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1
damatebuli testebi
kardiologia
\\\\ beta-blokerebis moqmedebis ra meqanizmi ganapirobebs maT
efeqturobasgulis iSemiuri daavadebis dros?\\ miokardiumis Jangbadze
moTxovnilebis Semcireba\\\ koronarebis gafarToveba\\\ periferiuli
sisxlZarRvebis spazmi\\\ miokardiumis kumSvadobis gazrda
\\\\ romeli aritmia warmoadgens beta-blokerebis daniSvnis
ukuCvenebasmiokardiumis infarqti dros?\\\ mocimcime aritmia\\\
winagulovani eqstrasistolia\\\ parkuWovani eqstrasistolia\\
atrioventrikuluri blokada
\\\\ nitratebis moqmedebis ra meqanizmi ganapirobebs maT
antianginalurmoqmedebas?\\\ koronarebis gafarToveba\\ venebis
gafarToveba\\\ marcxena parkuWis saboloo diastoluri wnevis
gazrda\\\ postdatvirTvis gazrda
\\\\ rogor icvleba gulis iSemiuri daavadebis riski sisxlSi
dabali simkvrivisqolesterinis donis momatebis dros?\\ izrdeba\\\
mcirdeba\\\ riski ar arsebobs\\\ riskis gansazRvrisas es
maCvenebeli mniSvnelovani ar aris
\\\\ CamoTvlilTagan romeli miekuTvneba seleqciur beta 1
adrenoblokators\\\ atenololi\\\ nadloli\\ metoprololi\\\
betaqsololi
\\\\ romeli niSani ar aris damaxasiaTebeli konstriqciuli
perikarditisTvis?\\\ kisris venebis daberva\\\ asciti\\ dabali
venuri wneva\\\ gulis normaluri zomebi
\\\\kvlevis romeli meTodia yvelaze informaciuli vazorenuli
arteriulihipertenziis diagnostikaSi?\\\ Tirkmlebis eqoskopia\\\
Tirkmlebis scintigrafia\\\ Tirkmlis arteriebis eqoskopia\\
Tirkmlebis arteriografia
\\\\ romeli antibiotikia efeqturi mwvave revmatizmis dros?\\
penicilini\\\ makrolidebi\\\ ftorqinolonebi
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\\\ cefalosporinebi
\\\\ ra cvlilebebi aRiniSneba ekg-ze I xarisxis
atrioventrikuluri blokadisdros\\\ QRS kompleqsis gamovardna\\ PR
intervalis gaxangrZliveba\\\ voltaJis daqveiTeba\\\ araTanabari R-R
intervalebi
\\\\ ra cvlilebebi ar aRiniSneba ekg-ze II xarisxis
atrioventrikuluriblokadis (mobitc II) dros?\\\ QRS kompleqsis
gamovardna\\\ Tanabari PR intervalebi\\\ hisis konis blokadis xSiri
Tanxleba\\ venkebaxis periodebi
\\\\ romelia miokardiumis utkivilo iSemiis gamovlenis ZiriTadi
meTodi?\\\ ekg mosvenebis mdgomareobaSi\\\ eqokardiografia\\ 24
sT-iani ekg monitorireba\\\ sisxlis analizi transaminazebze
\\\\ romeli ekg kriteriumia sarwmuno infarqtis diagnostikaSi?\\\
gulis eleqtruli RerZis marcxniv gadaxra\\\ ST segmentis depresia\\
2 da met ganxraSi paTologiuri Q kbilis gaCena\\\ ST segmentis
elevacia an depresia 1 mm-ze metad j wertilSi or
mosazRvreganxraSi
\\\\ romli preparati ar warmoadgens angiotenzin II receptoris
blokers?\\\ lozartani\\\ valsartani\\ enalaprili\\\ irbesartani
\\\\ romeli paTologia ar warmoadgens restriqciuli
kardiomiopaTiis mizezs?\\\ eozinofiluri endomiokardiuli fibrozi\\\
sarkoidozi\\ virusuli miokarditi\\\ sklerodermia
\\\\ romelia restriqciuli kardiomiopaTiis tipiuri
eqokardiografiuliniSani?\\\ gulis Rruebis gafarToeba\\\ gulis
Rruebis Semcireba\\ diastoluri funqciis darRveva\\\ endokardiumis
gasqeleba
\\\\ romelia mwvave revmatizmis didi kriteriumi\\\ arTralgia\\\
poliarTriti\\ beWdiseburi eriTema\\\ karditi\\\ cxeleba
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\\\\ romelia perikardiumis punqciis absoluturi Cveneba?\\ gulis
tamponada\\\ varaudi perikardiumSi hemoragiuli gamonaJonis
arsebobze\\\ gamonaJonis xasiaTis dadgena\\\ gamonaJonis neli
gawova
\\\\ romelia perikardiumSi transudatis dagrovebis mizezi?\\\
tuberkulozi\\\ mwvave revmatuli cxeleba\\ gulis ukmarisoba\\\
radiacia\\\ travma
\\\\ stenokardiis romeli forma ar miekuTvneba arastabilurs\\\
pirvelad aRmocenebuli stenokardia\\\ RamiT ganviTarebuli
stenokardiis Setevebi\\\ bolo 2 Tvis ganmavlobaSi stenokardiuli
Setevebis gaxSireba,gaxangrZliveba da gaZliereba\\ fizikuri
datvirTvis dros ganviTarebuli stenokardia
\\\\ ekg romel ganxrebSi viTardeba cvlilebebi marcxena parkuWis
ukanagverdiTi kedlis infarqtis dros\\\ II, III, aVF, V1-V3\\ II,
III aVF, V4-N6\\\ I, II, avL, V4-V6\\\ II, III, aVF
\\\\ romeli simptomi ar aris damaxasiaTebeli kardiogenuli
SokisTvis\\\ sistoluri wnevis daqveiTeba 90 mm vwy sv qveviT\\\
gulis indeqsis daqveiTeba 1,8 l/wT/m2-ze qveviT\\\ saaTSi 20 ml-ze
naklebi raodenobis Sardis gamoyofa\\ diastoluri wnevis daqveiTeba
70 mm vwy sv qveviT
\\\\ qvemwvave infeqciuri endokarditis dros gamomwvevis
dadgenamde romeliantibiotikiT tardeba mkurnaloba\\ penicilini 10-20
mln dReSi\\\ ampicilini 2g 6-jer dReSi da gentamicini 1,5 mg/kg
3-jer dReSi\\\ cefalosporini 3g dReSi\\\ oqsacilini 3g dReSi
\\\\ romeli niSania damaxasiaTebeli mitaluri stenozisTvis\\
tkacuna I toni\\\ aortaze II toni aqcenti da gaoreba\\\ gulis
mwvervalze sistoluri Suili, romelic Zlierdeba CasunTqvaze\\\
filtvis arteriaze II tonis Sesusteba
\\\\ aortis sarqvlebis naklovanebis dros gulis tonebis romeli
cvlilebaatipiuri\\\ II tonis Sesusteba mwvevalze\\ I tonis
Sesusteba mwvervalze\\\ II tonis gaZliereba\\\ I tonis
gaZliereba
\\\\ romelia arCevis preparati obstruqciiT mimdinare
hipertrofiulikardiomiopaTiis dros\\\ sagule glikozidebi
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\\ beta-blokerebi\\\ nitratebi\\\ simpatomimetikebi
\\\\ romeli eqokardiografiuli niSani ar aris tipiuri obstruqciiT
mimdinarehipertrofiuli kardiomiopaTiisTvis\\\ mitraluri sarqvlis
wina karedis sistoluri moZraoba win\\\ marcxena parkuWis
asimetriuli hipertrofia\\\ marcxena winagulis dilatacia\\ marcxena
parkuWis dilatacia
\\\\ romeli aritmiisTvisaa damaxasiaTebeli sruli kompensatoruli
pauza\\ parkuWovani eqstrasistolia\\\ winagulovani
eqstrasistolia\\\ sruli atrioventrikuluri blokada\\\ hisis konis
blokada
\\\\ ra SemTxvevaSi viTardeba tkivili III funqciuri klasis
daZabvisstenokardiis dros?\\\ mosvenebisas\\ 100-200 m gavlis an 1
sarTulze asvlis dros\\\ 500 m gavlis Semdeg\\\ swrafi siarulis
dros
\\\\ romelia arCevis preparatebi arastabiluri stenokardiis
samkurnalod?\\\ sagule glikozidebi, kaliumis preparatebi,
Sardmdenebi\\ nitratebi, beta-blokerbi, heparini, aspirini\\\
fibrinolizuri saSualebebi, narkotikuri analgetikebi, aspirini\\\
aranarkotikuli analgetikebi, agf inhibitorebi, kalciumis
blokerebi
\\\\ romelia miokardiumis mwvave infarqtis yvelaze informatiuli
markeri\\\ C reaqtiuli cila\\\ aspartataminotransferaza\\\
laqtatdehidrogenaza\\ kreatinkinazas MB fraqcia
\\\\ romeli ar aris infeqciuri endokarditis qirurgiuli
mkurnalobisabsoluturi Cveneba?\\\ gamoxatuli gulis mZime
ukmarisoba\\\ 3 kviris ganmavlobaSi konservatul mkurnalobis
uefeqtoba\\\ gulis abscesi\\ aortis sarqvlebze vegetaciebis
arseboba
\\\\ romeli simptomia damaxasiaTebeli mitraluri sarqvlis
naklovanebisTvis?\\\ I tkacuna tomi\\\ mezodiastoluri Suili\\\
sistoluri Suili gulis fuZeze\\ sistoluri Suili mwvervalze
\\\\ rodis moismineba ukeT diastoluri Suili aortis sarqvlebis
naklovanebisdros?\\\ pacientis fexze dgomisas\\\ pacientis
wolisas\\ vertikalur mdgomareobaSi amosunTqvaze\\\ Rrma
CasunTqvaze
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\\\\ romeli preparati iniSneba pirvel rigSi parkuWovani
taqikardiis SeteviskupirebisTvis?\\\ finoptini\\ lidokaini\\\
sagule glikozidebi\\\ obzidani
\\\\ romelia renoparenqimuli arteriuli hipertenziis ZiriTadi
niSani?\\\ Tirkmlis distopia\\\ Tirkmlis arteriis Seviwroveba
20%-iT\\ Tirkmlis funqciis darRveva\\\ Tirkmlis menjSi kenWis
arseboba
\\\\ romeli paTologia ar ganapirobebs vazorenuli arteriuli
hipertenziisganviTarebas?\\\ Tirkmlis arteriis stenozi\\\ Tirkmlis
arteriis Trombozi\\\ Tirkmlis arteriis fibrovaskuluri hiperplazia\\
SardkenWovani daavadeba
\\\\ romelia arteriuli hipertenziis yvelaze mniSvnelovani riskis
faqtori?\\\ sxeulis Warbi wona\\\ alkoholis Warbi moxmareba\\\
cilis Warbi miReba\\ sufris marilis Warbi miReba
\\\\ romeli ekg niSania damaxasiaTebeli arteriuli
hipertenziisTvis?\\\ II da III ganxrebSi maRali P kbilebi\\
marcxena parkuWis hipertrofiis niSnebi\\\ hisis konis marjvena
fexis blokada\\\ I da II ganxrebSi farTo orkuziani P kbilebi
\\\\ Sardis analiziT romeli cvlileba ar aris damaxasiaTebeli
arteriulihipertenziisTvis?\\\ xvedriTi wonis daqveiTeba\\\
mikrohematuria\\\ cilindruria\\ xvedriTi wonis momateba
\\\\ Tvalis fskeris ra cvlileba ar aris damaxasiaTebeli
arteriulihipertenziisTvis?\\ venebis Seviwroveba\\\ arteriebis
Seviwroveba\\\ baduraze sisxlCaqcevebi\\\ mxedvelobis dvrilis
SeSupeba
\\\\ ekg romeli cvlilebaa damaxasiaTebeli stabiluri
stenokardiisTvis?\\\ paTologiuri Q kbili\\ ST segmentis depresia\\\
uaryofiTi T kbili\\\ hisis konis gardamavali blokada
\\\\ romeli niSania damaxasiaTebeli angiospastikuri
stenokardiisTvis?\\ ST segmentis elevacia tkivilis dros\\\
uaryofiTi T kbilis gaCena tkivilis dros
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\\\ tkivilis ganviTareba datvirTvis dros\\\ ST segmentis
depresia tkivilis dros
\\\\ romeli niSania damaxasiaTebeli arastabiluri
stenokardiisTvis?\\\ ritmis da gamtareblobis darRveva\\ tkivilis
Setevebis xangrZlivobis da intensiobis cvlileba\\\ arteriuli wnevis
daqveiTeba hipotenziuri mkurnalobis gareSe\\\ ekg-ze paTologiuri Q
kbilis gaCena
\\\\ romelia stenokardiis da koronaruli aTerosklerozis ekg
niSani?\\\ QT intervalis gaxangrZliveba\\\ PQ intervalis
gaxangrZliveba\\\ Q kbilis amplituda metia R kbilis 1/3-ze da
xangrZlivoba metia 0,03wm-ze\\ ST segmentis depresia 1 mm-ze
metad
\\\\ romelia variantuli (princmetalis) stenokardiis mizezi?\\\
wvrili koronarebis dazianeba\\ epikardiuli koronarebis spazmi\\\
koronarebis Trombozi\\\ marcxena parkuWSi wnevis momateba
\\\\ romeli eqokardiografiuli niSania damaxasiaTebeli
miokardiumisinfarqtisTvis?\\\ difuzuri hiperkinezia\\\ difuzuri
hipokinezia\\ lokaluri hipokinezia\\\ lokaluri hiperkinezia
\\\\ romeli niSania damaxasiaTebeli kardiogenuli SokisTvis?\\\
arteriuli hipertenzia\\\ pulsuri wnevis Semcireba 30 mm vwy sv-ze
qveviT\\\ bradikardia\\ oliguria
\\\\ romelia mocimcime aritmiisTvis damaxasiaTebeli ekg
niSani?\\\ parkuWovani kompleqsebis ricxvi wm-Si 120-ze metia\\ P
kbilebis ar arseboba\\\ naadrevi QRS kompleqsebis warmoqmna\\\
delta talRebis gaCena
\\\\ romeli ar aris parkuWovani eqstrasistolisTvis
damaxasiaTebeli ekgniSani?\\\ naadrevi QRS kompleqsebi\\\ sruli
kompensatoruli pauzis arseboba\\ Seucvleli QRS kompleqsebi\\\
eqstrasistoluri kompleqsis win Secvlili P kbilebis arseboba
\\\\ romeli ar aris supraventrikuluri eqstrasistolisTvis
damaxasiaTebeliekg niSani?\\\ naadrevi QRS kompleqsebi\\\ Seucvleli
QRS kompleqsebi\\ sruli kompensatoruli pauzis arseboba\\\
eqstrasistoluri kompleqsis win Secvlili P kbilebis arseboba
\\\\ romeli daavadebebis dros ar viTardeba mocimcime
aritmia?
