ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯏꯅꯐꯦꯛꯁꯟ (Infective Endocarditis)ꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ? ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯉꯂꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯉꯀꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ’ ꯀꯧꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯍꯤꯔꯝ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯕꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯟꯅꯕꯥ ꯍꯣꯠꯅꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ: ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯀꯆꯥꯡ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯒꯦꯂꯒꯨꯝꯕꯥ ꯖꯔꯃꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯒꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯈꯣꯌꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯝꯕꯒꯤ ꯊꯧꯅꯥ ꯂꯩ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯖꯔꯃꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯃꯍꯩ-ꯃꯔꯣꯡꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ `ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯖꯔꯃꯁꯤꯡꯒꯤ ꯒ꯭ꯔꯣꯊꯁꯤꯡꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯎꯃꯪꯁꯤꯡ ꯑꯁꯤꯕꯨ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡ ꯈꯛꯇꯅꯤ꯫

ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯇꯤꯁꯨꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯍꯧꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ:

• ꯚꯜꯌꯨꯝ ꯁꯣꯀꯄꯥ: ꯚꯜꯌꯨ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏ ꯑꯗꯨ ꯃꯇꯨꯡꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ (ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ)꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (Hart Failure): ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯍꯥꯔꯠ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ꯫
• ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (Embolism): ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯎꯃꯪꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯥ ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯕꯨ ꯑꯦꯝꯕꯣꯂꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁꯇꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ ꯀꯧꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯔꯝ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯁꯔꯖꯔꯤꯗꯒꯤ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ:

• ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯑꯃꯥ ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧꯕꯥ꯫
• ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ꯫

ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯊꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯃꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯂꯧꯕꯥ ꯋꯥꯔꯦꯞ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯂꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯒꯦꯂꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯈꯜ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (TEE/TTE): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯣꯠꯁꯛ ꯀꯌꯥ, ꯍꯥꯌꯕꯗꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯎꯃꯪꯒꯤ ꯆꯥꯡ, ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯕ꯭ꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯣꯌꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯂꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫

ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (arrhythmia), ꯏ ꯊꯣꯀꯄꯥ, ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ , ꯑꯃꯁꯨꯡ ꯅꯧꯅꯥ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯚꯜꯌꯨꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯔꯖꯔꯤ ꯇꯧꯗꯕꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯄꯣꯃꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯥꯎꯕꯥ, ꯏꯪꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯪꯊꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯜꯗ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯛꯂꯕꯗꯤ (palpitations)꯫

ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯆꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