Pain in the heart are observed in half of patients with aortic a l n s m e n t s of about M. predserdechnoy pain in the area is often a leader in clinical car slime disease. Pains are in the nature stenokardicheskih arise under load, walking, removed intake Validol. In some cases, the pain are prickly character, localized at the apex of the heart, not associated with physical exertion and is not removed vasodilator. A number of patients with aortic stenosis pain localized at the right edge of the sternum, in the first and second intercostal space, are characterized aortalgii. In the presence of mitral heart disease pain is less pronounced and not defined as stenokardichesky. Pain in the heart due to possible ischemia hypertrophied right ventricle, carrying an increased workload due to hypertension pulmonary circulation. Dishormonal cardiomyopathy (myocardial dystrophy) occurs at menopause ilN prgg gynecological zabolevaggiyah. Center a l n of the place in kliggicheskog ° t symptoms is pain in predserdechnoy of b l l a s t i: THIS dlitelyNye, aching pain accompanied by neurotic reactions, paresteziyati in the fingers, a feeling of "dissatisfaction" breath. The ECG after the test with (3-blockers revealed positive dynamics of the T wave and the segment S - T. ALCOHOLIC DEFEAT SERDNA less well known, odd defeat alcohol other organs and systems, although those who abuse alcohol, it is often amazed. On the report of the WHO Expert (Geneva, 1985), such a defeat otno comes under the group of toxic-allergic PWA> kdeggy heart. In the international classification of diseases, the fort calls Xia alcoholic cardiomyopathy. Recognize Alcohol cardiac predstavlyast suschestveNNge difficulties because there are no accurate diagnostic criteria. Therefore of particular importance is the knowledge of the clinical manifestations of this disease. There are three clinical variants of alcoholic heart disease: arrhythmic, kvaziishemichesky (in which the predominant pain syndrome) and a syndrome manifested by congestive heart nedostatoknostyu. Pain syndrome in kvaziishemi Ceský variant is characterized by the appearance of pain in the heart. Unlike stenokardicheskih pain pain in alcoholic lesion is more lasting, is not always associated with physical exertion, not docked taking nitroglycerin. Despite the originality of pain in predserdechnoy area, in some cases set misdiagnosis nshemicheskoy heart disease, especially in instances of the ECG wave inversion T. In order to clarify the causes of changes in the ECG should be test with nitroglycerin. When alcoholic lesions observed negative dynamics spike T. Pain in the heart are mostly pricking or aching character with localization in the apex of the heart, at least - in the whole heart. Pain is usually combined with bouts of sinus tachycardia, a sense of disruption, "fading", "stop" of the heart, cold hands and feet, sweating, polyuria. In the later period marked increase in heart size, signs of cardiac decompensation

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