Catatan Kardio

RANGKUMAN CARDIOVASKULAR | BY BY:: FARHANA&ROBIAH

PENYAKIT JANTUNG BAWAAN NON STENOSIS ASD ANATOMI

1. Defek pada foa!a" o#a$e %e!pa o'()! 'ek)"d)!*: defek 'ep)! a()! 'ek)"d)! %p$+ ,a"-ak* . Defek '(")' #e"o')' %')pe(o* /. Defek 'ep)! a()! p(!)! %'e("+ d('ea( ke$a("a" pada da)" !(a$

VSD 1. Defek '),ae(a$ %d( ,a0a ka)p p)$!o"a$ da" ka)p aoa* . Defek pe(!e!,a" %pada pa' !e!,a"a'ea 'ep)!*: defek o)$e da" defek ("$e. /. Defek !)'k)$a

PDA

D)k)' ae(o')' %Boa$$(* !e"+),)"+ka" A. p)$!o"a$(' d+" aoa  pada !a'a 2a"(". See$a $a( 3O !e"("+ka da" ae(o$a pa) d($aa'( !e"-e,a, ka" d)k)' !e"))p ke!)d(a" !e"2ad( 4,o(k. 3DA pada ,a-( 5)k)p ,)$a" ,)ka" kae"a (dak e'po"'(#e d ok'(+e"6 p k" ke$a("a" oo po$o' MANI*ESTA ♥ A'(!po!a(k ♥ B('("+ pa"'('o$(k d( ♥ A0a$ ke(d)pa" SI SIC III $("ea (dak ede"+a ♥ Uk)a" ),) $, KLINIS 'e"a$(' '("('a ,('("+6 ,('("+ k))' da( ♥ Defek ,e'a: ,('("+ e2ad( )'(a  'e,a-a"-a >!("++) !)$a !(d d(a'o$(5 d( ♥ 3e"o"2o$a" dada k(( !)$a ,('("+ ape; %'e"o'(' k" pe!,e'aa" '('o$(k 2d ,('("+ !(a$ e$a(#e* Vka ko"(") ♥ S1 kada"+ !e"+ea'6 ♥ Defek ke5($: ♥ BB "o!a$ 'a!pa( a'(!po!a(k S 'p$( ko"'a" failure to thrive 6 <('e"!e"+e: ♥ S("d <('e"!e"+e: ♥ B('("+ e2ek'( '('o$(k + ,e'a defek. !)$a!)$a pa'(e" pada SIC II $("ea a!pak !e!,a(k ♥ A'(!po!a(k 'e"a$(' '("('a 'a!pa( +a+a$ ke!)d(a" !e"2ad( %ka)p p)$!o"a$*  2a")"+ ko"+e'(f  '(a"o(k da" ♥ B('("+ !(dd(a'o$(k ♥ Ik)' kod(' o$ea"'( $a(a" SIC IV $("ea !e"))" ke!,a$( ,e+e'e ke k(( 'e"a$(' '("('a ♥ 3e"))pa" 'po"a" %pe!,e'aa" %ka)p (5)'p(d* #e"(ke$ k((* =89 2d pada VSD ♥ Defek 'ek)"d)!

STENOSIS PULMONAL stenosis pulon!l "!l"ul!# %ka)p p)$!o"a$ ,(k)'p(d* stenosis pulon!l in$un%i&ul!# %(peo4 ("f)"d(,)$a* pe#&e%!!n !nt!#! 'e%u!n(!) p!%! stenosis in$un%i&ul!# ti%!' %i%!p!t'!n %il!t!si post stenosis

STENOSIS AORTA

COA

Ka)p ,(k)'p(d %'e"o'(' ("+a" aa) 'eda"+*

Me)paka" pe"-e!p(a" aoa. Se,a+(a" ,e'a e$eak d( 'e,ea"+ ("'e'( d)k)' ae(o')' Dapa ,ed(( 'e"d(( aa) d('ea( ke$a("a" $a(""-a 'epe( 3DA6 VSD aa) 'e"o'(' aoa pada COA ,ea ,(a'a"-a edapa (pop$a'(a ('!)'

Ka)p )"(k)'p(d7"o" k)'p(d %'e"o'(' ,ea* 189 d('ea( ("')4'(e"'( aoa

♥ R("+a"'eda"+: ♥ Me"-e,a,ka" +a+a$ Se"o'(' ("+a": a'(!po!a(k a'(!po!a(k6 kd+  2a")"+ pada Se"o'(' 'eda"+ ("o$ea"'( o$aa+a !("++) ke  pa'5a ♥ Bea: $a( e)a!a ,ea: d(p'"e) Neo"a)': +a+a$ d('ea( VSD %'e'ak "afa'* pd  2a")"+ ♥ 3ada a"ak d+" ak((a' ,ea da" A"ak $e,( ,e'a: $eka' $e$a !a"(fe'a'( "-e( dada 'aa Stenosis "!l"ul!# (pee"'( ae(a$6 o$a a+a6 '("kop6 'e,a+(a" #in+!n) S 'p$( 'e'ak '$ ak(4a' a'(!o!a(k $e,a ,e#a(a'( 4'(k ♥ Nad( d($e"+a" kea'6 de"+a" pe"afa'a" ♥ ?(dak '(a"o(k6 "ad( %$e,( $e,a 'aa )"+ka( $e!a ea,a "o!a$ ♥ ?eka"a" ("'p(a'(*6 k$(k  ?eka"a" '('o$(k d( %ke5)a$( pada e2ek'( %pe!,)kaa" $e"+a"@)"+ka( 'e"o'(' ,ea6 "ad( ♥ Coa -a"+ dp d( ka)p -+ kak)*, ea,a ke5($* ,('("+ e2ek'( dea2a pok'(!a$ 3DA "ad( ♥ H(peak(4a' Vk(6 /7> d( SIC II $("ea fe!oa$(' ea,a (k)' kod(' $e,a 'e"a$(' '("('a "o!a$

