazmul pacients aReniSneba gonebis dabindva, difuzuri cianozi, qoSini,arteriuli wnevis daqveiTeba. awuxebs qvemo kidurebis venebis varikozi. rapaTologia SeiZleba vivaraudoT?\\ filtvis arteriis Tromboembolia\\\ miokardiumis infarqti\\\ perikarditi\\\ orTostatikuri hipotenzia

\\\\ romelia marjvena parkuWis mwvave ukmarisobis mizezi?\\ filtvis arteriis Tromboembolia\\\ mitraluri stenozi\\\ filtvis arteriis sarqvlebis naklovaneba\\\ marcxena parkuWis miokardiumis infarqti

\\\\ romeli niSani ar axasiaTebs aortis naklovanebas?\\\ karotidebis cekva\\ pulsuri wnevis Semcireba\\\ miuses simptomi\\\ diurozies ormagi Suili\\\ marcxena parkuWis dilatacia

\\\\ romel laboratoriul maCvenebels ar aqvs mniSvneloba revmatizmisdiagnostikaSi?\\\ leikocitozi formulis marcxniv gadaxriT\\\ eds-is momateba\\\ antistreptolizin-0 titris zrda\\ troponinis momateba

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\\\\ romeli cvlileba ar aRiniSneba arteriuli hipertenziis dros?\\\ daWimuli pulsi\\\ II tonis aqcenti aortaze\\\ gulis SedarebiTi moyruebis marcxena sazRvris gadideba\\ Rrma S kbili I standartul ganxraSi\\\ R kbili ufro maRalia V5 da V6 ganxrebSi, vidre V4-Si

\\\\ romeli daavadebisTvisaa damaxasiaTebeli susti avsebis xSiri pulsi –Zafiseburi pulsi?\\ aortis stenozi\\\ arteriuli hipertenzia\\\ mitraluri stenozi\\\ mitraluri naklovaneba

\\\\ romeli kompensatoruli meqanizmi ar aris wamyvani gulis ukmarisobissimptomokompleqis Camoyalbebis dros?\\\ simpatikur-adrenalinuri sistemis gaaqtiveba\\\ gulis hipertrofia\\\ gulis Rruebis dilatacia\\ dartymiTi moculobis Semcireba

\\\\ roca gulis qronikuli ukmarisoba ar eqvemdebareba sagule glikozidebiT,agf-inhibitorebiT, SardmdenebiT mkurnalobas da saWiroebs damatebiTsamkurnalo RonisZiebebs, romel formasTan gvaqvs saqme?\\\ gulis SegubebiT ukmarisobasTan\\\ farul anu latentur ukmarisobasTan\\ refraqterul ukmarisobasTan\\\ gulis ukmarisobis III funqciur klasTan

\\\\ Tvalis fskeris romel cvlilebebs aRniSnavs salusis simptomi?\\ arteriolebis Seviwrovebas da venebis gafarTovebas\\\ arteriolebis da venebis gafarTovebas\\\ arteriolebis gafarTovebas da venebis Seviwrovebas\\\ arteriolebis da venebis Seviwrovebas

\\\\ sad mdebareobs sinusis kvanZi?\\ zemo Rru venis marjvena winagulTan SeerTebis adgilas\\\ qvemo Rru venis marjvena winagulTan SeerTebis adgilas\\\ marjvena winagulSi samkariani sarqvlis afrastan\\\ marcxena winagulSi orkarian sarqvelTan

\\\\ ariTmiebis klasifikaciis mixedviT ra aris parasistoliis ganviTarebismeqanizmi?\\\ trigeruli aqtiuroba\\\ paTologiuri avtomatizmi\\ impulsis warmoqmnis da gatarebis erTdrouli darRveva\\\ Reentry

\\\\ botalos Ria sadinris arsebobisas aorta ukavSirdeba:\\ filtvis arterias\\\ zemo Rru venas\\\ qvemo Rru venas\\\ filtvis venas

\\\\ romelia uaryofiTi kbili normalur ekg-ze?

35

\\\ P\\\ R\\ Q\\\ T

\\\\ rodis registrirdeba ekg-ze QRS kompleqsi\\\ winagulebis agznebis dros\\\ impulsis gatarebisas winagulebidan av kvanZamde\\ parkuWebis agznebisas\\\ parkuWTaSua Zgidis agznebisas

\\\\ rodis registrirdeba ekg-ze P kbili?\\ winagulebis agznebis dros\\\ impulsis gatarebisas winagulebidan av kvanZamde\\\ parkuWebis agznebisas\\\ parkuWTaSua Zgidis agznebisas

\\\\ ras Seesabameba ekg-ze PQ intervali?\\\ winagulebis agznebas\\ impulsis gatarebas winagulebidan av kvanZamde\\\ parkuWebis agznebas\\\ parkuWTaSua Zgidis agznebas

