OBSERVATION IN CARDIOLOGY PATIENTS

Authors

  • Krasimira Zlatkova South-West University “Neofit Rilski”, Bulgaria Author
  • Yuliyan Zlatkov South-West University “Neofit Rilski”, Bulgaria Author

Keywords:

observation, cardiology patient, cardiovascular disease

Abstract

Cardiovascular diseases are a leading cause of disability and death worldwide. One of the reasons for the increased incidence of these diseases is the aging of the population. In recent years, an increase in the number of those affected in working age has been reported. The basis for their diagnosis is the history and physical examination. Observation of the patient begins in the first minutes of meeting him. Attention is paid to posture, gait, skin color, breathing, etc. The detection of findings such as changes in the chest, petechiae, clubbing, cyanosis, edema, yellowish spots around the eyelids, etc. may lead us to think that a disease of cardiac origin is present. The purpose of this report is to present the most common signs of the presence of a cardiac problem, found during the observation of patients. We used the deduction method and also expressed personal observations from working with cardiovascular patients. In addition to the detection of common features of cardiac diseases such as peripheral and central cyanosis, edema of the extremities and abdomen, symptoms of a specific disease can be detected. Brittle nails, impaired hair growth, the presence of superficial varicose veins and edema indicate vascular insufficiency. The presence of lesions on the hands may be caused by endocarditis. Yellowish deposits around the eyes (xanthomas) are the result of hyperlipidemia. A detailed observation of patients depends on the competence of the examiner and is of essential importance for the diagnosis of diseases. The detection of the findings mentioned in the article can help in the early diagnosis of cardiovascular disease, and thus influence the symptoms in order to improve the quality of life of those affected.

Downloads

Download data is not yet available.

References

Ashley, E. A., & Niebauer, J. (2004). Cardiovascular examination [Review of Cardiovascular examination]. In Cardiology Explained. Remedica. https://www.ncbi.nlm.nih.gov/books/NBK2213.

Byrne, J. (2021). Consultation and clinical assessment of the heart and cardiovascular system. British Journal of Nursing 30 (18). ISSN (print): 0966-0461; ISSN (online): 2052-2819

Cotter, L. (2018). Taking a history and the examination of the cardiovascular system. Medicine, 46(8), pp. 437 – 442

Elsherif, A., Wyatt, M. (2024). Lecturio Medical Knowledge Essentials – Physical Examination of the Cardiovascular System. Available: https://www.lecturio.com/concepts/lecturio-medical-knowledge-essentials-physical-examination-of-the-cardiovascular-system/

Ernstmeyer, K., & Christman, E. (Eds.). (2021). Cardiovascular Assessment. In: Open RN Nursing Skills. Chippewa Valley Technical College is licensed under CC BY 4.0. [Review of Open Resources for Nursing (Open RN)]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK593199/

Filipova, M., Popova, D., Mitova, E., Kraydjikova, L., & Megova, T. (2017). Physiotherapy for patients with acute myocardial infarction treated with thrombolysis. European Journal of Physical Education and Sport Science.

Gramatikova, M. (2015). Aquatherapy after reconstruction of the anterior cruciate ligament. Act. Phys. Educ. Sport, 5. Рр. 33–36.

Higgins JP (2015) Physical Examination of the Cardiovascular System. Int J Clin Cardiol 1:019

Leier, C.V., Chatterjee, K. (2007). The Physical Examination in Heart Failure—Part I. Congestive Heart Failure. 13 (1), pp. 41-47, https://doi.org/10.1111/j.1527-5299.2007.06409.x

Lekic, M., Lekis, V., Riaz, I. B., Mackstallet, L., Marcus, R. I. (2021). The Cardiovascular Physical Examination – Is It Still Relevant? American Journal of Cardiology,149. Pp. 140 – 144

Malik MB, Goyal A. Cardiac Exam. [Updated 2023 Jan 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553078/

Massey, D. L. (2006). Cardiac assessment part 1: Inspection, palpation, percussion. British Journal of Cardiac Nursing 1(1), DOI: 10.12968/bjca.2006.1.1.20377

Peart, P. (2022). Cardiovascular history taking and clinical examination. Clinics in Integrated Care, 12:100105, https://doi.org/10.1016/j.intcar.2022.100105

Potter, L. (2010). Cardiovascular Examination – OSCE Guide. Available: https://geekymedics.com/cardiovascular-examination-2/

Rafailidis, P. I., & Falagas, M. E. (2008). Discordance between data acquired by history and findings of physical examination: a phenomenal paradox. European journal of internal medicine, 19(4), 271–275. https://doi.org/10.1016/j.ejim.2007.06.022

Scott, C., Macinnes, J. (2006). Cardiac patient assessment: putting the patient first. British Journal of Nursing, 15 (9). Pp. 502-8. DOI: 10.12968/bjon.2006.15.9.21091

Zlatkova, K., Zlatkov, Y., & Filipova, M. (2022). Methodology of a kinesitherapy in patients after insertion of a coronary artery stent. Journal of IMAB, 27, 12-14.

Downloads

Published

2025-04-09

How to Cite

OBSERVATION IN CARDIOLOGY PATIENTS. (2025). MEDIS – International Journal of Medical Sciences and Research, 4(1), 39-43. https://medisij.com/index.php/mij/article/view/8

Similar Articles

1-10 of 23

You may also start an advanced similarity search for this article.