Edema with myocardial infarction
1. Pulmonary edema - the state associated with excessive sweatingtissue fluid on the surface of the diffusion alveolar-capillary membrane of the lungs as a result of increased pressure in the left atrium and capillaries of the lungs. Lung edema occurs on the first day in 24% of patients with primary large-focal myocardial infarction (MI) and in almost 50% of patients with recurrent MI.
Clinic: sudden onset (more often at night),accompanied by a pressing, baking pain behind the sternum with irradiation in the left arm. The character is increasing dyspnea (30 or more per minute) or suffocation; the patient assumes the position of orthopnea, is agitated, acrocyanosis, pallor of the skin, sweating, characteristic of the fear of death; with auscultation of the heart - tachycardia, embryocardia, systolic gallop rhythm, accent and splitting of II tone over the pulmonary artery; the pulse is frequent, alternating. The interstitial phase of pulmonary edema is characterized by dry cough, expiratory dyspnea, a large number of sudden dry wheezes in all lung fields. In the alveolar phase - shortness of breath becomes inspiratory or mixed, suffocation develops, breathing loud, bubbling, coughing with a foamy, sometimes dyed phlegm, with auscultation of the lungs, damp, various rales are heard, their number increases rapidly.
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