\\\\ romeli ekg cvlileba ar Seesabameba supraventrikulur taqikardias?\\\ QRS≤0.11wm\\\ P kbili dadebiTia an orfaziani\\ PQ intervali gaxangrZlivebulia\\\ R-R intervalebi Tanabaria

\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros, fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni Sesustebulia, gulis mTelzedapirze ismis Suili. pulsi aritmuli, 110 wT-Si, art. wneva 110/70 mmvwysv,RviZli gamodis neknTa rkalidan 5 sm-iT. sisxlSi zomieri leikocitozi, eds 33mm/sT. C reaqtiuli cila dadebiTi. daasaxeleT gulis gadidebis savaraudomizezi\\\ hipertrofiuli kardiomiopaTia\\\ dilataciuri kardiomiopaTia\\ infeqciuri miokarditi\\\ revmatuli mitraluri manki

\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros, fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT. C reaqtiuli cila dadebiTi. daasaxeleT gulisukmarisobis mizezi\\\ gulis hemodinamikuri gadatvirTva wneviT\\\ gulis hemodinamikuri gadatvirTva moculobiT\\\ parkuWebis diastoluri avsebis darRveva\\ miokardiumis kumSvadobis daqveiTeba

36

\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros, fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT. C reaqtiuli cila dadebiTi. SardSi cila 0.033g/l,2-4 leikociti, eriTrocitebi – erTeuli. romeli monacemi ar gexmarebaTmiokarditis diagnostikaSi\\\ daavadebis simptomebis ganviTareba mwvave respiratoruli virusuliinfeqciis gadatanis Semdeg\\\ gulis sazRvrebis gardigardmo gadideba\\\ Sesustebuli I toni, sistoluri Suili yvela mosasmen wertilSi\\ SardSi cvlilebebi

\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros, fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT. C reaqtiuli cila dadebiTi. romeli preparatebisdaniSvnaa naklebad efeqturi am dros\\\ Sardmdenebi\\ sagule glikozidebi\\\ periferiuli vazodilatatorebi\\\ steroiduli hormonebi

\\\\ 17 wlis mamakaci uCivis yru da damwol tkivils gulis areSi, gulis ritmisdarRvevas. 1 kviris win hqonda cxeleba 37.7°C, daewyo tkivili gulis areSi.gasinjviT: mkerdis Zvlis marcxniv IV neknTaSua areSi moismineba sistoluriSuili, gulis tonebi moyruebuli, moisineba perikardiumis xaxuni. pulsi 90 wT-Si, erTeuli eqstrasistola. sisxlSi leikocitozi da eds-is aCqareba, Creaqtiuli cila dadebiTi. savaraudo diagnozia:\\\ mwvave ararevmatuli miokarditi\\\ mwvave pnevmonia\\ mwvave perikarditi\\\ mwvave plevriti

\\\\ 17 wlis mamakaci uCivis yru da damwoli tkivils gulis areSi, gulisritmis darRvevas. 1 kviris win hqonda cxeleba 37.7°C, rasac mohyva tkiviligulis areSi. gasinjviT: mkerdis Zvlis marcxniv IV neknTaSua areSi moisminebasistoluri Suili, gulis tonebi moyruebuli, moisineba perikardiumis xaxuni.pulsi 90 wT-Si, erTeuli eqstrasistola. sisxlSi leikocitozi da eds-isaCqareba, C reaqtiuli cila dadebiTi. ekg-ze aRiniSneba ST segmentis elevaciastandartul ganxrebSi. romeli klinikuri niSani ar miuTiTebs perikarditisdiagnozze?\\\ tkivili gulis areSi\\\ ekg cvlilebebi\\\ dadebiTi C reaqtiuli cila, leikocitozi da eds-is aCqareba\\ erTeuli eqstrasistola

\\\\ 17 wlis mamakaci uCivis yru da damwoli tkivils gulis areSi, gulisritmis darRvevas. 1 kviris win hqonda cxeleba 37.7°C, rasac mohyva tkiviligulis areSi. gasinjviT: mkerdis Zvlis marcxniv IV neknTaSua areSi moismineba

37

sistoluri Suili, gulis tonebi moyruebuli, moisineba perikardiumis xaxuni.pulsi 90 wT-Si, erTeuli eqstrasistola. sisxlSi leikocitozi da eds-isaCqareba, C reaqtiuli cila dadebiTi. romel gamokvlevas ar CautarebTpacients?\\\ eqokardioskopia\\\ ekg\\\ sisxlSi CK-MB da troponinis gansazRvra\\ perikardiumis punqcia

