{"id":138727,"date":"2022-02-27T13:34:46","date_gmt":"2022-02-27T13:34:46","guid":{"rendered":"https:\/\/af.dawatmedia24.com\/?p=138727"},"modified":"2022-02-27T13:34:46","modified_gmt":"2022-02-27T13:34:46","slug":"%d8%af-%d8%b2%da%93%d9%87-%d8%af-%d8%ba%da%96%d9%88%d9%86%d9%88-%d8%a7%d9%88%d8%b1%db%8c%d8%af%d9%84-%d8%a7%d8%b5%d8%ba%d8%a7","status":"publish","type":"post","link":"https:\/\/af.dawatmedia24.com\/?p=138727","title":{"rendered":"(\u062f \u0632\u0693\u0647 \u062f \u063a\u0696\u0648\u0646\u0648 \u0627\u0648\u0631\u06cc\u062f\u0644 (\u0627\u0635\u063a\u0627"},"content":{"rendered":"

\u062f \u0632\u0693\u0647 \u0627\u0635\u063a\u0627\u06cc\u064a \u0645\u062d\u0631\u0627\u0642\u0648\u0646\u0647<\/span><\/strong>
\n1. \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0645\u062d\u0631\u0627\u0642: \u0644\u0647 apex beat \u0633\u0631\u0647 \u0645\u0637\u0627\u0628\u0642\u062a \u0644\u0631\u064a. \u067e\u0647 \u0646\u0627\u0631\u0645\u0644 \u0689\u0648\u0644\u060c \u067e\u0647 \u067e\u0646\u0681\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u06a9\u06d0 \u0644\u0647 \u0645\u0646\u0681\u0646\u06cd clavicular\u06a9\u0631\u069a\u06d0 \u0685\u062e\u0647 \u06f1\u0633\u0627\u0646\u067c\u064a\u200c\u0645\u067c\u0631 \u0627\u0646\u0633\u064a \u062e\u0648\u0627 \u062a\u0647 \u0642\u0631\u0627\u0631 \u0644\u0631\u064a.
\n2. \u062f \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689 \u0645\u062d\u0631\u0627\u0642: \u062f \u0633\u067c\u0631\u0646\u0645 \u062f \u06a9\u06cc\u06bc\u06d0 \u0685\u0646\u0689\u06d0 \u0633\u0641\u0644\u064a \u0628\u0631\u062e\u0647 \u06a9\u06d0 \u067e\u0647 \u06f4 \u0627\u0648 \u06f5 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0648 \u06a9\u06d0 \u0642\u0631\u0627\u0631 \u0644\u0631\u064a.
\n3. \u0631\u06cc\u0648\u064a \u0645\u062d\u0631\u0627\u0642: \u067e\u0647 \u062f\u0648\u06cc\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u06a9\u06d0 \u062f \u0633\u067c\u0631\u0646\u0645 \u06a9\u064a\u06bc\u0647 \u0685\u0646\u0689\u0647 \u06a9\u06d0 \u0642\u0631\u0627\u0631 \u0644\u0631\u064a.
\n4. \u062f \u0627\u0628\u0647\u0631 \u0645\u062d\u0631\u0627\u0642: \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062f\u0648\u0647 \u0627\u0635\u063a\u0627\u064a\u064a \u0645\u062d\u0631\u0627\u0642\u0648\u0646\u0647 \u0644\u0631\u064a\u061b \u0644\u0648\u0645\u0693\u06cc \u0645\u062d\u0631\u0627\u0642 \u06cc\u06d0 \u067e\u0647 \u062f\u0648\u06cc\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u06a9\u06d0 \u062f \u0633\u067c\u0631\u0646\u0645 \u069a\u06cd \u0685\u0646\u0689\u0647 \u06a9\u06d0 \u0627\u0648 \u062f\u0648\u06cc\u0645 \u06cc\u06d0 \u067e\u0647 \u062f\u0631\u06d0\u06cc\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u06a9\u06d0 \u062f \u0633\u067c\u0631\u0646\u0645 \u06a9\u064a\u06bc\u0647 \u0685\u0646\u0689\u0647 \u06a9\u06d0 \u0642\u0631\u0627\u0631 \u0644\u0631\u064a.<\/p>\n

\u062f \u0627\u0635\u063a\u0627 \u062a\u0631\u062a\u064a\u0628:
\n\u2022 \u062f \u0632\u0693\u0647 \u0630\u0631\u0648\u0647
\n\u2022 \u062f \u0627\u0628\u0647\u0631 \u0645\u062d\u0631\u0627\u0642 (\u062f\u0648\u06cc\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u062f \u0633\u067c\u0631\u0646\u0645 \u069a\u06cd \u0685\u0646\u0689\u0647)
\n\u2022 \u0631\u06cc\u0648\u064a \u0645\u062d\u0631\u0627\u0642 (\u062f\u0648\u06cc\u0645\u0647 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u0647 \u062f \u0633\u067c\u0631\u0646\u0645 \u06a9\u064a\u06bc\u0647 \u0685\u0646\u0689\u0647)
\n\u2022 \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689 \u0645\u062d\u0631\u0627\u0642 (\u062f \u0633\u067c\u0631\u0646\u0645 \u062f \u06a9\u06cc\u06bc\u06d0 \u0685\u0646\u0689\u06d0 \u0633\u0641\u0644\u064a \u0628\u0631\u062e\u0647)
\n\u2022 \u06a9\u0631\u0648\u067c\u06d0\u0689 \u0634\u0631\u06cc\u0627\u0646\u0648\u0646\u0647 (carotid arteries)
\n\u2022 \u0627\u0628\u0637 (\u06a9\u0647 \u0627\u0693\u062a\u06cc\u0627 \u0648\u064a).<\/p>\n