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\\ aortis sarqvlebis naklovaneba\\\ mitraluri stenozis dros\\\
Tireotoqsikozi\\\ glikoziduri intoqsikacia
\\\\ romeli daavadebis dros viTardeba morgan-adam-stoqsis
sindromi?\\\ parkuWovani eqstrasistolia\\\ mocimcime aritmia\\
atrioventrikuluri blokada\\\ paroqsizmuli taqikardia
\\\\ romeli ritmis darRvevaa cudi prognozis maCvenebeli
miokardiumisinfarqtis dros?\\\ mocimcime aritmia\\\ naadrevi
parkuWovani eqstrasistolia\\ jgufuri parkuWovani eqstrasistolia\\\
I xarisxis atrioventrikuluri blokada
\\\\ miokardiumis infarqtis romeli garTulebaa yvelaze xSiri,
adreuli dasaSiSi?\\\ kardiogenuli Soki\\\ filtvebis SeSupeba\\
parkuWTa fibrilacia\\\ gulis gaskdoma
\\\\ romeli rentgenologiuri niSania damaxasiaTebeli
mitraluristenozisTvis?\\ saylapavis ukan gadanacvleba\\\ marjvena
winagulis gadideba\\\ marcxena parkuWis hipertrofia\\\ aRmavali
aortis gafarToveba
\\\\ romeli simptomi viTardeba mitraluri stenozis dros?\\\
Tavbru da gulis wasvla\\\ moWeriTi tkivili mkerdis Zvlis ukan\\
sisxliani xvela\\\ arteriuli hipertenzia
\\\\ romeli daavadeba ar aris samkariani sarqvlis izolirebuli
dazianebismizezi?\\\ revmatizmi\\\ sistemuri wiTeli mglura\\\
ebSteinis anomalia\\ hipertrofiuli kardiomiopaTia\\\ infeqciuri
endokarditi
\\\\ romeli ar warmoadgens trikuspidaluri regurgitaciis
klinikurgamovlinebas?\\\ asciti\\\ hepatomegalia\\ venuri wnevis
daqveiTeba\\\ SeSupeba\\\ holosistoluri Suili mkerdis ZvalTan
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\\\\ romeli niSani ar vlindeba rentgenologiurad
trikuspidaluriregurgutaciis dros?\\\ plevruli gamonaJoni\\ marcxena
winagulis da parkuWis dilatacia\\\ diafragmis maRla dgoma\\\
marjvena winagulis da parkuWis dilatacia
\\\\ ra SemTvevaSi ismeba mitraluri sarqvlis naklovanebis
diagnozi:\\\ hemodinamikuri gadatvirTvis Sedegad marcxena parkuWis
Rrus da fibrozulirgolis gafarToveba\\ mitraluri sarqvlis karedebis
arasruli daxurva maTi organuli dazianebisSedegad\\\ papilaruli
kunTebis disfunqcia\\\ qordis gaskdoma\\\ xandazmul asakSi sarqvlis
rgolis kalcinozi
\\\\ romeli auskultaciuri niSani axasiaTebs mitraluri
sarqvlisnaklovanebas?\\ mwvervalze sistoluri Suili\\\ tkacuna I
toni\\\ mezodiastoluri Suili\\\ sistoluri Suili gulis fuZeze
\\\\ CamoTvlilTagan romeli niSani axasiaTebs mitraluri
sarqvlisnaklovanebas?\\\ RviZlis pulsacia\\\ asTeniuri
konstitucia\\ gulis marcxena sazRvris gadideba\\\ sistoluri rxeva
marjvniv II neknTaSua areSi
\\\\ romeli simptomia damaxasiaTebeli aortis stenozisTvis?\\\
kanis difuzuri cianozi\\ dabali sistoluri wneva\\\ miuses
simptomi\\\ karotidebis cekva
\\\\ romeli mankis dros viTardeba marcxena parkuWis maqsimaluri
hipertrofia?\\\ aortis sarqvlebis naklovaneba\\ aortis xvrelis
stenozi\\\ mitraluri sarqvlis naklovaneba\\\ samkariani sarqvlis
naklovaneba
\\\\ CamoTvlilTagan, romeli simptomokompleqsia tipiuri
infeqciuriendokarditisTvis?\\\ cxeleba, anemia, splenomegalia,
plevriti, albuminuria, kreatinemia\\ cxeleba, anemia,
splenomegalia, kanze sisxlCaqcevebi, hematuria, kreatinemia\\\
cxeleba, anemia, splenomegalia, siyviTle,
retikulocitozi,mikrosferocitozi\\\ cxeleba, pancitopenia,
hepatosplenomegalia, asciti, siyviTle
\\\\ yvelaze xSirad Tirkmlis romeli paTologia viTardeba
infeqciuriendokarditis dros?\\\ kerovani nefriti\\ difuzuri
imunokompleqsuri nefriti\\\ amiloidozi\\\ Tirkmlis infarqti
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\\\\ romelia miokarditis ZiriTadi mizezi?\\ infeqcia\\\
parazituli invazia\\\ kolagenozebi\\\ idiopaTiuri
\\\\ romeli simptomebia yvelaze ufro damaxasiaTebeli
miokarditisTvis?\\ tkivili gulis areSi, gulisfriali, qoSini\\\
tkivili gulis areSi, gulisfriali, guliswasvla\\\ tkivili gulis
areSi, gulisfriali, asciti\\\ tkivili gulis areSi, temperatures
momateba, mSrali xvela
\\\\ romeli ekg cvlilebaa yvelaze metad damaxasiaTebeli
miokarditisTvis?\\\ dabali voltaJi, PQ=0,22 wm, QRS=0,12 wm\\ ST
segmentis cdoma izoeleqtruli xazis qvemoT da uaryofiTi T kbili\\\
ST segmentis diskordantuli aweva\\\ QRS kompleqsebis deformacia
\\\\ romelia konstriqciuli perikarditis yvelaze xSiri mizezi?\\\
travma\\\ kolagenozebi\\\ gulze operacia\\ tuberkulozi\\\
uremia
\\\\ romeli niSani ar axasiaTebs konstriqciul perikardits?\\
gulis normaluri wuTmoculoba\\\ paradoqsuli pulsi\\\ perikardiumis
kalcinozi\\\ gulis normaluri zomebi
\\\\ romel daavadebasTan xdeba xSirad saWiro mSrali
perikarditisdiferencireba?\\\ diafragmuli Tiaqari\\ miokardiumis
infarqti\\\ miokarditi\\\ mwvave pankreatiti
\\\\ romeli faqtori ar warmoadgens perikardiumis punqciis
Cvenebas?\\\ gulis tamponada\\\ varaudi Cirqovani procesis
arsebobaze\\\ diagnostika\\\ eqsudatis neli gawova\\ periferiuli
SeSupebis ganviTareba
\\\\ rentgenologiurad romeli niSani ar aris damaxasiaTebeli
eqsudaciuriperikarditisTvis?\\\ rkalebis gadasworeba\\\ konturebis
pulsaciis Semcireba\\ gulis siluetis normaluri zoma\\\ gulis
trapeciuli forma
\\\\ romeli saxis perikarditisTvisaa damaxasiaTebeli ekg-ze ST
segmentiselevacia?\\ mSrali
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\\\ eqsudaciuri\\\ konstriqciuli\\\ idiopaTiuri eqsudaciuri
\\\\ Tanamedrove pirobebSi romelia gulis qronikuli ukmarisobis
yvelazexSiri mizezi?\\\ gulis revmatuli mankebi\\ gulis iSemiuri
daavadeba\\\ kardiomiopaTiebi\\\ miokarditebi
\\\\ romeli daavadebis dros viTardeba gulis diastoluri
ukmarisoba?\\\ miokardiumis infarqti\\ hipertrofiuli
kardiomiopaTia\\\ dilataciuri kardiomiopaTia\\\ aortis stenozi
\\\\ romel daavadebaze miitanT eWvs, Tu avadmyofs aReniSneba
gviani sistoluriSuili mwvervalze da gviani sistoluri tkacuni?\\\
mitraluri stenozi\\ mitraluri prolafsi\\\ revmatuli mitraluri
naklovaneba\\\ qordis gaglejva
\\\\ romeli niSania damaxasiaTebeli aortis stenozisTvis?\\\
mocimcime aritmia\\ sinkope\\\ sisxliani xvela\\\ arteriuli
hipertenzia
\\\\ mitraluri stenoziT avadmyofs garkveuli drois Semdeg
Seumcirda qoSinida pulmonuri hipertenziis niSnebi da ganuviTarda
periferiuli SeSupeba,asciti, hepatomegalia. CamoTvlilTagan romeli
mosazrebaa swori?\\\ moxda mitraluri stenozis progresireba\\\ moxda
mitraluri naklovanebis progresireba gulis ukmarisobisganviTarebiT\\
ganviTarda samkariani sarqvlis naklovaneba da marjvena parkuWis
ukmarisoba\\\ ganviTarda aortuli manki
\\\\ gulis romeli mankisTvisaa damaxasiaTebeli grehem-stilis
Suili?\\\ mitraluri sarqvlis prolafsi\\ mitraluri stenozi\\\ aortis
sarqvlebis naklovaneba\\\ aortis stenozi
\\\\ romeli paTfiziologiuri cvlileba axasiaTebs mitralur
stenozs?\\\ marcxena parkuWis avsebis gazrda\\ marcxena winagulSi
wnevis momateba\\\ gulis wuTmoculobis gazrda\\\ marjvena parkuWSi
wnevis daqveiTeba
\\\\ romelia filtvis arteriis Tromboemboliis yvelaze xSiri
mizezi?\\\ menjis venebis Trombozi\\\ marjvena winagulis Trombozi\\
qveda kidurebis Trombozi\\\ zeda kidurebis Trombozi
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\\\\ ras ewodeba paradoqsuli pulsi?\\\ xelebze pulsis
asimetrias\\\ pulsis ritmulobis darRvevas\\ Rrma CasunTvisas
pulsuri talRebis Semcireba\\\ calkeuli pulsuri talRis
gamovardnas
\\\\ romelia aortis koarqtaciis yvelaze tipiuri fizikaluri
niSani?\\\ sistoluri Suili gulis mwvervalze\\\ fexebze wneva
10-20mm.vw.ysv-iT ufro maRalia, vidre xelebze\\ fexebze wneva
10-20mm.vw.ysv-iT ufro dabalia, vidre xelebze\\\ sistoluri Suili
aortaze
\\\\ romelia fizikuri datvirTvis dadebiTi testis ekg
kriteriumi?\\\ ST segmentis horizontaluri depresia 0.5 mm-ze\\\ ST
segmentis iribad aRmavali depresia\\ ST segmentis horizontaluri
depresia 1mm-ze metad\\\ ST segmentis iribad daRmavali depresia
\\\\ romeli preparatebis daniSvna ar aris mizanSewonili gulis
diastoluriukmarisobis dros?\\\ Sardmdenebis\\ sagule
glikozidebis\\\ beta-blokerebis\\\ agf inhibitorebis
\\\\ CamoTvlilTagan, romeli paTologiis dros viTardeba
alternaciulipulsi?\\\ miokardiumis infarqti\\ aortis sarqvlis
naklovaneba\\\ anemia\\\ gulis ukmarisoba
\\\\ romel daavadebas ar axasiaTebs marcxena parkuWis moculobiTi
datvirTva?\\\ mitraluri sarqvlis naklovaneba\\\ aortis sarqvlis
naklovaneba\\ arteriuli hipertenzia\\\ falos tetrada
\\\\ Tirkmlebis ra saxis dazianebaa damaxaiaTebeli esenciuri
hipertenziisTvis?\\\ amiloidozi\\ nefrosklerozi\\\
glomerulonefriti\\\ papilaruli nekrozi
\\\\ arteriuli hipertenziis dros sikvdilis xSiri mizezia yvela,
garda:\\\ miokardiumis infarqti\\ filtvis arteriis Tromboembolia\\\
cerebruli insulti\\\ gulis ukmarisoba
\\\\ romeli Tandayolili mankis dros aris ukunaCvenebi
qirurgiulimkurnaloba?\\\ falos tetrada\\\ winagulTaSua Zgidis
defeqti
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\\ eizenmengeris sindromi\\\ parkuWTaSua Zgidis defeqti
\\\\ romeli daavadebisTvisaa damaxasiaTebeli tkacuna I toni?\\\
aortis stenozi\\ mitraluri stenozi\\\ aortis naklovaneba\\\
mitraluri naklovaneba
\\\\ romeli daavadebisTvisaa damaxasiaTebeli flintis Suili?\\\
mitraluri stenozi\\\ filtvis arteriis stenozi\\ aortis sarqvlis
naklovaneba\\\ aortis koarqtacia
\\\\ romelia konstriqciuli perikarditis yvelaze efeqturi
samkurnalosaSualeba?\\\ sagule glikozidebi\\\ periferiuli
vazodilatatorebi\\\ perikardiocentezi\\\ Sardmdenebi\\
perikardeqtomia
\\\\ ekg-ze aRiniSneba ST segmentis elevacia II, III, aVF
ganxrebSi. ralokalizaciisaa miokardiumis infarqti?\\\ marcxena
parkuWis wina kedlis\\\ parkuWTaSua Zgidis\\ marcxena parkuWis
ukana kedlis\\\ marjvena parkuWis
\\\\ ekg-ze aRiniSneba ST segmentis elevacia I da aVL ganxrebSi.
ralokalizaciisaa miokardiumis infarqti?\\ marcxena parkuWis wina
kedlis\\\ parkuWTaSua Zgidis\\\ marcxena parkuWis ukana kedlis\\\
marjvena parkuWis
\\\\ ekg-ze aRiniSneba ST segmentis elevacia V1 da V2 ganxrebSi.
ralokalizaciisaa miokardiumis infarqti?\\\ marcxena parkuWis wina
kedlis\\ parkuWTaSua Zgidis\\\ marcxena parkuWis ukana kedlis\\\
marjvena parkuWis
\\\\ CamoTvlilTagan ra ar aris damaxasiaTebeli falos
tetradisTvis?\\\ parkuWTaSua Zgidis defeqti\\ winagulTaSua Zgidis
defeqti\\\ filtvis arteriis stenozi\\\ gadamjdari aorta
\\\\ romeli faqtori ar monawileobs gulSida hemodinamikis
darRvevaSirestriqciuli kardiomiopaTiis dros?\\\ parkuWebis
miokardiumis modunebis SeuZlebloba\\\ parkuWebis diastoluri avsebis
Semcireba\\\ gulis dartymiTi moculobis Semcireba\\ miokardiumis
kumSvadobis daqveiTeba
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13
\\\\ romel daavadebas ar aqvs kavSiri restriqciul
kardiomiopaTiasTan?\\\ endomiokardiuli fibrozi\\\ lefleris
eozinofiluri endokarditi\\ abramov-fidleris miokarditi\\\
sarkoidozi
\\\\ ra ewodeba gulis qronikul daavadebas, ris drosac viTardeba
parkuWebismiokardiumis paTologiuri rigidoba, rac xels uSlis maT
diastolur avsebas?\\\ dilataciuri kardiomiopaTia\\\ hipertrofiuli
kardiomiopaTia\\ restriqciuli kardiomiopaTia\\\ postinfarqtuli
kardiosklerozi
\\\\ romeli preparatis gamoyeneba ar aris mizanSewonili
hipertrofiulikardiomiopaTiis dros?\\\ kordaroni\\\ propranoloni\\\
verapamili\\ nitroglicerini
\\\\ ra ewodeba gulis qronikul daavadebas, romelic vlindeba
marcxenaparkuWis gamoxatuli hipertrofiiT aortis xvrelis stenozis da
arteriulihipertenzis gareSe da axlavs parkuWTaSua Zgidis
hipertrofia?\\\ dilataciuri kardiomiopaTia\\ hipertrofiuli
kardiomiopaTia\\\ restriqciuli kardiomiopaTia\\\ gulis iSemiuri
daavadeba
\\\\ romeli paTologiuri procesi ar monawileobs
dilataciurikardiomiopaTiis klinikuri suraTis CamoyalibebaSi?\\\
ritmis darRvevebi\\\ gulis ukmarisoba\\\ Tromboembolia\\
infeqcia
\\\\ ra ewodeba gulis qronikul araiSemiur, araanTebiT
daavadebas, romelic araris dakavSirebuli metabolur darRvevebTan,
vlindeba miokardiumis difuzuridazianebiT, kumSvadobis mkveTri
daqveiTebiT da Rruebis dilataciiT?\\ dilataciuri kardiomiopaTia\\\
hipertrofiuli kardiomiopaTia\\\ restriqciuli kardiomiopaTia\\\
gulis iSemiuri daavadeba\\\ miokarditi
\\\\ paTogenezis romeli Taviseburebaa tipiuri mitraluri stenozis
da aortissarqvlis naklovanebis Serwymisas, rodesac Warbobs
mitraluri stenozi?\\ mitraluri stenozi xels uSlis marcxena parkuWis
moculobiT gadatvirTvas\\\ mitraluri stenozi auaresebs aortis
naklovanebiT gamowveul hemodinamikurdarRvevebs\\\ mitraluri stenozi
auaresebs aortis naklovanebiT gamowveul gulisukmarisobas\\\
mitraluri stenozi xels uwyobs infeqciuri endokarditis
ganviTarebas
\\\\ ra moyveba mitralur-aortuli mankiT avadmyofebSi
trikuspidaluriukmarisobis ganviTarebas?
