8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 1/40
7.:,94789:7-,3.087.:,94789:7-,3.08
89:7-,3.084144/,3/4/:/889:7-,3.084144/,3/4/:/8
-
,903,, ,903,,
!74141 !,944 3$ ,28&3;078 9
,37030
0/02,
,02477,0
$4.
0.9:70
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 2/40
,37030
9830.748841988:0898:507,//0/
5:9701,.943
!:9701,.9438.,770/4:9-905749049.,.94341
905:9701,.9;047,3828 4390/0,/988:08
%08047,38285:9701,.9;0-,.907,,703472,
5708039439083 ,3/347,389,
9,;00
9073,098,8 70857,947,8974390893,,3/039,
88902890/439574107,90,3/574/:.0907
,.943:308890988:08,7030.7480/
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 3/40
%50841,37030
7,37030
94..:783232,,24:39
41988:01:/9990
84574107,943 41
47,3828
94..:783988:0805480/
94/73088-0;,547,943
94..:7834072-8
24709,390:55072-8
09,37030
94..:7830.088988:01:/
90.088 7,5/
574107,943 4147,3828
94..:783988:0834905480/
94/73088-0;,547,943
94..:78339073,47,38 ,8
:3 ,3/3908930,3/,80
904072-83.079,3.,808
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 4/40
,:808410.7488 31,7.9 43
90748.07488,90742,41,790708
%742-488'7.4897,/
2-48288902.397,.,7/,.097,.,7/,.
475:243,7
7907,;,8485,8207,3,:/8/80,80
0749548433
..:8434190;08808/:09498930
;4;::84139089304757088:70-30,7-9:24:7
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 5/40
,709742-49.47
02-4.4..:843
,02477,03,3
,90742,
4.,;,8485,82
425708843-,
9:24:7
'034:8
9742-488 47
80;0709893
;034:84-897:.943 3
47,389830
;034:84:914
,:8084131,7.943
,7 907;03
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 6/40
$9,0841,37030
..:8434190;08800.748841988:08
!:9701,.9;047,38284190.4897/,74:5
!74107,9434147,3828-07,943415749049.03208
9,9/0897:.98 2:8.08-44/;08808307;0825;08808
-4308
%0,110.90/940:8:,,89890
1,7 908954391742-44/
8:55 -0.4208
5,0 .4/
%039-0.420870//:094
/11:84341-44/
52039
%039-0.4208-,. /:094743
8:5/0 87;00/
730/
2:2210/ /7
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 7/40
!,02503/3,37030
-:890723,5,,308
,.2:2210//790723,
5,,308
$9,0841,37030
,.2:2210//790723,5,,308
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 8/40
$9,0841,37030
%0.43/943,/;,3.0884-:9
890,/974:9014490903/3
3902-%0/0,/988:00.98
31,22,943.2,0,/94
1:79079742-48841;08808
,37030%0,370300903/8
:39970,.08,0;0,9.
