{"id":24444,"date":"2009-07-23T00:28:49","date_gmt":"2005-04-09T18:47:54","guid":{"rendered":"http:\/\/www.tbeeb.net\/test\/%d8%a7%d9%84%d8%a3%d8%b3%d8%a7%d8%b3\/%d9%81%d8%b4%d9%84-%d9%87%d8%a8%d9%88%d8%b7-%d8%a5%d8%ad%d8%aa%d9%82%d8%a7%d9%86-%d8%b9%d8%b6%d9%84%d8%a9-%d8%a7%d9%84%d9%82%d9%84%d8%a8-congestive-heart-failure\/"},"modified":"2020-08-25T20:37:57","modified_gmt":"2020-08-25T17:37:57","slug":"%d9%81%d8%b4%d9%84-%d9%87%d8%a8%d9%88%d8%b7-%d8%a5%d8%ad%d8%aa%d9%82%d8%a7%d9%86-%d8%b9%d8%b6%d9%84%d8%a9-%d8%a7%d9%84%d9%82%d9%84%d8%a8-congestive-heart-failure","status":"publish","type":"post","link":"https:\/\/www.tbeeb.net\/health\/%d9%81%d8%b4%d9%84-%d9%87%d8%a8%d9%88%d8%b7-%d8%a5%d8%ad%d8%aa%d9%82%d8%a7%d9%86-%d8%b9%d8%b6%d9%84%d8%a9-%d8%a7%d9%84%d9%82%d9%84%d8%a8-congestive-heart-failure\/","title":{"rendered":"\u0641\u0634\u0644\/ \u0647\u0628\u0648\u0637 \/ \u0625\u062d\u062a\u0642\u0627\u0646 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Congestive Heart Failure"},"content":{"rendered":"<p><!--more--><\/p>\n<div align=\"right\">\n<p>\u0625\u0644\u064a\u0643\u0645 \u0627\u0644\u0645\u0644\u0641 \u0627\u0644\u0645\u062a\u0643\u0627\u0645\u0644 \u0639\u0646 \u0641\u0634\u0644\/ \u0647\u0628\u0648\u0637 \/ \u0625\u062d\u062a\u0642\u0627\u0646 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Congestive Heart Failure<\/p>\n<p>\u0627\u0644\u062a\u0639\u0631\u064a\u0641 Definition:<br \/>\n\u0647\u0648 \u0645\u062a\u0644\u0627\u0632\u0645\u0629 Syndrome \u0648 \u0644\u064a\u0633 \u0645\u0631\u0636 disease<br \/>\n\u0644\u0623\u0646\u0647 \u064a\u0634\u0645\u0644 \u0645\u0634\u0627\u0643\u0644 \u0645\u062a\u0639\u062f\u062f\u0629 \u0648 \u0645\u0639\u0642\u062f\u0629 \u0646\u0627\u062a\u062c\u0629 \u0639\u0646 \u062e\u0644\u0644 \u0648\u0638\u064a\u0641\u064a \u0623\u0648 \u0628\u0646\u0627\u0626\u064a \u0641\u064a \u0639\u0636\u0644\u0629<br \/>\n\u0627\u0644\u0642\u0644\u0628 \u064a\u0646\u062c\u0645 \u0639\u0646\u0647 \u062e\u0644\u0644 \u0641\u064a \u0642\u062f\u0631\u0629 \u0627\u0644\u0642\u0644\u0628 \u0639\u0644\u0649 \u0636\u062e \u0627\u0644\u062f\u0645 \u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u062c\u0633\u0645 \u0648 \u0645\u0646 \u0623\u0647\u0645\u0647\u0627<br \/>\n\u0627\u0644\u0631\u0626\u062a\u064a\u0646 \u0648 \u0627\u0644\u062f\u0645\u0627\u063a \u0648 \u0627\u0644\u0643\u0644\u064a\u062a\u064a\u0646.<\/p>\n<\/div>\n<div align=\"center\"><\/div>\n<div align=\"center\"><\/div>\n<div align=\"right\"><\/div>\n<div align=\"right\">\u0627\u0644\u0642\u0644\u0628: \u0644\u0644\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u062a\u0641\u0627\u0635\u064a\u0644::::::: <a href=\"https:\/\/www.tbeeb.net\/health\/19932\/\u0627\u0644\u0642\u0644\u0628\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0636\u063a\u0637 \u0647\u0646\u0627<\/a>:::::::::<br \/>\n\u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062f\u0648\u0631\u064a: \u0644\u0644\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u062a\u0641\u0627\u0635\u064a\u0644::::::: <a href=\"https:\/\/www.tbeeb.net\/health\/19931\/\u0627\u0644\u062c\u0647\u0627\u0632-\u0627\u0644\u062f\u0648\u0631\u064a\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0636\u063a\u0637 \u0647\u0646\u0627<\/a>:::::::::<\/div>\n<div align=\"right\">\u0627\u0644\u0642\u0644\u0628 \u0648 \u062c\u0647\u0627\u0632 \u062f\u0648\u0631\u0627\u0646 \u0627\u0644\u062f\u0645 \u0627\u0644\u0645\u0646\u0638\u0648\u0645\u0629 \u0627\u0644\u0642\u0644\u0628\u064a\u0629 \u0627\u0644\u0648\u0639\u0627\u0626\u064a\u0629::::::: <a href=\"https:\/\/www.tbeeb.net\/health\/19921\/\u0627\u0644\u0642\u0644\u0628-\u0648-\u0627\u0644\u0627\u0648\u0639\u064a\u0629-\u0627\u0644\u062f\u0645\u0648\u064a\u0629-\u0648-\u0627\u0644\u062c\u0647\u0627\u0632-\u0627\u0644\u062f\u0648\u0631\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0636\u063a\u0637 \u0647\u0646\u0627<\/a>:::::::::<\/div>\n<div align=\"right\"><\/div>\n<div align=\"center\"><\/div>\n<div align=\"right\"><\/div>\n<div align=\"right\">\n<p>\u0627\u0644\u062d\u062f\u0648\u062b Incidence:<br \/>\n\u064a\u0632\u064a\u062f \u0627\u062d\u062a\u0645\u0627\u0644 \u062d\u062f\u0648\u062a \u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0647\u0628\u0648\u0637 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0628\u062a\u0642\u062f\u0645 \u0627\u0644\u0633\u0646 \u0648 \u0647\u0646\u0627\u0643 \u0627\u062d\u0635\u0627\u0626\u064a\u0627\u062a \u0633\u0646\u0648\u064a\u0629 \u062a\u062c\u0631\u0649 \u0641\u064a \u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629 \u062a\u0648\u0636\u062d \u062d\u062f\u0648\u062b \u0627\u0644\u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0628\u0646\u0633\u0628\u0629 2-4% \u0628\u064a\u0646 \u0639\u0645\u0631\u064a 35 \u0625\u0644\u0649 64 \u0633\u0646\u0629 \u0648 \u0628\u0646\u0633\u0628\u0629 10% \u0641\u0648\u0642 65 \u0633\u0646\u0629.