Analiza Auscultatorie a Suflurilor Cardiace
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7/28/2019 Analiza Auscultatorie a Suflurilor Cardiace
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19.03.2013 Analiza auscultatorie a suflurilor cardiace
www.mymed.ro/analiza-auscultatorie-a-suflurilor-cardiace.html
Analizaauscultatorieasuflurilorcardiace
Suflurile reprezint grupuri de vibraii acustice cu
durat lung (spredeosebire de zgomotele supraadugate, care au durat scurt) aprute ca
urmareaunorturbuleneproduelacurgereasngeluiprincavitilecardiacesauvaselemari.
Dupmoduldeproducere,suflurilecardiacepotfi:
organice(prinleziuniorganicealestructurilorcardiacevalve,aparatsubvalvular,septuri)
funcionale(suntsuflurideflux,nupresupunleziuniorganicecidoarunsindromcirculator
hiperkineticprinafeciuniextracardiaceanemie,hipertiroidism,febr)
anorganice(numiteisufluriinocente,aparlacopiiitineri)
Analizasuflurilor
Auscultaiacardiacsefaceattndecubitdorsal,ctindecubitlateralstnginpoziiaaplecat
nainte(ncazuluneisuspiciunidestenozmitral,respectiv insuficienaortic).Deasemenea,
pacientulpoatefirugatsinspireadncsausexpireadncnmomentul auscultaiei,nvederea
accenturii unor sufluri localizate n cordul drept, respectiv cordul stng (manevra Rivero-
Carvalho).
Launsuflucardiactrebuieanalizaiurmtoriiparametri:
localizareanciclulcardiac:sistolic,diastolicsaucontinuu.Ulterior,sevancercadelimitarea
maiprecisasuflului:proto-,mezo-,sautele-(pre-)sistolic/diastolic.
localizarea anatomic a focarului de maxim intensitate:focarulaortic, pulmonar, mitral,
tricuspidian.
iradierea
intensitatea:sevaevaluapeoscardela1la6gradul1(seaudecudificultate,dupmai
multencercri, estenecesarateniespecialilinitecomplet),gradul2(seaudeslab,dar
esteuordedetectat),gradul3(intensitatemoderat),gradul4(intensitatemare),gradul5
(intensitate foartemare),gradul6 (se audei ladistan detorace, chiar fr stetoscop).
SuflurilecuintensitatemaimaredegradIVsuntnsoiteidefreamt.
tonalitatea:naltsaujoas
timbru:aspru,rugos,suflant,aspirativ,muzical.
calitate:crescendo,descrescendo,nband,romboidal(aspectfonocardiografic)
variaiacudiversemanevre(Valsalva,Muller,ortostatism,statpevine,Rivero-Carhalho)
1.Suflurileinocente
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Caracteristici:
localizarenciclulcardiac:nusuntniciodatdiastolice,cidoarsistolice
durat:suntscurte,ocupdoaropartedinsistol(proto-,mezo-sautele-)
localizareanatomic:nuauunfocarbinedelimitat,suntmaximaudibileparasternalsprebaza
cordului
iradiere:nuiradiaz
intensitate:slab,nudepeteniciodatgradulIII
timbru:dulce
variaie:disparlamodificareapoziiei
Auscultaiesufluinocent
2.Suflurileorganice
i)Suflurisistolice
A.Ejecionalenstenozelevalvelorsigmoide
Caracteregenerale:
suntintense
suntmezotelesistolice:ncepladistandezg.I,fiinddespritedeacestadeuninterval
distinct,carecorespundecontracieiizovolumice
nunglobeazzg.II
auunaspectfonocardiograficromboidal(crescendo-descrescendo),cuunmaxim
mezosistolic
Stenoza aortic: suflu mezo(tele)sistolic, cu maxim de intensitate n focarul aortic, aspru,
rzuitor, iradiaz pe vasele de la baz gtului i spre vrf (n stenoza aortic degenerativ
intensitatealavrfpoatefichiarmaimaredectnfocarulaorticefectulGallavardiniarsuflulestemaimuzical).Deobiceiestensoitidefreamt, iarintensitateasecoreleazcuseveritatea
stenozei(ostenozfoartestnspoatedaunsufluslabsaupoatesnuaibsuflustenozaaortic
mut). Diagnosticul diferenial se face cu suflul din stenoza pulmonar (manevra Rivero-
Carvalho), din insuficiena mitral (acesta iradiaz n axil, este holosistolic i are aceeai
intensitatepe toatdurata sa),din CMHO(suflulestemaximaudibil nplinstern,nuare click
ejecionalicretenintensitatelainhalareadenitritdeamil,trecereanortostatismsauntimpul
manevreiValsalvascdereavolumuluitelediastolicducelacretereagraduluideobstrucieprin
aspirarea ctre sept a valvei mitrale), din coarctaia de aort (suflul este maxim audibil
interscapulovertebral,la examenulobiectiv seconstatdiferena tensional ntremembre) icu
sufluldeateromaortic(suflulHuchard,audibillabazacordului,cuiradierenearfsprevrfi
friradierepevaseledelabazagtului).