-44/8:5588:11.03994005
90988:08,;0 99,90;0,70/430-,3/41/02,7.,943 8
14720/-09003/1107039
.44:7890,37034:85,79-04
903472,5,79,-4;0
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 9/40
$9,0841,37030
%031,22,94770,.943 39030-473
;3988:02,03/3
472,943417,3:,943988:0 .574.00/894
074/090/0,/988:09970,.08,543907090-44/8:55.,3349-02,39,30/9409,/06:,9034:782039
&.07,943 9031448,3041805,7,943 8574/:.0/
%82489.422434..:780390310.9438232,
03/7,37030 84805,7,9434..:7830,9
805,7,943-,8059.:.07,943
43.,$9:25
-0.,:8090-44/8:5541838:-.:9,304:8
988:0,70088,-:3/,39 9,39,941902:8.08
-430
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 10/40
$9,0841,37030
$:55:7,943 2,4..:7,99043041
/02,7.,9430390310.94382470,83
09,37030 $:55:7,9430903/80;033
0,9988:090701470903041805,7,943805,7,943-8059.:.07,943 8,907
0;09,39,941/7,3703003.425,73,
82,74..:/0/,7907
%88/7,370302:89-0059 ,8/7,3/
,8059.,85488-0,3/01147984:/-02,/0 94
.43;07 9 09,3703039490/7950
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 11/40
09,3703041904072-
3/,-09.5,90398,90748.0748882470
.422438:,7.4390393988:08
0/02,414072-8 ,830,791,:70
$0;070.7:83:79742-4884..:783-49
;038.430894340/02,,7907088.,02,
30.7488
%0,37034:85,7988403 40/02,94:8
%083,550,7890380:.07,90/ 848-0-8
%0708-,.8/8.447,943
%0708348,753041/02,7.,943
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 12/40
7,3/09,37030
7,37030 09,37030/:094570803.0412470
310.943
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 13/40
09,3703041903908930
92,/0;0453
39:88:8.059433;,3,94341,44541
3908930394,34907430'4;::8989341,4454139089309
4..:8434190;08808
$97,3:,90/073, ,4454139089308147.0/974:,345033390,-/4203
%742-488,3/02-482 4143090
20803907.;08808
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 14/40
09,3703041903908930
$97,3:,90/073,
,37034:84454182,3908
930
;4;::8
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 15/40
09,370304190:3
987,70%0570/854831,.9478,70
80;070:3310.9438 ,8:3,-8.088
-743.0.9,88530:243,4.,.,:808 3
,//943942,70/40734170889,3.0
,83/,-0908209:88039.743.3057980307,.,:808
%0,37034:8,70,8841 9-,. 9
988:0-70,/43 01472,943412:950
82,7,0/.,;908%0.43/9438 8074:8 1,9,
0,98/:0942,70/9402, 47/:094
7:59:704197,;0783-44/;0880
0245988
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 16/40
90747284109,37030
0/84708 8,.425.,94341
574430/70.:2-03.0.42,
5,7,8817,.9:708 98/:09457088:70-90-0/4;07,-43
5742303.043;088084183
0,/3948.,02,30.7488
%0/0,/988:08.,890/411
0,;3,3:.07
7489-90 98/:09480;070
.4/574/:.3,79074,785,823
1307894083480989,798,809,37030.4//,250,907
570;03980;,547,943 -:99
.43807;,9;0970,920399.,3
.,3094/7,37030,8390
1:70
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 17/40
90747284109,37030
,8,37030
987,5/30.749331,22,943 .,:80/-,74:5417,2
5489;00494.,3,074-..4897/,2489.42243.4897/,0.
,3/.8059.:2%0310.943-0383,89041570;4:83:7 ,3/7,5/8570,/894
2:8.08,3/.4330.9;0988:094..:783300.90/4:3/8
,78,7097,:2,9.4:3/8.4254:3/17,.9:7083:907:8
3.723,,-479438:7.,,8059.4507,9438
%08570,/330.749331,22,9438/:0940,-47,943412,3574/:.98,81-73483,:743/,80.4,03,80 0.93,80
.05908570,/41310.943
,8-:--08 .,:83.7059:8 390,110.90/7043,550,70,7
,/0307,.43/
943 /:09480;070
9402,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 18/40
90747284109,37030
,3.7:278
98,95041310.9;0
,370303;4;39024:9.00841
2,7,82.47/0-9,90/
./703.,:80/-
%7054302,;3.039,3/,.:81:814728/:094
/0.70,80/22:39
-,/24:9030
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 19/40
0/02,0/02, 20,380.088;0,..:2:,943411:/33907899,988:0
8074:8.,;90850:7,507.,7/:25079430:2475:243,7,;04
,5,7
/7489,9.
57088:70 0508 1:/
3:9703989490
3907899,988:0
8249.
.,5,757088:70
,-847-8 709,38
1:/3-44/
;08808
8249.57088:7041903907899,988:0 709,38
1:/3903907899,988:0
/06:,9025,9.87024;0708/:,1:/3
903907899,988:0
472,43974413907899,:/
472,9009411:/,990,7 9074,703/ 41902.74.7.:,9438
-,,3.0/ -90314,990;03:,703/,82,708/:,,24:398
/7,30/-9025,9.8
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 20/40
,:808410/02,
,5,7/7489,9.