\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari, tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv. daasaxeleT savaraudo diagnozi:\\\ gid, daZabvis stenokardia\\\ arteriuli hipertenzia\\ hipertrofiuli kardiomiopaTia\\\ winagulTaSua Zgidis defeqti

\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari, tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv. romelia gonebis dakargvis mizezi?\\\ arteriuli wnevis mkveTri momateba\\ gulis dartymiTi moculobis uecari daqveiTeba\\\ filtvis arteriaSi wnevis mwvave momateba\\\ stenokardiis Seteva

\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari, tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv. ra aris Suilis mizezi?\\\ aortis sarqvlis organuli dazianeba\\\ mitraluri sarqvlis organuli dazianeba\\\ sisxlis mimoqcevis hiperkinetikuli mdgomareoba\\ marcxena parkuWis gamomtani traqtis obstruqcia

\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari, tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv. ra cvlileba ar iqneba eqokardiografiulad?\\\ doplereqokardiografiiT marcxena parkuWis gamomtan nawilSi aRiniSnebaturbulenturi sistoluri nakadi\\\ marcxena parkuWis kedlebis da Zgidis zeda naxevris gasqeleba

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\\\ diastolis fazaSi mitraluri sarqvlis wina karedis Sexeba ZgidesTandiastolaSi\\ aortis sarqvlebis deformacia, maTi moZraobis darRveva

\\\\ miokadiumis infarqtis romel lokalizacias asaxavs paTologiuri Q kbilisarseboba I, aVL, V1-V6 ganxrebSi\\ wina gavrcelebuls\\\ ukana kedlis\\\ septalurs\\\ mwvervalis

\\\\ CamoTvlili cvlilebebidan romelia damaxasiaTebeli atrioventrikuluriblokadisTvis\\\ QRS kompleqsis gafarToveba\\\ QT intervalis gaxangrZliveba\\ PQ intervalis gaxangrZliveba\\\ R kbilis deformacia

\\\\ CamoTvlilTagan romeli simptomi ar axasiaTebs aortis stenozs\\\ stenokardia\\\ sinkope\\\ gulis ukmarisoba\\\ Tavbrusxveva\\ arteriuli hipertenzia

\\\\ CamoTvlilTagan ra ar aris damaxasiaTebeli mitraluri stenozisTvis\\ sistoluri Suili\\\ diastoluri Suili\\\ marcxena winagulis dilatacia\\\ tkacuna I toni

\\\\ ra SemTxvevaSi viTardeba yvelaze xSirad bigeminiis tipis parkuWovanieqstrasistolia\\\ mitraluri stenozi\\ glikoziduri intoqsikacia\\\ stenokardia\\\ arteriuli hipertenzia

\\\\ hipertenziiT avadmyofebSi sikvdilobis uxSires mizezs warmoadgens yvelaCamoTvlili, garda erTisa\\\ Tavis tvinis insulti\\ nawlavis infarqti\\\ Tirkmelebis ukmarisoba\\\ miokardiumis infarqti\\\ gulis SegubebiTi ukmarisoba

\\\\ ra axasiaTebs mitraluri sarqvlis prolafss\\\ xSirad avadmyofoben mamakacebi\\ gviani sistoluri Suili\\\ ekg-ze specifikuri cvlilebebi\\\ saWiroebs infeqciuri endokarditis profilaqtikas

\\\\ romeli daavadebis dros ar aris mizanSewonili postdatvirTvis Semcireba\\\ aortis naklovaneba\\\ arteriuli hipertenzia

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\\\ gulis ukmarisoba\\ subaortuli stenozi

\\\\ Zlieri tkivili mkerdis Zvlis ukan da perikardiumis xaxuni rapaTologiaze migvaniSnebs\\\ gul-mkerdis travma\\ transmuruli infarqti\\\ aortis ganSrevebadi anevrizma\\\ miokardiumis infarqti Q kbils gareSe

\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis sarqvlebis dazianebasubfebriluri temperaturiT, eds-is momatebiT da TromboemboliiT\\\ miokarditi\\\ perikarditi\\ infeqciuri endokarditi\\\ revmatizmi

\\\\ romeli niSania damaxasiaTebeli dilataciuri kardiomiopaTiisTvis\\\ diastoluri Suili filtvis arteriaze\\\ tkacuna I toni\\ Wenebis ritmi\\\ mwvervalze diastoluri Suili

\\\\ ra lokalizaciis infarqtze miuTiTebs paTologiuri Q kbilis arseboba IIIda aVF ganxrebSi\\\ wina gavrcelebuli\\ ukana kedlis\\\ septaluri\\\ mwvervalis

\\\\ romeli daavadebisTvisaa damaxasiaTebeli swrafi `mxtunavi~ pulsi(koriganis pulsi)\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\ aortis naklovaneba\\\ aortis stenozi\\\ aortis koarqtacia