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14
\\ venuri Segubeba didi wris da portuli sistemis venebSi\\\
filtvebis SeSupeba\\\ RviZlis steatozi\\\ sisxliani xvela
\\\\ ra paTologiuri mniSvneloba aqvs ovaluri xvrelis defeqts?\\\
iwvevs Suntirebas marcxnidan marjvniv mZime hemodinamikuri
darRvevebiT\\\ iwvevs Suntirebas marjvnidan marcxniv mZime
hemodinamikuri darRvevebiT\\ ar iwvevs janmrTelobis seriozul
darRvevas\\\ mniSvnelovnad auaresebs winagulTaSua Zgidis defeqtis –
ostium primarum -mimdinareobas
\\\\ romelia aortis koarqtaciis yelaze xSiri lokalizacia\\\
aRmavali nawili\\ rkalis daRmaval nawilSi gadasvlis adgili\\\
daRmavali aorta\\\ gul-mkerdis aorta
\\\\ ra aris difuzuri cianozis ganviTarebis mizezi winagulTaSua
Zgidisdefeqtis dros?\\ marjvena winagulSi ufro maRali wnevis
arseboba, vidre marcxenaSi\\\ marcxena winagulis ukmarisoba\\\
marjvena winagulis ukmarisoba\\\ mocimcime aritmiis ganviTareba
\\\\ ra paTologiuri procesi ar aris damaxasiaTebeli
kompensirebuliwinagulTaSua Zgidis defeqtisTvis?\\\ sisxlis
gadasrola marcxena winagulidan marjvenaSi\\\ marcxena winagulis
moculobiTi gadatvirTva\\\ marjvena winagulis moculobiTi
gadatvirTva\\ marcxena parkuWis moculobiTi gadatvirTva\\\ marjvena
parkuWis moculobiTi gadatvirTva
\\\\ sad mdebareobs winagulTaSua Zgidis defeqti - ostium
primarum ?\\\ parkuWTaSua Zgidis zemo nawilSi\\\ winagulTaSua
Zgidis SuaSi ovaluri xvrelis axlos\\ winagulTaSua Zgidis qveda
nawilSi\\\ ovaluri xvrelis zemoT zemo Rru venis SeerTebis
adgilTan
\\\\ sad mdebareobs winagulTaSua Zgidis defeqti - ostium
secundum ?\\\ parkuWTaSua Zgidis zemo nawilSi\\ winagulTaSua Zgidis
SuaSi ovaluri xvrelis axlos\\\ winagulTaSua Zgidis qveda nawilSi\\\
ovaluri xvrelis zemoT zemo Rru venis SeerTebis adgilTan
\\\\ ra periodSi yalibdeba Ria arteriuli sadinari?\\\
mucladyofnisas\\ dabadebis Semdeg\\\ sqesobrivi momwifebis
periodSi\\\ zrdasrul asakSi
\\\\ Tandayolili mankebis romel jgufs miekuTvneba aortis
koarqtacia?\\\ lurji manki veno-arteriuli SuntiT\\\ TeTri manki
arteriul-venuri SuntiT\\ manki Suntis gareSe, marcxena parkuWidan
sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils
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15
\\\\ Tandayolili mankebis romel jgufs miekuTvneba falos
tetrada?\\ lurji manki veno-arteriuli SuntiT\\\ TeTri manki
arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan
sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils
\\\\ Tandayolili mankebis romel jgufs miekuTvneba Ria arteriuli
sadinari?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki
arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan
sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils
\\\\ Tandayolili mankebis romel jgufs miekuTvneba winagulTaSua
Zgidisdefeqti?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki
arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan
sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils
\\\\ Tandayolili mankebis romel jgufs miekuTvneba parkuWTaSua
Zgidisdefeqti?\\\ lurji manki veno-arteriuli SuntiT\\ TeTri manki
arteriul-venuri SuntiT\\\ manki Suntis gareSe, marcxena parkuWidan
sisxlis gadasrolis SezRudviT\\\ nebismier CamoTvlils
\\\\ romeli faqtori ar monawleobs Tandayolili mankis
ganviTarebaSi?\\\ genetikuri faqtorebi\\\ virusuli infeqcia\\\
dedis alkoholizmi\\\ teratogenuli preparatebis miReba\\ asfiqsia
mSobiarobis dros
\\\\ romelia endokardiuli stimulaciis absoluturi Cveneba
miokardiumismwvave infarqtis dros?\\ II an III xarisxis mdgradi
atrioventrikuluri blokada\\\ gardamavali atrioventrikuluri
blokada\\\ hisis konis marcxena fexis wina totis blokada\\\
gardamavali atrioventrikuluri blokada hisis konis marcxena
fexisgardamavali blokada
\\\\ romeli auskultaciuri niSani ar axasiaTebs mitralur
stenozs?\\\ tkacuna I toni mwvervalze\\\ mitraluri sarqvlis gaRebis
xmianoba\\ aortaze gaZlierebuli II toni\\\ mwvervalze
protodiastoluri Suili
\\\\ romeli auskultaciuri niSani ar axasiaTebs mitralur
stenozs?\\ mwvervalze I tonis Sesusteba\\\ mitraluri sarqvlis
gaRebis xmianoba\\\ mwvervalze protodiastoluri Suili\\\ mitraluri
sarqvlis gaRebis xmianoba
\\\\ CamoTvlilTagan, romelia I tonis gaZlierebis mizezi?\\\
mitraluri sarqvlis naklovaneba
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16
\\\ aortis xvrelis stenozi\\ mitraluri stenozi\\\ aortis
sarqvlis naklovaneba
\\\\ miuTiTeT, romelia mwyeris ritmis Semadgeneli komponenti\\\
mwvervalze Sesustebuli I toni\\\ aortaze gaZlierebuli II toni\\\
gayofili I toni\\ mwvervalze tkacuna I toni
\\\\ miuTiTeT, romelia mwyeris ritmis Semadgeneli komponenti\\\
mwvervalze Sesustebuli I toni\\\ aortaze gaZlierebuli II toni\\
mitraluri sarqvlis gaRebis xmianoba\\\ gayofili II toni
\\\\ romelia galopis ritmis warmoqmnis meqanizmi\\\ I tonis
gayofa\\\ II tonis gayofa\\ III tonis paTologiuri gaZliereba\\\
mitraluri sarqvlis gaRebis xmianoba
\\\\ romelia galopis ritmis warmoqmnis meqanizmi\\\ I tonis
gayofa\\\ II tonis gayofa\\ IV tonis paTologiuri gaZliereba\\\
samkariani sarqvlis gaRebis xmianoba
\\\\ raze miuTiTebs galopis ritmis gaCena?\\\ mitralur
stenozze\\\ aortis stenozze\\\ aortis sarqvlis naklovanebaze\\
miokardiumis kumSvadobis mZime darRvevaze
\\\\ ra aris pulsis deficitis mizezi?\\ winagulebis cimcimi\\\
arteriuli hipertenzia\\\ aortis koarqtacia\\\ hipertrofiuli
subaortuli stenozi
\\\\ romel daavadebas axasiaTebs: heqtiuri cxeleba, Zlieri
oflianoba,Semcivneba, qoSini, saerTo sisuste\\\ revmokarditi\\
qvemwvave infeqciuri endokarditi\\\ miokardiumis infarqti\\\
stenokardia
\\\\ romelia gulis iSemiuri daavadebis yvelaze xSiri
morfologiurisafuZveli\\\ vaskuliti\\ koronaruli aTerosklerozi\\\
sisxlZarRvTa hialinozi\\\ koronarospazmi
\\\\ romeli ar aris gulis iSemiuri daavadebis risk-faqtori\\\
hiperlipidemia
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17
\\\ Tambaqo\\\ arteriuli hipertenzia\\ Tireotoqsikozi
\\\\ romeli ar aris gulis iSemiuri daavadebis risk-faqtori?\\\
glukozisadmi tolerantobis darRveva\\\ hiperfibrinogenemia\\
hiper-alfalipoproteidemia\\\ marcxena parkuWis hipertrofia
\\\\ CamoTvlilTagan, romeli ar aris veloergometriis Catarebis
ukuCveneba?\\\ miokardiumis infarqtis mwvave periodi\\\
arastabiluri stenokardia\\\ mwvave Tromboflebiti\\ I xarisxis
atrioventrikuluri blokada
\\\\ CamoTvlilTagan, romeli ar aris veloergometriis Catarebis
ukuCveneba?\\\ III-IV fk gulis ukmarisoba\\\ sunTqvis mZime
ukmarisoba\\\ aortis mniSvnelovani stenozi\\ daZabvis
stenokardia
\\\\ CamoTvlilTagan, romeli ar axasiaTebs IV fk daZabvis
stenokardias?\\\ Setevis ganviTareba nebismier fizikur
datvirTvaze\\ kibis 2 sarTulze asvlisas tkivilis dawyeba\\\
mosvenebisas stenokardiuli tkivili\\\ Setevis ganviTareba
fsiqoemociur daZabvaze
\\\\ CamoTvlilTagan, romeli ar axasiaTebs III fk daZabvis
stenokardias\\\ stenokardiuli Setevis ganviTareba 1 sarTulze asvlis
Semdeg\\\ stenokardiuli Setevis ganviTareba 100-500 m-is gavlis
Semdeg\\ stenokardiuli Setevis ganviTareba 500m-ze meti manZilis
gavlisas\\\ Setevis dawyeba fsiqoemociur daZabvaze
\\\\ 40 wlis avadmyof mamakacs aqvs miokardiumis mwvave
infarqti, daavadebispirvel dRes ganuviTarda taqikardia 140 wT-Si,
arteriuli wneva 70/40 mmvwysv,kani civi, fermkrTali. romeli
preparatiT unda daiwyoT mkurnaloba\\\ digoqsini\\ dopmini\\\
morfini\\\ kalciumis qloridi
\\\\ romeli preparati ar gamoiyeneba miokardiumis mwvave
infarqtis drosTrombolizisis Casatareblad\\\ urokinaza\\\
streptokinaza\\ heparini\\\ qsovilovani plazminogenis
aqtivatori
\\\\ CamoTvlilTagan, romeli ar aris marTebuli
princmetalisstenokardiisTvis\\ uaxloesi prognozi keTilsaimedoa\\\
Setevis dros ekg-ze aRiniSneba ST segmentis elevacia\\\ Setevis
dros xSiria parkuWovani aritmiebi
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18
\\\\ CamoTvlilTagan, romeli ar aris marTebuli
princmetalisstenokardiisTvis?\\ Setevis dros ekg-ze aRiniSneba ST
segmentis depresia\\\ Setevis dros xSiria parkuWovani aritmiebi\\\
avadmyofTa umravlesobas aReniSneba koronarebis tranzitoruli
spazmi\\\ Seteva Cveulebriv viTardeba mosvenebiT mdgomareobaSi
\\\\ romelia kardiostimulatoris implantaciis absoluturi
Cveneba?\\\ sinusuri bradikardia guliscemis sixSiriT 40-mde wuTSi\\
II xarisxis 2 tipis av blokada morgan-adam-stoqsis sindromiT\\\ I
xarisxis av blokada hisis konis marcxena fexis blokadiT\\\ sagule
glikozidebis dozis gadaWarbebiT gamowveuli bradisistolurimocimcime
aritmia
\\\\ CamoTvlilTagan romeli debuleba ar aris swori av
blokadisTvis?\\\ ufro xSirad viTardeba ukana kedlis miokardiumis
infarqtis dros\\\ viTardeba sagule glikozidebiT intoqskaciis
dros\\\ axasiaTebs bradikardia\\ yovelTvis saWiroebs ritmis
wamyvanis implantacias
\\\\ romel aritmias ar udevs safuZvlad ReEntry meqanizmi?\\\
winagulebis cimcimi\\\ av kvanZovani taqikardia\\ parkuWovani
parasistolia\\\ supraventrikuluri taqikardia WPW sindromis dros
\\\\ miokardiumis infarqtiT avadmyofs ganuviTarda bradikardia
guliscemissixSiriT 40-mde wuTSi. romeli aritmiis arsebobaa yvelaze
naklebadSesaZlebeli am dros?\\\ sinusuri bradikardia\\\ III
xarisxis av blokada\\\ II xarisxis 2 tipis av blokada\\ mocimcime
aritmia
\\\\ romelia arCevis preparati WeSmariti kardiogenuli Sokis
dros?\\ dopmini\\\ digoqsini\\\ adrenalini\\\ noradrenalini
\\\\ romeli daavadebis dros ar viTardeba mocimcime aritmiis
paroqsizmi?\\\ Tireotoqsikozi\\\ hipertrofiuli kardiomiopaTia\\\
mitraluri stenozi\\\ gulis iSemiuri daavadeba\\ aortis sarqvlebis
naklovaneba
\\\\ miokardiumis infarqtis dros ra situaciaSia naCvenebi
beta-blokerebisgamoyeneba?\\ sinusuri taqikardiis da arteriuli
hipertenziis dros\\\ winagulovani eqstrasistoliis dros\\\ I
xarisxis av blokadis dros\\\ sruli atrioventrikuluri bloadis
dros
\\\\ romeli simptomia damaxasiaTebeli marcxena parkuWis mwvave
ukmarisobisTvis\\\ pCO2is momateba
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19
\\ taqikardia\\\ marcxena parkuWSi normaluri saboloo diastoluri
wneva\\\ periferiuli SeSupeba
\\\\ CamoTvlilTagan romeli ekg niSani axasiaTebs av blokadas\\
PQ intervalis gaxangrZliveba 0,2 wm-ze metad\\\ PQ intervalis
TandaTanobiTi Semcireba QRS kompleqsis gamovardniT\\\ winagulebis
da parkuWebis damoukidebeli ritmi, rodesac QRS
kompleqsebisraodenoba aWarbebs P kbilebis raodenobas\\\ ekg-ze ar
aris P kbilebi
\\\\ CamoTvlilTagan romeli ekg niSani axasiaTebs av blokadas\\\
PQ intervalis TandaTanobiTi Semcireba QRS kompleqsis gamovardniT\\\
winagulebis da parkuWebis damoukidebeli ritmi, rodesac QRS
kompleqsebisraodenoba aWarbebs P kbilebis raodenobas\\\ ekg-ze ar
aris P kbilebi\\ winagulebis da parkuWebis damoukidebeli ritmi,
rodesac P kbilebisraodenoba QRS kompleqsebis raodenobas
aWarbebs
\\\\ frederikis sindromi aris Serwyma:\\ mocimcime aritmiis da
sruli av blokadis\\\ winagulSida da parkuWSida gamtareblobis
Seneleba\\\ mocimcime aritmiis da hisis konis marcxena fexis
blokadis\\\ winagulovani taqikardiis da hisis konis marcxena fexis
blokadis
\\\\ CamoTvlilTagan romelia parkuWovani taqikardiis ekg
niSani\\\ parkuWovani ritmia 200-300 wT-Si\\ QRS kompleqsis sigane
0,12wm-ze metia\\\ aRiniSneba delta talRa\\\ Tanabari R-R
intervalebi
\\\\ 18 wlis mamakacs aRmoaCnda arteriuli hipertenzia.