<br \/>\n\u062a\u0648\u0642\u0639\u0627\u062a \u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0631\u0636 \u062a\u062d\u0633\u0646\u062a \u0641\u064a \u0627\u0644\u0639\u0634\u0631 \u0633\u0646\u0648\u0627\u062a \u0627\u0644\u0623\u062e\u064a\u0631\u0629 \u0648 \u0644\u0643\u0646 \u0644\u0627\u0632\u0627\u0644 \u0645\u0639\u062f\u0644 \u0627\u0644\u0648\u0641\u064a\u0627\u062a \u0645\u0631\u062a\u0641\u0639 \u062d\u064a\u062b \u0623\u0646\u0647 \u0648 \u0628\u0646\u0633\u0628\u0629 50% \u062a\u0642\u0631\u064a\u0628\u0623 \u064a\u062a\u0648\u0641\u0649 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0625\u062d\u062a\u0642\u0627\u0646 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0628\u0639\u062f \u062e\u0645\u0633 \u0633\u0646\u0648\u0627\u062a \u0639\u0644\u0649 \u0627\u0644\u0623\u0642\u0644 \u0645\u0646 \u0625\u0643\u062a\u0634\u0627\u0641 \u0627\u0644\u0645\u0634\u0643\u0644\u0629.<br \/>\n\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0634\u0631\u0627\u064a\u064a\u0646 \u0627\u0644\u062a\u0627\u062c\u064a\u0629 Coronary artery disease \u0645\u0646 \u0623\u0643\u062b\u0631 \u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0634\u064a\u0648\u0639\u0627\u064b \u0644\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0645\u062a\u0644\u0627\u0632\u0645\u0629.<\/p>\n<p>\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0647\u0628\u0648\u0637 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628:<\/p>\n<p>1. \u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629:Main causes<\/p>\n<\/div>\n<div align=\"right\">\n<ul>\n<li>\u0627\u0644\u0625\u0633\u0643\u064a\u0645\u064a\u0647 Ischaemic heart disease \u0623\u0648 \u0646\u0642\u0635 \u0627\u0644\u062a\u0631\u0648\u064a\u0629 \u0627\u0644\u0642\u0644\u0628\u064a\u0629 \u0628\u0646\u0633\u0628\u0629 (35-40%)<\/li>\n<li>\u062a\u0636\u062e\u0645 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Cardiomyopathy \u0628\u0646\u0633\u0628\u0629 (30-34%)<\/li>\n<li>\u0627\u0631\u062a\u0641\u0627\u0639 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645 Hypertension \u0648\u0628\u0646\u0633\u0628\u0629 (15-20%)<\/li>\n<\/ul>\n<\/div>\n<p>2.\u0623\u0633\u0628\u0627\u0628 \u0623\u062e\u0631\u0649 Other causes<\/p>\n<ul>\n<li>\u062a\u0644\u064a\u0641 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0628\u0633\u0628\u0628 \u0627\u0644\u0645\u0648\u062a amyloidosis \u0627\u0644\u0645\u0628\u0631\u0645\u062c \u0644\u0628\u0639\u0636 \u0627\u0644\u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0630\u0627\u062a\u064a\u0629 \u0627\u0644\u0643\u0647\u0631\u0628\u064a\u0629.<\/li>\n<li>\u0623\u0645\u0631\u0627\u0636 \u0635\u0645\u0627\u0645\u0627\u062a \u0627\u0644\u0642\u0644\u0628 Valvular heart disease \u0645\u062b\u0644 \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u062a\u0627\u062c\u064a\/\u0627\u0644\u0625\u0643\u0644\u064a\u0644\u064a (Mitral Valve)\u0623\u0648 \u0627\u0644\u0635\u0645\u0627\u0645 \u062b\u0644\u0627\u062b\u064a \u0627\u0644\u0634\u0631\u0641\u0627\u062a Tricuspid Valve \u0623\u0648 \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u0623\u0648\u0631\u0637\u064a Aortic Valve \u0623\u0648 \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u0631\u0626\u0648\u064a Pulmonic Valve.<\/li>\n<li>\u0639\u064a\u0648\u0628 \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u062e\u0644\u0642\u064a\u0629 Congenital heart disease \u0645\u062b\u0644 \u062b\u0642\u0648\u0628 \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u0623\u0630\u064a\u0646\u064a\u0629 ASD \u0623\u0648 \u0627\u0644\u0628\u0637\u064a\u0646\u064a\u0629 VSD \u0623\u0648 \u0627\u0646\u0633\u062f\u0627\u062f\u0627\u062a \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u0631\u0626\u0648\u064a PS \u0648\u0642\u0646\u0627\u0629 \u0645\u0627 \u0628\u064a\u0646 \u0627\u0644\u0634\u0631\u0627\u064a\u064a\u0646 \u0627\u0644\u0643\u0628\u0631\u0649 PDA<\/li>\n<li>\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0643\u062d\u0648\u0644 \u0648 \u0628\u0639\u0636 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0645\u062b\u0644 \u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0632\u0648\u0646 \u0648 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u0627\u0626\u064a (chemotherapy)<\/li>\n<li>\u0628\u0639\u0636 \u0627\u0644\u0623\u0645\u0631\u0627\u0636 \u0645\u062b\u0644 \u062a\u0633\u0645\u0645 \u0627\u0644\u063a\u062f\u0629 \u0627\u0644\u062f\u0631\u0642\u064a\u0629 Thyrotoxicos \u0648 \u0641\u0642\u0631 \u0627\u0644\u062f\u0645Anemia \u0648\u0645\u0631\u0636 \u0628\u0647\u062c\u062a Paget&#8217;s disease.