\\\\ gulis wuTmoculobis gasaumjobeseblad postdatvirTvis SemcirebamizanSewonilia yvela daavadebis dros, garda erTisa\\\ miokardiumis mwvave infarqti hipertenziiT\\\ aortis sarqvlebis naklovaneba\\\ hipertonuli krizi\\ mitraluri stenozi

\\\\ 59 wlis mamakacs awuxebs Zlieri SeteviTi, Sereuli xasiaTis qoSini, gulisfriali. obieqturad imyofeba iZulebiT mjdomare mdgomareobaSi, mkveTricianozi, sunTqva zerele, 32 wuTSi, filtvebSi qvemo wilebSi moisminebamravlobiTi sveli xixini, gulis tonebi Sesustebuli, 126 wT-Si, arteriuliwneva 150/90 mmvwysv. daasaxeleT am mdgomareobis mizezi\\\ bronquli asTma\\ marcxena parkuWis mwvave ukmarisoba\\\ marjvena parkuWis qronikuli ukmarisoba\\\ arteriuli hipertenziis sindromi

40

\\\\ 59 wlis mamakacs awuxebs Zlieri SeteviTi, Sereuli xasiaTis qoSini, gulisfriali. obieqturad imyofeba iZulebiT mjdomare mdgomareobaSi, mkveTricianozi, sunTqva zerele, 32 wuTSi, filtvebSi qvemo wilebSi moisminebamravlobiTi sveli xixini, gulis tonebi Sesustebuli, 126 wT-Si, arteriuliwneva 150/90 mmvwysv. ra preparats gamoiyenebT am SemTxvevaSi?\\\ sagule glikozids\\\ beta-blokers\\ Sardmdens\\\ agf-inhibitors

\\\\ 50 wlis qali Semovida intensiuli Terapiis ganyofilebaSi CiviliTtkivilze gulis areSi, romelic grZeldeba 2 saaTis ganmavlobaSi. ekg-zemiokardiumis ukana kedlis mwvave infarqti da eqstrasistoluri aritmiaa.filtvebSi sveli xixini qveda wilebSi. CamoTvlilTagan romeli preparatebisgamoyeneba ar aris mizanSewonili\\\ intravenurad heparini\\\ intravenurad lidokaini\\\ morfini\\ digoqsini

\\\\ romeli daavadebis dros aris mocimcime aritmiis ganviTarebis naklebialbaToba\\\ koronaruli arteriebis aTerosklerozi\\\ Tireotoqsikozi\\ bikuspiduri aortis sarqvlis naklovaneba\\\ mitraluri stenozi\\\ arteriuli hipertenzia

\\\\ supraventrikuluri eqstrasistoliisTvis damaxasiaTebelia yvelaCamoTvlili, garda erTisa\\\ P kbilis deformacia\\\ arasruli kompensatoruli pauza\\ QRST kompleqsis deformacia\\\ PQ intervalis Secvla

\\\\ `mcire~ gulis da mwvervalis biZgis ar arsebobis dros marjvena parkuWisukmarisobis niSnebi uxSiresad miuTiTebs\\\ dilataciur kardiomiopaTiaze\\\ mitralur naklovanebaze\\ konstriqciul perikarditze\\\ gulis anevrizmaze

\\\\ 25 wlis qals auskultaciiT mkerdis Zvlis marjvniv II nknTaSua areSiaReniSneba sistoluri Suili, I da II tonebi normaluri, gulis zomebiSeucvleli. anamnezSi ar aRniSnavs revmatizms. savaraudo diagnozia\\ idiopaTiuri hipertrofiuli subaortuli stenozi\\\ mitraluri naklovaneba\\\ funqciuri Suili\\\ filtvis arteriis stenozi

\\\\ hipertrofiuli obstruqciiT mimdinare kardiomiopaTiis dros romelipreparatis daniSvnaa ukunaCvenebi\\\ propranololi\\\ verapamili\\\ lidokaini\\ digoqsini

41

\\\\ romeli paTologiis dros ar Zlierdeba I toni\\\ Tireotoqsikozi\\\ mitraluri stenozi\\\ sinusuri taqikardia\\ mwvave aortuli naklovaneba\\\ winagulTaSua Zgidis defeqti

\\\\ ra lokalizaciis infarqtze miuTiTebs paTologiuri Q kbilis arseboba V1-V2 ganxrebSi\\\ wina kedlis\\\ ukana kedlis\\ Zgidis\\\ mwvervalis

\\\\ riTi xasiaTdeba venkebaxis tipis atrioventrikuluri blokada\\\ PQ intervalis progresirebadi Semokleba\\\ PQ intervalis progresirebadi gaxangrZliveba\\ PQ intervalis progresirebadi gaxangrZlivebiT da parkuWovani kompleqsisgamovardniT\\\ fiqsirebuli blokadiT 2:1