RANGKUMAN CARDIOVASKULAR | BY BY:: FARHANA&ROBIAH =89 aka" !e"))p 'po"a" '!p )'(a = ". ♥ D+" d(a!ee @!!  2aa"+ !e"))p. ♥ ?IDAK DI3
Di!+nosis

pe(!e!,a" da" !)'5)$a pd > ,)$a" pea!a. ♥ VSD ,e'a: ,('a e2ad( 3VOD

 aa"+ d(e!)ka" ♥ Saa $a( dk +a+a$ 2a")"+ ede"+a ,('("+ ♥ Se("+ pada a"ak ke!)d(a" ede"+a k))'6 d+" k))'6  d+" ♥ A"ak ,(a'a"-a !a"(fe'a'( ', ♥ Foo dada: Aka "o!a$ 'a!pa( de"+a" failure to !e!,e'a6 'e+!e" !e!,e'a6  'e+!e" thrive p)$!o"a$ !e"o"2o$6 ♥ Foo dada: #a'k)$a('a'( ,ea!,a pe!,e'aa" Ak( ♥
Nad( kea' %,o)"d("+* de"+a" eka"a" "ad( $e,a ♥ B('("+ ko"(") +ade 1=7> SIC II $("ea 'e"a$(' '("('a %ka)p p)$!o"a$* !e"2a$a 'epa"2a"+ $("ea 'e"a$('6 ("fa5$a#(5)$a6 p)"++)"+7 pada daea ("fa5$a#(5)$a de;a ♥ S kea' de"+a" 'p$( 'e!p( pada (pee"'( p)$!o"a$ ♥ B($a '("d e('e"!e"+e '(a"o'(' pada ),) ,a+ ,a0a ♥ Nad( ea,a k)a da" ede"+a ,('("+ ko"(") ♥ <$ekokad(o+a4: d(a+"o'(' pa'(

!e"2a$a ke $ee da" k)a Stenosis "!l"ul!# ♥ K$(k e2ek'( d( apek' pada ek'p(a'( se%!n+) k$(k $e,( d("(6 ,('("+ $e,( ♥ B('("+ e2ek'( '('o$(k pa"2a"+ da" k)a ep( ka"a" 'e")! Stenosis "!l"ul!# aa) d( apek' &e#!t) k$(k (dak ♥ S "o!a$6 pada ede"+a kae"a 'e"o'(' ,ea ' ka)p 'a"+a kak)6 )"++a$ aa) e2ad( ,('("+ '(o$(k 'a"+a  paradoxical pa"2a"+ da" kea'. splitting aa) Stenosis reverse spitting in$u%i&ul!#) (dak ede"+a k$(k e2ek'( kae"a ka)p "o!a$6 dea2a ,+ ("+a"7,ea

♥

A'(!o!a(k de"+a" k$(k '('o$(k %pada (pe #a$#)$a* -+ #a$#)$a* -+ d((k)( de"+a" ,('("+ '('o$(k da" 'p$( S -a"+ $e,a da" ,e#a(a'( de"+a" "afa' ♥ Foo dada: pe!,e'aa" Vka6 Vka6 de"+a" ko")' p)$!o"a$ !e"o"2o$ %(pe #a$#)$a* ♥
Foo dada: (peo4 Vk( de"+a" Vk(  de"+a" 5ooka" pa) "o!a$ da" k"o, aoa !e"o"2o$ ♥
♥

3e"("+kaa" ak Vk(6 ($$ '('o$(k ea,a pada $ek)k ')pa'e"a$6 '1 da" ' "o!a$

Foo dada: kad(o!e+a$( ("+a"6 k"o, aoa po!("e"6 5oaka" pa) "o!a$ ♥
RANGKUMAN CARDIOVASKULAR | BY BY:: FARHANA&ROBIAH p(a) da( k(( ke ka"a" Di!+nosis ♥ Defek 'ep)! a()! ♥ 3DA 'aa e'('e"'( ♥ 3B "o" '(a"o(k $a(" B!n%in+ p(!)!: 'e("+ #a'5)$a pa) d('ea( do0" !a'( ("++( '-"do!e66 ,($a '-"do!e ♥ ?OF '(a"o(k d('ea( ("')4'(e"'( ♥ B('("+ ("o'e" ka)p !(a$ ede"+a ,('("+ pa"'('o$(k d( apek'6 (peo4 #e"(ke$ k((6 pd ,$"a)" 5)k)p ,)$a"6 pada ♥ Opea'( 2a")"+ ♥ Defek ke5($ -+ dk ,a-( 5)k)p ,)$a" ka"a ke$a("a" e,)ka pada )'(a !e"))p 'ee$a oo po$o' DAB pa'eko$a )'(a  " (dak d($ak)ka" opea'( ♥ ?(dak pe$) %ke5)a$( defek pe!,aa'a" '),ae(a$* kae"a ak(#(a' 4'(k a"-a ada ('(ko ke5)a$( ada e"dokad((' da" (pee"'( ('(ko opea'( $e,( p)$!o"a$ ,e'a ♥ 3o4$ak'(' ',e ♥ ?(dak d(pe$)ka" ♥ 3ada ,a-( pe!,aa'a" pe!a)e: o,a ak(#(a' 4'(k a"(po'a+$a"d("

