254
954717819011156
10316060128139
dilated,1211606012870110148211249312381416
in1662606012864133
which18316060128126194234296366
there2231606012866135198244306
is2572606012864118
an2726606012886156
enlargement2916606012887156196259304374437547607677716
of3667606012895142
the3843606012864133196
heart4073606012895158219266305
chambers4412606012887156219328396459506560
due5008606012894163226
to5269606012863133
a5437606012886
sharp1211849012855125188234304
decrease1550849012883146209255317379434496
in2081849012853122
the2239849012853122185
contractile2458849012876147217256303365427466504544605
ability3098849012877147185225263302372
of3504849012884131
the3670849012853124187
myocardium.39068490128109178246309371418488527598707740
more46968490128109178225288
common5019849012876145255363431501
in12111090012839110
young13561090012870138209279349
people.17391090012871133202273311374409
103113420128139
obstructive12111342012870141195233281351412452490561622
(subaortic18681342012857111181251313383431469507570
stenosis)24721342012864103166235304359398453500
-30071342012858
hypertrophy31011342012878149217280326365413482551621692
of38261342012879127
the39881342012848119181
interventricular42041342012847118157219266335398467506553592654723763826871
septum51101342012864127196236305415
in12111583012839110
the13561583012848119181
area15721583012873119182244
of18511583012880127
the20131583012849119182
left22301583012848111158196
ventricular24601583012881143214252299337400469509574620
outflow31151583012881150190236275345446
tract.3596158301284995158220259295
More393715830128125193241303
common42751583012873142252360427498
in48091583012849120
men497515830128109169239
aged52501583012872143205274
20-35.12111824012870141188257327363
12052076012865
myocardiodystrophy,1417207601281091782473093724184895285996687397928318799491018108811591192
causes26452076012871133204258321375
-30562076012858
diseases31492076012879117172235296351414467
of36522076012878125
the38122076012847118181
endocrine40282076012870140210280342389427498560
system46232076012863134186226289398
(leading5055207601285695158220289328398468
to9222318012839110
electrolyte10672318012869107170232270317386426496534596
imbalance16992318012845155223286325387457519582
and,23162318012869138208243
consequently,25942318012869139209263326396466528597636675745780
disruption34092318012876116171218287357396435504575
of40192318012876123
metabolism418423180128109169208271341412451490544654
in48702318012846117
the50222318012846116179
heart52362318012875138201246284
muscle).92225590128109177232295334397443478
In14362559012847117
hypothyroidism15892559012871141210280319389460505575615684724778888
and25092559012863133204
hyperthyroidism,27492559012871141210272319358428498543614653723762816926959
diabetes37432559012870110173243306344411464
mellitus,424525590128109169208248286326395450486
adrenal47662559012863132179241310373411
gland52122559012871111173243312
disorders,9222801012870110164233281351412459514550
kidney150728010128226265334405468538
diseases,207828010128227267322384446501562617653
diuretic276628010128226265335382444483522584
therapy,338528010128196266329375438507578611
dehydration,403128010128227289360430500547609647687756826862
anemia,492828010128218289352461497560595
cardiomyopathy,9223042012862125171242280351461529598668731769840910944
due19003042012870141204
to21393042012837108
physical22813042012870141212264304367428467
exertion,27833042012863131194241279318388458497
including33153042012838108171210279349388458528
professional38783042012870118187234296350404443513583645684
athletes.45973042012862101171210273311374428464
Details113432840128101163202265304342396
of15663284012870117
non-coronary17173284012870141211258321390437506577639684754
pain:25053284012870132171242282
11343534012865
with141735340128101140179249
myocarditis172035340128109178247310372419489528568606660
and24163534012881151221
cardiomyopathies,2671353401288214419126130037048054961768875079085989896010151051
pain37573534012887149188259
is40513534012857112
localized41983534012857128189252291329392454523
to47573534012861132
the49243534012857127189
left51483534012858121168206
of53893534012889136
the8513777012839110172
sternum10593777012890129191238308378487
in15793777012876147
the17613777012876146208
heart200437770128106169231278316
area,23563777012899146208270305
can26963777012899161231
be296237770128106169
dull,316637770128106177215254290
pressing,349137770128106153215269324362432502538
but406437770128105176214
