CLINICAL CARDIOLOGY
CARDIOVASCULAR ASSESMENT
“FIVE FINGER APPROACH”
CARDIOVASCULAR SYSTEM SEMIOLOGY
SYMPTOMS
CARDIAC CAUSE DISPNOEA
CARDIAC DISPNOEA
APPEARANCE CONDITIONS
CARDIAC DISPNOEA
CONDITIONS OF APPEARANCE
NYHA CLASSIFICATION
NYHA CLASSIFICATION
GRD. I - BIG EFFORT (WALKING FAST)
GRD. II - MEDIUM EFFORT (WALKING ON PLANE
SURFACE)
GRD. III - SMALL EFFORTS (DRESSING, PERSONAL
MORNING HYGENE)
GRD. IV - AT REST (ORTHOPNEA)
PALPITATIONS
SUBJECTIVE SENSATION CONSISTING OF CONSCIOUS PERCEPTION OF THE HEART BEATS
PHYSICAL EXAM
NOTHING
VERY SEVERE
AIM OF EXAM: TO PERCIEVE THE RHYTHM DISTURBANCE
PALPITATIONS
OBJECTIVES -ANAMNESIS
CARDIAC PAIN
CHEST PAIN IN STABLE ANGINA
USSUALLY
CHEST PAIN IN A.C.S.
USUALLY
CHEST PAIN IN ATRIAL ITCH
PAIN IN HEART FAILURE
CHEST PAIN IN AORTIC DISSECTION
CHEST PAIN IN APE AND PULMONARY INFARCTION
CHEST PAIN IN ACUTE PERICARDITIS
PRESYNCOPE AND SYNCOPE
SYNCOPE = OBJECTIVE SYMPTOM WHICH CONSISTS IN LOSS OF CONSCIOUSNESS WITH PRESERVED VITAL SIGNS OR THEIR SHORT TERM ABOLITION (3-4 MINUTES).
DUE TO TEMPORARILY DECREASED CEREBRAL PERFUSION.
PRESYNCOPE = PARTIAL LOSS OF CONSCIOUSNESS, OR SENSATION WHICH LEADS TO SYNCOPE, BUT WITHOUT SYNCOPE.
PRESYNCOPE AND SYNCOPE
CAUSES
PRESYNCOPE AND SYNCOPE
CARDIAC COUGH