daTvalierebiTaReniSneba zeda da qvemo kidurebis araproporciuli
ganviTareba, pulsaciaSesustebulia qveda kidurebze, auskultaciiT –
sistoluri Suili beWebsSoris. ekg-ze marcxena parkuWis hipertrofiis
da gadaZabvis niSnebi. daasaxeleTsavaraudo diagnozi:\\\ mitraluri
sarqvlis naklovaneba\\\ winagulTaSua Zgidis defeqti\\ aortis
koarqtacia\\\ Tirkmlis arteriis stenozi
\\\\ 18 wlis mamakacs aRmoaCnda arteriuli hipertenzia.
daTvalierebiTaReniSneba zeda da qvemo kidurebis araproporciuli
ganviTareba, pulsaciaSesustebulia qveda kidurebze, auskultaciiT –
sistoluri Suili beWebsSoris. ekg-ze marcxena parkuWis hipertrofiis
da gadaZabvis niSnebi.CamoTvlilTagan romeli garTuleba ar axasiaTebs
am daavadebas:\\\ infeqciuri endokarditi\\ Tromboembolia\\\ aortis
ganSreveba\\\ hemoragiuli insulti
\\\\ 45 w mamakacs saRamos daewyo Zlieri tkivili epigastriumis
areSi,gulisreva, Rebineba. bolo erTi wlis ganmavlobaSi aReniSneboda
tkivilimkerdis Zvlis ukan fizikur datvirTvaze. obieqturad: pulsi
100 wT-Si, art.wneva – 80/50 mmvwysv, muceli rbili, mcired
mtkivneuli epigastriumis areSi.
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20
peritoneumis gaRizianebis niSnebi ar aris. ekg-ze sinusuri
taqikardia, R kbilisvoltaJis Semcireba II, III da aVF ganxrebSi,
amave ganxrebSi aRiniSneba STsegmentis gumbaTiseburi elevacia.
daasaxeleT savaraudo diagnozi:\\\ princmetalis stenokardia\\\ wina
kedlis miokardiumis mwvave infarqti\\ ukana kedlis miokardiumis
mwvave infarqti\\\ mwvave pankreatiti
\\\\ 45 w mamakacs saRamos daewyo Zlieri tkivili epigastriumis
areSi,gulisreva, Rebineba. bolo erTi wlis ganmavlobaSi aReniSneboda
tkivilimkerdis Zvlis ukan fizikur datvirTvaze. obieqturad: pulsi
100 wT-Si, art.wneva – 80/50 mmvwysv, muceli rbili, mcired
mtkivneuli epigastriumis areSi.peritoneumis gaRizianebis niSnebi ar
aris. ekg-ze sinusuri taqikardia, R kbilisvoltaJis Semcireba II,
III da aVF ganxrebSi, amave ganxrebSi aRiniSneba STsegmentis
gumbaTiseburi elevacia. CamoTvlilTagan sisxlis romeli cvlilebaar
aris damaxasiaTebeli am paTologiisTvis:\\\ leikocitozi\\\ eds-is
momateba\\\ kreatinkinaza MB fraqciis momateba\\ amilazas
momateba
\\\\ 67 wlis mamakaci uCivis Zlier SeteviT qoSins, mSral xvelas,
aseTimdgomareoba ganuviTarda pirvelad, RamiT, Zilis dros. bolo 5
welia aqvsarteriuli hipertenzia, mkurnalobda araregularulad.
avadmyofi agznebulia,aReniSneba orTopnoe, saxis cianozi, sunTqva 40
wT-Si, pulsi – 120 wT-Siritmuli, art. wneva – 220/110 mmvwysv.
gulis marcxena sazRvari gadidebulia,aRiniSneba galopis ritmi,
filtvebSi qvemo wilebSi wvrilbuStukovani svelixixini orive mxares.
ekg- sinusuri taqikardia, marcxena parkuWis hipertrofiisniSnebi.
daasaxeleT pacientis mdgomareobis savaraudo mizezi;\\\ miokardiumis
mwvave infarqti\\ marcxena parkuWis mwvave ukmarisoba – kardiuli
asTma\\\ bronqulis asTma\\\ marjvena parkuWis mwvave ukmarisoba
\\\\ 53 wlis mamakacs bolo 3 kviris ganmavlobaSi aRieniSneba
tkivilis Setevebifizikur datvirTvaze: siarulis da kibeze asvlis
dros. pacienti mwevelia,dedas hqonda arteriuli hipertenzia, mamas-
gid. obieqturad: pulsi 72 wT-Si,art. wneva – 130/80 mmvwysv, ekg:
ritmi sinusuri, gulis el RerZis normalurimdebareoba, gulmkerdis
marcxena ganxrebSi uaryofiTi T kbilebi. romeliawinaswari
diagnozi:\\\ stabiluri stenokardia I fk\\\ princmetalis
stenokardia\\ pirvelad aRmocenebuli stenokardia\\\ progresirebadi
stenokardia
\\\\ qvemoT CamoTvliliPpaTologiebidan romlis dros aRiniSneba
yvelazexSirad parkuWovani ariTmiis ganviTareba:\\ gulis iSemiuri
daavadeba\\\ kardiomiiopaTia\\\ metaboluri darRvevebi\\\
medikamenturi intoqsikacia
\\\\ romelia parkuWovani taqikardiis kupirebis saukeTeso
saSualebaa\\ eleqtruli kardioversia;\\\ intravenuri lidokaini;
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\\\ intravenuri novokainamidi;\\\ intravenuri amiodaroni
(kordaroni);
\\\\ qvemoT CamoTvlili daavadebebis gulis ukmarisobiT
garTulebisas, romlisdros aRiniSneba ZiriTadad sistoluri moculobis
gazrda:\\ hiperTireozi;\\\ gulis iSemiuri daavadeba;\\\
kardiomiopaTiebi;\\\ miokarditi.
\\\\ marcxena parkuWis mwvave ukmarisoba xSirad viTardeba yvela
qvemoTCamoTvlili daavadebis fonze, garda erTisa:\\\ miokardiumis
infarqti;\\\ hipertenzia;\\\ aortuli da mitraluri mankebi;\\
konstriqciuli perikarditi;\\\ miokarditi
\\\\ filtvebis SeSupebisTvis damaxasiaTebelia yvela qvemoT
CamoTvlilisimptomi, garda erTisa:\\\ moxrCobis SegrZneba;\\\
qafiani naxveli;\\\ qoSini;\\\ civi ofli;\\ sisxliani xvela
\\\\ marcxena parkuWis mwvave ukmarisobis dros ZiriTadad rogori
xasiaTisaanaxveli:\\\ Cirqovani;\\\ sisxliania;\\ qafiani da
vardisferi;\\\ lorwovani da webovani;
\\\\ hipertenzia SeiZleba ganviTardes yvela qvemoT CamoTvlili
medikamentiTmkurnalobis fonze, garda erTisa:\\\ arasteroiduli
anTebis sawinaaRmdego preparatebi;\\\ kontraceptuli saSualebebi;\\\
kortikosteroidebi;\\ III jgufis antiariTmuli preparatebi
\\\\ renoparenqimuli arteriuli hipertenzia viTardeba yvela
qvemoTCamoTvlili daavadebis fonze, garda erTisa:\\\
glomerulonefriti;\\\ pielonefriti;\\\ intersticiuli nefriti;\\
Tirkmlis arteriebis aTerosklerozi;
\\\\ arteriuli hipertenzia gulisxmobs:\\\ mxolod sistoluri
wnevis matebas;\\\ mxolod diastoluri wnevis matebas;\\\ sistoluri
da diastoluri wnevebis erTdroulad matebas;\\ sisxlis sistoluri
da/an diastoluri wnevis matebas.
\\\\ esenciuri arteriuli hipertenziis risk-faqtorebia yvela
CamoTvlili,garda:\\\ nervul-fsiqikuri gadaZabva;
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\\\ genetikuri ganwyoba;\\\ araxelsayreli garemo pirobebi;\\
Tirkmlis parenqimis anTebiTi daavadebebi;\\\ sufris marilis Warbi
raodenobiT moxmareba.
\\\\ romeli garTulebebis ganviTarebis safuZvels ar warmoadgens
arteriulihipertenziis Semdgomi marcxena parkuWis hipertrofia:\\\
gulis kunTis iSemia;\\\ gulis ukmarisoba;\\\ sxvadasxva ariTmia;\\
koronaruli arteriebis stenozi da Trombozi;
\\\\ endokrinul hipertenziebs iwvevs yvela qvemoT CamoTvlili
daavadeba, garda:\\\ pirveladi aldosteronizmi;\\\ icenko-kuSingis
sindromi;\\\ feoqromocitoma;\\ Tirkmlis arteriis stenozi;\\\
akromegalia;
\\\\ ZiriTadad romel paTologias axasiaTebs arteriuli
hipertenziis krizulimimdinareoba:\\\ pirvelad reninizms;\\\
hiperTireozs;\\ feoqromocitomas;\\\ pirvelad aldosteronizms.
\\\\ romelia arteriuli hipertenziis mkurnalobisaTvis saukeTeso
Sardmdeni?\\ hipoTiazidi;\\\ laziqsi;\\\ veroSpironi;\\\ etakrinis
mJava.
\\\\ qvemoT CamoTvlili antiariTmuli preparatebis klasebidan
romeliamembranomastabilizebeli?\\ I klasis;\\\ II klasis;\\\ III
klasis;\\\ IV klasis;\\\ III da IV klasis.
\\\\ qvemoT CamoTvlilTagan romeli ekg cvlilebebi ar aris
damaxasiaTebelistenokardiisTvis;\\\ cvlilebebi yovelTvis ar
aRiniSneba;\\\ ST segmentis cdoma;\\\ iSemiuri T kbili;\\
paTologiuri Q kbili;\\\ uaryofiTi T kbili.
\\\\ romeli movlena ar aris damaxasiaTebeli dresleris
sindromisaTvis:\\\ perikarditi;\\\ plevriti;\\ peritoniti;\\\
pnevmonia;\\\ cxeleba.
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23
\\\\ romelia marcxena parkuWis naklovanebis
marjvenaparkuWovaninaklovanebisagan sadiferenciacio umTavresi
kriteriumi:\\\ RviZlis gadideba;\\ filtvebis SeSupeba;\\\
asciti;\\\ periferiuli SeSupeba
\\\\ romeli ekg niSnebi ar vlindeba mitraluri stenozis dros\\\
marjvena winagulis hipertrofiis niSnebi;\\ marcxena parkuWis
hipertrofiis niSnebi;\\\ marjvena parkuWis hipertrofiis niSnebi;\\\
marcxena winagulis hipertrofiis niSnebi;\\\ gulis eleqtruli RerZis
marjvniv gadaxra.
\\\\ romeli paTologia iwvevs mitraluri naklovanebis
ganviTarebasxandazmulebSi?\\\ revmatizmi;\\\ infeqciuri
endokarditi;\\\ mitraluri prolafsi;\\\ miokardiumis infarqti;\\
mitraluri sarqvlis kalcinozi.
\\\\ romeli daavadebis pirveli klinikuri gamovlineba SeiZleba
gaxdesqronikuli mocimcime ariTmia:\\\ gulis revmatuli dazianeba;\\\
arteriuli hipertenzia;\\ Tireotoqsikozi;\\\ filtvis qronikuli
daavadeba;\\\ mitraluri sarqvlis ararevmatuli genezis gamoxatuli
naklovaneba.
\\\\ miokardiumis infarqtis dros parkuWovani ariTmiis
aRmocenebisas “arCevis”preparatia:\\\ intravenuri amiodaroni
(kordaroni)\\ intravenuri lidokaini;\\\ intravenuri
novokainamidi;\\\ intravenuri propranololi.
\\\\ kardiogenuri Sokis klinikuri niSnebia yvela CamoTvlili,
garda erTisa:\\\ arteriuli wnevis daqveiTeva 80 mm.vwy.sv da
qveviT;\\\ kidurebis gaciveba;\\\ cianozi;\\ poliuria\\\ namiani
kanis safarveli;
\\\\ romel faqtorzea damokidebuli kardiogenuri Sokis ganviTareba
da simZime:\\\ miokardiumis infarqtis lokalizacia;\\\ avadmyofis
sqesi;\\ dazianebuli (nekrozuli) miokardiumis moculoba;\\\ am
garTulebis ganviTarebis vada;
\\\\ romelia miokardiumis infarqtis umwvaves stadiaSi sikvdilis
yvelaze xSirimizezi:\\ ariTmia;\\\ marcxena parkuWis gaskdoma;\\\
gulis SegubebiTi ukmarisoba;\\\ Soki;
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24
\\\ filtvebis SeSupeba.
\\\\ miokardiumis aratransmuruli infarqti diagnostirdeba Tu
ekg-zeaRiniSneba:1. T kbilis cvlilebebi; 2) ST segmentis
cvlilebebi; 3) R kbilisamplitudis daqveiTeba; 4) paTologiuri Q
kbili\\\ sworia yvela CamoTvlili;\\ sworia 1, 2;\\\ sworia 1, 3,
4.\\\ sworia 1, 2, 4.\\\ sworia 3, 4.
\\\\ rodis moismineba miokardiumis mwvave infarqtis
ganviTarebisas sistoluriSuili:\\\ anamnezSi revmatizmis
arsebobisas;\\ dvriliseburi kunTebis disfunqciiT ganpirobebuli
mitraluri sarqvlisnaklovanebis Sedegad;\\\ dvriliseburi kunTebis
disfunqciiT ganpirobebuli mitraluri xvrelisstenozis Sedegad;\\\
aortis sarqvlis meoradi naklovanebis Sedegad
\\\\ romelia daZabvis stenokardiis yvelaze mgrZnobiare
sadiagnostiko meTodi:\\\ 24 saaTiani ekg monitorireba;\\ dozirebuli
fizikuri datvirTvis sinji;\\\ farmakologiuri sinjebi;\\\ sicivis
sinji.
\\\\ winagulebis cimcimis kriteriumebia yvela qvemoT CamoTvlili,
gardaerTisa:\\ winagulebSi arsebuli erTi eqtopiuri kera aigzneba
maRali 350-650 imp/wTsixSiriT;\\\ QRS kompleqsis forma iseTivea,
rogorc regularuli kardiuli riTmisdros;\\\ cimcimis msxvili (F) an
wvrili (f) talRebi cvlian P kbilebs;\\\ parkuWebis reaqcia
ukiduresad araregularulia.
