~Teachingcenter的醫學筆記~

診斷(Diagnosis)：
2個major
或
1個major+2個minor

Major criteria:

·        Paroxysmal nocturnal dyspnea →晚上睡一睡會因為呼吸困難、很喘而醒來

·        Neck vein distention →脖子一條粗粗的靜脈

·        Rales →因為肺水腫造成

·        Radiographic cardiomegaly →左心房肥大，心臟肥大

·        Acute pulmonary edema →喘、肺積水

·        S3 gallop →參考這篇文章
http://teachingcenter1.pixnet.net/blog/post/292771771-cardiac-cycle

·        Increased central venous pressure (>16 cm H2O at right atrium)

·        Hepatojugular reflux →壓肚子，頸靜脈會脹起來

·        Weight loss  >4.5 kg in 5 days in response to treatment →給了利尿劑治療後

Minor criteria:

·        Bilateral ankle edema

·        Nocturnal cough

·        Dyspnea on ordinary exertion

·        Hepatomegaly

·        Pleural effusion

·        Decrease in vital capacity by one third from maximum recorded

·        Tachycardia (heart rate>120 beats/min.)