Which plump type obstructing myocardium disease are to behave and how to diagnose? 's symptom

Which plump type obstructing myocardium disease are to behave and how to diagnose? 's symptom
1.Clinical manifestation
Out of breath after clinical symptom is tired, fainting or dizzy and angina pectoris after the activity, narrow and similar to the aorta one, it causes palpitation or systemic circulation thromboembolism that about 10% of the cases quiver because of the popping or continuation atrium, it is congestive and in heart failure that the case appears in later period, sitting up straight and breathing and lung edema.
2.Physical examination
Common physical sign have apex of the heart beat, strengthen, below shift left, common person who praise excited or dual nature excited, the left reason underpart of brestbone or apex of the heart district can hear that shrink the injection noise in middle period, conduct get the intersection of heart and base, often with tremble, close complete case with bicuspid valve apex of the heart district appear the whole the intersection of systolic phase and noise, the 2nd heart sound is split, can also hear the third heart sound or the 4th heart sound and but can not hear systolic phase and spray a kind of click loudspeaker sound, around artery shock wave relatively strong, disappear wave to be relatively little, until water wash pulse to be similar.
3.Pathology changes
Getting plump person who obstruct myocardium the intersection of disease and left ventricle obstruct weight of intensity of pathological change differ, it is the most prominent that typical pathological change is plump with the top of interventricular septum of heart, cut the interventricular septum of heart longitudinally, the plump cardiac muscle is left, the right ventricle expands out, the lower side of the free reason of a leaf before the bicuspid valve of thickest position of interventricular septum of heart, the intersection of heart and in place this until membrane increase thick (1 Fig.) in petals of leaf offend and appear each other the intersection of limitation and fiber take ago interventricular septum ,Thickness of the plump heart interventricular septum cardiac muscle (aorta is a ring) upwards ,Downward (apex of the heart department) Reduce gradually,flow out left ventricle line let's down if you can't obstruct, lie by plump heart interventricular septum cardiac muscle to section and in front of between petals of leaf reasons free, when shrink heart,heart on it is plump interventricular septum last ventricle,close to before petals of leaf bicuspid valve moved ago, cause left ventricle it flows out line to be narrow, with close completely, shrink in early days flowing out dish obstruct intensity to be lighter sometimes, the ventricle arranges more blood volume at this moment, in front of the free wall of left ventricle some are and even and plump in the apex of the heart district outside, the wall is increased thick less behind the left ventricle, the wall thickness proportion can be up to 3 behind interventricular septum of heart and left ventricle: 1,The left ventricle is relatively low, the midsection of interventricular septum of heart increases the thick ones then the ventricle takes the form of dumbbell, pathological change enters later period, because of myocardial infarction or severe and in heart failure for a long time, the left ventricle may be expanded, the atrium sinistrum was often expanded, the atrium wall was increased thick, a leaf increased thick before the bicuspid valve, can rupture with chorde tendinae or inborn deformity, right ventricle protrude into with plump the intersection of heart and interventricular septum right ventricle can cause and flow out dish to obstruct, course of disease elder can free right ventricle wall have because of obstruct pathological change and lung circulate pressure rise and increase thick, the interventricular septum of heart and branched tube wall of coronary artery of the ventricle wall often increase thick, it is narrow and small to be in charge of, may cause the cardiac muscle of wall completely and obstruct.
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