
presistolic pirupirukkal

presistolic accentuation ennum vilikkunna presistolic pirupirukkal, saadhaaranayaayi mitral valve stenosisile ooppaning snaappumaayi bandhapetta oru tharam diastolic hart pirupirukkalaan. diastasis ghattathil stenotic vaalvinte mediastolic shabdathe thudarnnu ithu kelkkunnu, ithu oru "lettu diastolic" pirupirukkalaakkunnu.
atrial sistolinte avasaanathil kramena idungiya mitral ooppaningiloode rakthathinte samagramaya ozhukk kaaranam pirupirukkal kelkkunnu. mitral valve poornnamaayum adaykkunnathinu munbu eee integrade ozhukk dayastolinte avasaanathilulla mardha gradiantinte falamaanennu thonnunnu. athinte peru soochippikkunnathu pole, mitral valve ezz 1 hridaya shabdam srishtikkunnathinu munbu presistolic pirupirukkal kelkkunnu.
palappozhum, oru raitt atrial mixoma rakthapravaahathin tricispid valve thadassappeduthumbol oru presistolic pirupirukkal kelkkaam.