♥

Se"o'(' p)$!o"a$

Se"o'(' ("+a": ♥ Se"o'(' ("+a" o,'e#a'( %pe,edaa" ek ♥ Se"o'(' 'eda"+: a"aa #e"(ke$ k(( da" aoa E8 o,'e#a'( !!H+*: a"-a ♥ Se"o'(' ,ea: eap( d(pa"a) apaka ,eda )k e2ad( pe,eaa" pe$e,aa" o,')k'( 'e"o'(' aa) #a$#)$op$a'( ♥ Se"o'(' 'eda"+: 3e!,aa'a" ak 4'(k: ♥ a'(!po!a(k 'e"o'(' ,ea de"+a" ,('("+ ♥ 3o4$ak'(' ',e ,($a dea2a =7> aa) ada ("d(ka'( $e,( & pe,edaa" eka"a" 8 8!!H+6 (dak ,o$e o$aa+a ko!pe((f. Re'(ko ke!a(a" !ddk ♥ Se"o'(' ,ea: +a+a$ ♥

3ada "eo"ae': +a0a da)a6 'e+ea ,e( po'a+$a"d(" a+a d)k)' ae(o')' eap e,)ka ♥ Beda: a, '),5$a#(a" aa) a"a'o!o'(' e"d o e"d ♥

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH ke5)a$( ada (pee"'( p)$!o"a$ %!e"-e,a,ka" 3VOD* ♥ 3o4$ak'(' ',e6 2a+a ke'eaa" +(+(

%57 ("do!ea'("* d(,e(ka" )'(a E1!("++)6 ,(a'"-a e))p 'ee$a /; pe!,e(a" 'e$a"+ 0k 1 2a!6 )k 5e+a e,)ka ke!,a$( d(,e(ka"  a(.

 2a")"+ 'aa "eo"ae' aa) pada a"ak dapa a'(!o!a(k de"+a" "ad( ke5($ da" ,('("+ kea'. B
In$e/ti$ En%o'!#%itis A'ut) S0 Aue#eus en(e#!n+ '!tup no#!l %!n !&no#!l Su&!'ut) S0 "i#i%!ns, p!lin+ se#in+ te#1!%i en(e#!n+ '!tup !&no#!l P#osteti') P!s/! ope#!si pe#+!nti!n '!tup, &is! te#1!%i %i!2!l 3456!#i %!#i ope#!si, l!&!t 7456!#i setel!6 ope#!si Ri+6t Si%e En%o/!#%itis) te#1!%in(! !'ut p!%!

PENYAKIT JANTUNG BAWAAN STENOSIS TETRALOGY O* *ALLOT

KLASI*IKASI

 ?e(d(( da( = ke$a("a": Se"o'(' p)$!o"a$ ("+a": ')" k(( ke ka"a"6 da" +a!,aa" k$("(' !((p 1. VSD VSD !)"(. D('e,) ?OF a'(a"o(k aa) p("k ?OF. . Stenosis pulon!l /. -ipe#to. "ent#i'el Se"o'(' p)$!o"a$ ,ea : ')" ka"a" ke k((6 k$("(' a!pak '(a"o(k '!n!n =. O"e##i%in+ !o#t! TO* ASIANOTIK TO* SIANOTIK  

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

♥ Ada"-a 'e"o'(' p)$!o"a$ ,ea !e"+a'($ka" p(a) Ada"-a 'e"o'(' p)$!o"a$ !e!("(!a$('( p(a) k(( ke ka"a" ke k(( da" ,ek)a"+"-a a$(a" daa pa). ♥ A3 ke5($6 AK( da" VK( $e,( ke5($ da( "o!a$ kae"a ka"a". ♥ Uk)a" 2a")"+ da" #a'k)$a(a' pa) !e"("+ka #o$)!e daa -a"+ ke!,a$( ke 2a")"+ k(( ke5($. ("+a" 'a!pa( 'eda"+6 !((p d+ pada VSD ke5($ ♥ Foo o dada !e")"2)kka" )k)a" 2a")"+ -a"+ ke5($ 'a!pa( 'eda"+. da" 5oaka" #a'k)$a pa) -a"+ !e"))". ♥
RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH !e"2ad( $e,( ,e'a da" ,('("+ ($a"+ . Dea2a p(a) ka"a" ke k(( aa) a$(a" daa ke pa) d(pe"+a)( o$e a$(a" ,a$(k daa '('e!(k ke  2a")"+. ♥ 3e"))"a" a$(a" ,a$(k '('e!(k   !e"("+kaka" p(a) ka"a" ke k(( da" !e"))"ka" a$(a" daa ke pa) 'e("++a '(a"o'(' ,ea!,a. ♥ 3e"("+kaa" a$(a" ,a$(k '('e!(k !e"))"ka" p(a) ka"a" ke k(( da" !e"("+kaka" a$(a" daa ke pa) 'e("++a '(a"o'(' ,ek)a"+. ♥ ?ak(kad(a aa) (po#o$e!(a !e"("+kaka" p(a) ka"a" ke k(( -a"+ !e"))"ka" 'a)a'( ok'(+e" daa '('e!(k. H(pok'(a -a"+ e2ad( !e!(5) e2ad("-a hypoxic spell/tet  spell . ♥ H-po;(5 'pe$$75-a"o(5 'pe$$7e 'pe$$ e2ad( pada ,a-( d+ ?OF.  ?ed(( aa' (pep"ea %"apa' 5epa da" da$a!*6 pe,))ka" '(a"o'(' da" ($a"+"-a ,('("+ 2a")"+. ♥ H(pep"ea d(p(5) o$e !e"a"+('6 defeka'( aa) ke"a(ka" ak(#(a' 4'(k -a"+ !e"))"ka" a$(a" ,a$(k #e"a 'e5aa !e"dadak aa) !e"("+kaka" p(a) ka"a" ke k((. Dapa p)$a d(p(5) o$e ak(kad(a aa) -po#o$e!(a. ♥