Auscultaiesufludestenozaortic+aspectfonocardiografic
Stenozapulmonar:aceleaicaracterecaistenozaaortic
Auscultaiesufludestenozpulmonar
Efectul radiaiilor asupra funciei reproductive...am aflat pe 14 m artie k sunt insarcinata, nu
am s tiut iar pe iar pe 6 m artie am facut ...
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B.deregurgitaie
Caractere:
suntholosistolice
auaspectfonocardiograficnband
nglobeazzg.II
Insuficienamitral:sufluholosistolic,detonalitatenalt,timbrunniturdevapori,maxil
audibil la apex i n decubit lateral stng, iradiaz n axial i posterior (uneori circular).
Diagnosticuldiferenialsefacecusufluldinstenozaaorticiceldininsuficienatricuspidian.
Auscultaiesufludeinsuficienmitral+aspectfonocardiografic
Prolapsuldevalvmitral (sindromulclick-suflu,sindromulBarlow): suflumezotelesistolic,
introdusdeclick,cuintensitatemaximlaapex,caracterpiolant,muzical.
Auscultaiesufludeprolapsdevalvmitral+aspectfonocardiografic
Insuficienatricuspidian: suflu cuaceleaicaractereca icel din insuficiena mitral,maxil
audibillabazasternului,iradiaznepigastru,spreficatsauspreapexulcordului,seaccentueazn
apneepostinspiratorie(manevraRivero-Carvalho),sensoetedepulsaiehepaticsistolic.
C.Altesuflurisistolice
Defectulseptal interatrial (DSA, DSIA): se potauzi unul sau2 sufluri, n funciede mrimea
defectuluiide gradulde creterea debitului pulmonar unsuflusistolic,mezocardiaci unul
diastolic,tricuspidian,cudedublarefixdezg.II.
AuscultaiesufluDSA
Defectul septal interventricular (DSV, DSIV): sufluaspru, ejecional, similar celui din stenoza
aortic,darncepeimediatdupzg.Iiseprelungetedupzg.II,maximaudibilmezocardiacsaula
apex,cuiradierecaracteristicnspiederoat.
AuscultaiesufluDSV
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ii)Sufluridiastolice
A.nstenozelevalvelorAV
Caractere:
este maxim protodiastolic, n timpul umplerii rapide, apoi diminu n intensitate spre
mezodiastol.
lapacienii n ritm sinusal suflulde insuficien valvularAVare o ntrire telediastolic
(presistolic),datdecontraciaatrialcarempingesngempotrivaunuiobstacol
suflulesteprecedatdeunclacmentdedeschiderealvalveirespective,caretraducerigidizarea
ingroareaacesteia,cuscdereamobilitii
nuiradiaz
Stenozamitral:suflude tonalitatejoas, cucaracter deuruitur diastolic,maximaudibil n
focarul mitral i cu pacientul n decubit lateral stng, se intensific dup efort moderat (n
tahicardieextremnusemaiaude),esteprecedatdeclacmentuldedeschiderealmitralei(zgomot
pocnit,aparela0,06-0,12secdeA2)iestentritdeunsuflupresistolic(lapacieniinfibrilaie
atrial ntrirea presistolic dispare). Durata uruiturii se coreleaz direct proporional cu
severitateastenozei.Elementeleauscultatoriialestenozeimitraleaufostgrupatesubnumelede
onomatopeeaDuroziez ru-f-t-ta-ta("f" -suflupresistolic,"t"- zg. I ntrit,datde nchiderea
valveimitralerigide,"ta" zg.II,poatefidedublatdatoritHTPu,"ta"-CDM,datdedeschiderea
valveimitralerigide,"ru"-uruituraprotomezodiastolicdatdecurgereaturbulentprinorificiul
mitral).
