clinically sharp ochagovaja a dystrophy. A krupnoochagovyj heart attack of a myocardium

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Krupnoochagovyj a myocardium heart attack - one of the heaviest forms IBS, quite often leading early invalidizatsii and to a lethal outcome.

Diagnostics of this form IBS because of a variety of clinical displays is very difficult.

On classification of Teodori, Tetelbaum (1968), following clinical forms of a heart attack of a myocardium are possible:

1. Painful (anginoznaja) the form.

1. A typical (zagrudinno-painful) variant-is sharp the expressed painful syndrome behind a breast and in the field of heart (it is possible irradiatsija in the left hand, a shovel, a neck, is frequent in the left half of jaw) lasting more than 1 ch (sometimes about one days), not stopped by nitrates and narcotics.

2. A variant with short-term, slightly expressed bo-. The left syndrome.

3. Variants with atypical localisation of pains:

) peripheral - a pain in the sites kept away from heart (in the field of the left shovel, the left hand, the bottom or top jaw, an ear, drinks and throats, a gullet, verhnegrudnom department of a spine column, etc.);

) abdominalnyj (gastralgichesky) a variant - a pain in the field of a stomach as at probodnoj to a stomach ulcer, intestinal impassability, a sharp cholecystitis, a pancreatitis, an appendicitis, sometimes there is a gastric bleeding. This variant is more often observed at heart attack localisation in back departments of heart.