\u062f \u0627\u0635\u063a\u0627 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062f \u0646\u0627\u0631\u0648\u063a \u0648\u0636\u0639\u06cc\u062a\u0648\u0646\u0647:
\n\u2022 \u0646\u0627\u0631\u0648\u063a \u0628\u0627\u06cc\u062f \u067e\u0631 \u0628\u0633\u062a\u0631 \u0628\u0627\u0646\u062f\u06d0 \u0638\u0647\u0631\u064a \u0627\u0636\u0637\u062c\u0627\u0639 \u0648\u0636\u0639\u06cc\u062a \u0648\u0644\u0631\u064a\u061b \u062f \u0645\u0627\u06cc\u067c\u0631\u0644\u060c \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689\u060c \u0631\u06cc\u0648\u064a \u0627\u0648 \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u0645\u062d\u0631\u0627\u0642\u0648\u0646\u0647 \u0628\u0627\u06cc\u062f \u0627\u0635\u063a\u0627 \u0634\u064a.
\n\u2022 \u0646\u0627\u0631\u0648\u063a \u0628\u0627\u06cc\u062f \u06a9\u064a\u06bc \u062c\u0646\u0628\u064a \u0648\u0636\u0639\u06cc\u062a \u063a\u0648\u0631\u0647 \u06a9\u0693\u064a\u061b \u062f \u0632\u0693\u0647 \u0630\u0631\u0648\u0647 \u0628\u0627\u06cc\u062f \u062f \u0633\u067c\u06d0\u067c\u0648\u0633\u06a9\u0648\u067e \u062f bell \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u0627\u0635\u063a\u0627 \u0634\u064a. \u067e\u0647 \u062f\u06d0 \u0648\u0636\u0639\u06cc\u062a \u06a9\u06d0 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0645\u062d\u0631\u0627\u0642 \u0645\u0631\u0645\u0631\u0648\u0646\u0647 \u0647\u0645 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc.
\n\u2022 \u0646\u0627\u0631\u0648\u063a \u0628\u0627\u06cc\u062f \u06a9\u06cc\u0646\u064a \u0627\u0648 \u0642\u062f\u0627\u0645 \u062e\u0648\u0627 \u062a\u0647 \u062e\u0645 \u0634\u064a\u061b \u062f \u0627\u0628\u0647\u0631 \u0627\u0648 \u0631\u06cc\u0648\u064a \u0645\u062d\u0631\u0627\u0642\u0648\u0646\u0648 \u0627\u0635\u063a\u0627 \u0628\u0627\u06cc\u062f \u062a\u0631\u0633\u0631\u0647 \u0634\u064a (\u067e\u0647 \u062f\u06d0 \u062d\u0627\u0644 \u06a9\u06d0 \u0686\u06d0 \u0646\u0627\u0631\u0648\u063a \u062e\u067e\u0644 \u0646\u0641\u0633 \u0628\u0646\u062f \u06a9\u0693\u06cc \u0648\u064a). \u062f \u0627\u0628\u0647\u0631 \u0645\u062d\u0631\u0627\u0642 early-diastolic \u0645\u0631\u0645\u0631 \u067e\u0647 \u062f\u06d0 \u0648\u0636\u0639\u06cc\u062a \u06a9\u06d0 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a.<\/p>\n

\u062f \u0632\u0693\u0647 \u062f \u0627\u0635\u063a\u0627 \u067e\u0631 \u0645\u0647\u0627\u0644 \u0627\u0693\u06cc\u0646\u0647 \u062f\u0647\u060c \u0686\u06d0 \u0644\u0627\u0646\u062f\u06d0 \u067c\u06a9\u064a \u067e\u0647 \u067e\u0627\u0645 \u06a9\u06d0 \u0648\u0646\u06cc\u0648\u0644 \u0634\u064a:
\n1. \u062f \u0632\u0693\u0647 \u0644\u0648\u0645\u0693\u06cc (S1) \u0627\u0648 \u062f\u0648\u0647\u0645 \u063a\u0696 (S2)
\n2. \u062f \u0632\u0693\u0647 \u062f\u0631\u06d0\u06cc\u0645 (S3) \u0627\u0648 \u0685\u0644\u0648\u0631\u0645 \u063a\u0696 (S4)
\n3. \u0627\u0636\u0627\u0641\u064a \u063a\u0696\u0648\u0646\u0647
\n\u2022 \u062e\u0627\u0631\u062c\u200c\u0642\u0644\u0628\u064a \u063a\u0696\u0648\u0646\u0647
\n\u2022 \u062f\u0627\u062e\u0644\u200c\u0642\u0644\u0628\u064a \u063a\u0696\u0648\u0646\u0647<\/p>\n

1) \u062f \u0632\u0693\u0647 \u0644\u0648\u0645\u0693\u06cc \u0627\u0648 \u062f\u0648\u0647\u0645 \u063a\u0696\u0648\u0646\u0647
\n\u067e\u0647 \u0646\u0627\u0631\u0645\u0644 \u062d\u0627\u0644\u062a \u06a9\u06d0\u060c \u062f\u0648\u0647 \u063a\u0696\u0648\u0646\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc. \u0644\u0648\u0645\u0693\u06cc \u063a\u0696 (\u0633\u0633\u067c\u0648\u0644\u06cc\u06a9) \u0627\u0648 \u062f\u0648\u0647\u0645 \u063a\u0696 (\u0689\u06cc\u0627\u0633\u067c\u0648\u0644\u06cc\u06a9).
\n\u062f \u0632\u0693\u0647 \u0644\u0648\u0645\u0693\u06cc \u063a\u0696 \u062f \u0627\u0630\u06cc\u0646\u064a\u200c\u0628\u0637\u06cc\u0646\u064a \u062f\u0633\u0627\u0645\u0648\u0646\u0648 (\u0645\u0627\u06cc\u067c\u0631\u0644 \u0627\u0648 \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689) \u062f \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647 \u062a\u0648\u0644\u06cc\u062f\u06d0\u0696\u064a. \u062f \u0632\u0693\u0647 \u067e\u0647 \u0630\u0631\u0648\u0647 \u06a9\u06d0 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a.
\n\u062f \u0632\u0693\u0647 \u062f\u0648\u0647\u0645 \u063a\u0696 \u062f \u0631\u06cc\u0648\u064a \u0627\u0648 \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647 \u062a\u0648\u0644\u06cc\u062f\u06d0\u0696\u064a.
\n\u062f\u0627 \u062f\u0648\u0647 \u063a\u0696\u0648\u0646\u0647 \u0644\u0647 “lub”\u060c “dub”\u06a9\u0644\u0645\u0648 \u0633\u0631\u0647 \u0645\u0637\u0627\u0628\u0642\u062a \u0644\u0631\u064a. \u0627\u0648\u0633 lub \u06cc\u0627 dub \u062f \u06cc\u0648\u06d0 \u062f\u0642\u06cc\u0642\u06d0 \u0644\u067e\u0627\u0631\u0647 \u062d\u0633\u0627\u0628 \u06a9\u0693\u0626. \u067e\u0647 \u062f\u06d0 \u062a\u0648\u06ab\u0647\u060c \u062f \u0632\u0693\u0647 \u0631\u06d0\u067c \u0644\u0627\u0633 \u0631\u0627\u0681\u064a. \u0648\u0631\u0648\u0633\u062a\u0647 \u0648\u0645\u0648\u0645\u0626\u060c \u0686\u06d0 \u0622\u06cc\u0627 \u0631\u06d0\u067c\u0645 \u0645\u0646\u0638\u0645 \u062f\u06cc \u06a9\u0647 \u063a\u06cc\u0631\u0645\u0646\u0638\u0645. \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0631\u06d0\u067c\u0645 \u063a\u06cc\u0631\u0645\u0646\u0638\u0645 \u0648\u064a:
\n\u2022 Extrasystoles
\n\u2022 Atrial fibrillation
\n\u2022 Atrial flutter
\n\u2022 Multiple ectopic beats<\/p>\n