Semnedeseveritatenstenozamitral:intervalQ-Z1prelungit(nchidereaVMsefaceatuncicnd
presiuneaVSdepetevalorilecrescutealepresiuniiAS,ceeacefacecalapacieniicustenoz
sever,zg.Isfientrziat),apropiereazg.IIdeCDM(VMseredeschideatuncicndpresiuneaVS
scadesubceadinAS,fcndcalaunpacientcupresiunemarenAS,CDMsaparrapiddupzg.
II),scdereaintensitiiCDMizg.I(traducomobilitateredusaVM),sufluGraham-Steel(suflu
de insuficien pulmonar funcional aprut ca urmare a HTPu fixe, de rezisten), pulsaiesistolichepatic(indicinsuficientricuspidian).
Diagnosticuldiferenialsefacecu:suflulCarey-Coombs(dinRAA,estemezodiastolic,aretonalitate
nalt,este foartevariabil),suflul dinmixomatrial sauvegetaiimari nendocardit infecioas
(diagnosticuldiferenialsefaceecocardiografic),uruituraAustin-Flint(sufulaudibilninsuficiena
aorticca urmare a lovirii VMA dectre jetul regurgitant), insuficiena mitral cu auscultaie
diastolic(aprutprintr-unfluxcrescutndiastol,caurmareaadugriivolumuluiregurgitat).
Auscultaiesufludestenozmitral+aspectfonocardiografic
Stenozatricuspidian:similarstenozeimitrale,doarcasociazpulsaiediastolichepatic.
B.ninsuficienavalvelorsigmoide
Insuficienaaortic:sufluprotomezo-sauholodiastolic,descrescendo(scadenintensitatepe
msurcediminugradientuldepresiuneaortoventricularndiastol:ntimpcepresiuneadinAo
rmneconstantsauchiar scade,presiuneadinVS creteprinumplereaprinmitralicujetul
regurgitat),maximaudibilnfocarulAosaufocarulErb,cutonalitatenalt,dulce,aspirativ,nsoit
deomultitudinedesemneperiferice:ocapexianglobulos,puternic(endomeetenmasse-Bard),
hippuspupilar,pulscapilar(Quincke),dansarterial,pulsceleretaltus,formulsfingomanometric
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19.03.2013 Analiza auscultatorie a suflurilor cardiace
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divergentTAScrescut,TADsczut.
Auscultaiesufludeinsuficienaortic+aspectfonocardiografic
iii)Sufluricontinue
suntsuflurisistolo-diastolice,auunmaximdeintensitatelngzg.II
aparcaurmareauneicomunicrintrecaviticardiacesauvase,caremeninungradient
presionalpetoatduratacicluluicardiac:persistenacanaluluiarterial,fistulearteriovenoase
sistemicesaucoronariene,anevrismruptdesinusValsalva.
potapreacaurmareafluxuluicrescutprintr-unsegmentvascular:suflulmamaresteun
sufluinocent,continuu(sausistolic),audibillanivelulsnilorgravidelornultimultrimestru,
murmurulvenoscervicalsuflucontinuudetonalitateiintensitatesczut,audibilpevasele
delabazagtului,aparelacopiiilabolnaviicuascitipresiunevenoascrescut.
iv)Frecturapericardic
Frecturapericardicesteunzgomotuscat,aspru,rugos,asemntorscrituluiprodusdepaii
pezpad,caracteristicpericarditeiuscate(fibrinoide),cu3componente(1sistolic,unulproto-iunul tele diastolic). Este clare pezgomotelecardiace ise aude mai bine apsnd uor cu
stetoscopulpetorace.Diagnosticuldiferenialsefacecufrecturapleural(auscultaiasevaface
napnee).
Auscultaiefrecturpericardic
Auscultaiefrecturpleural
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