\\\\ romeli maCvenebeli Seesabameba arteriuli wnevis normas\\\ sistoluri wneva 160 mmvwysv\\\ sistoluri wneva 155 mmvwysv\\ diastoluri wneva 84 mmvwysv\\\ diastoluri wneva 108 mmvwysv

\\\\ romeli Tandayolili mankis dros ar viTardeba baqteriuli endokarditi\\\ parkuWTaSua Zgilis defeqti\\\ botalos Ria sadinari\\ winagulTaSua Zgidis defeqti\\\ aortis koarqtacia

\\\\ qvemoT CamoTvlili mdgomareobebidan romels axasiaTebs alternaciulipulsi\\\ parkuWTaSua Zgidis asimetriuli hipertrofia\\\ aortis naklovaneba\\ gulis ukmarisoba\\\ Tireotoqsikozi

\\\\ miokardiumis infarqtis gadatanidan sami kviris Semdeg avadmyofs daewyotkivili gul-mkerdis areSi, temperaturis momateba, perikardiumis xaxuni.savaraudo diagnozia\\\ infarqtis zonis gafarToveba\\\ idiopaTiuri perikarditi\\ postinfarquli dresleris sindromi\\\ miokardiumis ruptura

\\\\ CamoTvlilTagan romeli ekg cvlilebaa damaxasiaTebeli parkuWTafibrilaciisTvis\\\ QRST kompleqsis deformacia da gafarToveba\\\ QRST kompleqsebis erTnairi amplituda\\\ f talRebis arseboba\\ ekg elementebis diferencirebis SeuZlebloba

42

\\\\ CamoTvlili biologiuri faqtorebidan romeli iwvevs arteriuli wnevisuSualo momatebas\\\ angiotenzinogeni\\\ angiotenzin I\\ angiotenzin II\\\ angiotenzinis gardamqmneli fermenti

\\\\ CamoTvlilTagan romelia arteriuli hipertenziis yvelaze xSiri garTuleba\\\ gulis mwvave ukmarisoba (filtvebis SeSupeba)\\\ perikarditi\\ hipertonuli krizi\\\ Tirkmelebis qronikuli ukmarisoba

\\\\ CamoTvlili niSnebidan romelia wamyvani hipertonuli krizis diagnozisTvis\\\ Sardis sindromi\\\ azotemia\\ cerebruli sindromebi\\\ kardialgia\\\ cvlilebebi Tvalis fskerze

\\\\ romeli daavadebis dros mimdinareobs hipertonuli krizi yvelaze mZimed\\ feoqromocitoma\\\ qronikuli pielonefriti\\\ arteriuli hipertenzia\\\ pirveladi hiperaldosteronizmi

\\\\ CamoTvlili preparatebidan romeli ar unda dainiSnos arteriulihipertenziis dros, roca axlavs bronquli asTma\\\ kaptoprili\\\ hipoTiazidi\\\ nifedipini\\ metoprololi

\\\\ CamoTvlili mdgomareobebidan romlis drosaa mizanSewonilikaliumSemnaxveli diurezuli preparatebis daniSvna\\ hiperaldosteronizmi\\\ hipertonuli krizi\\\ kaptopriliT mkurnalobisas\\\ arteriuli hipertenziis dabalreninuli formis dros

\\\\ CamoTvlilTagan romeli daavadeba ar iwvevs marcxena parkuWis ukmarisobisganviTarebas\\\ aortis stenozi\\\ mitraluri naklovaneba\\\ aortis naklovaneba\\ qronikuli obstruqciuli bronqiti\\\ postinfarqtuli kardiosklerozi

\\\\ CamoTvlili daavadebebidan romeli ar iwvevs pirveladad marjvena parkuWisukmarisobis ganviTarebas\\\ mitraluri stenozi\\\ qronikuli obstruqciuli bronqiti\\\ filtvis arteriis Tromboembolia\\ arteriuli hipertenzia

43

\\\\ CamoTvlili ekg niSnebidan romelia yvelaze metad damaxasiaTebelidilataciuri kardiomiopaTiisTvis\\ R kbilis voltaJis daqveiTeba, T kbilis dadableba an inversia\\\ R kbilis amplitudes momateba V4-6 ganxrebSi\\\ PQ intervalis Semcireba\\\ QT intervalis gaxangrZliveba

\\\\ CamoTvlilTagan romeli niSani ar aris damaxasiaTebeli hipertrofiulikardiomiopaTiisTvis\\\ daavadebis ojaxuri anamnezi\\\ avadmyofis axalgazrda asaki\\\ stenokardiuli Civilebi\\ kisris venebis pulsacia, asciti