Te#!pi untu' si!noti'8 epe#l!&!t %en(ut 1!ntun+, ele&!#'!n  1!lu# 'elu!# VK!, enin+'!t'!n "olue %!#!6, enin+'!t'!n !li#!n &!li' sistei'0 ♥ K"ee 5e' po'((o" ♥ Mo4" ')$fa: !e"eka" p)'a e'p(a'( ♥ B(ka,o"a Na(k)': !e"+($a"+ka" '(!)$a'( p)'a e'p(a'( o$e a'(do'(' ♥ Ok'(+e"

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH Va'oko"'(ko %!(': fe"($ef("*: !e"("+kaka" a$(a" ,a$(k '('e!(k ♥ Kea!(": !e"("+kaka" a$(a" ,a$(k '('e!(k da" !e"e"a"+ka" ♥ 3opa"o$o$:  keadaa" ak): !e"+)a"+( 'pa'!e 2a$) ke$)a VKa6 !e"))"ka" fek)e"'( de"-) 2a")"+  pe"5e+aa": 'a,($('a'( eak'( ae(a '('e!(k '+ !e"5e+a pe"))"a" a$(a" ,a$(k '('e!(k -a"+ !e"dadak. ♥ Kae"a 'e"o'(' 'e!ak(" $a!a 'e!ak(" ,ea !aka '(a"o'(' )!)!"-a a!pak 'ee$a ,a-( ,e)'(a ,e,eapa !("++). ♥ Sea"+a" '(a"o(k % cyanotic spell * e2ad( pada )'a( > ,)$a" da" dapa !e"-e,a,ka" ('ke!(a 'ee,a$ ♥ Squatting ♥ pada ,a-( da" a"ak ke5($ dada a!pak "o!a$. ♥ 3ada a"ak ,e'a edapa (peo4 #e"(ke$ ka"a" '+ dada k(( a!pak !e!,o"2o$. ♥ S1 "o!a$ aa) !e"+ea' kae"a ka)p aoa deka ke d("d("+ depa" dada. ♥ S 'p$( !e$e,a eap( 'e')a( pe"apa'a" 'e!ak(" ,ea 'e"o'(' 'e!ak(" $e!a ')aa ko!po"e" p)$!o"a$ ♥ 3ada 'e"o'(' ,ea S )"++a$. ♥ B('("+ e2ek'( '('o$(k kae"a ),)$e"'( pada ka)p p)$!o"a$. ♥ Mak(" ,ea 'e"o'(' p(a) ka"a" ke k(( !ak(" ,e'a 'e("++a ,)"-( ,('("+ !ak(" $e!a %,e,eda de"+a" 'e"o'(' p)$!o"a$ a"pa VSD*. ♥ Me"("+kaka" ('(ko e2ad("-a o!,o'(' oak aa) a,'e' oak ♥ Foo dada: 2a")"+ 'epa)6 ko")' p)$!o"a$(' 5ek)"+6 #a'k)$a('a'( pa) !e"))" ♥ 1 +7dL ♥ Ba-( -+ pe"a !e"dapa 'ea"+a" '(a"o(k d(,e(ka" popa"o$o$ 1 !+7k+7a(. ♥ Sea"+a" '(a"o(k ,e)$a"+ !e")"2)kka" pe$) d($ak)ka" ("daka" ,eda ,a(k pa$(a(f aa) k)a(f  ♥ Ke"a$( da" a"+a"( 'e+ea 'ea"+a" (pok'(a ♥

MANI*ESTASI KLINIS

DIAGNOSIS

DIANOSIS BANDING

TATA LAKSANA

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH
ATRESIA TRICUSPID  ?(dak ada ka)p (5)'p(d da" 'e,a+(a" da( #e"(ke$ ka"a". ♥ ?e!)a" 4'(k (dak ka'. Ba-( !e"de(a '(a"o'(' de"+a" da( ("+a" 'a!pa( ,ea6 de"+a" ,('("+ VSD. M)"+k(" edapa epao!e+a$( kae"a ,e"d)"+a" d( Aka ak(,a ),)"+a" ("ea(a$ (dak adek)a aa) kae"a +a+a$ 2a")"+. ♥

♥ ♥

♥

Foo dada: pe!,e'aa" a()! ka"a"6 'e+!e" p)$!o"a$ 5ek)"+6 #a'k)$a('a'( pa) !e"))" ♥
ANA?OMI

ATRESIA PULMONAL Dapa d('ea( aa) (dak d('ea( VSD M)$ak d(pe$)ka" d)k)' ae(o')' )")k !e!a'ok daa da( aoa. B($a d)k)' !e"))p pa'(e" aka" !e"("++a$ B($a ada VSD #e"(ke$ ka"a" aka" ,e'a. B($a (dak ada VSD #e"(ke$ ka"a" ke5($. Mak(" ,e'a #e"(ke$ ka"a" !ak(" ,a(k po+"o'('"-a.

