PACEMAKER | 2.0 |

Assalomu alaykum hayrli tong barchaga. Kunni EKG taxlil bilan boshlaymiz❤️

Quyidagi EKG uchun mosini belgilang

Case 2: 74 yoshli NSTEMI bemor: Atrial fibrillyatsiya (CHA₂DS₂-VASc = 5) PCI + DES bajarildi Guideline bo‘yicha eng to‘g‘ri antitrombotik strategiya qaysi? A. Aspirin + klopidogrel + varfarin 12 oy B. Aspirin + tikagrelor + DOAC 12 oy C. DOAC + klopidogrel (aspirinsiz) D. Faqat DOAC E. Uch komponentni umuman bermaslik

Quyidagilardan EKG uchun mosini belgilang?

Case 1: 56 yoshli erkak STEMI bilan kelgan. PCI markazi uzoq bo‘lgani sababli alteplaza berilgan. 90 daqiqadan so‘ng: Og‘riq saqlanmoqda ST elevatsiya <30% kamaygan Gemodinamika nisbatan barqaror Eng to‘g‘ri keyingi qadam qaysi? A. Trombolizisni takrorlash B. 24 soat kutib, PCI C. Zudlik bilan rescue PCI D. Faqat antikoagulyant terapiya E. CABG

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Chronic Heart Failure 🫀Definition & Classification • Heart failure (HF) = inability of heart to fill or pump enough blood to meet body needs • Progressive disease with cardiac remodeling • AHA/ACC Stages • A: At risk, no structural disease • B: Structural disease, no symptoms • C: Structural disease + symptoms • D: End-stage HF • NYHA Classes • I: No limitation • II: Symptoms with moderate exertion • III: Symptoms with mild exertion • IV: Symptoms at rest 📊 Epidemiology • ~ 1 million hospitalizations/year • 25% readmission within 30 days • USA: 550,000 new cases/year, >250,000 deaths • Worldwide: 64 million people with HF • 75% hospitalizations occur in patients >65 years • HFpEF now accounts for >50% of cases ⚙️ Types, Etiology & Risk Factors HF Categories • HFrEF: EF ≤40% – systolic dysfunction • HFmEF: EF 41–49% • HFpEF: EF ≥50% – diastolic dysfunction Common Causes • CAD / MI, Hypertension • Cardiomyopathies, valvular disease • Arrhythmias (AF, heart block) • Lung disease, pulmonary HTN, high-output states Risk Factors • CAD, HTN, diabetes, obesity • Smoking, cardiotoxic drugs, older age 🩺 Clinical Features & Diagnosis Symptoms • Dyspnea on exertion, orthopnea, PND • Fatigue, nocturnal cough, edema • RUQ fullness, nausea (right-sided HF) Signs • Raised JVP, rales, S3, hepatomegaly, ascites • Cool extremities, hypotension in severe HF Framingham Criteria: 2 major or 1 major + 2 minor 🔬Investigations • BNP / NT-proBNP • BNP <100 pg/mL → rules out HF • BNP >400 pg/mL → supports HF • Echocardiography: EF, valves, LV/RV function • CXR: cardiomegaly, pulmonary edema • ECG: ischemia, arrhythmia • MRI / Cath / Nuclear imaging in selected cases Guideline-Directed Therapy Core 4 Drugs • ACEi / ARB / ARNI • β-blocker • MRA (spironolactone/eplerenone) • SGLT-2 inhibitors (dapagliflozin / empagliflozin) Others • Loop diuretics for congestion • Hydralazine + nitrates (if ACEi/ARB intolerant) • Ivabradine, vericiguat, digoxin in selected patients • Avoid NSAIDs & non-DHP CCBs in HFrEF 🛠️ Devices, Follow-up & Prognosis Device Therapy • CRT: LVEF ≤35%, QRS ≥150 ms, LBBB • ICD: LVEF ≤35% for sudden death prevention Advanced Options • Mitral repair, LVAD, transplant (NYHA III–IV refractory) Follow-up & Education • Review every 6–12 months • Daily weight monitoring • Low-sodium diet, fluid ~2 L/day Prognosis • 1-year survival ~75% • 5-year survival <50% 🩺 Подпишитесь на наш канал: https://t.me/kardiologi

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Emlash kalendari

https://t.me/PACEMAKER_2

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# EKG tahlili

Kanalga joylangan 15 ga yaqin EKG namunlari tahlili. 🟢 Gipertrofiya 🟢 Blokada 🟢 Bo'lmachalar fibrillyatsiyasi 🟢 STEMI + atrial fibrillation 🟢 Wellens 🟢 Qorinchalar ekstrasistoliyasi https://t.me/PACEMAKER_2