<\/li>\n<li>\u0641\u0634\u0644 \u0627\u0644\u062c\u0627\u0646\u0628 \u0627\u0644\u0623\u064a\u0645\u0646 Right heart failure \u0645\u0646 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0645\u062b\u0644 RV infarct \u0641\u0634\u0644 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0645\u0646 \u0623\u0648 \u0627\u0631\u062a\u0641\u0627\u0639 \u0627\u0644\u0636\u063a\u0637 \u0641\u064a \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u0631\u0626\u0648\u064a\u0629 pulmonary hypertension \u0623\u0648 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0631\u0626\u0648\u064a \u0627\u0644\u0645\u0632\u0645\u0646 COPD \u0627\u0648 \u062c\u0644\u0637\u0629 \u0645\u062a\u062d\u0631\u0643\u0629 \u0641\u064a \u0623\u062d\u062f \u0627\u0644\u0631\u0626\u062a\u064a\u0646 pulmonary embolism.<\/li>\n<li>\u0639\u062f\u0645 \u0643\u0641\u0627\u0626\u0629 \u0627\u0644\u0635\u0645\u0627\u0645 \u062b\u0644\u0627\u062b\u064a \u0627\u0644\u0634\u0631\u0641\u0627\u062a Tricuspid incompetence<\/li>\n<li>\u0625\u0636\u0637\u0631\u0627\u0628 \u0636\u0631\u0628\u0627\u062a \u0627\u0644\u0642\u0644\u0628 Arrhythmias \u0628\u0633\u0628\u0628 \u0628\u0639\u0636 \u0627\u0644\u0627\u0645\u0631\u0627\u0636 \u0627\u0644\u0627\u062e\u0631\u0649 \u0645\u062b\u0644 atrial fibrillation \u0623\u0648 sick sinus syndrome \u0623\u0648 complete heart block.<\/li>\n<li>\u0625\u0644\u062a\u0647\u0627\u0628 \u063a\u0634\u0627\u0621 \u0627\u0644\u062a\u0627\u0645\u0648\u0633 Pericardial disease \u0623\u0648 Pericarditis \u0627\u0644\u0645\u062d\u064a\u0637 \u0628\u0627\u0644\u0642\u0644\u0628 \u0628\u0633\u0628\u0628 \u062a\u0631\u0627\u0643\u0645 \u0628\u0639\u0636 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0641\u064a\u0647 \u0627\u0648 \u0628\u0633\u0628\u0628 \u062c\u0644\u0637\u0629 \u0642\u0644\u0628\u064a\u0629 \u0633\u0627\u0628\u0642\u0629 MI \u062d\u064a\u062b \u062a\u0642\u0648\u0645 \u0627\u0644\u062c\u0644\u0637\u0629 \u0628\u062a\u063a\u064a\u0631 \u0641\u064a \u0628\u0639\u0636 \u062e\u0635\u0627\u0626\u0635 \u0627\u0644\u0645\u0646\u0627\u0637\u0642 \u0627\u0644\u0645\u064a\u062a\u0629 \u0644\u062a\u062c\u062f\u062f \u0648 \u062a\u062a\u0644\u064a\u0641 Fibrosis \u0648 \u0643\u062b\u0631\u0629 \u0627\u0644\u0625\u062d\u062a\u0643\u0627\u0643 \u0623\u062b\u0646\u0627\u0621 \u0625\u0646\u0642\u0628\u0627\u0636 \u0648 \u0625\u0646\u0628\u0633\u0627\u0637 \u0627\u0644\u0642\u0644\u0628 \u062a\u0633\u0628\u0628 \u0627\u0647\u062a\u0631\u0627\u0621 \u0648 \u0625\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0641\u064a \u063a\u0634\u0627\u0621 \u0627\u0644\u062a\u0627\u0645\u0648\u0633.<\/li>\n<li>\u062a\u0645\u062f\u062f \u0627\u0644\u0628\u0637\u064a\u0646 Ventricular dilatation<\/li>\n<li>\u062a\u0636\u062e\u0645 \u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0642\u0644\u0628 Myocyte hypertrophy<\/li>\n<li>\u0627\u0632\u064a\u0627\u062f \u062a\u0635\u0646\u064a\u0639 \u0627\u0644\u0643\u0648\u0644\u0627\u062c\u064a\u0646 collagen.<\/li>\n<li>\u062a\u063a\u064a\u0631 \u0641\u064a \u062c\u064a\u0646 \u0627\u0644\u0645\u064a\u0648\u0633\u0646 myosin gene (\u0628\u0631\u0648\u062a\u064a\u0646 \u0645\u0633\u0626\u0648\u0644 \u0639\u0646 \u0627\u0646\u0642\u0628\u0627\u0636 \u0627\u0644\u0639\u0636\u0644\u0627\u062a)<\/li>\n<li>\u062e\u0644\u0644 \u0641\u064a \u0645\u0636\u062e\u0627\u062a \u0627\u0644\u0643\u0627\u0644\u0633\u064a\u0648\u0645 Altered sarcoplasmic Ca2+-ATPase density<\/li>\n<li>\u0627\u0631\u062a\u0641\u0627\u0639 \u0627\u0641\u0631\u0627\u0632 \u0627\u0646\u0632\u064a\u0645 \u0627\u0644\u0642\u0644\u0628 ANP<\/li>\n<li>\u062d\u0635\u0631 retention \u0627\u0644\u0645\u0627\u0621 \u0648 \u0627\u0644\u0645\u0644\u062d (\u0635\u0648\u062f\u064a\u0645).