A 45-year-old patient suffers from arterial hypertension. There are complaints about progressive obesity, weakness, fatigue, headaches. On examination: height - 170 cm, body weight - 96 kg. There are dyspnea at rest, edema of feet and calves. Arterial blood pressure is 190/95 mm Hg. A blood test for iodine-containing thyroid hormones and glucocorticoids is normal. General blood and urine tests are normal. Questions: 1. What types of typical pathological processes should the patient have? 2. List the patient's heart failure symptoms. 3. Describe heart failure by its origin, the mechanism of development, mainly affected part of the heart, the severity of the clinical course.

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Chapter12: Cpt Surgery Ii
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TASK N 2
A 45-year-old patient suffers from arterial hypertension.
There are complaints about progressive obesity, weakness, fatigue,
headaches. On examination: height - 170 cm, body weight - 96 kg.
There are dyspnea at rest, edema of feet and calves. Arterial blood
pressure is 190/95 mm Hg. A blood test for iodine-containing
thyroid hormones and glucocorticoids is normal. General blood
and urine tests are normal.
Questions:
1. What types of typical pathological processes should the patient
have?
2. List the patient's heart failure symptoms.
3. Describe heart failure by its origin, the mechanism of
development, mainly affected part of the heart, the severity of the
clinical course.
4. Explain the pathogenesis of edema in this patient.
5. Indicate the most likely morphological changes in the
myocardium and coronary vessels of the patient.
6. Why hypertension is a risk factor for heart failure?
7. Why is obesity a risk factor for heart failure?
Transcribed Image Text:TASK N 2 A 45-year-old patient suffers from arterial hypertension. There are complaints about progressive obesity, weakness, fatigue, headaches. On examination: height - 170 cm, body weight - 96 kg. There are dyspnea at rest, edema of feet and calves. Arterial blood pressure is 190/95 mm Hg. A blood test for iodine-containing thyroid hormones and glucocorticoids is normal. General blood and urine tests are normal. Questions: 1. What types of typical pathological processes should the patient have? 2. List the patient's heart failure symptoms. 3. Describe heart failure by its origin, the mechanism of development, mainly affected part of the heart, the severity of the clinical course. 4. Explain the pathogenesis of edema in this patient. 5. Indicate the most likely morphological changes in the myocardium and coronary vessels of the patient. 6. Why hypertension is a risk factor for heart failure? 7. Why is obesity a risk factor for heart failure?
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