Combined mitral heart disease

  • Electrocardiographic study
  • Phonocardiographic study
  • Polycardiography study
  • Hemodynamic parameters
  • X-ray examination
  • Electrocardiographic data
  • Polycardiography data
  • X-ray signs
  • Forecast
  • Electrocardiographic study
  • In childhood combined mitral heart disease - mitral valve stenosis of the left venous mouth - often (A. N. Volovik, 1955; 3. I. Edelman, 1962). Kiss (1962) this combination observed in 43.3%, 3. I. Edelman - in 64%. We watched combined mitral heart disease in 37 cases of 220 children with acquired heart diseases, which is 16.8%. The frequency of combined lesions of valvular heart explained by the fact that, as already noted, the rheumatic process, affecting the valve, often causes not only the development of his failure, but at the same time narrowing the corresponding holes.
    Combined mitral heart disease have a more adverse effect on heart function than each of the isolated defects separately, as is the summation adverse effects on hemodynamics.
    It should be noted that the clinical manifestations of each of the vices of mitral valve insufficiency and mitral stenosis, when they are presented in combination, can be smoothed over, fade, which is extremely difficult diagnosis.
    When combined mitral fault in anamnesis children often marked several transferred rheumatic attacks, which resulted in the beginning, as a rule, is observed the formation of mitral regurgitation, and then attaches mitral stenosis. Combined mitral heart disease often formed in adolescence life. At this age, a decrease of frequency of "pure" mitral regurgitation, and the frequency of combined defects increases (N. I. Aleksandrova, B. A. Grishina, 1978).
    When combined mitral stenosis with mitral insufficiency possible, as shown by A. N. Bakulev, E. A. Damir (1958), B. C. Petrovsky (1959), V. E. Nezlin (1968), the following combinations mitral valve: a) moderate stenosis with a significant deficiency (the predominance of failure); b) significant or sudden stenosis with moderate malnutrition (predominance of stenosis); C) significant stenosis with significant failure (C. X. Vasilenko, 1972; G. I. Cashiers, 1972).
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    When the first version of Vice, i.e. in those cases when the prevailing mitral valve insufficiency over mitral stenosis, history marked attack of rheumatism, proceeding with arthritis.
    Clinically defined clear signs of mitral regurgitation: a preferential increase heart to the left, strengthening of the terminal impulse, it is often move left and down. At the apex of the heart are heard two noise - long blowing nature systolic murmur, which is held in the left axillary region, on a back and on the basis of the heart, and persistent diastolic murmur at the apex of the heart. I tone in this case, as a rule, has no clapping nature - of Other symptoms of mitral stenosis, except persistent diastolic noise, not celebrated.