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH ♥ ♥

MANIF
♥

♥ ♥

DIAGNOSIS

♥

♥

♥

 ?A?ALAKSANA

♥ ♥

♥

3a'(e" dapa ,eaa" (d)p ,($a ada ASD7VSD73DA. 3a$("+ ,a(k ada$a pe5a!p)a" pada a()! !e$a$)( ASD aa) foa!e" o#a$e Ba-( de"+a" ,ea $a( "o!a$ aa) $e,( ,e'a da( "o!a$6 a!pak '(a"o'(' 'e2ak $a(6 ("+ka '(a"o'(' e+a")"+ ("+ka pe5a!p)a" daa.  ?(dak ada ,('("+7,('("+ pa"'('o$(k7,('("+ ko"("). Ge2a$a +a+a$ 2a")"+ ')da a!pak 'e2ak !a'a "eo"a)' Foo dada: egg on side appearance 6 #a'k)$a('a'( pa) !e"("+ka ke5)a$( ada 'e"o'(' p)$!o"a$
Be(ka" 3G<1 'e+ea See$a d(a+"o'(' pa'( d($ak)ka" BAS %,a$$oo" a(a$ 'epo'o!-*: a()! ka"a" !e"dapa daa da( a()! k((6 da( a()! ka"a" ke #e"(ke$ ka"a" da" ke 'e$)) ),) See$a 'a,($ dapa d($ak)ka" opea'( pe)kaa" ae( ,($ad(a!ee a p)$!o"a$(' da" aoa 'e(!,a"+6 defek $a(" 2)+a d(koek'(.

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

GAGAL JANTUNG D(pe"+a)( :

Ada$a eka"a" ak( d(a'o$(k #e"(ke$ k((. Te'!n!n p#e lo!% ; <

3e Load

Cu#!6  J!ntun+ 9C!#%i!/ Output:

&ed(( da(

Isi Se'un/up

Af&e Load

*#e'uensi N!%i

Ko"&ak&($(&a'

*#e'uensi 1!ntun+ ; < /u#!6 1!ntun+ ; 'a!pa( HR 181>8 %HR @1>86 CO !e"))" %de5ea'ed 4$$("+ (!e** KRONO?RO3IK : S),'a"'( -a"+ !e!pe"+a)( ke2a 2a")"+ %de"-)  2a")"+*

Me)paka" eka"a" '('o$(k. D(pe"+a)( o$e : a. Re'('e"'( pe!,)$) daa #a'k)$a : - Ka)p aoa %se!'in sepit < !$te# lo!% ;* - Re'('e"'( ae( %se!'in #esisten < !$te#

Me)paka" ke!a!p)a" ko"ak($(a' oo 2a")"+ %("oop(k* a. Ne+a(f : !e"))"ka" ko"ak($(a' <; o,a : ,$o5ke6 Ca5a""e$ ,$o5ke ,. 3o'((f : !e"("+kaka" ko"ak($(a'

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

GAGAL JANTUNG AKUT

%+a(' pada daea

D('f)"+'( M(okad()

Ve"(5)$a 

Etiolo+i G!+!l

Ga"++)a" 3e"+('(a" Ve"(ke$

Ke,))a

Ude! 3a) Ak)  ?edapa ak)!)$a'( 5a(a" pada a$#eo$) Ma"(fe'a'( : Ba)k ,edaa6 'e'ak "afa' e,a6 ?D J6 ak(kad(6 o"k(6 0ee("+6 3O  6 3CO 6 Ke$e- B $("e' ("e((a$ pa)* So5k Cad(o+e"(k Ke+a+a$a" pada a$(a" daa ke 2a("+a" %kae"a ("fak !(okad da" ada"-a e!,o$( pa)* Ma"(fe'a'( : ?D 6 pe(kad(a$ a!po"ade6 e+)+(a'( ka)p.

Me"-e,a,ka" ko"ak'( !(okad()! (dak 'e!p)"a  st#o'e "olue = > /!#%i!/ output = Kl!si.'!si A&no#!l P#essu#e O"e#lo!% A&no#!l Volue O"e#lo!%  ?eka"a" -a"+ ,e$e,(a" %e;: 'e"o'(' aoa6 Vo$)!e daa -a"+ ,e$e,(a" d(da$a! koaka'(o aoa6 (pee"'(6 'e"o'(' #e"(ke$ !e"-e,a,ka" pe $oad ,e$e,(a". p)$!o"a$* !e"-e,a,ka" a$(a" daa da( H)k)! 'a$("+ : #o$)!e J  eka"a" #e"(ke$ #e"(ke$ ea!,a. Se("++a st#o'e J  5ad(a5 o)p) !ak'(!a$. ?ap( ka$a) #o$)!e ,e$e,(a" & eka"a" ,e$e,(a"  "olue?isi se'un/up = /!#%i!/ output =. %e;: a"'f)'( ,e$e,(a"6 MI6 d$$* D!#!6 %!l! "ent#i'el = < P#e Lo!% = < C!#%i!/ output = > G!+!l J!ntun+ Conto6 Pen(e&!& G!n++u!n Pen+isi!n Vent#i'el P#ie# Se'un%e# Pe#i'!#%itis Konst#i'ti$  Stenosis V!l"! Mit#!l Ada"-a 2a("+a" 4,o'a72a("+a" pa) da$a! Daa da( a()! '("('a (dak dapa pe(kad()! 'e("++a !e!,aa'( e$a'('(a' 'epe")"-a !e!a')k( #e"(ke$ k(( 'e("++a #e"(ke$ da$a! pe"+('(a" #o$)!e ak( d(a'o$ e2ad( ak)!)$a'( daa da$a! a()! k(( ,aka" %p#e lo!% =* ,('a ke!,a$( p)$!o"a$ da" #e"(ke$ de;a. P#e lo!% = K!#%ioiop!ti Rest#i'ti$  Stenosis V!l"! T#i'uspi%!l Ada"-a 2a("+a" pa) d( !(okad()!6 2ad( !a''a Daa da$a! a()! de;a (dak 'epe")"-a #e"(ke$ J '+ )a"+ )")k daa 'e!ak(" 6 !e!a')k( #e"(ke$ de;a 'e("++a eka"a" pada #e"a 5a#a !e"("+ka da" a$(a" ,a$(k daa p#e lo!% = T!pon!%e J!ntun+ ke 2a")"+ !e"))". Ada"-a 5a(a" da$a! pe(kad()!6 'e("++a Me"-e,a,ka" a()! de;a J da" #e"(ke$