\u062f \u0632\u0693\u0647 \u062f \u063a\u0696\u0648\u0646\u0648 \u0634\u062f\u062a
\n\u062f \u0632\u0693\u0647 \u062f \u0644\u0648\u0645\u0693\u064a \u063a\u0696 \u0634\u062f\u062a: \u062f S1 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0689\u06d0\u0631\u06d0\u0696\u064a:
\n\u2022 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u062a\u0636\u06cc\u0642
\n\u2022 \u0633\u06cc\u0633\u067c\u0645\u06cc\u06a9 \u0644\u0648\u0693 \u0641\u0634\u0627\u0631
\n\u2022 \u067c\u06a9\u064a\u200c\u06a9\u0627\u0631\u0689\u064a\u0627<\/p>\n

\u062f S1 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0644\u0696\u06d0\u0696\u064a:
\n\u2022 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u062a\u0636\u06cc\u0642 \u0627\u0648 \u06a9\u0644\u06a9\u06d0\u062f\u0644
\n\u2022 \u0631\u0648\u0645\u0627\u067c\u06cc\u06a9 \u06a9\u0627\u0631\u0689\u0627\u06cc\u067c\u0633 Rheumatic carditis
\n\u2022 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0639\u062f\u0645\u200c\u06a9\u0641\u0627\u06cc\u0647
\n\u2022 \u062f \u0632\u0693\u0647 \u0644\u0648\u0645\u0693\u06cc \u062f\u0631\u062c\u0647 \u0628\u0644\u0627\u06a9<\/p>\n

\u062f \u0632\u0693\u0647 \u062f \u062f\u0648\u0647\u0645 \u063a\u0696 \u0634\u062f\u062a: \u062f\u0627 \u063a\u0696 \u062f\u0648\u0647 \u0628\u0631\u062e\u06d0 \u0644\u0631\u064a:
\n\u2022 \u0627\u0628\u0647\u0631\u064a (A2)
\n\u2022 \u0631\u06cc\u0648\u064a (P2)
\n\u062f A2 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0689\u06d0\u0631\u06d0\u0696\u064a:
\n\u2022 \u062f \u0648\u06cc\u0646\u06d0 \u0644\u0648\u0693 \u0641\u0634\u0627\u0631
\n\u2022 \u062f \u0627\u0628\u0647\u0631 atheroma
\n\u2022 \u062f \u0627\u0628\u0647\u0631 \u0627\u0646\u0648\u0631\u06cc\u0632\u0645 aortic aneurysm
\n\u062f A2 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0644\u0696\u06d0\u0696\u064a:
\n\u2022 \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062a\u0636\u06cc\u0642
\n\u2022 \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u0639\u062f\u0645\u200c\u06a9\u0641\u0627\u06cc\u0647
\n\u062f P2 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0689\u06d0\u0631\u06d0\u0696\u064a:
\n\u2022 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u062a\u0636\u06cc\u0642
\n\u2022 \u06a9\u0648\u0631\u067e\u0644\u0645\u0648\u0646\u0644 cor pulmonale
\n\u2022 \u0631\u06cc\u0648\u064a \u0644\u0648\u0693 \u0641\u0634\u0627\u0631
\n\u062f P2 \u0634\u062f\u062a \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0644\u0696\u06d0\u0696\u064a:
\n\u2022 \u062f \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645 \u062a\u0636\u06cc\u0642
\n\u2022 \u062f \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645 \u0639\u062f\u0645\u200c\u06a9\u0641\u0627\u06cc\u0647
\n\u2022 \u062f \u0641\u0627\u0644\u0648\u067c \u067c\u067c\u0631\u0627\u0644\u0648\u0698\u06cc Fallot’s tetralogy<\/p>\n