\\\\ romeli ekg cvlileba gvxvdeba yvelaze xSirad ararevmatuli miokarditisdros\\\ paTologiuri Q kbili V1-6 ganxrebSi\\\ RS voltaJis Semcireba\\ ST segmentis depresia\\\ ST segmentis elevacia

\\\\ romeli virusi iwvevs yvelaze xSirad miokardits\\\ gripis\\ koksakis\\\ herpes zosteris\\\ yvavilis

\\\\ romelia yvelaze informatiuli diagnostikuri meTodi eqsudaciuriperikarditisTvis\\\ auskultacia\\\ ekg\\ eqokardiografia\\\ rentgenoskopia

\\\\ romeli daavadebis dros ar viTardeba marjvena parkuWis dilatacia\\\ dekompensirebuli aortuli manki\\\ filtvis arteriis stenozi\\ marjvena atrioventrikuluri xvrelis stenozi\\\ winagulTaSua Zgidis defeqti\\\ parkuWTaSua Zgidis defeqti

\\\\ romeli mankis dros ar moismineba sistolur-diastoluri Suili\\\ kombinirebuli mitraluri manki\\\ kombinirebuli aortuli manki\\ aortis stenozis Serwymisas mitralur naklovanebasTan\\\ Ria arteriuli sadinris dros\\\ aortis stenozis Serwymisas mitralur stenozTan

\\\\ romelia mitraluri mankis operaciuli mkurnalobis absoluturi ukuCveneba\\\ orsuloba\\\ postinfarqtuli kadriosklerozi\\ gulis ukmarisoba IV funqciuri klasi\\\ sagule glikozidebiT da SardmdenebiT efeqturi mkurnaloba

\\\\ CamoTvlilTagan ra ar axasiaTebs falos tetradas

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\\\ aortis deqstrapozicia\\\ parkuWTaSua Zgidis defeqti\\\ marjvena parkuWis hipertrofia\\ marcxena parkuWis gamosavali traqtis stenozi\\\ filtvis arteriis stenozi

\\\\ CamoTvlili niSnebidan romeli ar axasiaTebs mitralur stenozs\\\ sisxliani xvela\\\ filtvebis SeSupeba\\ maRali pulsuri wneva\\\ mocimcime aritmia

\\\\ samkariani sarqvlis naklovaneba vlindeba yvela CamoTvlili niSniT, gardaerTisa\\\ RviZlis gadideba\\\ kisris venebis daberva\\ filtvebis SeSupeba\\\ periferiuli SeSupeba\\\ trikuspidaluri regurgutacia

\\\\\ romeli gamokvlevis Catarebaa aucilebeli stenokardiis qirurgiulmkurnalobamde\\\ veloergometria\\\ stress-eqkardiografia\\\ miokardiumis perfuziuli scintigrafia\\ seleqtiuri koronarografia

\\\\ ra niSani ar axasiaTebs parkuWTaSua Zgidis rupturas miokardiumisinfarqtis dros\\\ uxeSi sistoluri Suilis uecari gaCena\\\ marjvena parkuWis ukmarisobis uecari ganviTareba\\\ sisxlis gadasrola marcxena parkuWidan marjvenaSi\\ Tromboembolia

\\\\ 64 wlis mamakaci mimReb ganyofilebaSi Semovida CiviliT gulis frialze.gasinjviT aRmoaCnda pulsis deficiti. CamoTvlilTagan, romeli ariTmiaSeesabameba am mdgomareobas\\\ sinusuri aritmia\\ mocimcime aritmia\\\ winagulovani eqstrasistolia\\\ ritmis wamyvanis migracia

\\\\ romeli simptomi ar gvxvdeba gulis tamponadis dros\\\ sinusuri taqikardia\\\ pulsuri wnevis Semcireba\\\ CasunTqvisas arteriuli wnevis 10 mmvwysv-ze metad daqveiTeba\\ alternaciuli pulsi

\\\\ romeli parametriT SeiZleba vimsjeloT marcxena parkuWis postdatvirTvaze\\\ gulis SekumSvaTa sixSiriT\\\ wuTmoculobiT\\ diastoluri wneviT\\\ filtvebis kapilaruli wneviT

\\\\ ra iwvevs orTopnoes\\\ arteriuli wnevis momateba horizontalur mdgomareobaSi

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\\\ Sardis Sekaveba\\\ filtvebSi narCeno moculobis gazrda\\ venuri wnevis gadanawileba\\\ baroreceptorebis gaRizianeba