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH Ke&utu6! et!&olise ; < 'e#1! 1!ntun+ ;, '!lo te#us ene#us > +!+!l 1!ntun+0

DE*INISI KLASI*IKASI

PATOGENESIS

'("do!a -a"+ (!,)$ kae"a 2a")"+ (dak !a!p) !e!o!paka" daa da$a! '('(! '(k)$a'( )")k !e!e")( ke,))a" !ea,o$('!e 'e$)) 2a("+a" ),)6 0a$a)p)" eka"a" pe"+('(a" daa ke da$a! #e"(ke$ 5)k)p !e!ada( A. Da( 'e+( +e2a$a da" a"daa"da : ♥ fo0adfa($)e #e')' ,a5k0adfa($)e B. Da( 'e+( e!od("a!(' : ♥ a* G.. (+ o)p) #e')' G $o0 o)p) ♥ ,* G.. k(( #e')' G ka"a" ♥ 5 * G '('o$(k da" G d(a'o$(k G.. (+ o)p): Ga+a$  2a")"+ de"+a" '(k)$a'( -a"+ (ped("a!('. D('e,a,ka" kae"a !e"("+ka"-a ke,))a" '(k)$a'( daa -a"+ ,e$e,(a" da" !e$a!p)( ke!a!p)a" 4'(o$o+('  2a")"+

G.. k(( Ga"++)a" f)"+'( po!pa #e"(ke$ k((

G '('o$(k da" G d(a'o$(5

C)a 2a")"+ k((   ?eka"a" ak( d(a'o$(k #e"(ke$ k(( !e"("+ka J

  ,a5k0adfa($)e: a!,aa" pe"+o'o"+a" '('e! #e"a pada a$(a" daa '('e!(k da" p)$!o"a$  ,e"d)"+a" pada #e"a '('e!(k da" aa) ,e"d)"+a" pada pa)  !a"(fe'a'( k$("('

G $o0 o)p):  ?e2ad( Be"d)"+a" pada a()! pe"))"a" f)"+'( 2a")"+ k(( 'e("++a 5)a 2a")"+  ?eka"a" da$a! a()! k(( !e"))" J

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K#ite#i! Mino#

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Kl!si.'!si G!+!l 1!ntun+ Menu#ut Ne2 Yo#' -e!#t Asso/i!tion 9NY-A: C$a' I ?(dak ada pe!,aa'a". La(a" 4'(k "o!a$ (dak !e"-e,a,ka" ke$e$aa"6 'e'ak aa) pa$p(a'(. C$a' II Kee,aa'a" !e"e"+a. Saa ('(aa "-a!a" eap( ak(#(a' 4'(k "o!a$ !e"-e,a,ka" ke$e$aa"6 'e'ak aa) pa$p(a'(. C$a' III Kee,aa'a" ea"da. Saa ('(aa "-a!a" eap( ak(#(a' 4'(k -a"+ ke5($ 'a2a ')da !e!pe$(aka" !e"(fe'a'( +a+a$ 2a")"+. C$a'' Ma"(fe'a'( +a+a$ 2a")"+ e2ad( 'aa ('(aa da" IV d(pe,))k o$e ,e,a+a( ak(#(a' 4'(k.

PENYAKIT JANTUNG PERIKARDIAL PERIKARDITIS AKUT TAMPONADE JANTUNG edapa 5a(a" -a"+ !e$e,((  ?e2ad( pada keadaa" pe(5ad((' "o!a$ %8!$* ko"(k6 !((p +a+a$ 2a")"+6 p ?D pada a!po"ade 2a")"+ !e"))"6 'eda"+ka" +a+a$ 2a")"+ !e"("+ka

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PERIKARDITIS KONSTRIKTI* 5edea pe(kad  pe,a(ka" ko"(k : pe"e,a$a" 4,o'a $ap('a" pe(kad()!  pe$ekaa" pe(kad()!

J 2)!$a 5a(a" ("ape(kad  J eka"a" ("akad(a$  ak)!)$a'( 5a(a"  a!po"ade 2a")"+  +a"++)a" pe"+('(a"  CO 
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ada"-a

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♥

♥

FO?O ?ORAKS

ef)'( 'ed(k(  (dak e$(a ada"-a ♥ pe!,e'aa" ,a-a"+a" 2a")"+ %5ad(a5 ke$a("a" '($$o)e* ♥ 2)!$a 5a(a" @ 8 !$  ♥ foo dada $aea$ : $ap('a" $e!ak +a!,aa" 'epe( ,oo$ a( ep(kad(a$ d( da$a! ,a-a"+a" 2a")"+ ♥

♥ ko!p$ek' RS #o$a'e e"da6 e$e#a'( Fa'e ak) : e$e#a'( S? $ead III da" VV> S?6 depe'( 3R ♥ S? depe'( aa) ('oe$ek(k pada V1 ♥ depe'( 'e+!e" 3R pada $ead II6 AVF da" V=V> ♥ Sad()!  : S? ('oe$ek(k da" a!p$()do ? !e"))" ♥ Sad()! / : S? ('oe$ek(k6 ("#e'( ? %III da" VV>* ♥ Sad()! = : ko!p$ek' RS ,e#o$a'e e"da ♥