\u062f \u0632\u0693\u0647 \u062f \u063a\u0696\u0648\u0646\u0648 \u062a\u0636\u0627\u0639\u0641 (splitting)
\n1. \u062f \u0632\u0693\u0647 \u062f \u0644\u0648\u0645\u0693\u064a \u063a\u0696 \u062a\u0636\u0627\u0639\u0641: \u0685\u0646\u06ab\u0647 \u0686\u06d0 \u0645\u062e\u06a9\u06d0 \u0630\u06a9\u0631 \u0634\u0648\u0644\u060c S1 \u062f \u0627\u0630\u06cc\u0646\u064a\u200c\u0628\u0637\u06cc\u0646\u064a \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647 \u062a\u0648\u0644\u06cc\u062f\u06d0\u0696\u064a. \u067e\u0647 \u0646\u0627\u0631\u0645\u0644 \u0689\u0648\u0644\u060c \u062f \u062f\u06d0 \u063a\u0696 splitting \u0634\u062a\u0648\u0646 \u0644\u0631\u064a\u060c \u0681\u06a9\u0647 \u0645\u0627\u06cc\u067c\u0631\u0644 \u062f\u0633\u0627\u0645 \u0644\u0647 \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689 \u062f\u0633\u0627\u0645 \u0685\u062e\u0647 \u0698\u0631 \u062a\u0693\u0644 \u06a9\u06d0\u0696\u064a. \u062f S1 \u063a\u06cc\u0631\u0646\u0627\u0631\u0645\u0644 \u067e\u0631\u0627\u062e \u062a\u0636\u0627\u0639\u0641 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u062a\u0636\u06cc\u0642 \u0627\u0648 \u062f \u0628\u06cc\u0646\u200c\u0627\u0644\u0627\u0630\u06cc\u0646\u064a \u062d\u062c\u0627\u0628 \u0646\u0642\u06cc\u0635\u0647 (ASD) \u06a9\u06d0 \u0644\u06cc\u062f\u0644 \u06a9\u06d0\u0696\u064a.
\n2. \u062f \u0632\u0693\u0647 \u062f \u062f\u0648\u0647\u0645 \u063a\u0696 \u062a\u0636\u0627\u0639\u0641: \u0685\u0646\u06ab\u0647 \u0686\u06d0 S2 \u062f \u0627\u0628\u0647\u0631 \u0627\u0648 \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647 \u0645\u0646\u0681\u062a\u0647 \u0631\u0627\u0681\u064a. \u0646\u0648 \u0685\u0631\u0646\u06ab\u0647 \u0686\u06d0 \u0645\u062e\u06a9\u06d0 \u0630\u06a9\u0631 \u0634\u0648\u0644\u060c \u062f\u0648\u0647 \u0628\u0631\u062e\u06d0 \u0644\u0631\u064a\u061b \u0627\u0628\u0647\u0631\u064a (A2) \u0627\u0648 \u0631\u06cc\u0648\u064a (P2). A2 \u067e\u0647 \u067c\u0648\u0644\u0647 \u0642\u0631\u0628\u200c\u0627\u0644\u0642\u0644\u0628\u064a \u0633\u0627\u062d\u0647 \u06a9\u06d0 \u062f \u0627\u0635\u063a\u0627 \u0648\u0693 \u062f\u06cc\u060c \u067e\u0647 \u062f\u06d0 \u062d\u0627\u0644 \u06a9\u06d0 \u0686\u06d0 P2 \u06cc\u0648\u0627\u0681\u06d0 \u067e\u0647 \u0631\u06cc\u0648\u064a \u0645\u062d\u0631\u0627\u0642 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u062f\u0644\u06cc \u0634\u064a. \u067e\u0647 \u0637\u0628\u06cc\u0639\u064a \u062a\u0648\u06ab\u0647\u060c \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062f \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645 \u067e\u0647 \u067e\u0631\u062a\u0644\u0647 \u0698\u0631 \u062a\u0693\u0644 \u06a9\u06d0\u0696\u064a.
\n\u0645\u064a\u06a9\u0627\u0646\u06cc\u0632\u0645: \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644\u060c \u069a\u064a \u0627\u0630\u06cc\u0646 \u062a\u0647 \u0648\u0631\u06cc\u062f\u064a \u0628\u06d0\u0631\u062a\u0647 \u062a\u06ab \u0689\u06d0\u0631\u06d0\u0696\u064a \u0627\u0648 \u062f \u069a\u064a \u0627\u0630\u06cc\u0646 stroke volume \u0647\u0645 \u0689\u06d0\u0631\u06d0\u0696\u064a \u0627\u0648 \u062f \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645 \u062f \u0645\u0624\u062e\u0631 \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0633\u0628\u0628 \u06ab\u0631\u0681\u064a\u060c \u0646\u0648 \u067e\u0647 \u062f\u06d0 \u0627\u0633\u0627\u0633 P2 \u0645\u0624\u062e\u0631 \u0648\u064a. \u0644\u0647 \u0628\u0644\u06d0 \u062e\u0648\u0627 \u0644\u0647 \u0634\u0647\u06cc\u0642 \u0633\u0631\u0647 \u062f \u06a9\u06cc\u06bc \u0628\u0637\u06cc\u0646 stroke volume \u0644\u0696\u06d0\u0696\u064a\u060c \u0681\u06a9\u0647 \u062f \u0635\u062f\u0631 \u062f \u062f\u0627\u062e\u0644\u064a \u0641\u0634\u0627\u0631 \u0689\u06d0\u0631\u06d0\u062f\u0644 \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062f \u06a9\u06cc\u06bc \u0627\u0630\u06cc\u0646 \u0627\u0648 \u0631\u06cc\u0648\u064a \u0648\u0631\u06cc\u062f\u0648\u0646\u0648 \u062f \u0638\u0631\u0641\u06cc\u062a \u062f \u0689\u06d0\u0631\u0648\u0627\u0644\u064a \u0633\u0628\u0628 \u06a9\u06d0\u0696\u064a. \u062f\u0627 \u062d\u0627\u0644\u062a\u060c \u0628\u0627\u0644\u0622\u062e\u0631\u0647 \u062f \u06a9\u06cc\u06bc \u0627\u0630\u06cc\u0646 \u062f \u0641\u0634\u0627\u0631 \u062f \u0644\u0696\u06d0\u062f\u0648 \u0627\u0648 \u067e\u0647 \u062f\u06d0 \u062a\u0648\u06ab\u0647 \u062f \u06a9\u06cc\u06bc \u0628\u0637\u06cc\u0646 \u062f \u0689\u06a9\u06d0\u062f\u0648 \u062f \u0641\u0634\u0627\u0631 (filling pressure) \u062f \u0644\u0696\u0648\u0627\u0644\u064a \u0633\u0628\u0628 \u06ab\u0631\u0681\u064a. \u0685\u0646\u06ab\u0647 \u0686\u06d0 \u06a9\u06cc\u06bc \u0628\u0637\u06cc\u0646 \u0644\u0696 \u0648\u06cc\u0646\u0647 \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644 \u0644\u0627\u0633\u062a\u0647 \u0631\u0627\u0648\u0693\u064a\u060c \u0646\u0648 stroke volume \u06cc\u06d0 \u0647\u0645 \u0633\u0642\u0648\u0637 \u06a9\u0648\u064a \u0627\u0648 \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062f \u0698\u0631 \u062a\u0693\u0644\u200c\u06a9\u06d0\u062f\u0648 \u0633\u0628\u0628 \u06a9\u06d0\u0696\u064a (A2 \u0698\u0631 \u0648\u0627\u0642\u0639 \u06a9\u06d0\u0696\u064a).
\n\u062f A2 \u0698\u0631 \u067e\u06d0\u069a\u06d0\u062f\u0644 \u0627\u0648 \u062f P2 \u067e\u0647 \u0681\u0646\u0689 \u067e\u06d0\u069a\u06d0\u062f\u0644 \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644 (\u067e\u0647 \u0641\u0632\u06cc\u0648\u0644\u0648\u0698\u06cc\u06a9 \u0689\u0648\u0644) \u062f \u062f\u0648\u0647\u0645 \u063a\u0696 \u062f \u067e\u0631\u0627\u062e \u062a\u0636\u0627\u0639\u0641 \u0633\u0628\u0628 \u06a9\u06d0\u0696\u064a.
\n\u062f \u0632\u0641\u06cc\u0631 \u067e\u0631 \u0645\u0647\u0627\u0644\u060c \u062f \u067e\u0627\u0633\u0646\u06cd \u0639\u0645\u0644\u06cc\u06d0 \u0645\u0639\u06a9\u0648\u0633 \u062d\u0627\u0644\u062a \u0648\u0627\u0642\u0639 \u06a9\u06d0\u0696\u064a\u060c \u0646\u0648 \u062f \u0632\u0693\u0647 \u062f S2 \u062a\u0636\u0627\u0639\u0641 \u0646\u0631\u06cc \u06a9\u06d0\u0696\u064a. \u062f S2 \u062f \u062a\u0636\u0627\u0639\u0641 \u067e\u067c\u0627\u0644\u0648\u0698\u06cc\u06a9 \u0627\u0633\u0628\u0627\u0628 \u0639\u0628\u0627\u0631\u062a \u062f\u064a \u0644\u0647:
\nFc Dr Arman Khan Amire
\nFollOW Me
\n\u200c\u0623) Pulmonary hypertension
\n\u200c\u0628) RBBB
\n\u200c\u062c) VSD
\n\u200c\u062f) ASD (\u062f S2 \u062b\u0627\u0628\u062a \u062a\u0636\u0627\u0639\u0641)
\n\u200c\u0647) \u062f \u0631\u06cc\u0648\u064a \u062f\u0633\u0627\u0645 \u0646\u0627\u0631\u0648\u063a\u06cd
\n\u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u067e\u0647 \u062a\u0636\u06cc\u0642 \u0627\u0648 LBBB \u06a9\u06d0\u060c \u062f S2 \u062a\u0636\u0627\u0639\u0641 \u062f \u0637\u0628\u06cc\u0639\u06cc \u062d\u0627\u0644\u062a \u067e\u0631 \u062e\u0644\u0627\u0641 \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644 \u0644\u0696\u06d0\u0696\u064a. \u0686\u06d0 \u067e\u0647 \u062f\u06d0 \u0635\u0648\u0631\u062a \u06a9\u06d0\u060c “\u062f S2 \u062f \u0645\u0639\u06a9\u0648\u0633 \u062a\u0636\u0627\u0639\u0641” \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u06cc.<\/p>\n

