222
554717819011156
Lecture1294923012694156218265343405468
1.1796923012670105
Questioning19369230126110188250303350389459538575653723
of2695923012670117
a2845923012671
patient2951923012678147194233296373420
with34049230126102141188266
cardiovascular3705923012661131194272310381450520575637715754823886
disease.4626923012678116171234303357420455
The10311402012886155218
main128414020128110169208279
complaints15991402012862132242310349412451521560614
in22491402012837108
cardiovascular23921402012863124170241279349419482536598667707769815
diseases32431402012870108162225286341403457
include:37351402012840109171211280350413450
10311653012865
pain12111653012870133172242
in14881653012838108
the16321653012837108171
heart18361653012871133196241280
region21521653012847109178216286356
and25441653012862131201
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related18611905012852114153215253316385
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of32861905012875122
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atrial36681905012868107154192255293
and39971905012867137206
left42391905012844106153192
ventricular44651905012876138208247294332395464503566611
failure:51121905012852114152192261308371409
dyspnea,12112146012870141194264335398459494
cough,17402146012862132202271342377
hemoptysis,21512146012870134243313383422492545585640675
suffocation;28612146012853124171216287349411450488559628668
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complaints12112398012862133242310350412451521560615
related18612398012848109148211248311380
to22772398012839109
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of32722398012871117
right3424239801284886156226265
ventricular37252398012870133202240288327388459497560607
failure:43672398012846109148186256303365403
edema48062398012862132195304364
in52052398012840111
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lower12112639012839110211273320
extremities,15662639012862131170217279389425465504567620656
pain22562639012871133171241
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right2882263901284785155225264
hypochondrium,31802639012871141210280343412482552622669707778887920
changes41352639012862132195265335398451
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diuresis;47732639012870109179226288342381435479
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complaints12112890012862133242310350412451521560615
related18612890012862124162225263326395
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heart24502890012885148210257295
rhythm27802890012862131202239310419
disturbances:32322890012886125180220289336405467537600663716756
palpitations,40222890012885148186256295334396434474543614668704
intermissions47612890012852122161224270379416471526565635705760
(escaped12113132012847109164227289358421490
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disruption221131320128141179233280351420459498568637
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heart,310731320128139202264311349385
loss352731320128109179234289
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consciousness407331320128132202272326389427497567621692754808863
episodes497231320128133202240295365434496550
(syncope);12113374012847101172240303373443506552591
10313624012865
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related18613624012847109148210249310381
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in29073624012839108
blood30513624012870108179248318
pressure:34043624012871117180233287358405466505
headache,39453624012870132194264326388458520555
dizziness,45353624012870110171234273342405460514549
ringing5119362401284786155226264334404
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the13563867012838108170
ears,15613867012862125172225260
flies1857386701284685123186241
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eyes;28833867012862132193247289
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related18614118012870133171233271334404
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changes24664118012886157219289359422475
in29774118012863132
pulse31454118012892163201256318
pressure:34984118012894141202257312382429491529
sensation40634118012878140210264327365404474543
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pulsation48234118012892163201255318357396465536
in53954118012861131
areas12114360012862109171234288
remote15354360012847108217285324387
from1957436001284794164273
the22634360012839109172
heart;24694360012871133195242280321
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complaints12114611012862133242310350412451521560615
related186146110128126188226289326389459
to235646110128117187
symptoms257946110128132203311379418489599651
of326546110128149197
peripheral349746110128149211258297367437500546608647
circulation418046110128141179226288357396459498536606676
disorders:489146110128149188242313360429492538591630
intermittent12114853012839110148211258367404443482545614653
claudication.18994853012863102164233303342404467506544615684721
Pain10315099012686155195273
in13395099012638116
the14915099012646124187
heart17125099012678141210272319
region20665099012663125194233303381
and24815099012670149227
substernal27435099012654132210264311373435513583621
pain.33985099012678149188266302
Chest8515336012894164227280320
pain12065336012874136174245
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the19625336012842113175
heart21725336012874137199246284
region24925336012851113182221291361
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substernal31295336012859129199254292355402471534571
pain)37365336012875136175245292
can40635336012870133202
be43005336012874137
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non-cardiac48625336012875145214262324386432502541603665
and8515577012862133202
cardiac10895577012874136183252290353415
causes,15405577012872135205259322375411
and19865577012874143213
thorough22345577012850120190237307377446517
history27855577012882121176214284331401
and32205577012873144213
physical34695577012881151222275314377439477
is39815577012850105
critical41205577012874121159198237300361400
in45555577012850120
differentiating47105577012882120167214276322385455493532595634672742811
these8515820012839110172226289
causes11755820012862123193247310364
and15745820012862133202
identifying18115820012840109171241279318366436473544613
patients24605820012870132171209272341380435
experiencing29305820012862131202265310348411481543582651721
acute36875820012862124193233295
coronary40175820012863132179248318380427496
syndrome!45485820012854124193264311381491551602
Classification:12056061012894133195249304342390429490553592630700771809
They8516302012886155218288
can11736302012862124195
be14036302012870133
extracardiac15716302012862131171218279341404450520559622683
and22896302012862133202
cardiac.25276302012862124171240278341403439
In30016302012846115
this31526302012839108147201
case,33896302012862125178241276
cardiac37006302012861124171240279341403
pain41386302012871132171244
is4417630201283893
divided45446302012870109179217288351420
into:49996302012839109147218256
10316553012865
coronary12116553012862133180249320381428498
(associated17436553012846109163218289351390453491553622
with239965530128102140180249
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artery32156553012863109148211258328
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non-coronary12116805012870141210258320389437506576638685755
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coronary31546805012863133180249319381428498
artery36866805012862109148210257327
lesions)40476805012839101156195265335389436
Extracardiac8517048012886155195242304366428475544583646707
pain159370480128118181220290
are191870480128110157218
pain217170480128119182220290
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vessel439770480128118181235289352390
lesions48237048012886149203242312381436
but529570480128118187226
localized8517289012839110172234273311374436505
in13927289012839108
the15367289012839108171
heart17407289012870133196242280
area.20567289012861107170232267
Causes:10317530012894156226280343398436