57088:70 ,83,.9;0
507,02,,79074,7
03/ .43089;00,79
1,:70 0307, 0/
/005;034:89742-488,9;03:,7
03//:09425,70/
;034:8709:734., 0/
8249..,5,757088:70
/:0944884770/:.0/
83908841,-:23
,83305749.
83/74205749 03483
4207:430 574 5,908
;07/80,80 . 7748 8
5749032,3:97943
8249.57088:7041
903907899,988:0 ,83
,.:9047.743.31,22,943
3/06:,9025,9.8 ,83
31,22,94701,7,88 47
3045,89.3197,943.,3.07-70,893
83473,728,19074507,94347
548977,/,943
3-49.43089;00,7 91,:70305749.83/742090708703,545071:8430,/3
947033,39/:709.472430700,80,/48907430703,,70,-8475943,80
,8,907709039430,/3943.70,8035,82,;4:20247097,38:/,943
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 21/40
%508410/02,
4.,0/0/02,4.,0/0/02,
.:9031,22,943%040/02,8
/:0943.70,80/.,5,7/7489,9.
57088:703.70,80/.,5,7
50720,-93.70,80/48249.57088:70413907899,57088:70
4.,;034:8.430894398/:0
943.70,80/.,5,7/7489,9.
57088:70
743.25,9.4-897:.943 ,8
3834190-70,8950,:/47,30 3
,72,19077024;,4125,9.83
7,/.,2,890.94231,7,88
0307,0/0/02,0307,0/0/02,
,7/,.0/02,
#03,0/02,
:97943,0/02,
05,9.0/02,
9079508410/02,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 22/40
0307,0/0/02,
,7/,.0/02,94..:783798/00,7 91,:709.743.;034:8.4308943/:0943.70,80/
/7489,9.57088:70 ,3//:0948,9,90770903943
0,79 1, :7 07 08:9834 .,7 / ,. 4:9 5:9 0,/3 94
/0.7 0,80/7 03, 5071:8 43 .89 2:,9 087 033
80.7 09 43#033 89 2:,9 0, / 489 0743080.7 09 43-
,/ 7 03, .479 07 08:9 3 38,9 ,9 07 7 09 039 43 .
89 2:,9 08 80.7 09 43-30:74 54 5 8 8 0,/3 94
3.7 0,80/,-847 59 4341 ,9 07 ,3/8,9
#03,0/02,94..:78330579. /:094,.:90
25,7203941703,1:3.943703380.70943305749.
/:09448841,-:2383/742083,.:909:-:,7
30.7488 /:0947090394341,90700.974908
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 23/40
0307,0/0/02,
:97943,0/02, 98/:09454574903,02,.708:983/0.70,8048249.57088:70 41-44/98
.,:80/-2,3:97943390710703.09/08943
,-847594302,,-8475943/0.70,80/1472,943-
;07,83.743.;07/80,80;07.77488
05,9.0/02, 94..:783;07.77488;07
1,:709708:98/:094/0.70,80/83908841,-:23
0,/394/0.70,80/48249.57088:70,3//0;0452039
415479,507903843
90795084140/02, 0/02,39402,41
5703,3./:094574903:7,8,9,90770903943
40/02,3.:83883/7420/:0948,9,907
70903943
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 24/40
0/02,
25/02,
,88;040/02,
4/07,9040/02,
!99340/02,
43599340/02,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 25/40
0/02,
$:-.:9,304:840/02,2,,;0/1107039/897-:9438/0503/34390.,:809.,3-0
/11:804792,-0574230393907043841
9089/7489,9.57088:70831:03.0/
-7,;98.,0//0503/0390/02,41/0503/0395,7984190-4/ 08389,3/3 8,.7:2
037 0.:2-039 8,5742303910,9:7041798/0
0,7 91,:70
0/02,41703,1,:70 8247080;070/11:80
,11 0.98, 5,79806:, 40;0792,89,7934480
.4330.9;0988:08,800/8.,:8350747-9,
40/02,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 26/40
,02477,098097,;,8,94341-44//:0947:59:7041-44/;08808
3.:/3,790708;038,3/.,5,708
,:808%7,:2,9.
