Sunday, November 10, 2013

Atrial enlargement/Atria dilatation(心房變大/心房擴大)

症狀/併發症(symptom/complication)
@atriums only have enlargement, do not have hypertrophy
病因(etiology)
|right atrial enlargement
||COPD=Chronic obstructive pulmonary disease
||Pulmonary hypertension(肺高壓)
||Pulmonary emboli
||Eisenmenger's syndrome:  left to right shunt caused by a congenital heart defect in the fetal hear, including
|||Atrial Septal Defect, ASD(心房中膈缺損)
|||Ventricular septal defect, VSD(心室間隔缺損)
|||patent ductus arteriosus, PDA(開放性動脈導管)
||Tetralogy of Fallot(法洛氏四合症)
||tricuspid atresia
||pulmonary stenosis
||Normal variant: thin pesron and cardiac axis +90 vertical heart
|left atrial enlargement
||mitral valve disease
|||mitral valve stenosis
|||mitrla valve regurgitation
||congestive heart failure, CHF
||Congenital heart disease
|||Ventricular septal defect, VSD(心室間隔缺損)
|||patent ductus arteriosus, PDA(開放性動脈導管)
檢查/準則(examination/criteria)
#ECG
#normal atrium
#right atrial enlargement
##higher P wave in lead II
###V1: p wave higher than 15mm
###lead II:p wave higher 2.5mm
#left atrial enlargement
##negative portion of V1>1*1(凹陷面積)
##leadII :notched( M shaped) p wave and duration longer than 3 small box(0.12秒)=p mitrale
資料來源:medicine-on-line
治療(treatment)

鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)


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