\\\\ frideriqsenis klasifikaciiT hiperlipoproteinrmiis romeli
tipiwarmoadgens yvelaze aTerogenuls?\\\ I, II, III\\\ I, III\\ II,
III\\\ IV, V
\\\\ 30 wlis qals aqvs mitraluri stenozi. orsulobis me-8 Tves
daewyofiltvebis SeSupebis epizodebi. ra saxis murnalobaa am dros
naCvenebi?\\\ sagule glikozidebi\\ saswrafo komisurotomia\\\
orsulobis Sewyveta\\\ woliTi reJimi mSobiarobamde
\\\\ ra warmoadgens mitraluri stenozis dros komisurotomiis
Cvenebas?\\\ gul-sisxlZarRvTa ukmarisoba\\ filtvis arteriis
hipertenzia\\\ grehem-stilis Suili\\\ mocimcime ariTmia
\\\\ ra warmoadgens mitraluri stenozis dros komisurotomiis
Cvenebas?
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25
\\\ gul-sisxlZarRvTa ukmarisoba\\ Tromboembolia\\\ grehem-stilis
Suili\\\ mocimcime ariTmia
\\\\ ra warmoadgens revmatuli mitraluri mankis dros
komisurotomiisukuCvenebas\\\ warsulSi gadatanili Tavis tvinis
sisxlZarRvis embolia\\\ stenozis III stadia (qirurgiuli
klasifikaciiT)\\ mitraluri sarqvlis naklovanebis siWarbe\\\ asaki
50 wels zeviT
\\\ romeli daavadebisTvisaa yvelaze metad damaxasiaTebeli
sistolur-diastoluri Suili marcxniv II-III neknTaSua areSi, romelic
aRiniSnebabavSvobidan:\\\ mitraluri manki\\\ parkuWTaSua Zgidis
defeqti\\\ aortis koarqtacia\\ Ria arteriuli sadinari
\\\\ romlia sikvdilis yvelaze xSiri mizezi infeqciuri
endokarditis dros?\\\ mioardiumis abscesi\\ gulis SegubebiTi
ukmarisoba\\\ Tavis tvinis sisxlZarRvTa Tromboembolia\\\
intoqsikacia
\\\\ romeli daavadebisTvisaa damaxasiaTebeli pulsuri talRis
swrafi aweva daSemdgomSi swrafi daweva?\\\ mitraluri stenozi\\\
mitraluri sarqvlis naklovaneba\\\ aortis stenozi\\ aortis sarqvlis
naklovaneba
\\\\ rasTan aris dakavSirebuli ekg-ze V1 ganxraSi P kbilis
pirveli dadebiTifaza?\\\ marcxena winagulis agznebasTan\\ marjvena
winagulis agznebasTan\\\ orive winagulis agznebasTan\\\ eleqtrodis
araswor dadebasTan
\\\\ ras asaxavs janmrTelebSi ekg-ze Q kbili?\\ winagulTaSua
Zgidis agznebas\\\ marjvena parkuWis agznebas\\\ marcxena parkuWis
gaaqtivebis dros\\\ parkuWebis eleqtrul sistolas
\\\\ romel ganxrebSi aris aucileblad Q kbili normalur ekg-ze?\\\
V1-V2\\\ V3\\ V5-V6\\\ aVF
\\\\ ekg romel ganxrebSi iTvleba paTologiad Tundac mcire
amplitudis Qkbilis gaCena\\ V1-V2\\\ V3
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\\\ aVR, I, II, III\\\ aVL
\\\\ gulis naadrevi SekumSvebis ra minimaluri raodenoba iTvleba
taqikardiisepizodad?\\\ 10-12\\\ 8 da meti\\ 6 da meti\\\ 2 da
meti
\\\\ ramden Tanmimdevrul eqstrasistolas ewodeba `jgufuri~?\\\
1-3\\ 3-5\\\ 5-7\\\ 7-10
\\\\ 27 w mamakacs aReniSneba arteriuli hipertenzia; pulsi
meryeobs 85-90dartyma wuTSi, art. wneva 145/95 – 175/105 mmvwysv.
sxva sistemebis mxrivcvlilebebi ar aris. romelia arCevis preparati
am SemTxvevaSi?\\\ kalciumis antagonistebi\\ beta-blokerebi\\\ agf
inhibitorebi\\\ Sardmdenebi
\\\\ 42 wlis mitraluri mankiT avadmyofs ganuviTarda xSiri
winagulovanieqstrasistoluri ariTmia. rogori prognozi aqvs
avadmyofs?\\\ gulis ukmarisobis ganviTareba\\ mocimcime ariTmiis
ganviTareba\\\ koronaruli naklovaneba\\\ Tromboembolia
\\\\ CamoTvlilTagan romeli debuleba axasiaTebs yvelaze ukeT
aortissarqvlis naklovanebas?\\\ mwvaved ganviTarebuli aortis
naklovanebis dros mniSvnelovnad matulobsdartymiTi moculoba mravali
fizikaluri monacemis ganviTarebiT\\\ ZiriTadi kompensaciuri
meqanizmia marcxena parkuWis koncentrulihipertrofia\\\ mberavi
diastoluri Suili ukeT moismineba mwoliare mdebareobaSi\\ flintis
Suilis arseboba zomier an mZime naklovanebaze miuTiTebs\\\ kvinkes
pulsi ukeTesadaa gamoxatuli barZayis arteriaze
\\\\ 40 wlis zeviT gulis ukmarisobiT avadmyofebSi romelia
yvelazemniSvnelovani fizikaluri niSani?\\ gulis III toni\\\ gulis
IV toni\\\ filtvebSi xixini\\\ asciti\\\ SeSupeba
\\\\ CamoTvlilTagan romeli mosazreba axasiaTebs yvelaze ukeT
samkarianisarqvlis naklovanebas?\\\ Suilis intensioba mcirdeba
CasunTqvaze\\ xSirad axlavs infeqciuri endokarditi\\\ Tanmxlebi
marcxena parkuWis ukmarisobis koreqcia iSviaTad
aumjobesebsavadmyofis mdgomareobas\\\ diagnostikisTvis aucilebelia
gulis kaTeterizacia
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27
\\\\ romeli paTofiziologiuri anomalia axasiaTebs mitralur
stenozs?\\\ marcxena parkuWis avsebis gazrda\\ marcxena winagulSi
wnevis momateba\\\ gulis dartymiTi moculobis gazrda\\\ marjvena
parkuWSi wnevis daqveiTeba
\\\\ CamoTvlilTagan, romelia kardiomiopaTiis ganviTarebis
yvelaze xSirimizezi?\\\ endokrinopaTiebi\\\ metaboluri darRvevebi\\
qronikuli alkoholizmi\\\ doqsorubicinis didi dozebiT mkurnaloba
\\\\ ra SemTxvevaSi mcirdeba sistoluri Suili hipertrofiuli
kardiomiopaTiisdros?\\\ valsalvis cdis Catarebisas\\ wolisas\\\
fexze dgomisas\\\ sagule glikozidis miRebisas
\\\\ 35 wlis qali uCivis tkivils gulis areSi, romelic grZeldeba
5-10 wT,viTardeba mosvenebis mdgomareobaSi, xan datvirTvaze. Zlieri
fizikuridatvirTvis dros hqonda gonebis dakargvis epizodi.
Aarteriuli wnevaa 120/70mm vwy sv, pulsi 70 wT-Si. Ggulis saZgeri
gaZlierebulia, mkerdis Zvlismarcxena kidis gaswvriv moismineba
sistoluri Suili.Eekg-ze T kbilebis da STsegmentis araspecifikuri
cvlilebebia. romelia yvelaze Sesaferisisamkurnalo saSualeba?\\\
saswrafo qirurgiuli Careva\\ beta-blokerebi\\\ sagule
glikozidebi\\\ vazodilatatorebi
\\\\ romeli daxasiaTeba Seesabameba miokardiumis infarqtis dros
ganviTarebultkivils?\\\ intensiuri tkivili mkerdis Zvlis ukan,
romelic mcirdeba mjdomare, wingadaxril mdgomareobaSi\\ umetesad
viTardeba dilis saaTebSi, Zlieria, moWeriTi xasiaTis,
grZeldeba>30wT, aqvs iradiaciis farTo zona.\\\ lokalizebulia
gulmkerdis Sua nawilSi, intensiuri, mWreli xasiaTis,Zlierdeba
ylapvisas\\\ viTardeba TandaTan fizikur datvirTvaze, lokalizebulia
mkerdis Zvlisukan, grZeldeba 1-15wT da qreba nitroglicerinis
miRebidan 1-2wT-Si
\\\\ romeli daavadebisTvisaa damaxasiaTebeli Semawuxebeli xvela,
romelicviTardeba upiratesad RamiT, horizontalur mdebareobaSi
yofnisas?\\\ filtvis atreriis Tromboembolia\\\ filtvebis alveoluri
SeSupeba\\ mitraluri stenozi\\\ aortis sarqvlis naklovaneba
\\\\ romeli niSani ar axasiaTebs stenokardias?\\ pacienti
aforiaqebulia da adgils ver poulobs tkivilis gamo\\\ tkivili
viTardeba fizikur datvirTvaze\\\ tkivili lokalizebulia mkerdis
Zvlis ukan\\\ tkivilis kupireba xdeba nitrogliceriniT
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\\\\ romeli niSani ar axasiaTebs marjvena parkuWis qronikul
ukmarisobas?\\\ umadoba, gulisreva\\\ simZime marjvena ferdqveSa
areSi\\\ fexebis SeSupeba\\\ asciti\\ sisxliani xvela fizikur
datvirTvaze
\\\\ ra ar ganapirobebs gonebis dakargvas miokardiumis infarqtis
dros?\\\ gulis dartymiTi moculobis daqveiTeba didi infarqtis
gamo\\\ parkuWovani taqikardiis ganviTareba\\\ bradiaritmiis
ganviTareba\\ marcxena parkuWis baroreceptorebis gaRizianeba
\\\\ romelia ZiriTadi Civili sisxlis mimoqcevis mcire wreSi
Segubebis dros?\\\ Tavis tkivili\\ qoSini\\\ SeSupeba\\\ simZime
marjvena ferdqveSa areSi
\\\\ romeli daavadebis simptomebia simZime marjvena ferdqveSa
areSi, muclisTandaTanobiTi zrda siTxis dagrovebis gamo?\\\ marjvena
parkuWis mwvave ukmarisoba\\ marjvena parkuWis qronikuli
ukmarisoba\\\ marcxena parkuWis mwvave ukmarisoba\\\ marcxena
parkuWis qronikuli ukmarisoba
\\\\ romelia marcxena parkuWis mwvave ukmarisobis ZiriTadi
niSani?\\\ saerTo sisuste\\\ fexebis SeSupeba\\\ asciti\\ kardiuli
asTma
\\\\ CamoTvlilTagan romeli cvlileba ar axasiaTebs aortis
sarqvlisnaklovanebas?\\\ miuses simptomi\\\ gulis SedarebiTi
moyruebis marcxena sazRvris gadideba\\ dabali sistoluri wneva\\\
didi pulsuri wneva
\\\\ romeli daavadebis mqone pacientebi ikaveben iZulebiT
mjdomare mdebareobaswin gadaxriT?\\\ mitraluri stenozi\\\ mitraluri
naklovaneba\\ mSrali perikarditi\\\ aortis naklovaneba
\\\\ romeli daavadebis dros aRiniSneba sxeulis temperaturis
momateba?\\\ kardiomiopaTia\\\ stenokardia\\ infeqciuri
endokarditi\\\ Ria arteriuli sadinari
\\\\ risi Semcirebis xarjze aumjobesebs subieqtur mdgomareobas
orTopnoe?\\\ gulis areSi tkivilis\\\ Tavis tkivilis
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\\ qoSinis\\\ fexebis SeSupebis
\\\\ romeli daavadebis dros aRiniSneba pulsacia saZile
arteriebze?\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\ aortis
naklovaneba\\\ aortis stenozi
\\\\ romeli daavadebis dros aRiniSneba gulis mwvervalze
diastoluri katiskrutuni?\\\ aortis stenozi\\ mitraluri stenozi\\\
samkariani sarqvlis stenozi\\\ filtvis arteriis stenozi
\\\\ romeli daavadebis dros aRiniSneba marjvniv II neknTaSua
areSi sistolurikatis krutuni?\\ aortis stenozi\\\ mitraluri
stenozi\\\ samkariani sarqvlis stenozi\\\ aortis naklovaneba
\\\\ romeli midamos pulsacia Seesabameba gulis saZgers?\\\
mwvervalis\\\ marjvniv II neknTaSua are\\ marcxniv 3-4 neknTaSua
are\\\ marcxniv II neknTaSua are
\\\\ romeli daavadebis dros xdeba gulis saZgeris marcxniv da
qvemoTgadanacvleba?\\\ aortis stenozi\\ aortis naklovaneba\\\
miokardiumis infarqti\\\ miokarditi
\\\\ ra aris damaxasiaTebeli gulismieri SeSupebisTvis?\\\
viTardeba saxis areSi\\\ viTardeba erTi koWis areSi da axlavs
cianozi\\ dRis bolos viTardeba koWebis areSi\\\ viTardeba Tvalebis
areSi
\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis SedarebiTi
moyruebissazRvrebi: marjvena – mkerdis Zvlis marjvena kididan 3
sm-iT gareT, marcxena –marcxena laviwSua xazidan 1 sm-iT SigniT,
zeda – II neknis zeda kide:\\\ mitraluri stenozi\\\ mitraluri
naklovaneba\\ samkariani sarqvlis naklovaneba\\\ aortuli
mankebi
\\\\ CamoTvlilTagan, romeli zrdis gulis absoluturi moyruebis
sazRvrebs?\\ marjvena parkuWis dilatacia\\\ marcxena parkuWis
dilatacia\\\ marcxena winagulis dilatacia\\\ marjvena winagulis
dilatacia
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30
\\\\ riTia ganpirobebuli gulis marcxena sazRvris marcxniv
gadanacvleba?\\\ marcxena winagulis hipertrofiiT\\\ marjvena
winagulis hipertrofiiT\\\ marjvena winagulis dilataciiT\\ marcxena
parkuWis dilataciiT
\\\\ romeli daavadebisTvis araa damaxasiaTebeli marjvena
parkuWishipertrofia?\\\ mitraluri stenozi\\ samkariani sarqvlis
stenozi\\\ qronikuli filtvismieri guli\\\ filtvis arteriis
stenozi
\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis SedarebiTi
moyruebissazRvrebi: marjvena – mkerdis Zvlis marjvena kididan 1
sm-iT gareT, marcxena –wina aqsilaruli xazi, zeda – II neknis zeda
kide:\\\ mitraluri stenozi\\\ mitraluri naklovaneba\\\ samkariani
sarqvlis naklovaneba\\ aortuli mankebi
\\\\ romeli paTologiis dros moismineba mitraluri sarqvlis
gaRebis xmianoba?\\\ mitraluri naklovaneba\\ mitraluri stenozi\\\
marcxena parkuWis hipertrofia\\\ marcxena parkuWis dilatacia
\\\\ ra ar monawileobs gulis II tonis warmoqmnaSi?\\\ aortis
sarqvlebis daxurva\\\ filtvis arteriis sarqvlebis daxurva\\\
diastolis dasawyisSi aortis kedlebis rxeva\\\ diastolis dasawyisSi
filtvis arteriis kedlebis rxeva\\ mitraluri sarqvlis daxurva
\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli filtvis
arteriaze IItonis aqcenti?\\\ mitraluri stenozi\\\ mitraluri