<\/li>\n<li>\u0625\u0633\u062a\u062b\u0627\u0631\u0629 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0639\u0635\u0628\u064a \u0627\u0644\u0633\u064a\u0645\u0628\u0627\u062a\u0627\u0648\u064a Sympathetic N.S.<\/li>\n<li>\u0627\u0646\u0642\u0628\u0627\u0636 \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629 \u0627\u0644\u0637\u0631\u0641\u064a\u0629 Peripheral vasoconstriction.<\/li>\n<\/ul>\n<p>\u062a\u0648\u0636\u064a\u062d\u0627\u062a \u0647\u0627\u0645\u0629:<br \/>\n1. \u0627\u0644\u0639\u0648\u062f\u0629 \u0627\u0644\u0648\u0631\u064a\u062f\u064a\u0629 Venous return \u0623\u0648(preload):<br \/>\n\u0641\u064a<br \/>\n\u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644\u0629 \u064a\u0624\u062f\u064a \u0641\u0634\u0644 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0644\u062a\u0642\u0644\u064a\u0644 \u062d\u062c\u0645 \u0627\u0644\u062f\u0645 \u0627\u0644\u0645\u0636\u062e\u0648\u062e \u0639\u0646\u062f \u0643\u0644 \u0636\u0631\u0628\u0629<br \/>\n\u0644\u0644\u0642\u0644\u0628 \u0648 \u062a\u0632\u064a\u062f \u0643\u0645\u064a\u0629 \u0648 \u062d\u062c\u0645 \u0627\u0644\u062f\u0645 \u0627\u0644\u062a\u064a \u062a\u0628\u0642\u0649 \u0641\u064a \u0627\u0644\u0642\u0644\u0628 \u0628\u0639\u062f \u0627\u0646\u0642\u0628\u0627\u0636\u0647 \u0648 \u0632\u064a\u0627\u062f\u0629<br \/>\n\u0627\u0644\u062d\u062c\u0645 \u0627\u0644\u0645\u062a\u0642\u0628\u064a \u0639\u0646\u062f \u0627\u0646\u0628\u0633\u0627\u0637 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u062a\u0639\u0645\u0644 \u0639\u0644\u0649 \u0632\u064a\u0627\u062f\u0629 \u062a\u0645\u062f\u062f \u0623\u0644\u064a\u0627\u0641 \u0627\u0644\u0642\u0644\u0628 \u062d\u0633\u0628<br \/>\n\u0642\u0627\u0646\u0648\u0646 \u0633\u062a\u0627\u0631\u0644\u064a\u0646\u062c Starling&#8217;s law \u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0625\u0646\u0642\u0628\u0627\u0636 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628. \u0645\u0645\u0627 \u064a\u0633\u0628\u0628 \u0647\u0628\u0648\u0637 \u0641\u064a \u0639\u0645\u0644 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628.<\/p>\n<p>\u0647\u0628\u0648\u0637 \u0648\u0638\u064a\u0641\u0629 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 myocardial depression \u0644\u0627 \u062a\u0631\u062a\u0628\u0637 \u0628\u0642\u0644\u0629 \u0643\u0645\u064a\u0629 \u0627\u0644\u062f\u0645 \u0627\u0644\u062a\u064a \u064a\u0636\u062e\u0647\u0627 \u0627\u0644\u0642\u0644\u0628 cardiac output \u0648 \u0630\u0644\u0643 \u0628\u0633\u0628\u0628 \u062a\u0639\u0648\u064a\u0636 \u0627\u0644\u0639\u0648\u062f\u0629 \u0627\u0644\u0648\u0631\u064a\u062f\u064a\u0629 Venous return \u0648 \u0632\u064a\u0627\u062f\u0629 \u0636\u0631\u0628\u0627\u062a \u0627\u0644\u0642\u0644\u0628 Tachycardia.<\/p>\n<p>2. \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u062a\u062f\u0641\u0642 Outflow resistance \u0623\u0648 (afterload):<br \/>\n\u0627\u0644\u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u0645\u0633\u0628\u0628\u0629 \u0644\u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u062a\u062f\u0641\u0642 \u0645\u0627 \u064a\u0644\u064a::<br \/>\n\u2022 \u0645\u0642\u0627\u0648\u0645\u0629 \u0646\u0638\u0627\u0645\u064a Systemic \u0627\u0648 \u0631\u0626\u0648\u064a\u0629 Pulmonic.<br \/>\n\u2022 \u062a\u0635\u0644\u0628 \u0627\u0644\u0634\u0631\u0627\u064a\u064a\u0646 Atherosclerosis.<br \/>\n\u2022 \u0643\u0645\u064a\u0629 \u0627\u0644\u062f\u0645 \u0627\u0644\u0645\u0636\u062e\u0648\u062e \u0645\u0646 \u0627\u0644\u0642\u0644\u0628.<\/p>\n<p>\u0645\u0644\u0627\u062d\u0638\u0629 \u0647\u0627\u0645\u0629: \u0632\u064a\u0627\u062f\u0629 \u0645\u0642\u0627\u0648\u0645\u0629 \u0627\u0644\u062a\u062f\u0641\u0642 afterload \u062a\u0642\u0644\u0644 \u0643\u0645\u064a\u0629 \u0627\u0644\u062f\u0645 \u0627\u0644\u0645\u0636\u062e\u0648\u062e cardiac output \u062d\u0633\u0628 \u0642\u0627\u0646\u0648\u0646 \u0644\u0627\u0628\u0644\u0627\u0643\u0633\u0632 Laplace&#8217;s law.<br \/>\n\u0625\u0646\u0642\u0628\u0627\u0636 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Myocardial contractility (inotropic state)<br \/>\n\u0627\u062d\u0627\u0644\u0629 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u062a\u0624\u062b\u0631 \u0639\u0644\u0649 \u0627\u062f\u0627\u0626\u0647\u0627 \u0648 \u064a\u062a\u062d\u0643\u0645 \u0641\u064a \u0630\u0644\u0643 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0639\u0635\u0628\u064a \u0627\u0644\u0633\u064a\u0645\u0628\u0627\u062b\u0627\u0648\u064a Sympathetic N.S \u0645\u0646 \u062e\u0644\u0627\u0644 \u0645\u0633\u062a\u0642\u0628\u0644\u0627\u062a \u0627\u0644\u0636\u063a\u0637 Baroreceptors \u0627\u0644\u0645\u0648\u062c\u0648\u062f\u0629 \u0639\u0644\u0649 \u0627\u0644\u0627\u0648\u0631\u0637\u0649 Aorta \u0641\u064a \u062d\u0627\u0644\u0629 \u0627\u0644\u0641\u0634\u0644 \u0627\u0644\u062d\u0627\u062f \u0643\u0646\u0648\u0639 \u0645\u0646 \u0627\u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0627\u0644\u062a\u0639\u0648\u064a\u0636\u064a\u0629.