مشاوره نارسايى قلب.
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سلام آقاى دکتر. من 30 سالمه. با بيمارى قلبى مادرزادى TF به دنيا اومدم. و در سن 8 و9سالگى دو بار تحت جراحى قلب باز قرار گرفتم. در حال حاضر با تشخيص TFTC+PI هستم. حال سوالم اينجاست حتما بايد جراحى کنم؟. واگر عمل نکنم مشکلى پيش مياد؟ يکى از همکاران شما گفت احتمالا پيوند بشيد. آيا صحبتش حقيقت داره؟ در ضمن من روزى يک عددديگوگسين و نصف وارفارين مصرف مى کنم. جواب اکو مرى:
eft ventricle: left ventricle: LV chamber size is normal. three is no LVH. systolic function is severely reduced. EF30%.
Left atrium: left atrium: the left atrium dimension is normal.
Right ventricle: right ventricles: right ventricle size is severely enlarged. There is no RVH . Rv function is severely reduced.
Mitral valve: mitral valve is normal , with mild MR .
Aortic valve : aortic valve is normal , with no AI . there is no AS.
Pulmonary valve: pulmonari valve is normal with no PS . there is severe PI.
Tricuspid valve: tricuspid valve is normal with moderate TR.
Interventricular septum: lnterventricular septum has no VSD .
lnteratrial septum: lnteratrial septum has no ASD .
Pericardium: pericardium is normal with no pericardial effusion.
Diagnosis: 
*S/P  TFTC
– NL LV SIZE WITH SEVERELY REDUCED SYSTOLIC FUNCTION ( LVEF  30% )
– SEVERELY ENLARGED RV WITH SEVERE REDUCED SYSTOLIC  FUNCTION
– MILD MR ; NO MS
– MODERATE TR ( TRG: 26MMHG ); NO TS
– NO AI ; NO AS
– SEVERE PI ; NO PS
– NO PE

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##ba salam

momkene nail be peivand peida konid vali in mozoe be nizan tangi nafas shoma va sayer moayenat balini bastegi darad pishnahad mishavad be pezeshk motekhases narasayi galb moraje konid
ba tashakor vakilian

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