284
1754147819011156112
Lecture851601012694156218265343405468
2.13546010126150186
Inspection,15756010126135212267345407469514553624701736
palpation23476010126157227267345414461499570647
and30306010126150228305
percussion33706010126158220283345423478532571641719
in41246010126119198
the43576010126127203266
diagnosis46586010126158197268337416485540578633
of53276010126149196
cardiovascular851844012662133195273311382452521576638716755825887
diseases.1774844012678115170233302356419473510
Pulse2319844012686163202256319
properties.2673844012678140209288350411458497559613648
Blood3355844012694133204273352
pressure.3742844012678140202256311388451513548
During120513210128101171218257327397
a16381321012881
general17751324012670133211272334404443
examination22531324012683152221339376455525572610681759
of30681321012870117
a32201321012883
patient33381321012889152191229292361400
with377413210128121160198268
a40771321012883
cardiovascular41951321012882144191260300370439502555618687727789835
disease,50651321012890129184246308363424460
the8511563012839110172
following10591563012846115154193263364403473542
changes16371563012862132195264334397450
may212315630128109169240
be23981563012870132
detected:25651563012870133171234296334397467506
Condition120518070126101171249328367414452521600
of18401807012675123
the19981807012653131194
Patient.22321807012686156202241304382429464
Severe27391805012878139209272318380
or31541805012876123
extremely33121805012869139177224287395456495565
severe39111805012861124194257304366
in43121805012845115
cardiogenic44621805012869131178247287356426489558597660
shock,51561805012861131202264334368
myocardial85120460128109178247309372418489528591630
infarction,15162046012896165213275322383422460531601636
pulmonary218720460128126197235345413483546593663
edema,288320460128120190253362423459
dissecting337720460128127165220274337399437477546616
aortic402920460128119188235273313374
aneurysm,443720460128120190252322369440492602635
severe510720460128111174244307354415
cardiac8512288012862125171242280343405
rhythm12912288012870139209247317427
and17512288012884154225
conduction20122288012883153223294363426464503573643
disturbances26902288012893131186225294342411473544605668722
(ventricular34482288012869138201270309356395457526565628674
tachycardia,41582288012860123185254324384446493563603666701
ventricular48942288012892155224263310349411481519582628
fibrillation),851252901284786156203242280320381420459529599646681
serious15672529012886148195233303373427
heart203025290128101164226273311
and23762529012895164233
major264525290128141201240310357
vessel303725290128102165218272335374
injuries.34462529012871140180250297335397451486
Clinical40032529012894131171241279342404442
death:448025290128102164226265334374
ventricular488825290128103164235273320358421491530592638
fibrillation,851277101284786156203242280320381420459529599635
cardiac152127710128120183229298338401462
asystole,201827710128121175246299338409447510545
cardiac259827710128121183230299339400463
rupture,309627710128105175245284354401464499
primarily363027710128128174213323383430469508579
in42422771012898168
acute444627710128121183253293354
myocardial483627710128168237306369431478548586648686
infarction.8513012012839110157218265327365405474545580
Consciousness.120532560126101171249304367405474553608686747802856891
Impaired21323254012847156224287326373435504
due26723254012870139202
to29093254012839109
cerebral30533254012862125171233303350411450
blood35373254012870109180249319
circulation38913254012863102148210280319381419459528598
disorders.45253254012870108163233280349412458512547
Depression85134950128101163233281343396452490561630
of151734950128136184
consciousness173634950128129198268323384423494564618688750805859
up263034950128137207
to287234950128105176
a308334950128129
coma324634950128129199309369
indicates365034950128106177247286348411449511565
severe425034950128122185254316363425
heart471134950128135198261307345
failure509234950128113176214252323369430
(cardiogenic8513737012847109171218288327397467529599638700
or15873737012870116
arrhythmic17383737012862109156225295332403513549612
shock,23853737012855125196258328364
pulmonary27823737012870141179289357427490536606
edema,34213737012863133195306366401
clinical38573737012862101140211250312375414
death).43053737012870133194233304350385
Position.12053981012686155210249296335405483518
Orthopnea177139790128101148185256326395466528590
with240639790128101140179249
lowered26903979012851120222284331393462
legs31893979012849112181235
(cardiac34603979012858120181228298337400462
asthma).39573979012873128166237346406453488
Greater449239790128101147210272311373420
portion49473979012882151198236276345415
of53983979012880126
blood8514220012870110179249320
is1206422001284297
retained13384220012851113152214253323386455
in18284220012844113
the19774220012842112174
vessels21864220012874137191245308346401
of26234220012873120
the27784220012843112175
lower29884220012843113215275322
extremities33454220012871141179227289398435474514577630
in40114220012842112
this41594220012842112151205
position44004220012873144198236276314385455
to48904220012842113
decrease50394220012873136198244306368422485
the8514461012839110172
volume10574461012881151189260369429
of15214461012881128
the16844461012849118181