<\/p>\n<ul>\n<li>\u0645\u062a\u0644\u0627\u0632\u0645\u0627\u062a \u0639\u0645\u0644\u064a\u0629 \u0644\u0647\u0628\u0648\u0637 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628:<\/li>\n<\/ul>\n<p>1. \u0641\u0634\u0644 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0633\u0631 Left heart failure<br \/>\n\u0627\u0644\u0623\u0633\u0628\u0627\u0628 Causes:<br \/>\n\u2022 \u0646\u0642\u0635 \u0627\u0644\u062a\u0631\u0648\u064a\u0629 \u0627\u0644\u0642\u0644\u0628\u064a\u0629 Ischaemic Heart Disease \u0648 \u0647\u0648 \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u0627\u064b.<br \/>\n\u2022 \u0627\u0631\u062a\u0641\u0627\u0639 \u0646\u0638\u0627\u0645\u064a \u0644\u0636\u063a\u0637 \u0627\u0644\u062f\u0645 Systemic Hypertension<br \/>\n\u2022 \u062e\u0644\u0644: \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u062a\u0627\u062c\u064a\/\u0627\u0644\u0625\u0643\u0644\u064a\u0644\u064a (Mitral Valve) \u0623\u0648 \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u0623\u0648\u0631\u0637\u064a Aortic Valve<br \/>\n\u2022 \u062a\u0636\u062e\u0645 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Cardiomegaly.<\/p>\n<p>\u0627\u0644\u062e\u0635\u0627\u0626\u0635 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 Clinical features:<br \/>\n\u0627\u0644\u0623\u0639\u0631\u0627\u0636 Symptoms \u0647\u064a: \u0627\u0644\u062a\u0639\u0628 \u0648 \u0642\u0635\u0631 \u0627\u0644\u062a\u0646\u0641\u0633 \u0639\u0646\u062f \u0627\u0644\u0627\u062c\u0647\u0627\u062f \u0648 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0646\u0641\u0633 \u0641\u064a \u0627\u0644\u0644\u064a\u0644 \u0645\u0645\u0627 \u064a\u062c\u0639\u0644 \u0627\u0644\u0645\u0631\u064a\u0636 \u064a\u0641\u0636\u0644 \u0627\u0644\u0646\u0648\u0645 \u062c\u0627\u0644\u0633\u0627\u064b Orthopnoea \u0644\u0627 \u0645\u0633\u062a\u0644\u0642\u064a\u0627\u064b<br \/>\n\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a Physical signs \u064a\u0638\u0647\u0631 \u062a\u0636\u062e\u0645 \u0648 \u062a\u0645\u062f\u062f \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 Cardiomegaly \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u0646\u0642\u0631Percussion \u0648 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u0627\u0633\u062a\u0645\u0627\u0639 Auscultation \u064a\u062a\u0645 \u0633\u0645\u0627\u0639 \u0623\u0635\u0648\u0627\u062a \u0627\u0644\u0642\u0644\u0628 \u0627\u0644\u063a\u064a\u0631 \u0637\u0628\u064a\u0639\u064a\u0629 (S3 \u0648 S4 \u0648 gallop rhythm) ,<br \/>\n\u0648 \u0623\u064a\u0636\u0627\u064b \u064a\u0645\u0643\u0646 \u0633\u0645\u0627\u0639 \u0635\u0648\u062a Crackles \u0641\u0631\u0642\u0639\u0629 \u0628\u0633\u0628\u0628 \u062a\u0631\u0627\u0643\u0645 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0641\u064a \u0627\u0644\u0645\u062c\u0627\u0631\u064a \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629 \u0648 \u062a\u0648\u0631\u0645 \u0627\u0644\u0631\u0626\u0629.<\/p>\n<p>2. \u0641\u0634\u0644 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0645\u0646 Right heart failure<br \/>\n\u0627\u0644\u0623\u0633\u0628\u0627\u0628 Causes:<\/p>\n<ul>\n<li>\u0641\u0634\u0644 \u0627\u0644\u0628\u0637\u064a\u0646 \u0627\u0644\u0623\u064a\u0633\u0631Left heart failure<\/li>\n<li>\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u0629 \u0645\u062b\u0644 COPD \u0627\u0644\u0630\u064a \u064a\u0633\u0628\u0628 Corpulmonale<\/li>\n<li>\u062c\u0644\u0637\u0629 \u0645\u062a\u062d\u0631\u0643\u0629 \u0628\u0627\u0644\u0631\u0626\u0629 pulmonary embolism<\/li>\n<li>\u0625\u0631\u062a\u0641\u0627\u0639 \u0627\u0644\u0636\u063a\u0637 \u0627\u0644\u0631\u0626\u0648\u064a pulmonary hypertension<\/li>\n<li>\u062e\u0644\u0644 \u0641\u064a \u0627\u0644\u0635\u0645\u0627\u0645 \u062b\u0644\u0627\u062b\u064a \u0627\u0644\u0634\u0631\u0641\u0627\u062a Tricuspid Valve<\/li>\n<li>\u062e\u0644\u0644 \u0641\u064a \u0627\u0644\u0635\u0645\u0627\u0645 \u0627\u0644\u0631\u0626\u0648\u064a Pulmonic Valve.