naklovaneba\\\ qronikuli filtvismieri guli\\ arteriuli
hipertenzia\\\ filtvebis emfizema
\\\\ romeli komponenti ar monawileobs gulis I tonis
warmoqmnaSi?\\\ sarqvlovani\\\ kunTovani\\\ sisxlZarRvovani\\
reologiuri
\\\\ ra formisaa Suili mitraluri stenozis dros?\\\ klebadi\\\
mzardi\\ mzardi-klebadi (rombiseburi)\\\ lentiseburi
\\\\ romeli niSani ar vlindeba aortis stenozis dros?\\ I tonis
Sesusteba aortaze
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\\\ uxeSi sistoluri Suili aortaze\\\ Suilis gatareba saZile
arteriebze\\\ traubes ormagi toni\\\ II tonis Sesusteba aortaze
\\\\ CamoTvlilTagan romeli niSania damaxasiaTebeli mitraluri
stenozisTvis?\\ tkacuna I toni mwvervalze\\\ II tonis aqcenti
aortaze\\\ sistoluri Suili mwvervalze\\\ maRali da Zlieri pulsi
\\\\ ra moismineba mitraluri naklovanebis dros?\\\ tkacuna I
toni mwvervalze\\ Sesustebuli I toni mwvervalze\\\ mitraluri
sarqvlis gaRebis xmianoba\\\ II tonis aqcenti aortaze
\\\\ romeli mankis dros aRiniSneba traubes ormagi toni?\\\
mitraluri naklovaneba\\\ mitraluri stenozi\\ aortis naklovaneba\\\
aortis stenozi\\\ samkariani sarqvlis naklovaneba
\\\\ ra ar Sedis gulis I tonis warmoqmnis meqanizmSi?\\\
mitraluri sarqvlis daxurva\\\ samkariani sarqvlis daxurva\\\
parkuWebis miokardiumis daZabva\\\ magistralur sisxlZarRvebSi
sissxlis gadasvla\\ aortis sarqvlebis daxurva
\\\\ romeli mankis dros tardeba Suili saZile arteriebze?\\\
mitraluri stenozi\\\ filtvis arteriis stenozi\\ aortis stenozi\\\
aortis naklovaneba\\\ samkariani sarqvlis naklovaneba
\\\\ romeli daavadebis dros moismineba galopis protodiastoluri
Suili?\\\ arteriuli hipertenziis II stadia\\ aortis stenozi\\\
mitraluri stenozi\\\ aortis naklovaneba\\\ gulis postinfarqtuli
anevrizma
\\\\ romeli niSani ar aris damaxasiaTebeli filtvis
arteriisTromboemboliisTvis?\\\ kisris venebis daberva\\\ Wenebis
ritmi\\\ sisxlis hiperkoagulacia\\ marcxena parkuWis dilatacia
\\\\ romeli daavadeba ar iwvevs filtvebis SeSupebis
ganviTarebas?\\\ mitraluri stenozi\\\ miokardiumis infarqti\\\
mitraluri naklovaneba
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\\ filtvis arteriis Tromboembolia\\\ hipertonuli krizi
\\\\ romeli cvlileba viTardeba filtvismieri gulis dros?\\\
pulsacia mkerdis Zvlis marcxniv II neknTaSua areSi\\ gulis
absoluturi moyruebis sazRvrebis gadideba\\\ I tonis Sesusteba IV
mosasmen wertilSi\\\ II tonis aqcenti aortaze
\\\\ miokardiumis mwvave infarqtis dros ekg romeli cvlileba
Seesabamebanekrozis zonas?\\\ ST segmentis depresia\\\ ST
segmentiscelevacia\\\ Rrma uaryofiTi T kbili\\ Rrma farTo Q
kbili\\\ R kbilis amplitudes Semcireba
\\\\ romeli cvlileba ar Seesabameba arteriuli hipertenziis III
stadias?\\\ gulis qronikuli ukmarisoba\\\ Tirkmlebis qronikuli
ukmarisoba\\\ Tavis tvinis sisxlis mimoqcevis mwvave moSla\\
sisxlSi qolesterinis da lipoproteinebis donis momateba
\\\\ romeli cvlileba ar axasiTebs aortis sarqvlebis
naklovanebas?\\\ maRali pulsuri wneva\\\ gulis saZgeris marcxniv da
qveviT gadanacvleba\\\ karotidebis cekva\\ dabali sistoluri
wneva\\\ miuses simptomi
\\\\ romeli niSani ar axasiaTebs samkariani sarqvlis
naklovanebas?\\\ sistoluri Suili IV mosasmen wertilSi\\\ dadebiTi
venuri pulsi\\\ I tonis Sesusteba sarqvlis proeqciaze\\ gulis
SedarebiTi moyruebis marcxena sazRvris gadanacvleba gareT
\\\\ sisxlis romeli cvlileba ar aris damaxasiaTebeli
miokardiumisinfarqtisTvis?\\\ CK-MB fraqciis momateba\\\
leikocitebis raodenobis TandaTanobiT Semcireba\\ leikocitebis
raodenobis TandaTanobiT gazrda\\\ eds-is TandaTanobiT mateba
\\\\ romeli cvlileba axasiaTebs aortis sarqvlebis
naklovanebas?\\\ I tonis gaZliereba mwvervalze\\\ gulis eleqtruli
RerZis vertikaluri mdebareoba\\\ gulis trapeciuli konfiguracia\\\
kanis da lorwovanebis cianozi\\ sistoluri wnevis momateba
\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli mocimcime
aritmia?\\\ mitraluri stenozi\\\ miokardiumis infarqti\\ aortis
naklovaneba\\\ Tireotoqsikozi
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\\\\ romeli cvlileba vlindeba aortis naklovanebis dros?\\\ gulis
trapeciuli konfiguracia\\\ susti da neli pulsi\\ didi pulsuri
wneva\\\ grehem-stilis Suili
\\\\ romeli cvlileba ar viTardeba filtvismieri gulis dros?\\\
pulsacia mkerdis Zvlis marcxniv II neknTaSua areSi\\ II tonis
aqcenti aortaze\\\ gulsi absoluturi moyruebis zonis gadideba\\\ I
tonis Sesusteba IV mosasmen wertilSi
\\\\ romeli daavadebisTvis ar aris damaxasiaTebeli marjvena
parkuWishipertrofia?\\\ mitraluri stenozi\\\ samkariani sarqvlis
naklovaneba\\ samkariani sarqvlis stenozi\\\ qronikuli filtvismieri
guli\\\ filtvis arteriis stenozi
\\\\ romeli cvlileba ar aris damaxasiaTebeli arteriuli
hipertenziis IIstadiisTvis\\\ marcxena parkuWis hipertrofia\\\
mikroalbuminuria\\\ aortis da saZile arteriebis aTerosklerozi\\
Tirkmlebis qronikuli ukmarisoba\\\ baduras sisxlZarRvebis
Seviwroveba
\\\\ xandazmul pacients aReniSneba gonebis dabindva, difuzuri
cianozi, qoSini,arteriuli wnevis daqveiTeba. awuxebs qvemo
kidurebis venebis varikozi. rapaTologia SeiZleba vivaraudoT?\\
filtvis arteriis Tromboembolia\\\ miokardiumis infarqti\\\
perikarditi\\\ orTostatikuri hipotenzia
\\\\ romelia marjvena parkuWis mwvave ukmarisobis mizezi?\\
filtvis arteriis Tromboembolia\\\ mitraluri stenozi\\\ filtvis
arteriis sarqvlebis naklovaneba\\\ marcxena parkuWis miokardiumis
infarqti
\\\\ romeli niSani ar axasiaTebs aortis naklovanebas?\\\
karotidebis cekva\\ pulsuri wnevis Semcireba\\\ miuses simptomi\\\
diurozies ormagi Suili\\\ marcxena parkuWis dilatacia
\\\\ romel laboratoriul maCvenebels ar aqvs mniSvneloba
revmatizmisdiagnostikaSi?\\\ leikocitozi formulis marcxniv
gadaxriT\\\ eds-is momateba\\\ antistreptolizin-0 titris zrda\\
troponinis momateba
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34
\\\\ romeli cvlileba ar aRiniSneba arteriuli hipertenziis
dros?\\\ daWimuli pulsi\\\ II tonis aqcenti aortaze\\\ gulis
SedarebiTi moyruebis marcxena sazRvris gadideba\\ Rrma S kbili I
standartul ganxraSi\\\ R kbili ufro maRalia V5 da V6 ganxrebSi,
vidre V4-Si
\\\\ romeli daavadebisTvisaa damaxasiaTebeli susti avsebis xSiri
pulsi –Zafiseburi pulsi?\\ aortis stenozi\\\ arteriuli
hipertenzia\\\ mitraluri stenozi\\\ mitraluri naklovaneba
\\\\ romeli kompensatoruli meqanizmi ar aris wamyvani gulis
ukmarisobissimptomokompleqis Camoyalbebis dros?\\\
simpatikur-adrenalinuri sistemis gaaqtiveba\\\ gulis hipertrofia\\\
gulis Rruebis dilatacia\\ dartymiTi moculobis Semcireba
\\\\ roca gulis qronikuli ukmarisoba ar eqvemdebareba sagule
glikozidebiT,agf-inhibitorebiT, SardmdenebiT mkurnalobas da
saWiroebs damatebiTsamkurnalo RonisZiebebs, romel formasTan gvaqvs
saqme?\\\ gulis SegubebiT ukmarisobasTan\\\ farul anu latentur
ukmarisobasTan\\ refraqterul ukmarisobasTan\\\ gulis ukmarisobis
III funqciur klasTan
\\\\ Tvalis fskeris romel cvlilebebs aRniSnavs salusis
simptomi?\\ arteriolebis Seviwrovebas da venebis gafarTovebas\\\
arteriolebis da venebis gafarTovebas\\\ arteriolebis gafarTovebas
da venebis Seviwrovebas\\\ arteriolebis da venebis Seviwrovebas
\\\\ sad mdebareobs sinusis kvanZi?\\ zemo Rru venis marjvena
winagulTan SeerTebis adgilas\\\ qvemo Rru venis marjvena winagulTan
SeerTebis adgilas\\\ marjvena winagulSi samkariani sarqvlis
afrastan\\\ marcxena winagulSi orkarian sarqvelTan
\\\\ ariTmiebis klasifikaciis mixedviT ra aris parasistoliis
ganviTarebismeqanizmi?\\\ trigeruli aqtiuroba\\\ paTologiuri
avtomatizmi\\ impulsis warmoqmnis da gatarebis erTdrouli
darRveva\\\ Reentry
\\\\ botalos Ria sadinris arsebobisas aorta ukavSirdeba:\\
filtvis arterias\\\ zemo Rru venas\\\ qvemo Rru venas\\\ filtvis
venas
\\\\ romelia uaryofiTi kbili normalur ekg-ze?
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35
\\\ P\\\ R\\ Q\\\ T
\\\\ rodis registrirdeba ekg-ze QRS kompleqsi\\\ winagulebis
agznebis dros\\\ impulsis gatarebisas winagulebidan av kvanZamde\\
parkuWebis agznebisas\\\ parkuWTaSua Zgidis agznebisas
\\\\ rodis registrirdeba ekg-ze P kbili?\\ winagulebis agznebis
dros\\\ impulsis gatarebisas winagulebidan av kvanZamde\\\
parkuWebis agznebisas\\\ parkuWTaSua Zgidis agznebisas
\\\\ ras Seesabameba ekg-ze PQ intervali?\\\ winagulebis
agznebas\\ impulsis gatarebas winagulebidan av kvanZamde\\\
parkuWebis agznebas\\\ parkuWTaSua Zgidis agznebas
\\\\ romeli ekg cvlileba ar Seesabameba supraventrikulur
taqikardias?\\\ QRS≤0.11wm\\\ P kbili dadebiTia an orfaziani\\ PQ
intervali gaxangrZlivebulia\\\ R-R intervalebi Tanabaria
\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros,
fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave
respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi
sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni
Sesustebulia, gulis mTelzedapirze ismis Suili. pulsi aritmuli, 110
wT-Si, art. wneva 110/70 mmvwysv,RviZli gamodis neknTa rkalidan 5
sm-iT. sisxlSi zomieri leikocitozi, eds 33mm/sT. C reaqtiuli cila
dadebiTi. daasaxeleT gulis gadidebis savaraudomizezi\\\
hipertrofiuli kardiomiopaTia\\\ dilataciuri kardiomiopaTia\\
infeqciuri miokarditi\\\ revmatuli mitraluri manki
\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros,
fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave
respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi
sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni
Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi
aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis
neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT.
C reaqtiuli cila dadebiTi. daasaxeleT gulisukmarisobis mizezi\\\
gulis hemodinamikuri gadatvirTva wneviT\\\ gulis hemodinamikuri
gadatvirTva moculobiT\\\ parkuWebis diastoluri avsebis darRveva\\
miokardiumis kumSvadobis daqveiTeba
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36
\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros,
fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave
respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi
sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni
Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi
aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis
neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT.
C reaqtiuli cila dadebiTi. SardSi cila 0.033g/l,2-4 leikociti,
eriTrocitebi – erTeuli. romeli monacemi ar gexmarebaTmiokarditis
diagnostikaSi\\\ daavadebis simptomebis ganviTareba mwvave
respiratoruli virusuliinfeqciis gadatanis Semdeg\\\ gulis
sazRvrebis gardigardmo gadideba\\\ Sesustebuli I toni, sistoluri
Suili yvela mosasmen wertilSi\\ SardSi cvlilebebi
\\\\ 38 wlis mamakaci uCivis qoSins neli tempiT siarulis dros,
fexebisSeSupebas, saerTo sisustes. avadaa 1 Tve mwvave
respiratoruli virusuliinfeqciis gadatanis Semdeg. filtvebSi mkvrivi
sunTqva, gulis sazRvrebigardigardmo gadidebulia. mwvervalze I toni
Sesustebulia, yvela mosasmenwertilSi sistoluri Suili. pulsi
aritmuli, 110 wT-Si, art. wneva 110/70mmvwysv, RviZli gamodis
neknTa rkalidan 5 sm-iT. sisxlSi zomierileikocitozi, eds 33 mm/sT.