circulating19004461012873111158219289329391430468538608
blood25434461012881119190259329
and29074461012873142212
congestion31544461012873142213282345399438477546617
in38054461012850119
the39604461012848118181
lesser41764461012848111165219281328
circulation.45394461012873111158220289329392430468539608644
Lung52184461012896164234303
ventilation8514702012870133202241280319381420459529599
is148547020128103157
thus167747020128102172242297
improved.200947020128101211279326396467530599634
Furthermore,267847020128141211259297366429476585654701764799
the351247020128102171234
diaphragm378147020128132172235304373421483552662
descends447647020128134197251314375445515569
in508147020128102172
the528847020128102172234
orthopnoeic8514945012870117156226296366436506568607669
position;15554945012886156210249288327397467505
if20954945012855103
ascites22334945012877132195233271334388
is26564945012855109
present,28014945012885133195248311380420455
the32904945012855125188
pressure35134945012885132195248303373420482
of40294945012887138
the42014945012856125188
ascitic44244945012878132195233273311374
fluid48334945012863101171210280
on51484945012886155
the53394945012855125187
diaphragm8515186012870110172241311358421490599
is14835186012877132
lessened16515186012877139193247310379440511
to21975186012876147
facilitate23785186012885147210248287326365427466529
respiratory29415186012884147200271309355418457526574644
excursions361851860128100171233304350404443514583637
of429151860128108154
the44795186012877148209
lungs47245186012877146216286341
and510051860128100169239
to53755186012875146
improve8515427012839149216264334405467
gas13525427012881143197
exchange.15845427012873143205275337407476538573
Patients22045427012878140179218281350389443
with269254270128102140179249
cardiac29765427012872135181251290352414
hypertrophy34255427012880150219282328367415484554624695
and41535427012873143212
dilatation44015427012879118157220258321359398468537
lie4974542701284887149
on51585427012880150
the53435427012849119181
right851566901284786156226265
side11515669012865104174236
because14225669012881143206267337391454
they19115669012849119181251
experience21955669012873143214277324363426495557620
discomfort28505669012879118173236305413459529576615
when351156690128102171234303
lying38505669012849120157228297
on41835669012880150
the43685669012849119182
left45855669012848111158196
side.48225669012865103174236271
Forced51385669012878148195258319388
standing851591101285594157226296335405474
position136159110128102173227266305343414483
is18805911012871126
noted204159110128103173212275344
in24205911012871142
angina25975911012895165234273344406
or303759110128104151
intermittent32225911012872142181244289399435475514577647686
claudication.39435911012896134196265335374437498537576646716752
Patients47695911012878139178217279348388442
with524759110128134171210279
exudative8516152012862133202273336373412483545
pericarditis14316152012871133180218281343390459497537575630
prefer20966152012871118180227289336
to24676152012839110
sit2612615201285594133
in27806152012840110
bed29256152012871133203
or31646152012870117
on33166152012870141
the34926152012839109172
floor,3700615201284785155225273308
leaning40436152012838101163232272341411
forward,44906152012847117165266328374444479
to50046152012840109
reduce51496152012847110180250311373
dyspnea.8516393012870141194264335398459494
Body12056637012694164242311
Build.15606637012693171209249327362
Deformations196566350128101163210280327437497536575645714769
in27696635012847117
the29216635012846117178
precordial31346635012879125187249319366436475536575
area37456635012870117178240
in40216635012846116
congenital41726635012870140210279342411451489552590
heart47976635012880143205252290
defects51236635012877139186249310349403
("cardiac8516877012847104166229276345384446508
hump")13946877012896165275343400447
or18766877012896143
Marfan207768770128125188234281343413
syndrome25256877012879150218289336405515575
(Fig.31386877012871150189259295
5)34686877012893141
-36446877012872
a37516877012887
congenital38736877012887157227297360429467507569607
connective45156877012887157228297360421460499570631
tissue51816877012864103158212281344
dysplasia8517118012870141194264304366420458521
with140771180128123161200270
possible17137118012890160215269307377416479
heart22267118012891154215262301
defects25637118012890153200261323362416
(aortic30157118012868130199245284324386
insufficiency).34367118012860129185254301348386449487549619681751797832
Excess43287118012886156219282335390
body47547118012890159230301
weight,508871180128122184223294363403437
abdominal8517360012862133202273382419490552592
obesity147873600128124194256311349389459
-197173600128103
a210973600128117
risk226173600128102141196267
factor256373600128102164225264334381
for297973600128102172219
cardiovascular323373600128116179225296334405474537591653723762824871
diseases.413973600128125163218281342396458513549
Hypersthenic478173600128101171239302349404443513575645683746
individuals8517601012839110179219288327398467530568623
are15107601012862107170
more171576010128109177224286
susceptible20367601012855125180242305374412452521561622
to26937601012840109
cardiovascular28377601012863125172241280350419481536599668707770816
diseases.36887601012870108163225287342404458494