../039,
$:7., 572,7,990
920414507,94347
80.43/,7,1907/,8
/:094310.943
$5439,304:8
44/;0880/80,80,90748.07488,30:782;,7.480
;038
3.70,80/397,;,8.:,757088:70
507903843'40845,0,
;,7.08,024774/8508 0897:.94341-44/;08808 %
2,3,3.5059.:.078059.,02,
,02477,.-44//80,808
8.:7;;9/01 9742-4.94503,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 27/40
,881.,94341,02477,0
9073,
$3
#0857,947$8902
0589,8,0245988
%,02,9020882003,
-00/350770.9:2
&73,788902,02,9:7,
02,088902
203477,,2097477,,
39073,
!0:7,,024947,
!07.,7/:2
,024507.,7/:2
!079430:2
,0245079430:2
439,024,797488
%:3.,;,3,8
,02,94.00
3907899,
!090.,0
!:75:7,
..2488
,02,942,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 28/40
3907899,,02477,0
!09
0.,0
22
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 29/40
3907899,,02477,0
!:75:7,22 ..248824709,3.2
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 30/40
,90110.9841,02477,0,90110.9841,02477,0
$9041,02477,0 $2,,24:393-7,3 47
390507.,7/:2 8;078074:82,0,/94
/0,9
#,904108.,5041-44/ #,5/488 824708074:89,38434920147.425038,943
%0,24:3941-44/488 10889,32
340110.9:3088987050,90/0,/94
,3,02,12,88;0 24709,3298
8074:82,0,/9454;402.84.1
24/07,902708:937,5/1,3
-44/57088:70
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 31/40
$4.,7/4;,8.:,74,580
98,3,.:90.7.:,9471,:70 /:0943,/06:,90
.7.:,93-44/;4:200,/3 94545071:843
41988:08 ,3/.0:,754,
94:9054.,3/209,-4.0110.9841
545071:84339, .,:804370;078-0.0:,73:750788903.0419084.
0;039:,.,:80770;078-0988:03:7 ,3/
.,30,/94/0,941905,9039
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 32/40
,881.,94341$4.
,7/403.$4. 24.,7/,31,7.94339738./,2,0
,024507.,7/:209738.57088:70
5:243,702-4824-897:.94394904:914
54;4,02.$4. ,02477,0-44/488
80;070;4293/,770,47-:7381:/488
$059.$4. 88902.2.74-,310.9438059.02,708:983
;,84/,9,943/2380/24.,7/,.4397,.99
/08570,/03/490,3:79742-488
0:7403.$4. 80;0703:75,347024943,/89:7-,3.0
0307,0/;,84/,9,943
3,5,.9.$4.,07.70,.943 88902.;,84/,9,943
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 33/40
!,944.3/383$4.
:38,/:970857,947/89708883/7420
,8974390893,97,.9/08570,/2:.48,8.,02,708:9332:950
,02477,.074843847:.07,9438
/309:-:,730.7488
;07.03974-:,7.430894330.7488
7,38.,02,914.,,02477,0840/02,
/703,8,02477,0.479.,30.7488
!,944.13/38,7082,794948080033
/08570,/ 2.749742-
:95014.418.,02.30.7488
,02477,0
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 34/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
34/42,3:3/070392,890.942,,72534/0.0,7,3.0147019
-70,89.,7.342,!4894507,9;080/0;0450/2,70/8034107019
,72.,8349903/073495,31:34970/%05488-0/,34888
, 31,22,943418:-.:9,304:8988:04107,72
- !0-49742-4883,72;038
. 250/02,
/ 43089;00,791,:70
0,74/5703,3942,39:3.425.,90/5703,3./0;0458
8://03/8530,9.,348854903843:89,190707;,3,/0;07
.4190144313/3882489094-05708039390507507,
5:243,7,790708
, 2349.1:/
- ,94-:08
. ,8-:--08
/ %742-402-4
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 35/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
0,74//039894783,.3.349.08,99003/4190/,9,90708