\\\\ 42 wlis qals aReniSneba koW-wvivis saxsrebis SeSupeba, romelic cota xniswin ganuviTarda. sauRle venuri pulsi uaryofiTia. CamoTvlilimdgomareobebidan romeli ar SeiZleba iyos SeSupebis mizezi\\\ menjis sisxlZarRvTa Tromboflebiti\\\ venebis varikozi\\\ hipoalbuminemia\\ marjvena parkuWis ukmarisoba

\\\\ romeli ar miekuTvneba gulis funqciuri mdgomareobis ganmsazRvrelfaqtors\\\ miokardiumis inotropuli funqcia\\\ marcxena parkuWis postdatvirTva\\\ marcxena parkuWis preddatvirTva\\ hematokriti

\\\\ 38 wlis qals aReniSneba gulis SegubebiTi ukmarisoba, parkuWovanieqstrasistolia. warsulSi hqonda parkuWovani taqikardiis ramodenime epizodi.arteriuli wneva normaluri, gulis zomebi sagrZnoblad momatebulia, Suilebiar moismineba, koronarografiiT cvlilebebi ar aris. savaraudo diagnozia\\\ revmokarditi\\\ konstriqciuli perikarditi\\ dilataciuri kardiomiopaTia\\\ miokardiumis infarqti

\\\\ romeli ekg cvlileba viTardeba winagulebis hipertrofiis dros\\\ QRS kompleqsis gafarToveba da deformacia\\\ PQ intervalis gaxangrZliveba\\\ T kbilis deformacia da gafarToveba\\ P kbilis deformacia da gafarToveba

\\\\ ekg-ze aRiniSneba maRali R kbilebi V1-2 ganxrebSi da Rrma S kbilebi V5-6ganxebSi. ras aRniSnavs es cvlilebebi\\\ marjvena winagulis hipertrofias\\ marjvena parkuWis hipertrofias\\\ marcxena winagulis hipertrofias\\\\ marcxena parkuWis hipertrofias

\\\\ ekg-ze aRiniSneba orfaziani P kbilis, romlis xangrZlivoba 0.12 wm-ia, gulisromeli nawilis hipertrofiam SeiZleba ganapirobos es cvlileba\\\ marjvena winagulis\\ marcxena winagulis\\\ marjvena parkuWis\\\ marcxena parkuWis

\\\\ vazorenuli hipertenziis dros racionaluri mkurnaloba gulisxmobs\\\ Sardmdenebis gamoyenebas\\\ beta-blokerebis gamoyenebas\\\ umarilo dietas\\ qirurgiul mkurnalobas

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\\\\ CamoTvlilTagan, romeli monacemi ar aris swori feoqromocitomisTvis\\\ saxezea wnevis awevis xSiri epizodebi\\ xSiria orTostatikuri hipotenzia\\\ SeiZleba gamovlindes hiperreninemia\\\ SratSi SeiZleba momatebuli iyos kalcitonini

\\\\ qvemoT CamoTvlilTagan, romeli koronaruli arteriis dazianebaaprognozulad yvelaze arakeTilsaimedo\\\ marjvena koronaris sruli daxSoba\\ marcxena koronaris Reros obstruqcia 95%-iT\\\ marjvena koronaris da marcxena wina daswvrivi koronaris obstruqcia 95%-iT\\\ marjvena koronaris stenozi

\\\\ ra aris yvelaze mniSvnelovani stenokardiis prognozis savaraudod\\\ anginozuri Setevebis sixSire\\\ anginozuri Setevebis xangrZlivoba\\ koronaruli arteriebis obstruqciis xarisxi\\\ datvirTvis intensioba, romelic saWiroa tkivilis provocirebisTvis

\\\\ romeli ekg cvlilebaa damaxasiaTebeli parkuWSiga blokadisTvis\\\ PQ intervalis gaxangrZliveba\\\ ST intervalis gaxangrZliveba\\ QRS kompleqsis gafarToveba\\\ Q kbilis deformacia

\\\\ romeli ekg niSani ar aRiniSneba supraventrikuluri eqstrasistoliis dros\\\ P kbilis deformacia\\\ arasruli kompensatoruli pauza\\\ QRST kompleqsi ar icvleba\\ QRST kompleqsis deformacia

\\\\ supraventrikuluri paroqsizmuli taqikardiis dros aRiniSneba yvelaCamoTvlili, garda erTisa\\\ P kbilis arseboba\\\ PQ intervalis cvlileba\\ QRS kompleqsis deformacia da gafarToveba\\\ Semoklebuli R-R intervalebi

\\\\ parkuWovani paroqsizmuli taqikardiis dros aRiniSneba yvela CamoTvlili,garda erTisa\\\ R-R intervalebis Semcireba\\\ QRS kompleqsis deformacia da gafarToveba\\ normaluri PQ intervali\\\ ST segmentis da T kbilis diskordantuli cvlilebebi