<\/li>\n<li>\u062e\u0644\u0644 \u0641\u064a \u0627\u0644\u062d\u0627\u062c\u0632 \u0627\u0644\u0623\u0630\u064a\u0646\u064a \u0623\u0648 \u0627\u0644\u0628\u0637\u064a\u0646\u064a (VSD\u0623\u0648 ASD).<\/li>\n<\/ul>\n<p>\u0627\u0644\u062e\u0635\u0627\u0626\u0635 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 Clinical features<br \/>\n\u0627\u0644\u0623\u0639\u0631\u0627\u0636: symptoms \u062a\u062a\u062a\u0634\u0627\u0628\u0647 \u0644\u062d\u062f \u0643\u0628\u064a\u0631 \u0645\u0639 \u0627\u0644\u0633\u0627\u0628\u0642 \u0644\u0643\u0646 \u0646\u0636\u064a\u0641 \u0625\u0644\u064a\u0647\u0627 \u0636\u0639\u0641 \u0627\u0644\u0634\u0647\u064a\u0629 Anorexia<br \/>\n\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a Physical signs \u064a\u0638\u0647\u0631 \u0645\u0627 \u064a\u0644\u064a:<br \/>\n\u2022 \u0627\u0646\u062a\u0641\u0627\u062e \u0627\u0644\u0648\u0631\u064a\u062f \u0627\u0644\u0639\u0646\u0642\u064a Jugular Venous Distension \u0628\u0633\u0628\u0628 \u062e\u0644\u0644 \u0641\u064a \u0627\u0644\u0635\u0645\u0627\u0645 \u062b\u0644\u0627\u062b\u064a \u0627\u0644\u0634\u0631\u0641\u0627\u062a.<br \/>\n\u2022 \u062a\u0636\u062e\u0645 \u0627\u0644\u0643\u0628\u062f Hepatomegaly.<br \/>\n\u2022 \u062a\u0648\u0631\u0645 \u0627\u0644\u0642\u062f\u0645\u064a\u0646 pitting oedema<br \/>\n\u2022 \u062a\u0631\u0627\u0643\u0645 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0641\u064a \u0627\u0644\u063a\u0634\u0627\u0621 \u0627\u0644\u0628\u064a\u0631\u062a\u0648\u0646\u064a Ascites<br \/>\n\u2022 \u062a\u0631\u0627\u0643\u0645 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0641\u064a \u0627\u0644\u062a\u062c\u0648\u064a\u0641 \u0627\u0644\u0628\u0644\u0648\u064a \u0627\u0644\u0645\u062d\u064a\u0637 \u0628\u0627\u0644\u0631\u0626\u0629 \u0648 \u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u062d\u062f\u062b \u0630\u0644\u0643 \u0641\u064a \u0627\u0644\u0631\u0626\u0629 \u0627\u0644\u064a\u0645\u0646\u0649.<br \/>\n\u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u062a\u0644\u0641\u0632\u064a\u0648\u0646\u064a \u0627\u0644\u0627\u064a\u0643\u0648 Echocardiography<\/p>\n<p>\u0627\u0644\u062a\u0634\u062e\u064a\u0635\u0627\u062a \u0648 \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u0633\u062a\u062e\u062f\u0645\u0629 \u0644\u0644\u0643\u0634\u0641 \u0639\u0646 \u0647\u0628\u0648\u0637 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628: Diagnosis of Heart Failure<br \/>\n1.\u0645\u0639\u0631\u0641\u0629 \u0627\u0644\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0635\u062d\u064a \u0644\u0644\u0645\u0631\u064a\u0636 Health History<br \/>\n2.\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a Physical Examination<br \/>\n3.\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u062f\u0645 Blood tests\u0645\u062b\u0644 CBC , Blood Chemistry \u0648 liver biochemistry \u0648 Natriuretic peptide \u0648 cardiac enzyme \u0648 \u0641\u062d\u0635 \u0648\u0636\u0627\u0626\u0641 \u0627\u0644\u0643\u0644\u0649 RFT \u0648 \u0641\u062d\u0635 \u0644\u0627\u0646\u0632\u064a\u0645\u0627\u062a \u0627\u0644\u0642\u0644\u0628 LDH \u0648 CK \u0648 \u063a\u064a\u0631\u0647 \u0648 \u0623\u064a\u0636\u0627\u064b \u0641\u062d\u0635 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u063a\u062f\u0629 \u0627\u0644\u062f\u0631\u0642\u064a\u0629<br \/>\n4.\u0627\u0644\u0623\u0634\u0639\u0629 \u0627\u0644\u0633\u064a\u0646\u064a\u0629 \u0644\u0644\u0635\u062f\u0631 Chest X-ray.<br \/>\n5.\u062a\u062e\u0637\u064a\u0637 \u0643\u0647\u0631\u0628\u064a\u0629 \u0627\u0644\u0642\u0644\u0628 Electrocardiogram \u0623\u0648 ECG<br \/>\n6.\u0627\u0644\u0631\u0646\u064a\u0646 \u0627\u0644\u063a\u0646\u0627\u0637\u064a\u0633\u064a \u0644\u0644\u0642\u0644\u0628 Cardiac MRI<br \/>\n7.\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u062a\u0644\u0641\u0632\u064a\u0648\u0646\u064a \u0627\u0644\u0627\u064a\u0643\u0648 Echocardiography<br \/>\n8.\u0641\u062d\u0635 \u0627\u0644\u0625\u064a\u0643\u0648 \u0645\u0639 \u0627\u0644\u0636\u063a\u0637 (\u062c\u0647\u062f \u0623\u0648 \u062f\u0648\u0627\u0621) Stress echocardiography<br \/>\n9.