♥

♥ 5a(a" ("ape(kad !e$(a ada"-a 5a(a" pe(kad pe")")" da$a! !e$ak)ka" ♥ ,($a 5a(a" ,a"-ak  2a")"+ ,ea-)" d( pe(kad(o'e"e'(' da$a! )a"+ pe(5ad(a$ 3
,a-a"+a" 2a")"+ -a"+ 'ed(k( !e!,e'a ♥ ,(da"+ pa)pa) ,e'( de"+a" #a'k)$a('a'( "o!a$ ♥ ka$'(4ka'( pekad(a$ ♥ (dak ada 5((5(( d(a+"o'(k -a"+ ka' ♥

♥

♥

♥

♥

pe"e,a$a" pe(kad +eaka" 'epa$ e$(a a,"o!a$

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'(pp("+ pe(kad(a$ %,eda*

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH 5a(a" pe!,e(a" o,ao,aa" ("ape(kad6 !('a$"-a o,a a"("eop$a'(k aa) o,a 'k$eo(ka" ♥ pe(kad(eko!( : )")k !e"+)a"+( e$ap' da" po4$ak'(' eadap pe(kad((' ko"'(k(f  ♥

KARDIOMIOPATI MOR*OLOGI

ETIOLOGI

DILATASI 3e!,e'aa" o"++a #e"(ke$ ka"a" da" aa) k(( F)"+'( '('o$(k !(okad ,))k Ko"ak($(a' #e"(ke$ ,ek)a"+  5)a 2a")"+   eka"a" & #o$)!e ak( '('o$(k da" d(a'o$(k J

1. A$koo$: !e"-e,a,ka" 2a")"+ !e!,e'a . Kad(o!(opa( pe(pa)! /. 3e"-ak( "e)o!)'k)$e : d('o4 oo peo"ea$ =. O,a :
-IPERTRO*I RESTRIKTI* 3e"("+kaa" !a''a oo  #e"(ke$  ?e,e")k a("+a" pa) a"pa ,eka(a" de"+a" pe"("+kaa" e"do!(okad()!  pe"e,a$a" !(okad )k)a" o"++a  J !a''a 2a")"+  e'(k'( pada 3e"))"a" f)"+'( d(a'o$(k  #e"(ke$ pe"+('(a" #e"(ke$  pe"))"a" k(( ke$e")a" #e"(ke$ 3e"("+kaa" eka"a" ak( d(a'o$(k Vo$)!e ak( d(a'o$(k #e"(ke$  #e"(ke$ k((  ?eka"a" ak( d(a'o$(k #e"(ke$ k(( $e,( ("++( da( eka"a" ak( d(a'o$(k #e"(ke$ ka"a" Fa!($(a$: H(pee"'( )'(a !)da 1.I"4$a(f : a!($o(do'('6 'ako(do'('6 Na!a $a(" : Kad(o!(opa( o,')k(f  e!oko!a('(' (peo46 Se"o'(' '),ao(k (peo4 . 3a'5a ad(a'( (d(opa(k6 Se"o'(' '),ao(k !)'k)$a /. 3a'5a opea'( 2a")"+ e,)ka =. D(a,ee' . La("$a(" : 'k$eode!a6 pe"-ak( +$(ko+e" Ke+a"'a" !ea'a'(' S("do! (peeo'("o4$(a   

 



GEJALA

Se'ak "afa' e,a N-e( dada

Ge2a$a da" a"da +a+a$ 2a")"+ ko"+e'(f %G d(a'o$(k*

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH Ge2a$a ak(,a e!,o$( p)$!o"a$ aa) '('e!(k

PEMERIKSAAN *ISIK 

Kad(o!e+a$( 'eda"+ 'a!pa( ,ea B / da" = M)!) '('o$(k d( !(a$ aa) (k)'p(d M)!) d(a'o$(k d( ap(5a$

*OTO TORAKS

3e!,e'aa" 2a")"+ 'eda"+ 'a!pa( ,e'a H(pee"'( #e"a p)$!o"a$ 3e!,e'aa" #e"(ke$ da" a()! Ge$o!,a"+  A(a$ F(,($a'(6 3VC B$ok 5a,a"+ ,eka' k(( F)"+'( ko"ak'( ,))k <2e5(o" F(5(o" %
EKG

EKOKARDIOGRA *I

DIAGNOSIS BANDING

PENATALAKSAN AAN

Kad(o!(opa( ('ke!(k 3e"-ak( 2a")"+ (pee"'( 3e"-ak( ka)p e+)+(a'( Kad(o!(opa( (peo4 Aa'( pe"-e,a,"-a : !('a$"-a ,epa"a"+ a$koo$ pada ka')' kad(o!(opa( a$koo$ Aa'( +a+a$ 2a")"+: D()e(k %,(a'a"-a +a+a$ 2a")"+ '('o$(k*6 d(+(a$('6 da" #a'od($ao A"(koa+)$a": Se$)) pa'(e" -a"+ a"pa

3a$p(a'( 3("+'a" R(0a-a ke$)a+a de"+a" ke!a(a" !e"dadak aa) ke+a+a$a" 2a")"+ Kad(o!e+a$( -a"+ ("+a" B = M)!) '('o$(k pada apek' da" ,aa' 'e"a$ k((6 -a"+ !e"("+ka ,($a d($ak)ka" !a")#e 3)$')' ,('4ee"' 3e!,e'aa" 2a")"+ ("+a"