10090708403,94:9070,834803,990-03334190/,
%070,8345,34770/3088%0;07703,1:3.943908980703472,.4190144320.,38289,9-08905,3898.,80
, 3.70,80//7489,9.57088:70
- 25,9.4-897:.943
. 5457490302,
/ 31,22,943418:-.:9,304:8988:0
0,74/2,3,/17,.9:7030.102:70,84859,0/4507,90/:543
1,943419017,.9:70,8/430008,90780807084035,31:
4324;02039903/07.41901443.425.,943882489094
4..:7,190790800;0398 ,984:7/,34881789<
, ,37034:830.748841901449
- ,02,942,41909
. !:243,79742-402-482
/ ,902-482
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 36/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
4:3102,0,/2:95017,.9:708/:094,.,7,../039%017,.9:708,8
89,-0/8:7., 1907/,808://03.425,30/41/8530,/11.:93-70,93.41901443.425.,94389024890.,:804198
, 43089;00,791,:70
- ,902-482
. !:243,740/02,/ !:243,731,7.943
%05,9458443;4;0/34072-40/02,3798/00,791,:708
, 0.70,80/48249.57088:70- 25,9.4-897:.943
. 3.70,80/;,8.:,750720,-9
/ 3.70,80//7489,9.57088:70
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 37/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
4072-40/02,3;07.774888/:094
, 0.70,80/48249.57088:70
- 25,9.4-897:.943
. 3.70,80/;,8.:,750720,-9
/ 3.70,80//7489,9.57088:70
4072-40/02,3,.,80411,7,888/:094
, 0.70,80/48249.57088:70- 25,9.4-897:.943
. 3.70,80/;,8.:,750720,-9
/ 3.70,80//7489,9.57088:70
0/02,3305749.83/74208/:094, 0.70,80/48249.57088:70
- 25,9.4-897:.943
. 3.70,80/;,8.:,750720,-9
/ 3.70,80//7489,9.57088:70
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 38/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
%02489.4224389041473419742-49.5:243,702-48
, 0050;038
- :20341019;0397.0
. :2034179;0397.0
/ 0803907.;038
%02489.4224389041473419742-49.4072-,7907,02-48
, 0050;038
- :2034179,97:2
. 0803907.;038
/ 90748.07488390,479,
%02489.4224389041473419742-49.4072-,7907,02-48
, 0050;038
- :2034179,97:2
. 0803907.;038
/ 90748.07488390,479,
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 39/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
0,74/2,3,/019;0397.:,7,31,7.943%700/,8,9070
/0;0458-70,900883088/8530,%0248902.748.45..,308
94-05708039390:38,70
, 430894341,;04,7.,5,708,3/3:2074:830:974583,;04
- 430894341,;04,7.,5,708997,38:/,903,;04
. -748841,;04,7,89,0248/073 ,/032,.745,083,;04
4:3/;07/08.03/0/3/00580, 190723:9080,8.03/0/
7,5/-0.,:8001474994098.,207,08443050703.0//11.:9
3-70,9380;0700,/,.05,332:8.084398%0808259428
,70/:094
, ,94-:083,7907408
- 88023,90/397,;,8.:,7.4,:45,9
. '034:89742-488
/ %88:039740302-4
8/3/2019 Circulatory Disturbances 3
http://slidepdf.com/reader/full/circulatory-disturbances-3 40/40
:9504.0":089438437.:,94789:7-,3.08:9504.0":089438437.:,94789:7-,3.08
34/42,310,3/8974007-,.41070,/;07903094:78
80-0.42083.70,838005 0,/%8.,3848,3,..:2:,94341,
1:/-030,990/:7,.4257088390019.070-7,0285070.41
90144390728/08.7-0898.40.943411:/
, ,02,942,
- !:75:7,
. !090.,
/ ..2488
%01443,70.,7,.90789.84109,370300.059
, %0,110.90/2-8840340/02,94:890380839-0-8
- %01:/8232,90574107,943419047,382880.088;090
5:9701,.943884
. 9/0;0458339073,47,38,8:33908930,3/:907:8
/ 9/0;045834072-841/,-09.8