\u0641\u062d\u0635 \u062a\u062d\u062f\u064a\u062f \u062d\u062c\u0645 \u0627\u0644\u062f\u0645 \u0627\u0644\u0645\u0636\u062e\u0648\u062e Nuclear cardiology\/Radionuclide angiography (RNA)<br \/>\n10. \u0641\u062d\u0635 Positron emission tomography (PET)<br \/>\n11. \u0642\u0633\u0637\u0631\u0629 \u0627\u0644\u0642\u0644\u0628 Cardiac catheterization<br \/>\n12. \u0639\u064a\u0646\u0629 \u0645\u0646 \u0623\u0646\u0633\u062c\u0629 \u0627\u0644\u0642\u0644\u0628 Cardiac biopsy<br \/>\n13. \u0627\u062e\u062a\u0628\u0627\u0631 \u0627\u0644\u062c\u0647\u062f Cardiopulmonary exercise testing<br \/>\n14. \u0641\u062d\u0635 \u0627\u0644\u062d\u0631\u0643\u0629 \u0644\u0645\u062f\u0629 (24-48 \u0633\u0627\u0639\u0629) Ambulatory ECG monitoring<br \/>\n15. \u0641\u062d\u0635 \u0627\u0644\u0631\u0627\u062d\u0629 \u0648 \u0627\u0644\u0625\u062c\u0647\u0627\u062f Resting and stress radionuclide angiography (MUGA)<\/p>\n<p>\u0627\u0644\u0639\u0644\u0627\u062c Treatment:<br \/>\n\u0627\u0644\u0647\u062f\u0641<br \/>\n\u0627\u0644\u0623\u0633\u0627\u0633 \u0644\u0644\u0639\u0644\u0627\u062c \u0647\u0648 \u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0648 \u0632\u064a\u0627\u062f\u0629 \u0643\u0641\u0627\u0621\u0629 \u0627\u0644\u0642\u0644\u0628 \u0648 \u0627\u0644\u0625\u0647\u062a\u0627\u0645 \u0628\u0648\u0633\u0627\u0626\u0644 \u0645\u0646\u0639<br \/>\n\u062a\u0637\u0648\u0631 \u0627\u0644\u0645\u0634\u0643\u0644\u0629 \u0628\u0633\u0628\u0628 \u0627\u0644\u062a\u062f\u062e\u064a\u0646 \u0648 \u0634\u0631\u0628 \u0627\u0644\u0643\u062d\u0648\u0644\u064a\u0627\u062a \u0648 \u062a\u0646\u0627\u0648\u0644 \u0628\u0639\u0636 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0648 \u0639\u0644\u0627\u062c<br \/>\n\u0627\u0631\u062a\u0641\u0627\u0639 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645 \u0648 \u0627\u0644\u0633\u0643\u0631\u064a \u0648 \u0627\u0631\u062a\u0641\u0627\u0639 \u0646\u0633\u0628\u0629 \u0627\u0644\u0643\u0648\u0644\u064a\u0633\u062a\u064a\u0631\u0648\u0644 \u0641\u064a \u0627\u0644\u062f\u0645 Hypercholesterolemia \u0648 \u0645\u0646\u0639 \u0627\u0644\u062c\u0644\u0637\u0629 \u0627\u0644\u0642\u0644\u0628\u064a\u0629 MI \u0648 \u063a\u064a\u0631\u0647<br \/>\n\u0627\u0627\u0644\u0646\u0635\u0627\u0626\u062d \u0627\u0644\u0645\u062a\u0639\u0644\u0642\u0629 \u0628\u0646\u0645\u0637 \u0627\u0644\u062d\u064a\u0627\u0629 lifestyle:<\/p>\n<ul>\n<li>\u0627\u0644\u062a\u0639\u0644\u064a\u0645: \u062d\u064a\u062b \u064a\u062c\u0628 \u0639\u0644\u0649 \u0627\u0644\u0645\u0645\u0631\u0636\u064a\u0646 \u0648 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u062a\u0639\u0644\u064a\u0645 \u0627\u0644\u0645\u0631\u064a\u0636 \u0645\u0627\u064a\u0644\u064a:<\/li>\n<li>\u0627\u0644\u062a\u062d\u0643\u0645 \u0641\u064a \u0627\u0644\u0648\u0632\u0646 \u0648 \u0645\u0631\u0627\u0642\u0628\u062a\u0647 \u0627\u0644\u0645\u0633\u062a\u0645\u0631\u0629 \u0648 \u062a\u0642\u0644\u064a\u0644 <a href=\"https:\/\/www.tbeeb.net\/health\/19909\/\u0627\u0644\u0633\u0645\u0646\u0629-\u0648-\u0627\u0645\u0631\u0627\u0636-\u0627\u0644\u0642\u0644\u0628\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0644\u0633\u0645\u0646\u0629 \u0627\u0644\u0632\u0627\u0626\u062f\u0629<\/a>.<\/li>\n<li>\u062a\u0646\u0638\u064a\u0645 \u0627\u0644\u063a\u0630\u0627\u0621<br \/>\n: \u0627\u062a\u0628\u0627\u0639 \u062d\u0645\u0627\u064a\u0629 \u063a\u0630\u0627\u0626\u064a\u0629 \u0645\u062d\u062f\u062f\u0629 (\u0639\u062f\u0645 \u062a\u0646\u0627\u0648\u0644 \u0643\u0645\u064a\u0627\u062a \u0643\u0628\u064a\u0631\u0629 \u0645\u0646 \u0627\u0644\u0637\u0639\u0627\u0645 \u0648 \u0636\u0631\u0648\u0631\u0629<br \/>\n\u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u0648\u0632\u0646 \u0648 \u0627\u0644\u062a\u0642\u0644\u064a\u0644 \u0645\u0646 \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u062a\u064a \u062a\u062d\u062a\u0648\u064a \u0639\u0644\u0649 \u0627\u0644\u0623\u0645\u0644\u0627\u062d \u0648 \u0627\u0644\u0635\u0648\u062f\u064a\u0648\u0645 \u0648<br \/>\n\u0627\u0644\u0625\u0645\u062a\u0646\u0627\u0639 \u0639\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062d\u0643\u0648\u0644\u064a\u0627\u062a)<\/li>\n<li>\u0627\u0644\u062a\u062f\u062e\u064a\u0646: \u062d\u064a\u062b \u0623\u0646\u0647 \u064a\u062c\u0628 \u0641\u0648\u0631\u0627\u064b \u0648\u0642\u0641 \u0627\u0644\u062a\u062f\u062e\u064a\u0646.<\/li>\n<li>\u0645\u0645\u0627\u0631\u0633\u0629 \u0627\u0644\u0631\u064a\u0627\u0636\u0629: \u0627\u0644\u0646\u0634\u0627\u0637 \u0627\u0644\u062c\u0633\u0645\u0649 \u0648 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0637\u0628\u064a\u0639\u064a \u0648 \u0627\u0639\u0627\u062f\u0629 \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u064a\u0648\u064a\u0629 \u0648 \u0627\u0644\u0646\u0634\u0627\u0637 \u0648 \u0627\u0644\u0645\u0634\u0649 \u0645\u0646 20-30 \u062f\u0642\u064a\u0642\u0629 \u0648 \u0644\u062b\u0644\u0627\u062b \u0625\u0644\u0649 \u062e\u0645\u0633 \u0645\u0631\u0627\u062a \u0625\u0633\u0628\u0648\u0639\u064a\u0627\u064b.