\\\\ parkuWTa fibrilaciis dros ekg-ze aRiniSneba yvela CamoTvlili, gardaerTisa\\\ QRS kompleqsis deformacia da gafarToveba\\ Tanabaramplitudiani QRS kompleqsebi\\\ ST segmentis da T kbilis Serwyma\\\ izoeleqtruli xazis ar arseboba

\\\\ hisis konis marcxena fexis blokadis dros ekg-ze aRiniSneba yvelaCamoTvlili, garda erTisa

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\\\ marcxena tipis ekg\\\ QRST kompleqsis deformacia\\ QRS intervali ar aRemateba 0.10-s\\\ ST segmentis da T kbilis diskordantuli cvlilebebi\\\ R-R intervalebi Tanabaria

\\\\ ekg-ze P kbili dadebiTia, PQ intervali 0.22 wm, QRS kompleqsis xangrZlivoba0.09wm. daasaxeleT ritmis darRvevis saxeoba\\\ parkuWovani eqstrasistolia\\ I xarisxis atrioventrikuluri blokada\\\ mocimcime aritmia\\\ II xarisxis atrioventrikuluri blokada\\\ sruli atrioventrikuluri blokada

\\\\ ekg-ze normaluri QRST kompleqsis Semdeg zogjer aRiniSneba deformuliQRST kompleqsi, romlis winac R-R intervali Semoklebulia, miuTiTeT aritmiissaxeoba\\\ winagulovani eqstrasistolia\\\ mocimcime aritmia\\\ sunTqviTi aritmia\\ parkuWovani eqstrasistolia\\\ I xarisxis atrioventrikuluri blokada

\\\\ daxedviT kisris areSi aRiniSneba venuri pulsacia, palpaciiT SeigrZnobagulis saZgeri da epigastriuli pulsacia. romeli sarqvlis dazianeba iwvevs amcvlilebebs\\\ orkariani sarqvlis naklovaneba\\ samkariani sarqvlis naklovaneba\\\ mitraluri stenozi\\\ aortis xvrelis stenozi

\\\\ avadmyofs aReniSneba gulis zemo da marjvena sazRvrebis gadideba. romelimankia am cvlilebis mizezi\\\ orkariani sarqvlis naklovaneba\\\ samkariani sarqvlis naklovaneba\\ mitraluri stenozi\\\ aortis xvrelis stenozi

\\\\ gulis auskultaciiT moismineba moyruebuli I da II tonebi, aortazeprotodiastoluri Suili dekreSCendos tipis, romelic tardeba me-5 wertilSi.romeli mankia am auskultaciuri monacemebis mizezi\\\ orkariani sarqvlis naklovaneba\\\ samkariani sarqvlis naklovaneba\\\ mitraluri stenozi\\\ aortis xvrelis stenozi\\ aortis sarqvlis naklovaneba

\\\\ CamoTvlilTagan romeli paTologia ar warmoadgens mitraluri stenozisgarTulebas\\\ filtvebis hipertenzia da SeSupeba\\ marcxena parkuWis hipertrofia\\\ marjvena parkuWis hipertrofia\\\ winagulebis cimcimi\\\ gulis wuTmoculobis Semcireba

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\\\\ gul-mkerdis areSi tkivilis uecari dawyebisas da diastoluri SuilisganviTarebisas aortis naklovanebis dros unda vivaraudoT\\\ mwvave baqteriul endokarditze\\ aortis ganSrevebaze\\\ parkuWTaSua Zgilis defeqtze\\\ aortis sarqvlis miqsomur prolafsze

\\\\ romeli daavadebis dros aRiniSneba dikrotuli pulsi\\\ mitraluri regurgitacia\\ hipertrofiuli kardiomiopaTia\\\ Tireotoqsikozi\\\ anemia

\\\\ glikozidebis miRebiT gamowveuli romeli aritmia SeiZleba gaauaresoshiperkalemiam\\\ parkuWovani bigeminia\\\ winagulebis cimcimi\\ srulia atrioventrikuluri blokada\\\ parkuWovani taqikardia

\\\\ marcxena parkuWis gandevnis fraqciia normaluri maCvenebelia\\\ 15-30%\\\ 30-45%\\\ 45-55%\\ 55-78%\\\ 90%

\\\\ eqokardiografiulad ra saxis hipertrofia viTardeba gulis parkuWismoculobiTi gadatvirTvis SemTxvevaSi\\\ koncentruli\\ eqscentruli\\\ izoliebuli Zgidis\\\ koncentruli remodelireba

\\\\ ra saxis Suili viTardeba winagulTaSua Zgidis defeqtis dros\\\ sistoluri Suili mwvervalze\\\ rombisebri sistoluri Suili II neknTaSua areSi marjvena parasternalurxazze\\\ diastoluri Suili fuZeze\\ si