2) \u062f \u0632\u0693\u0647 \u062f\u0631\u06d0\u06cc\u0645 \u0627\u0648 \u0685\u0644\u0648\u0631\u0645 \u063a\u0696\u0648\u0646\u0647
\n\u062f\u0648\u0627\u0693\u0647 \u062f\u0631\u06d0\u06cc\u0645 \u0627\u0648 \u0685\u0644\u0648\u0631\u0645 \u063a\u0696\u0648\u0646\u0647 \u067c\u06cc\u067c\u0647 \u0641\u0631\u06d0\u06a9\u0648\u06d0\u0646\u0633\u064a \u0644\u0631\u064a. \u062f \u0633\u067c\u06d0\u067c\u0648\u0633\u06a9\u0648\u067e \u062f bell \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u062f \u0632\u0693\u0647 \u067e\u0647 \u0630\u0631\u0648\u0647 \u06a9\u06d0 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a (\u06a9\u0644\u0647 \u0686\u06d0 \u0646\u0627\u0631\u0648\u063a \u0628\u0647 \u06a9\u064a\u06bc \u062c\u0646\u0628\u064a \u0648\u0636\u0639\u06cc\u062a \u06a9\u06d0 \u0648\u0627\u0648\u0633\u064a).
\n\u062f \u0632\u0693\u0647 \u062f\u0631\u06d0\u06cc\u0645 \u063a\u0696 (S3)
\n\u062f\u0627 \u063a\u0696 \u067e\u0647 \u200c\u0689\u06cc\u0627\u0633\u067c\u0648\u0644 \u06a9\u06d0 \u062f \u0628\u0637\u06cc\u0646\u0648\u0646\u0648 \u062f \u0646\u0627\u0685\u0627\u067e\u064a \u0689\u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647 \u0645\u0646\u0681\u062a\u0647 \u0631\u0627\u0681\u064a. \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc:
\n\u0641\u0632\u06cc\u0648\u0644\u0648\u0698\u06cc\u06a9 \u0627\u0633\u0628\u0627\u0628:
\n\u2022 \u0645\u0627\u0634\u0648\u0645\u0627\u0646 \u0627\u0648 \u0681\u0648\u0627\u0646\u0627\u0646
\n\u2022 \u062d\u0645\u0644
\n\u2022 \u0627\u0646\u06cc\u0645\u06cc\u0627
\n\u067e\u067c\u0627\u0644\u0648\u0698\u06cc\u06a9 \u0627\u0633\u0628\u0627\u0628:
\n\u2022 \u062f \u0645\u0627\u06cc\u0648\u06a9\u0627\u0631\u0689 \u0627\u062d\u062a\u0634\u0627(MI)
\n\u2022 \u062f \u0632\u0693\u0647 \u0639\u062f\u0645\u200c\u06a9\u0641\u0627\u06cc\u0647
\n\u2022 \u062a\u0628\u0647
\n\u2022 \u067c\u0627\u06cc\u0631\u0648\u067c\u0648\u06a9\u0633\u06cc\u06a9\u0648\u0632\u0633 thyrotoxicosis
\n\u062f S3 \u0644\u0647 S2 \u063a\u0696 \u0685\u062e\u0647 \u06f0.\u06f1\u06f5 \u062b\u0627\u0646\u06cc\u06d0 \u0648\u0631\u0648\u0633\u062a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc (lub-dub-dum).<\/p>\n