<\/li>\n<li>\u0627\u0644\u062a\u0637\u0639\u064a\u0645 Vaccination: \u0644\u0645\u0646\u0639 \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0630\u0627\u062a \u0627\u0644\u0631\u0626\u0629 Pneumococcal Disease \u0648 \u0627\u0644\u0625\u0646\u0641\u0644\u0648\u0646\u0632\u0627 Influenza.<\/li>\n<li>\u0627\u0644\u0633\u0641\u0631 \u0628\u0627\u0644\u0637\u0627\u0626\u0631\u0629 Air travel: \u0639\u0644\u064a \u0627\u0644\u0645\u0631\u064a\u0636 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u062e\u0637\u0648\u0637 \u0627\u0644\u062c\u0648\u064a\u0629 \u062d\u0648\u0644 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u0627\u0644\u0633\u0641\u0631.<\/li>\n<\/ul>\n<p>** \u0627\u0627\u0644\u0623\u062f\u0648\u064a\u0629 Drug management \u0648 \u062a\u0634\u0645\u0644:<\/p>\n<ul>\n<li>\u0645\u062f\u0631\u0627\u062a \u0627\u0644\u0628\u0648\u0644 Diuretics \u0628\u0623\u0646\u0648\u0627\u0639\u0647\u0627.<\/li>\n<li>\u0645\u0648\u0633\u0639\u0627\u062a \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629 Vasodilators \u0628\u0623\u0646\u0648\u0627\u0639\u0647\u0627.<\/li>\n<li>\u0645\u0636\u0627\u062f\u0627\u062a \u0625\u0631\u062a\u0641\u0627\u0639 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645 Anti-Hypertensives \u0628\u0623\u0646\u0648\u0627\u0639\u0647\u0627.<\/li>\n<li>\u0627\u0644\u062f\u062c\u062a\u0644\u0629 \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u062f\u064a\u062c\u0648\u0643\u0633\u064a\u0646 Digoxin&#8221;&#8221; Digitalis glycosides<\/li>\n<li>\u0645\u0633\u0627\u0646\u062f\u0627\u062a \u03b2-Adrenergic agonists<\/li>\n<li>\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062a\u062c\u0644\u0637 \u0628\u0623\u0646\u0648\u0627\u0639\u0647\u0627 Anticoagulants.<\/li>\n<li>\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0636\u0637\u0631\u0627\u0628 \u0636\u0631\u0628\u0627\u062a \u0627\u0644\u0642\u0644\u0628 Antiarrhythmic agents<\/li>\n<\/ul>\n<p>\u0648 \u0644\u0644\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u0646\u0635\u0627\u0626\u062d \u0627\u0644\u0637\u0628\u064a\u0629 \u064a\u0645\u0643\u0646\u0643 \u0632\u064a\u0627\u0631\u0629 \u0627\u0644\u0631\u0627\u0628\u0637 \u0627\u0644\u062a\u0627\u0644\u064a::::: <a href=\"https:\/\/www.tbeeb.net\/health\/19923\/\u0646\u0635\u0627\u0626\u062d-\u062b\u0645\u064a\u0646\u0629-\u0644\u0644\u0645\u062d\u0627\u0641\u0638\u0629-\u0639\u0644\u0649-\u0635\u062d\u0629-\u0627\u0644\u0642\u0644\u0628\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0636\u063a\u0637 \u0647\u0646\u0627<\/a><\/p>\n<div align=\"right\">\u0622\u062e\u0631 \u0627\u0644\u0646\u0635\u0627\u0626\u062d \u0644\u0644\u0648\u0642\u0627\u064a\u0629 \u0645\u0646 \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0642\u0644\u0628::::: <a href=\"https:\/\/www.tbeeb.net\/health\/19934\/\u0622\u062e\u0631-\u0627\u0644\u0646\u0635\u0627\u0626\u062d-\u0644\u0644\u0648\u0642\u0627\u064a\u0629-\u0645\u0646-\u0623\u0645\u0631\u0627\u0636-\u0627\u0644\u0642\u0644\u0628\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u0627\u0636\u063a\u0637 \u0647\u0646\u0627<\/a><\/div>\n<p>\u0628\u0642\u0644\u0645 \u0627\u0644\u062d\u0643\u064a\u0645: \u0623\u062f\u0647\u0645 \u0623\u062d\u0645\u062f.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[71],"tags":[],"class_list":["post-24444","post","type-post","status-publish","format-standard","hentry","category-71"],"_links":{"self":[{"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/posts\/24444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/comments?post=24444"}],"version-history":[{"count":1,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/posts\/24444\/revisions"}],"predecessor-version":[{"id":1672915,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/posts\/24444\/revisions\/1672915"}],"wp:attachment":[{"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/media?parent=24444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/categories?post=24444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tbeeb.net\/health\/wp-json\/wp\/v2\/tags?post=24444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}