Kulephera kwa mtima ndi chimodzi mwa ma syndromes akuluakulu okhudzana ndi matenda a mtima. Zingakhale zovuta komanso zosasintha. Ponena za magulu a mtima wosagwirizana pakati pa akatswiri a cardiologists, mikangano yotsutsana ikuchitika. Kotero, pakali pano, m'mayiko ambiri, machitidwe awiri amagwiritsidwa ntchito posiyanitsa matendawa ndi mitundu.
Chigawo Strazhesko ndi Vasilenko
Chizindikiro cha acute ndi matenda mtima kulephera kwa cardiologists Vasilenko ndi Strazhesko anakonzedwa mu 1935 pa 12 congress a othandizira. Malingana ndi iye, matendawa adagawidwa mu magawo atatu:
- Ine-kulephera mtima kwa mtima, komwe kumawoneka kokha ndi ntchito yogwira ntchito;
- II - Kulephera mtima kwakukulu, ndipo kumayamba kufooka mu bwalo laling'ono kapena lalikulu, kotero zizindikiro zimawonetseredwa ngakhale kupumula kwathunthu;
- Gawo lachitatu ndilo gawo lomalizira, lomwe limakhala ndi kusintha kwa ziwalo zosiyana siyana ndi matenda oopsa a chilengedwe, kusintha kwa kagayidwe kake, komanso kusintha kosasinthika kwa thupi.
Izi zimagwiritsidwa ntchito kwambiri ku CIS.
Chigawo cha New York Cardiac Association
Malinga ndi kafukufuku wa New York Cardio Association, odwala omwe ali ndi mtima wosakhutira amagawidwa m'masukulu 4:
- Ine-odwala omwe ali ndi matenda a mtima, koma opanda zolephera zowonongeka;
- II - odwala ochita masewera olimbitsa thupi, omwe amalephera kukhala ochepa chifukwa cha maonekedwe a dyspnea , kumverera kovuta kwambiri ndi kutopa patsiku lochita masewera olimbitsa thupi, koma panthawi yomweyo, pogona, odwala onse amamva bwinobwino;
- III - odwala olumala, nthawi zina amakhala ndi zizindikiro za angina pa katundu pansipa;
- IV - odwala sangathe kuchita zinthu zosavuta kumva popanda kumva chisoni, zizindikiro zosiyanasiyana za angina zimafika ngakhale panthawi yopumula.