not431437770128107177216
squeezing,45663777012890160230293355416455525595630
dull,523137770128107177216254290
intermittent,8514018012839110148211258367404443482545614653688
of15744018012870117
varying17254018012870133180250287358428
duration,21874018012871141187250289327397467503
not27234018012870141180
associated29384018012862116171240302341404442505575
with354840180128102139178248
physical38314018012870140210263303365428466
exertion;43324018012863131194241279318388458497
11344269012865
in14174269012839110
pericarditis,15624269012871134181218281344390460498537576631667
pain22644269012870133171242
is2541426901284095
located26704269012841112175236275338407
behind31124269012871134204243312383
the35304269012840110173
sternum3738426901285695156203273343453
or42264269012870117
throughout43784269012841112159228299368438508578617
the50304269012841112174
heart52404269012871133196241279
area,8514511012862109171234269
stabbing11554511012896135197266337376445516
in17064511012880150
nature,189145110128111174211282329390426
quite235245110128111181219259321
intense,27094511012879149188250320374437472
intensifying32164511012879150188251320375414461531568639709
with396045110128143182220291
breathing,428645110128111158219281320390430499569604
coughing,492545110128104174244314384423492563597
weakening85147530128101163225296359428467537606
in14934753012843114
a16414753012868
sitting1745475301285898136175214284354
position21344753012875145199238277316386456
with263147530128102139178248
a29144753012867
forward30164753012852122169269331378448
tilt,3499475301284483122161197
can37294753012868130200
be39644753012875137
prolonged41374753012874121190230299370440502571
(up47444753012852121191
to49714753012843114
several51194753012860123192255302363401
days)8514995012870133203256303
or11894995012871117
occur13414995012871132195264311
as16874995012862117
separate18394995012854116185247294356395458
attacks;23324995012863100139202264333388426
11345246012865
with141752460128101140179249
a170152460128127
dissecting186252460128135173228282345407445484554624
aortic252152460128126196243281321384
aneurysm,293952460128126195258327374444497608641
the361552460128103174236
pain388652460128134197235305
is422652460128102157
unusually441852460128134204274329398461499538608
intense505952460128104174214277346401462
(resembling851548701284794156211273383450490529599669
the15555487012856126188
pain17785487012887150187258
syndrome20715487012872142211281329398507567
in26735487012857128
myocardial285454870128109178246309371418488528590629
infarction),35175487012857127174236283344383422492562609644
lasts41955487012856119173211265
for44965487012864133180
several47115487012871134203266313374413
hours,51595487012887157227274328363
sometimes8515730012855125235295334373483543598
days,148457300128123186256309344
does186357300128123193255310
not220857300128123192231
subside247457300128107177247302340410473
with298257300128153192230301
nitroglycerin,331857300128122162200247316387425496557619666705775811
radiates41645730012899160230269332369432487
to46865730012891160
the48825730012891161224
spine,514157300128106176215284347381
gradually8515971012870117180249319381420459529
moving141459710128110177248287358428
along18775971012863102171241311
the22245971012837108170
course24295971012862132202249302365
of28295971012870116
the29805971012839109171
aorta;31875971012862131178217279318
11346222012865
in14176222012839110
aortitis,156262220128111180227267305343383437472
the20706222012887158219
pain232562220128119181219290
is26496222012888143
localized28286222012887158220282320360422484554
behind341762220128119181251290360430
the38836222012887158220
sternum,413862220128108147209256326396505538
constant,471162220128111181252307346409478517552
not529862220128119188227
dependent8516464012870133202265335405467536575
on14616464012871140
movement163764640128109176247310419480550590
or22616464012870117
excitement24136464012863132194232272334444504574613
(so-called30626464012847100170221282344383422484555
aortalgia).36526464012861131179216279317388426489536571
It1205670501284786
is13266705012875130
necessary149067050128106169231294347402464511581
to21046705012876147
differentiate228567050128107146192239301348410479519557620659721
between304167050128106169207308370432503
coronary35786705012898168216285355417464534
and41466705012899169240
non-coronary442067050128106177246297359428476546615678725795
pain524967050128107168207277
(Tab.1).8516947012847133194265300370417452