C reaqtiuli cila dadebiTi. romeli preparatebisdaniSvnaa naklebad
efeqturi am dros\\\ Sardmdenebi\\ sagule glikozidebi\\\ periferiuli
vazodilatatorebi\\\ steroiduli hormonebi
\\\\ 17 wlis mamakaci uCivis yru da damwol tkivils gulis areSi,
gulis ritmisdarRvevas. 1 kviris win hqonda cxeleba 37.7°C, daewyo
tkivili gulis areSi.gasinjviT: mkerdis Zvlis marcxniv IV neknTaSua
areSi moismineba sistoluriSuili, gulis tonebi moyruebuli, moisineba
perikardiumis xaxuni. pulsi 90 wT-Si, erTeuli eqstrasistola.
sisxlSi leikocitozi da eds-is aCqareba, Creaqtiuli cila dadebiTi.
savaraudo diagnozia:\\\ mwvave ararevmatuli miokarditi\\\ mwvave
pnevmonia\\ mwvave perikarditi\\\ mwvave plevriti
\\\\ 17 wlis mamakaci uCivis yru da damwoli tkivils gulis areSi,
gulisritmis darRvevas. 1 kviris win hqonda cxeleba 37.7°C, rasac
mohyva tkiviligulis areSi. gasinjviT: mkerdis Zvlis marcxniv IV
neknTaSua areSi moisminebasistoluri Suili, gulis tonebi moyruebuli,
moisineba perikardiumis xaxuni.pulsi 90 wT-Si, erTeuli
eqstrasistola. sisxlSi leikocitozi da eds-isaCqareba, C reaqtiuli
cila dadebiTi. ekg-ze aRiniSneba ST segmentis elevaciastandartul
ganxrebSi. romeli klinikuri niSani ar miuTiTebs
perikarditisdiagnozze?\\\ tkivili gulis areSi\\\ ekg cvlilebebi\\\
dadebiTi C reaqtiuli cila, leikocitozi da eds-is aCqareba\\ erTeuli
eqstrasistola
\\\\ 17 wlis mamakaci uCivis yru da damwoli tkivils gulis areSi,
gulisritmis darRvevas. 1 kviris win hqonda cxeleba 37.7°C, rasac
mohyva tkiviligulis areSi. gasinjviT: mkerdis Zvlis marcxniv IV
neknTaSua areSi moismineba
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37
sistoluri Suili, gulis tonebi moyruebuli, moisineba
perikardiumis xaxuni.pulsi 90 wT-Si, erTeuli eqstrasistola. sisxlSi
leikocitozi da eds-isaCqareba, C reaqtiuli cila dadebiTi. romel
gamokvlevas ar CautarebTpacients?\\\ eqokardioskopia\\\ ekg\\\
sisxlSi CK-MB da troponinis gansazRvra\\ perikardiumis punqcia
\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic
viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis
asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis
dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari,
tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis
Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile
arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv.
daasaxeleT savaraudo diagnozi:\\\ gid, daZabvis stenokardia\\\
arteriuli hipertenzia\\ hipertrofiuli kardiomiopaTia\\\
winagulTaSua Zgidis defeqti
\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic
viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis
asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis
dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari,
tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis
Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile
arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv.
romelia gonebis dakargvis mizezi?\\\ arteriuli wnevis mkveTri
momateba\\ gulis dartymiTi moculobis uecari daqveiTeba\\\ filtvis
arteriaSi wnevis mwvave momateba\\\ stenokardiis Seteva
\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic
viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis
asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis
dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari,
tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis
Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile
arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv.
ra aris Suilis mizezi?\\\ aortis sarqvlis organuli dazianeba\\\
mitraluri sarqvlis organuli dazianeba\\\ sisxlis mimoqcevis
hiperkinetikuli mdgomareoba\\ marcxena parkuWis gamomtani traqtis
obstruqcia
\\\\ 41 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, romelic
viTardebafizikur datvirTvaze da ixsneba nitrogliceriniT. 16 wlis
asakSiaReniSneboda Suili gulis areSi. erTi Tvis win hqonda gonebis
dakargvisepizodi. gasinjviT gadidebulia gulis marcxena sazRvari,
tonebi moyruebuli,botkinis wertilSi da II neknTaSua areSi mkerdis
Zvlis marjvniv moisminebauxeSi sistoluri Suili, romelic saZile
arteriebze ar tardeba. pulsi 82 wT-Si, art. wneva 120/80 mmvwysv.
ra cvlileba ar iqneba eqokardiografiulad?\\\ doplereqokardiografiiT
marcxena parkuWis gamomtan nawilSi aRiniSnebaturbulenturi sistoluri
nakadi\\\ marcxena parkuWis kedlebis da Zgidis zeda naxevris
gasqeleba
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38
\\\ diastolis fazaSi mitraluri sarqvlis wina karedis Sexeba
ZgidesTandiastolaSi\\ aortis sarqvlebis deformacia, maTi moZraobis
darRveva
\\\\ miokadiumis infarqtis romel lokalizacias asaxavs
paTologiuri Q kbilisarseboba I, aVL, V1-V6 ganxrebSi\\ wina
gavrcelebuls\\\ ukana kedlis\\\ septalurs\\\ mwvervalis
\\\\ CamoTvlili cvlilebebidan romelia damaxasiaTebeli
atrioventrikuluriblokadisTvis\\\ QRS kompleqsis gafarToveba\\\ QT
intervalis gaxangrZliveba\\ PQ intervalis gaxangrZliveba\\\ R
kbilis deformacia
\\\\ CamoTvlilTagan romeli simptomi ar axasiaTebs aortis
stenozs\\\ stenokardia\\\ sinkope\\\ gulis ukmarisoba\\\
Tavbrusxveva\\ arteriuli hipertenzia
\\\\ CamoTvlilTagan ra ar aris damaxasiaTebeli mitraluri
stenozisTvis\\ sistoluri Suili\\\ diastoluri Suili\\\ marcxena
winagulis dilatacia\\\ tkacuna I toni
\\\\ ra SemTxvevaSi viTardeba yvelaze xSirad bigeminiis tipis
parkuWovanieqstrasistolia\\\ mitraluri stenozi\\ glikoziduri
intoqsikacia\\\ stenokardia\\\ arteriuli hipertenzia
\\\\ hipertenziiT avadmyofebSi sikvdilobis uxSires mizezs
warmoadgens yvelaCamoTvlili, garda erTisa\\\ Tavis tvinis insulti\\
nawlavis infarqti\\\ Tirkmelebis ukmarisoba\\\ miokardiumis
infarqti\\\ gulis SegubebiTi ukmarisoba
\\\\ ra axasiaTebs mitraluri sarqvlis prolafss\\\ xSirad
avadmyofoben mamakacebi\\ gviani sistoluri Suili\\\ ekg-ze
specifikuri cvlilebebi\\\ saWiroebs infeqciuri endokarditis
profilaqtikas
\\\\ romeli daavadebis dros ar aris mizanSewonili postdatvirTvis
Semcireba\\\ aortis naklovaneba\\\ arteriuli hipertenzia
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39
\\\ gulis ukmarisoba\\ subaortuli stenozi
\\\\ Zlieri tkivili mkerdis Zvlis ukan da perikardiumis xaxuni
rapaTologiaze migvaniSnebs\\\ gul-mkerdis travma\\ transmuruli
infarqti\\\ aortis ganSrevebadi anevrizma\\\ miokardiumis infarqti
Q kbils gareSe
\\\\ romeli daavadebisTvisaa damaxasiaTebeli gulis sarqvlebis
dazianebasubfebriluri temperaturiT, eds-is momatebiT da
TromboemboliiT\\\ miokarditi\\\ perikarditi\\ infeqciuri
endokarditi\\\ revmatizmi
\\\\ romeli niSania damaxasiaTebeli dilataciuri
kardiomiopaTiisTvis\\\ diastoluri Suili filtvis arteriaze\\\
tkacuna I toni\\ Wenebis ritmi\\\ mwvervalze diastoluri Suili
\\\\ ra lokalizaciis infarqtze miuTiTebs paTologiuri Q kbilis
arseboba IIIda aVF ganxrebSi\\\ wina gavrcelebuli\\ ukana kedlis\\\
septaluri\\\ mwvervalis
\\\\ romeli daavadebisTvisaa damaxasiaTebeli swrafi `mxtunavi~
pulsi(koriganis pulsi)\\\ mitraluri stenozi\\\ mitraluri
naklovaneba\\ aortis naklovaneba\\\ aortis stenozi\\\ aortis
koarqtacia
\\\\ gulis wuTmoculobis gasaumjobeseblad postdatvirTvis
SemcirebamizanSewonilia yvela daavadebis dros, garda erTisa\\\
miokardiumis mwvave infarqti hipertenziiT\\\ aortis sarqvlebis
naklovaneba\\\ hipertonuli krizi\\ mitraluri stenozi
\\\\ 59 wlis mamakacs awuxebs Zlieri SeteviTi, Sereuli xasiaTis
qoSini, gulisfriali. obieqturad imyofeba iZulebiT mjdomare
mdgomareobaSi, mkveTricianozi, sunTqva zerele, 32 wuTSi, filtvebSi
qvemo wilebSi moisminebamravlobiTi sveli xixini, gulis tonebi
Sesustebuli, 126 wT-Si, arteriuliwneva 150/90 mmvwysv. daasaxeleT
am mdgomareobis mizezi\\\ bronquli asTma\\ marcxena parkuWis mwvave
ukmarisoba\\\ marjvena parkuWis qronikuli ukmarisoba\\\ arteriuli
hipertenziis sindromi
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40
\\\\ 59 wlis mamakacs awuxebs Zlieri SeteviTi, Sereuli xasiaTis
qoSini, gulisfriali. obieqturad imyofeba iZulebiT mjdomare
mdgomareobaSi, mkveTricianozi, sunTqva zerele, 32 wuTSi, filtvebSi
qvemo wilebSi moisminebamravlobiTi sveli xixini, gulis tonebi
Sesustebuli, 126 wT-Si, arteriuliwneva 150/90 mmvwysv. ra preparats
gamoiyenebT am SemTxvevaSi?\\\ sagule glikozids\\\ beta-blokers\\
Sardmdens\\\ agf-inhibitors
\\\\ 50 wlis qali Semovida intensiuli Terapiis ganyofilebaSi
CiviliTtkivilze gulis areSi, romelic grZeldeba 2 saaTis
ganmavlobaSi. ekg-zemiokardiumis ukana kedlis mwvave infarqti da
eqstrasistoluri aritmiaa.filtvebSi sveli xixini qveda wilebSi.
CamoTvlilTagan romeli preparatebisgamoyeneba ar aris
mizanSewonili\\\ intravenurad heparini\\\ intravenurad lidokaini\\\
morfini\\ digoqsini
\\\\ romeli daavadebis dros aris mocimcime aritmiis ganviTarebis
naklebialbaToba\\\ koronaruli arteriebis aTerosklerozi\\\
Tireotoqsikozi\\ bikuspiduri aortis sarqvlis naklovaneba\\\
mitraluri stenozi\\\ arteriuli hipertenzia
\\\\ supraventrikuluri eqstrasistoliisTvis damaxasiaTebelia
yvelaCamoTvlili, garda erTisa\\\ P kbilis deformacia\\\ arasruli
kompensatoruli pauza\\ QRST kompleqsis deformacia\\\ PQ intervalis
Secvla
\\\\ `mcire~ gulis da mwvervalis biZgis ar arsebobis dros
marjvena parkuWisukmarisobis niSnebi uxSiresad miuTiTebs\\\
dilataciur kardiomiopaTiaze\\\ mitralur naklovanebaze\\
konstriqciul perikarditze\\\ gulis anevrizmaze
\\\\ 25 wlis qals auskultaciiT mkerdis Zvlis marjvniv II
nknTaSua areSiaReniSneba sistoluri Suili, I da II tonebi normaluri,
gulis zomebiSeucvleli. anamnezSi ar aRniSnavs revmatizms. savaraudo
diagnozia\\ idiopaTiuri hipertrofiuli subaortuli stenozi\\\
mitraluri naklovaneba\\\ funqciuri Suili\\\ filtvis arteriis
stenozi
\\\\ hipertrofiuli obstruqciiT mimdinare kardiomiopaTiis dros
romelipreparatis daniSvnaa ukunaCvenebi\\\ propranololi\\\
verapamili\\\ lidokaini\\ digoqsini
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41
\\\\ romeli paTologiis dros ar Zlierdeba I toni\\\
Tireotoqsikozi\\\ mitraluri stenozi\\\ sinusuri taqikardia\\ mwvave
aortuli naklovaneba\\\ winagulTaSua Zgidis defeqti
\\\\ ra lokalizaciis infarqtze miuTiTebs paTologiuri Q kbilis
arseboba V1-V2 ganxrebSi\\\ wina kedlis\\\ ukana kedlis\\ Zgidis\\\
mwvervalis
\\\\ riTi xasiaTdeba venkebaxis tipis atrioventrikuluri
blokada\\\ PQ intervalis progresirebadi Semokleba\\\ PQ intervalis
progresirebadi gaxangrZliveba\\ PQ intervalis progresirebadi
gaxangrZlivebiT da parkuWovani kompleqsisgamovardniT\\\ fiqsirebuli
blokadiT 2:1
\\\\ romeli maCvenebeli Seesabameba arteriuli wnevis normas\\\
sistoluri wneva 160 mmvwysv\\\ sistoluri wneva 155 mmvwysv\\
diastoluri wneva 84 mmvwysv\\\ diastoluri wneva 108 mmvwysv
\\\\ romeli Tandayolili mankis dros ar viTardeba baqteriuli
endokarditi\\\ parkuWTaSua Zgilis defeqti\\\ botalos Ria sadinari\\
winagulTaSua Zgidis defeqti\\\ aortis koarqtacia
\\\\ qvemoT CamoTvlili mdgomareobebidan romels axasiaTebs
alternaciulipulsi\\\ parkuWTaSua Zgidis asimetriuli hipertrofia\\\
aortis naklovaneba\\ gulis ukmarisoba\\\ Tireotoqsikozi
\\\\ miokardiumis infarqtis gadatanidan sami kviris Semdeg
avadmyofs daewyotkivili gul-mkerdis areSi, temperaturis momateba,
perikardiumis xaxuni.savaraudo diagnozia\\\ infarqtis zonis
gafarToveba\\\ idiopaTiuri perikarditi\\ postinfarquli dresleris
sindromi\\\ miokardiumis ruptura
\\\\ CamoTvlilTagan romeli ekg cvlilebaa damaxasiaTebeli
parkuWTafibrilaciisTvis\\\ QRST kompleqsis deformacia da
gafarToveba\\\ QRST kompleqsebis erTnairi amplituda\\\ f talRebis
arseboba\\ ekg elementebis diferencirebis SeuZlebloba
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42
\\\\ CamoTvlili biologiuri faqtorebidan romeli iwvevs arteriuli
wnevisuSualo momatebas\\\ angiotenzinogeni\\\ angiotenzin I\\
angiotenzin II\\\ angiotenzinis gardamqmneli fermenti
\\\\ CamoTvlilTagan romelia arteriuli hipertenziis yvelaze xSiri
garTuleba\\\ gulis mwvave ukmarisoba (filtvebis SeSupeba)\\\