\u062f \u0632\u0693\u0647 \u0685\u0644\u0648\u0631\u0645 \u063a\u0696 (S4)
\n\u062f\u0627 \u063a\u0696 \u062f \u0627\u0630\u06cc\u0646 \u062f \u062a\u0642\u0644\u0635 \u0644\u0647 \u0633\u0628\u0628\u0647 \u0645\u0646\u0681\u062a\u0647 \u0631\u0627\u0681\u064a \u0627\u0648 \u062f \u0628\u0637\u06cc\u0646 \u062f \u0641\u0634\u0627\u0631 \u062f \u0689\u06d0\u0631\u06d0\u062f\u0648 \u0633\u0628\u0628 \u06ab\u0631\u0681\u064a\u060c \u067e\u0647 \u067e\u0627\u06cc\u0644\u0647 \u06a9\u06d0 \u06cc\u06d0 \u062f\u0633\u0627\u0645\u0648\u0646\u0647 \u06a9\u0644\u06a9\u06d0\u0696\u064a \u0627\u0648 \u063a\u0696 \u062a\u0648\u0644\u06cc\u062f\u06d0\u0696\u064a. \u062f\u0627 \u063a\u0696 \u067e\u0647 \u067e\u0647 \u0644\u0648\u0693 \u0639\u0645\u0631\u0647 \u0627\u0634\u062e\u0627\u0635\u0648 \u06a9\u06d0 \u067e\u0647 \u0646\u0627\u0631\u0645\u0644 \u0689\u0648\u0644 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u062f\u0644\u06cc \u0634\u064a. \u067e\u0647 \u0644\u0627\u0646\u062f\u06d0 \u062d\u0627\u0644\u062a\u0648\u0646\u0648 \u06a9\u06d0 \u0647\u0645 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc:
\n\u2022 \u062f \u0648\u06cc\u0646\u06d0 \u0644\u0648\u0693 \u0641\u0634\u0627\u0631
\n\u2022 \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062a\u0636\u06cc\u0642
\n\u2022 \u0647\u0627\u06cc\u067e\u0631\u067c\u0631\u0648\u0641\u06cc\u06a9 \u06a9\u0627\u0631\u0689\u06cc\u0648\u0645\u0627\u06cc\u0648\u067e\u062a\u06cc hypertrophic cardiomyopathy
\n\u062f\u0627 \u063a\u0696 \u0645\u062e\u06a9\u06d0 \u0644\u0647 S1 \u0685\u062e\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc \u0627\u0648 \u06cc\u0648 pre-systolic \u06cc\u0627 late diastolic \u063a\u0696 \u062f\u06cc.
\n\u067e\u0647 tachycardia \u06a9\u06d0\u060c S3 \u0627\u0648 S4 \u0645\u0645\u06a9\u0646 \u06cc\u0648 \u0644\u0647 \u0628\u0644 \u0633\u0631\u0647 \u06cc\u0648\u0681\u0627\u06cc \u0634\u064a\u060c \u0686\u06d0 \u067e\u0647 \u062f\u06d0 \u062d\u0627\u0644\u062a \u06a9\u06d0 \u062f summation gallop \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u064a.<\/p>\n

\u067e\u0631\u06cc\u06a9\u0627\u0631\u0631\u0689\u06cc\u0644 \u0646\u0648\u06a9 Pericardial knock: \u067e\u0647 constrictive pericarditis \u06a9\u06d0 \u062f \u200c\u0689\u06cc\u0627\u0633\u067c\u0648\u0644 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062f \u0628\u0637\u06cc\u0646\u064a \u200c\u0689\u06a9\u06d0\u062f\u0648 \u062f \u0642\u0637\u0639 \u06a9\u06d0\u062f\u0648 \u0644\u0647 \u0633\u0628\u0628\u0647\u060c \u06cc\u0648 \u063a\u0696 \u0686\u06d0 \u0641\u0631\u06d0\u06a9\u0648\u06d0\u0646\u0633\u064a \u06cc\u06d0 \u0644\u0648\u0693\u0647 \u062f\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a\u060c \u0686\u06d0 \u062fpericardial knock \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u064a. \u062f\u0627 \u063a\u0696 \u062f \u0632\u0693\u0647 \u067e\u0647 \u0630\u0631\u0648\u0647 \u06a9\u06d0 \u062f \u0633\u067c\u06d0\u067c\u0648\u0633\u06a9\u0648\u067e \u062f bell \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u062f \u0689\u06cc\u0627\u0633\u067c\u0648\u0644 \u067e\u0631 \u0645\u0647\u0627\u0644 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a.<\/p>\n

\u062f \u0632\u0693\u0647 \u0645\u06cc\u06a9\u0627\u0646\u06cc\u06a9\u064a \u062f\u0633\u0627\u0645\u0648\u0646\u0647: \u062f \u0632\u0693\u0647 \u0645\u06cc\u06a9\u0627\u0646\u06cc\u06a9\u064a (\u0645\u0635\u0646\u0648\u0639\u064a) \u062f\u0633\u0627\u0645\u0648\u0646\u0647 \u062f \u067e\u0631\u0627\u0646\u06cc\u0633\u062a\u0644 \u06a9\u06d0\u062f\u0648 \u0627\u0648 \u062a\u0693\u0644 \u06a9\u06d0\u062f\u0648 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062f \u063a\u0696 \u062f \u062a\u0648\u0644\u06cc\u062f \u0633\u0628\u0628 \u06ab\u0631\u0681\u064a. \u062f\u0627 \u063a\u0696\u0648\u0646\u0647 \u0644\u0648\u0693\u0647 \u0641\u0631\u06d0\u06a9\u0648\u06d0\u0646\u0633\u064a \u0644\u0631\u064a \u0627\u0648 \u0641\u0644\u0632\u064a \u0648\u064a. \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0645\u06cc\u06a9\u0627\u0646\u06cc\u06a9\u064a \u062f\u0633\u0627\u0645 opening snap \u062a\u0647 \u0648\u0631\u062a\u0647 \u06cc\u0648 \u063a\u0696 \u062a\u0648\u0644\u06cc\u062f\u0648\u064a \u0627\u0648 \u062f \u0627\u0628\u0647\u0631 \u0645\u06cc\u06a9\u0627\u0646\u06cc\u06a9\u064a \u062f\u0633\u0627\u0645 ejection click \u062a\u0647 \u0648\u0631\u062a\u0647 \u06cc\u0648 \u063a\u0696 \u062a\u0648\u0644\u06cc\u062f\u0648\u064a.<\/p>\n