perikarditi\\ hipertonuli krizi\\\ Tirkmelebis qronikuli
ukmarisoba
\\\\ CamoTvlili niSnebidan romelia wamyvani hipertonuli krizis
diagnozisTvis\\\ Sardis sindromi\\\ azotemia\\ cerebruli
sindromebi\\\ kardialgia\\\ cvlilebebi Tvalis fskerze
\\\\ romeli daavadebis dros mimdinareobs hipertonuli krizi
yvelaze mZimed\\ feoqromocitoma\\\ qronikuli pielonefriti\\\
arteriuli hipertenzia\\\ pirveladi hiperaldosteronizmi
\\\\ CamoTvlili preparatebidan romeli ar unda dainiSnos
arteriulihipertenziis dros, roca axlavs bronquli asTma\\\
kaptoprili\\\ hipoTiazidi\\\ nifedipini\\ metoprololi
\\\\ CamoTvlili mdgomareobebidan romlis drosaa
mizanSewonilikaliumSemnaxveli diurezuli preparatebis daniSvna\\
hiperaldosteronizmi\\\ hipertonuli krizi\\\ kaptopriliT
mkurnalobisas\\\ arteriuli hipertenziis dabalreninuli formis
dros
\\\\ CamoTvlilTagan romeli daavadeba ar iwvevs marcxena parkuWis
ukmarisobisganviTarebas\\\ aortis stenozi\\\ mitraluri
naklovaneba\\\ aortis naklovaneba\\ qronikuli obstruqciuli
bronqiti\\\ postinfarqtuli kardiosklerozi
\\\\ CamoTvlili daavadebebidan romeli ar iwvevs pirveladad
marjvena parkuWisukmarisobis ganviTarebas\\\ mitraluri stenozi\\\
qronikuli obstruqciuli bronqiti\\\ filtvis arteriis Tromboembolia\\
arteriuli hipertenzia
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43
\\\\ CamoTvlili ekg niSnebidan romelia yvelaze metad
damaxasiaTebelidilataciuri kardiomiopaTiisTvis\\ R kbilis voltaJis
daqveiTeba, T kbilis dadableba an inversia\\\ R kbilis amplitudes
momateba V4-6 ganxrebSi\\\ PQ intervalis Semcireba\\\ QT intervalis
gaxangrZliveba
\\\\ CamoTvlilTagan romeli niSani ar aris damaxasiaTebeli
hipertrofiulikardiomiopaTiisTvis\\\ daavadebis ojaxuri anamnezi\\\
avadmyofis axalgazrda asaki\\\ stenokardiuli Civilebi\\ kisris
venebis pulsacia, asciti
\\\\ romeli ekg cvlileba gvxvdeba yvelaze xSirad ararevmatuli
miokarditisdros\\\ paTologiuri Q kbili V1-6 ganxrebSi\\\ RS
voltaJis Semcireba\\ ST segmentis depresia\\\ ST segmentis
elevacia
\\\\ romeli virusi iwvevs yvelaze xSirad miokardits\\\ gripis\\
koksakis\\\ herpes zosteris\\\ yvavilis
\\\\ romelia yvelaze informatiuli diagnostikuri meTodi
eqsudaciuriperikarditisTvis\\\ auskultacia\\\ ekg\\
eqokardiografia\\\ rentgenoskopia
\\\\ romeli daavadebis dros ar viTardeba marjvena parkuWis
dilatacia\\\ dekompensirebuli aortuli manki\\\ filtvis arteriis
stenozi\\ marjvena atrioventrikuluri xvrelis stenozi\\\
winagulTaSua Zgidis defeqti\\\ parkuWTaSua Zgidis defeqti
\\\\ romeli mankis dros ar moismineba sistolur-diastoluri
Suili\\\ kombinirebuli mitraluri manki\\\ kombinirebuli aortuli
manki\\ aortis stenozis Serwymisas mitralur naklovanebasTan\\\ Ria
arteriuli sadinris dros\\\ aortis stenozis Serwymisas mitralur
stenozTan
\\\\ romelia mitraluri mankis operaciuli mkurnalobis absoluturi
ukuCveneba\\\ orsuloba\\\ postinfarqtuli kadriosklerozi\\ gulis
ukmarisoba IV funqciuri klasi\\\ sagule glikozidebiT da
SardmdenebiT efeqturi mkurnaloba
\\\\ CamoTvlilTagan ra ar axasiaTebs falos tetradas
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44
\\\ aortis deqstrapozicia\\\ parkuWTaSua Zgidis defeqti\\\
marjvena parkuWis hipertrofia\\ marcxena parkuWis gamosavali
traqtis stenozi\\\ filtvis arteriis stenozi
\\\\ CamoTvlili niSnebidan romeli ar axasiaTebs mitralur
stenozs\\\ sisxliani xvela\\\ filtvebis SeSupeba\\ maRali pulsuri
wneva\\\ mocimcime aritmia
\\\\ samkariani sarqvlis naklovaneba vlindeba yvela CamoTvlili
niSniT, gardaerTisa\\\ RviZlis gadideba\\\ kisris venebis daberva\\
filtvebis SeSupeba\\\ periferiuli SeSupeba\\\ trikuspidaluri
regurgutacia
\\\\\ romeli gamokvlevis Catarebaa aucilebeli stenokardiis
qirurgiulmkurnalobamde\\\ veloergometria\\\
stress-eqkardiografia\\\ miokardiumis perfuziuli scintigrafia\\
seleqtiuri koronarografia
\\\\ ra niSani ar axasiaTebs parkuWTaSua Zgidis rupturas
miokardiumisinfarqtis dros\\\ uxeSi sistoluri Suilis uecari
gaCena\\\ marjvena parkuWis ukmarisobis uecari ganviTareba\\\
sisxlis gadasrola marcxena parkuWidan marjvenaSi\\
Tromboembolia
\\\\ 64 wlis mamakaci mimReb ganyofilebaSi Semovida CiviliT
gulis frialze.gasinjviT aRmoaCnda pulsis deficiti. CamoTvlilTagan,
romeli ariTmiaSeesabameba am mdgomareobas\\\ sinusuri aritmia\\
mocimcime aritmia\\\ winagulovani eqstrasistolia\\\ ritmis
wamyvanis migracia
\\\\ romeli simptomi ar gvxvdeba gulis tamponadis dros\\\
sinusuri taqikardia\\\ pulsuri wnevis Semcireba\\\ CasunTqvisas
arteriuli wnevis 10 mmvwysv-ze metad daqveiTeba\\ alternaciuli
pulsi
\\\\ romeli parametriT SeiZleba vimsjeloT marcxena parkuWis
postdatvirTvaze\\\ gulis SekumSvaTa sixSiriT\\\ wuTmoculobiT\\
diastoluri wneviT\\\ filtvebis kapilaruli wneviT
\\\\ ra iwvevs orTopnoes\\\ arteriuli wnevis momateba
horizontalur mdgomareobaSi
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45
\\\ Sardis Sekaveba\\\ filtvebSi narCeno moculobis gazrda\\
venuri wnevis gadanawileba\\\ baroreceptorebis gaRizianeba
\\\\ 42 wlis qals aReniSneba koW-wvivis saxsrebis SeSupeba,
romelic cota xniswin ganuviTarda. sauRle venuri pulsi uaryofiTia.
CamoTvlilimdgomareobebidan romeli ar SeiZleba iyos SeSupebis
mizezi\\\ menjis sisxlZarRvTa Tromboflebiti\\\ venebis varikozi\\\
hipoalbuminemia\\ marjvena parkuWis ukmarisoba
\\\\ romeli ar miekuTvneba gulis funqciuri mdgomareobis
ganmsazRvrelfaqtors\\\ miokardiumis inotropuli funqcia\\\ marcxena
parkuWis postdatvirTva\\\ marcxena parkuWis preddatvirTva\\
hematokriti
\\\\ 38 wlis qals aReniSneba gulis SegubebiTi ukmarisoba,
parkuWovanieqstrasistolia. warsulSi hqonda parkuWovani taqikardiis
ramodenime epizodi.arteriuli wneva normaluri, gulis zomebi
sagrZnoblad momatebulia, Suilebiar moismineba, koronarografiiT
cvlilebebi ar aris. savaraudo diagnozia\\\ revmokarditi\\\
konstriqciuli perikarditi\\ dilataciuri kardiomiopaTia\\\
miokardiumis infarqti
\\\\ romeli ekg cvlileba viTardeba winagulebis hipertrofiis
dros\\\ QRS kompleqsis gafarToveba da deformacia\\\ PQ intervalis
gaxangrZliveba\\\ T kbilis deformacia da gafarToveba\\ P kbilis
deformacia da gafarToveba
\\\\ ekg-ze aRiniSneba maRali R kbilebi V1-2 ganxrebSi da Rrma S
kbilebi V5-6ganxebSi. ras aRniSnavs es cvlilebebi\\\ marjvena
winagulis hipertrofias\\ marjvena parkuWis hipertrofias\\\ marcxena
winagulis hipertrofias\\\\ marcxena parkuWis hipertrofias
\\\\ ekg-ze aRiniSneba orfaziani P kbilis, romlis xangrZlivoba
0.12 wm-ia, gulisromeli nawilis hipertrofiam SeiZleba ganapirobos
es cvlileba\\\ marjvena winagulis\\ marcxena winagulis\\\ marjvena
parkuWis\\\ marcxena parkuWis
\\\\ vazorenuli hipertenziis dros racionaluri mkurnaloba
gulisxmobs\\\ Sardmdenebis gamoyenebas\\\ beta-blokerebis
gamoyenebas\\\ umarilo dietas\\ qirurgiul mkurnalobas
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46
\\\\ CamoTvlilTagan, romeli monacemi ar aris swori
feoqromocitomisTvis\\\ saxezea wnevis awevis xSiri epizodebi\\
xSiria orTostatikuri hipotenzia\\\ SeiZleba gamovlindes
hiperreninemia\\\ SratSi SeiZleba momatebuli iyos kalcitonini
\\\\ qvemoT CamoTvlilTagan, romeli koronaruli arteriis
dazianebaaprognozulad yvelaze arakeTilsaimedo\\\ marjvena koronaris
sruli daxSoba\\ marcxena koronaris Reros obstruqcia 95%-iT\\\
marjvena koronaris da marcxena wina daswvrivi koronaris obstruqcia
95%-iT\\\ marjvena koronaris stenozi
\\\\ ra aris yvelaze mniSvnelovani stenokardiis prognozis
savaraudod\\\ anginozuri Setevebis sixSire\\\ anginozuri Setevebis
xangrZlivoba\\ koronaruli arteriebis obstruqciis xarisxi\\\
datvirTvis intensioba, romelic saWiroa tkivilis
provocirebisTvis
\\\\ romeli ekg cvlilebaa damaxasiaTebeli parkuWSiga
blokadisTvis\\\ PQ intervalis gaxangrZliveba\\\ ST intervalis
gaxangrZliveba\\ QRS kompleqsis gafarToveba\\\ Q kbilis
deformacia
\\\\ romeli ekg niSani ar aRiniSneba supraventrikuluri
eqstrasistoliis dros\\\ P kbilis deformacia\\\ arasruli
kompensatoruli pauza\\\ QRST kompleqsi ar icvleba\\ QRST kompleqsis
deformacia
\\\\ supraventrikuluri paroqsizmuli taqikardiis dros aRiniSneba
yvelaCamoTvlili, garda erTisa\\\ P kbilis arseboba\\\ PQ intervalis
cvlileba\\ QRS kompleqsis deformacia da gafarToveba\\\ Semoklebuli
R-R intervalebi
\\\\ parkuWovani paroqsizmuli taqikardiis dros aRiniSneba yvela
CamoTvlili,garda erTisa\\\ R-R intervalebis Semcireba\\\ QRS
kompleqsis deformacia da gafarToveba\\ normaluri PQ intervali\\\ ST
segmentis da T kbilis diskordantuli cvlilebebi
\\\\ parkuWTa fibrilaciis dros ekg-ze aRiniSneba yvela
CamoTvlili, gardaerTisa\\\ QRS kompleqsis deformacia da
gafarToveba\\ Tanabaramplitudiani QRS kompleqsebi\\\ ST segmentis
da T kbilis Serwyma\\\ izoeleqtruli xazis ar arseboba
\\\\ hisis konis marcxena fexis blokadis dros ekg-ze aRiniSneba
yvelaCamoTvlili, garda erTisa
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47
\\\ marcxena tipis ekg\\\ QRST kompleqsis deformacia\\ QRS
intervali ar aRemateba 0.10-s\\\ ST segmentis da T kbilis
diskordantuli cvlilebebi\\\ R-R intervalebi Tanabaria
\\\\ ekg-ze P kbili dadebiTia, PQ intervali 0.22 wm, QRS
kompleqsis xangrZlivoba0.09wm. daasaxeleT ritmis darRvevis
saxeoba\\\ parkuWovani eqstrasistolia\\ I xarisxis
atrioventrikuluri blokada\\\ mocimcime aritmia\\\ II xarisxis
atrioventrikuluri blokada\\\ sruli atrioventrikuluri blokada
\\\\ ekg-ze normaluri QRST kompleqsis Semdeg zogjer aRiniSneba
deformuliQRST kompleqsi, romlis winac R-R intervali Semoklebulia,
miuTiTeT aritmiissaxeoba\\\ winagulovani eqstrasistolia\\\
mocimcime aritmia\\\ sunTqviTi aritmia\\ parkuWovani
eqstrasistolia\\\ I xarisxis atrioventrikuluri blokada
\\\\ daxedviT kisris areSi aRiniSneba venuri pulsacia, palpaciiT
SeigrZnobagulis saZgeri da epigastriuli pulsacia. romeli sarqvlis
dazianeba iwvevs amcvlilebebs\\\ orkariani sarqvlis naklovaneba\\
samkariani sarqvlis naklovaneba\\\ mitraluri stenozi\\\ aortis
xvrelis stenozi
\\\\ avadmyofs aReniSneba gulis zemo da marjvena sazRvrebis
gadideba. romelimankia am cvlilebis mizezi\\\ orkariani sarqvlis
naklovaneba\\\ samkariani sarqvlis naklovaneba\\ mitraluri
stenozi\\\ aortis xvrelis stenozi
\\\\ gulis auskultaciiT moismineba moyruebuli I da II tonebi,
aortazeprotodiastoluri Suili dekreSCendos tipis, romelic tardeba
me-5 wertilSi.romeli mankia am auskultaciuri monacemebis mizezi\\\
orkariani sarqvlis naklovaneba\\\ samkariani sarqvlis
naklovaneba\\\ mitraluri stenozi\\\ aortis xvrelis stenozi\\ aortis
sarqvlis naklovaneba
\\\\ CamoTvlilTagan romeli paTologia ar warmoadgens mitraluri
stenozisgarTulebas\\\ filtvebis hipertenzia da SeSupeba\\ marcxena
parkuWis hipertrofia\\\ marjvena parkuWis hipertrofia\\\
winagulebis cimcimi\\\ gulis wuTmoculobis Semcireba
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48
\\\\ gul-mkerdis areSi tkivilis uecari dawyebisas da diastoluri
SuilisganviTarebisas aortis naklovanebis dros unda vivaraudoT\\\
mwvave baqteriul endokarditze\\ aortis ganSrevebaze\\\ parkuWTaSua
Zgilis defeqtze\\\ aortis sarqvlis miqsomur prolafsze
\\\\ romeli daavadebis dros aRiniSneba dikrotuli pulsi\\\
mitraluri regurgitacia\\ hipertrofiuli kardiomiopaTia\\\
Tireotoqsikozi\\\ anemia
\\\\ glikozidebis miRebiT gamowveuli romeli aritmia SeiZleba
gaauaresoshiperkalemiam\\\ parkuWovani bigeminia\\\ winagulebis
cimcimi\\ srulia atrioventrikuluri blokada\\\ parkuWovani
taqikardia
\\\\ marcxena parkuWis gandevnis fraqciia normaluri
maCvenebelia\\\ 15-30%\\\ 30-45%\\\ 45-55%\\ 55-78%\\\ 90%
\\\\ eqokardiografiulad ra saxis hipertrofia viTardeba gulis
parkuWismoculobiTi gadatvirTvis SemTxvevaSi\\\ koncentruli\\
eqscentruli\\\ izoliebuli Zgidis\\\ koncentruli remodelireba
\\\\ ra saxis Suili viTardeba winagulTaSua Zgidis defeqtis
dros\\\ sistoluri Suili mwvervalze\\\ rombisebri sistoluri Suili II
neknTaSua areSi marjvena parasternalurxazze\\\ diastoluri Suili
fuZeze\\ si