3) \u0627\u0636\u0627\u0641\u064a \u200c\u063a\u0696\u0648\u0646\u0647 (Additional sounds)
\n\u0627\u0636\u0627\u0641\u064a \u063a\u0696\u0648\u0646\u0647 \u062f\u0648\u0647 \u0689\u0648\u0644\u0647 \u062f\u064a:
\n\u2022 \u062e\u0627\u0631\u062c\u200c\u0642\u0644\u0628\u064a(exocardial)
\n\u2022 \u062f\u0627\u062e\u0644\u200c\u0642\u0644\u0628\u064a(endocardial)<\/p>\n

\u0627\u0644\u0641: \u062e\u0627\u0631\u062c\u200c\u0642\u0644\u0628\u064a \u063a\u0696\u0648\u0646\u0647: \u062f\u0627 \u063a\u0696\u0648\u0646\u0647 \u0639\u0628\u0627\u0631\u062a \u062f\u064a \u0644\u0647:
\n\u200c\u0623) Patent ductus arteriosus: \u067e\u0647 \u062f\u06d0 \u062d\u0627\u0644\u062a \u06a9\u06d0\u060c \u06cc\u0648 machinery murmur (\u0633\u0633\u067c\u0648\u0644\u06cc\u06a9 \u0627\u0648 \u0689\u06cc\u0627\u0633\u067c\u0648\u0644\u06cc\u06a9) \u067e\u0647 \u0644\u0648\u0645\u0693\u06cd \u0627\u0648 \u062f\u0648\u0647\u0645\u06d0 \u06a9\u06cc\u06bc\u06d0 \u0628\u06cc\u0646\u200c\u0627\u0644\u0636\u0644\u0639\u064a \u0645\u0633\u0627\u0641\u06d0 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc.
\n\u200c\u0628) Venous hum: \u06a9\u0647 \u062f jugular \u0648\u0631\u06cc\u062f \u062f \u0648\u06cc\u0646\u06d0 \u062c\u0631\u06cc\u0627\u0646 hyperkinetic \u0648\u0627\u0648\u0633\u064a \u06cc\u0648 \u0645\u062a\u062f\u0627\u0648\u0645 (continuous) \u0645\u0631\u0645\u0631 \u067e\u0647 \u067c\u0648\u0644\u0647 \u063a\u0627\u0693\u0647 \u0627\u0648 \u062f \u0635\u062f\u0631 \u067e\u0647 \u0639\u0644\u0648\u064a \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc (\u0627\u06a9\u062b\u0631\u0627\u064b \u067e\u0647 \u0645\u0627\u0634\u0648\u0645\u0627\u0646\u0648 \u06a9\u06d0). \u06a9\u0647 \u0646\u0627\u0631\u0648\u063a \u062f \u0645\u0644\u0627\u0633\u062a\u06d0 \u0648\u0636\u0639\u06cc\u062a \u063a\u0648\u0631\u0647 \u06a9\u0693\u064a \u062f\u0627 \u0645\u0631\u0645\u0631 \u0648\u0631\u06a9\u06d0\u0696\u064a.
\n\u200c\u062c) Pericardial rub: \u067e\u0647 pericarditis \u06a9\u06d0 \u063a\u0696 \u067e\u0631 \u0632\u0693\u0647 \u0628\u0627\u0646\u062f\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc\u060c \u0686\u06d0 \u062f pericardial friction \u06cc\u0627 pericardial rub \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u064a. \u062f \u062f\u0648\u0647 \u0632\u06cc\u0696\u0647 \u0633\u0637\u062d\u0648 \u062f \u0627\u0635\u0637\u06a9\u0627\u06a9 \u067e\u0647 \u0634\u0627\u0646 \u063a\u0696 \u0648\u0631\u06a9\u0648\u064a. \u0645\u062e\u06a9\u06d0 \u0627\u0648 \u0648\u0631\u0648\u0633\u062a\u0647 \u0648\u0635\u0641 \u0644\u0631\u064a \u06cc\u0639\u0646\u06d0 \u067e\u0647 \u062f\u0648\u0627\u0693\u0647 \u0645\u0631\u062d\u0644\u0648\u060c \u0647\u0645 \u067e\u0647 \u0633\u0633\u067c\u0648\u0644 \u0627\u0648 \u0647\u0645 \u067e\u0647 \u0689\u06cc\u0627\u0633\u067c\u0648\u0644 \u06a9\u06d0 \u0634\u062a\u0648\u0646 \u0644\u0631\u064a. \u062f\u0627 \u063a\u0696 \u0642\u062f\u0627\u0645 \u062e\u0648\u0627 \u062a\u0647 \u0644\u0647 \u062e\u0645 \u0634\u0648\u064a \u0648\u0636\u0639\u06cc\u062a \u0627\u0648 \u062f \u0646\u0641\u0633 \u062f \u0628\u0646\u062f\u0648\u0644\u0648 \u0633\u0631\u0647 \u0634\u062f\u06cc\u062f \u06a9\u06d0\u0696\u064a. \u062e\u067e\u0631\u06d0\u062f\u0646\u0647 \u0646\u0644\u0631\u064a \u0627\u0648 \u0645\u0648\u0642\u0639\u06cc\u062a \u06cc\u06d0 \u0648\u0631\u0681 \u067e\u0647 \u0648\u0631\u0681 \u062a\u063a\u06cc\u06cc\u0631 \u06a9\u0648\u064a.
\n\u062f pericardial rub \u0627\u0648 pleural rub \u062a\u0631 \u0645\u0646\u0681 \u062a\u0641\u0631\u06cc\u0642\u064a \u062a\u0634\u062e\u06cc\u0635 \u067e\u0647 \u0633\u0627\u062f\u0647 \u062a\u0648\u06ab\u0647 \u062f \u0646\u0641\u0633 \u067e\u0647 \u0628\u0646\u062f\u0648\u0644\u0648 \u0633\u0631\u0647 \u062a\u0631\u0633\u0631\u0647 \u06a9\u06d0\u0696\u064a. \u067e\u0647 \u062f\u06d0 \u062a\u0648\u06ab\u0647\u060c \u0686\u06d0 pleural rub \u062f \u0646\u0641\u0633 \u0644\u0647 \u0628\u0646\u062f\u0648\u0644\u0648 \u0633\u0631\u0647 \u0644\u0647 \u0645\u0646\u0681\u0647 \u0681\u064a \u0627\u0645\u0627 pericardial rub \u067e\u0627\u062a\u06d0 \u06a9\u06d0\u0696\u064a.
\n\u0628: \u062f\u0627\u062e\u0644\u200c\u0642\u0644\u0628\u064a \u063a\u0696\u0648\u0646\u0647: \u062f\u0627\u062e\u0644\u200c\u0642\u0644\u0628\u064a \u0627\u0636\u0627\u0641\u06cc \u063a\u0696\u0648\u0646\u0647 \u0639\u0628\u0627\u0631\u062a \u062f\u064a \u0644\u0647:
\n\u200c\u062f) Clicks\/Opening snap: \u0647\u063a\u0647 \u063a\u0696 \u0686\u06d0 \u062f \u0631\u06cc\u0648\u064a \u0627\u0648 \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u067e\u0631\u0627\u0646\u06cc\u0633\u062a\u0646\u06d0 \u0644\u0647 \u0633\u0628\u0628\u0647 \u062a\u0648\u0644\u06cc\u062f\u06cc\u0696\u064a \u062f “ejection systolic click” \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u064a. \u0647\u063a\u0647 \u063a\u0696 \u0686\u06d0 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0627\u0648 \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689 \u062f \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u067e\u0631\u0627\u0646\u06cc\u0633\u062a\u0646\u06d0 \u0644\u0647 \u0633\u0628\u0628\u0647 \u062a\u0648\u0644\u06cc\u062f\u06d0\u0696\u064a \u062f “opening snap” \u067e\u0647 \u0646\u0648\u0645 \u06cc\u0627\u062f\u06d0\u0696\u064a.
\n\u06a9\u0644\u06cc\u06a9 Click \u06cc\u0648 early systolic \u063a\u0696 \u062f\u06cc\u060c \u067e\u0647 \u062f\u06d0 \u062d\u0627\u0644 \u06a9\u06d0 \u0686\u06d0 opening snap early diastolic \u063a\u0696 \u062f\u06cc.
\n\u200c\u0623. Aortic click: \u062f \u0648\u06cc\u0646\u06d0 \u067e\u0647 \u0644\u0648\u0693 \u0641\u0634\u0627\u0631\u060c \u062f \u0627\u0628\u0647\u0631 \u062f\u0633\u0627\u0645 \u062a\u0636\u06cc\u0642 \u0627\u0648 bicuspid aortic valve \u06a9\u06d0 \u0634\u062a\u0648\u0646 \u0644\u0631\u064a. \u062f \u0632\u0693\u0647 \u067e\u0647 \u067c\u0648\u0644\u0647 \u0633\u0627\u062d\u0647 \u06a9\u06d0 \u067e\u0647 \u0681\u0627\u0646\u06ab\u0693\u06d0 \u062a\u0648\u06ab\u0647 \u067e\u0647 \u0630\u0631\u0648\u0647 \u06a9\u06d0 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a.
\n\u200c\u0628. Pulmonary click: \u067e\u0647 \u0631\u06cc\u0648\u064a \u0645\u062d\u0631\u0627\u0642 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc. \u062f \u0634\u0647\u06cc\u0642 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062e\u0641\u06cc\u0641 \u06a9\u06d0\u0696\u064a \u0627\u0648 \u062f \u0632\u0641\u06cc\u0631 \u067e\u0631 \u0645\u0647\u0627\u0644 \u0634\u062f\u06cc\u062f \u06a9\u06d0\u0696\u064a. \u067e\u0647 \u0631\u06cc\u0648\u064a \u0644\u0648\u0693 \u0641\u0634\u0627\u0631 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc.
\n\u200c\u062c. Opening snap: \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u0627\u0648 \u067c\u0631\u0627\u06cc\u200c\u06a9\u0633\u067e\u06cc\u0689 \u062a\u0636\u06cc\u0642 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc. \u062f \u0632\u0693\u0647 \u067e\u0647 \u0630\u0631\u0648\u0647 \u06a9\u06d0 \u069a\u0647 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u064a. \u062f\u0627 \u063a\u0696 \u062f \u0627\u0630\u06cc\u0646\u064a\u200c\u0628\u0637\u06cc\u0646\u064a \u062f\u0633\u0627\u0645\u0648\u0646\u0648 \u062f \u062a\u06a9\u0644\u0633 \u067e\u0647 \u067e\u0627\u06cc\u0644\u0647 \u06a9\u06d0 \u0644\u0647 \u0645\u0646\u0681\u0647 \u0681\u064a.
\n\u200c\u062f. Mid-systolic click: \u062f\u0627 \u063a\u0696 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u062f\u0633\u0627\u0645 \u067e\u0647 \u0648\u0644\u0627\u062f\u06cc \u0633\u0624\u0634\u06a9\u0644\u0648\u0646\u0648 \u06a9\u06d0 \u0627\u0648\u0631\u06d0\u062f\u0644 \u06a9\u06d0\u0696\u06cc. \u067e\u0647 \u062f\u06d0 \u0635\u0648\u0631\u062a \u06a9\u06d0\u060c \u062f \u0633\u06cc\u0633\u067c\u0648\u0644 \u067e\u0631 \u0645\u0647\u0627\u0644 \u062f \u0645\u0627\u06cc\u067c\u0631\u0644 \u06cc\u0648\u0647 \u0648\u0631\u06cc\u0642\u0647 \u062f \u06a9\u06cc\u06bc \u0627\u0630\u06cc\u0646 \u0645\u0646\u0681 \u062a\u0647 prolapse \u06a9\u0648\u064a \u0627\u0648 \u062f \u062f\u06d0 \u063a\u0696 \u062f \u062a\u0648\u0644\u06cc\u062f \u0633\u0628\u0628 \u06a9\u06d0\u0696\u064a (mitral valve prolapse syndrome).<\/p>\n

\u200c\u0647) Murmurs: \u062f\u0627 \u063a\u0696\u0648\u0646\u0647 \u067e\u0647 \u0627\u0648\u0639\u06cc\u0648 \u0627\u0648 \u0632\u0693\u0647 \u06a9\u06d0 \u062f \u0648\u06cc\u0646\u06d0 \u062f \u0645\u062a\u0644\u0627\u0637\u0645 (turbulent) \u062c\u0631\u06cc\u0627\u0646 \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u0645\u0646\u0681\u062a\u0647 \u0631\u0627\u0681\u064a.
\n#Dr Arman Khan Amire
\nFollow Me<\/p>\n","protected":false},"excerpt":{"rendered":"

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