Ge2a$a $a(" 'e')a( pe"-ak( '('e!(k -a"+ !e"da'a("-a

3e"("+kaa" V3 B / da" = M)!) '('o$(k d( ka)p !(a$ da" (k)'p(d 3)$')' paadok')' ?(dak ada pe!,e'aa" 2a")"+

LVH6 LAH Ge$o!,a"+  %V=  V>* 3VC LBBB
Lo0 #o$a+e6 ap( ,('a 2)+a "o!a$

Opea'(: Opea'( !(o!eko!( 2)+a d($ak)ka" pada keadaa" ee")

Aa'( +a+a$ 2a")"+: D()e(k6 d(+(a$('6 da" #a'od($ao


RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH ko"a("d(ka'( d(pe(!,a"+ka" pe!,e(a" a"(koa+)$a" 2a"+ka pa"2a"+

PROGNOSIS

O,a $a(": AC< ("(,(o H(da$a(" I'o'o,(d d("(a  dapa !e"+)a"+( ke!a(a". 3o+"o'(' (dak ,e+() ,a(k Ke,a"-aka" !e"("++a$ 'ee$a  a)" 'e2ak (!,)$ +e2a$a Na!)"6 pe,a(ka" 'po"a" dapa e2ad( pada  9 pa'(e" S
A"(koa+)$a": 3a'(e" de"+a" '("do! LoeQe de"+a" o!,oe!,o$( ,e)$a"+ dapa d(eap( de"+a" a"(koa+)$a".

A"+ka !oa$(a' a"-a 19 pea)" Be,eapa pa'(e" eap a'(!o!a(k 'a!pa( ,e,eapa a)"

3o+"o'(' ,e$)! d(kea)(

S
KOR PULMONAL De.nisi

Etiolo+i

P!to+enesis Ge1!l! %!n T!n%!

KOR PULMONAL Ada$a ke$a("a" 2a")"+ kae"a ke$a("a" pa)pa) ko"(k %#a'k)$a aa) pae"k(! pa)*6 !e"++a"++) #e"(ke$ de;a %(peo4 aa) d($aa'(* Kae"a ada"-a (pee"'( p)$!o"a$ @ !!H+ ka$a) $a+( ('(aa da" @/8 !!H+ ka$a) $a+( ak(#(a' %N : E !!H+*. H(pee"'( p)$!o"a$ : a. 3(!e Id(opa(k ,. Sek)"de 3e"-ak( 2a")"+ %ASD6 'e"o'(' !(a$*6 pe"-ak( pa)pa) %33OK6 pe"-. pa) ("e'('(a$6 S("d. 3o'e"'efa$(('6 K(fo'ko$(o'('6 Sk$eode!a6 3e"-ak( 2a("+a" pe"+(ka*6 pe"-ak( o!,oe!,o$( %?o!,o'(' a.p)$!o"a$(' $)a'6 e!,o$( da( #e"a '('e!(k6 Ka'("o!a $(!fa"+(('*6 ("fek'( %HIV* H(po#e"($a'( a$#eo$)' aa) o,')k'( a$#eo$)'  (pok'(a  e'(k'( p)$!o"a$ %#('ko'(a' J da" a'(do'('*  (pee"'( p)$!o"a$  5o p)$!o"a$ ko"(k  +a+a$ 2a")"+ ka"a" Ge2a$a :  – Se'ak "afa'6 p)5a6 ,a"-ak ,eke("+a  – Ba)k,a)k pod)k(f6 "-e( dada  ?a"da :  ?ak(p"ea6 ap(d p)$'e of '!a$$ a!p$()de

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T!t!l!'s!n!

 V3 !e"("+ka M)!) '('o$(k da" ea#("+ d( (k)'p(d %LSS*  ?eap( epa("('a'(

PENYAKIT KATUP JANTUNG KATUP MITRAL ETIOLOGI

STENOSIS REGURGITASI ♥ de!a! e)!a(k %8 9 ka')'* de!a! e)!a(k: Sepokok)' ,ea e!o$((k)' ♥ pe"-ak( 2a")"+ ('ke!(k de"+a" +)p A d('f)"+'( !. pap($a(' ♥ !(a$ #a$#e po$ap'6 ka$'(4ka'( ♥ ko"+e"(a$ %ap( 2aa"+* a"")$)' !(a$ ♥ d($aa'( #e"(ke$ k((6 kad(o!(opa( (peo4 e"dokad((' ("fek(f6 ke$a("a" ko"+e"(a$

♥

PROLAPS (d(opa(k6 fa!($(a$ ♥ de!a! e)!a(k ♥ pe"-ak( 2a")"+ ('ke!(k ♥ a(a$ 'epa$ defe56 '("do!a Mafa" ♥

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH PATO*ISIOLOGI

GEJALA

Da$a! keadaa" "o!a$ $)a' ♥ 3ada 'aa '('o$(k #e"(ke$6 daa pe!,)kaa" ka)p !(a$ ,ek('a ,a"-ak !a')k ke #e"(ke$ k(( a"aa => 5!  da" aoa ♥ Apa,($a $)a' pe!,)kaa" ka)p ♥ Ak(,a"-a #e"(ke$ k(( ,ed($aa'( kae"a #o$)!e daa -a"+ !(a$ ("(  5!  %mild stenosis*6 ,a"-ak !a')k da( a()! k(( !aka ')da !)$a( (!,)$ pada 'aa '('o$(k pe),aa" e!od("a!(k6 d(!a"a daa da( a()! k(( (dak dapa ♥ Se,a+(a" daa e'e,) 2)+a ke!,a$( ke a()! k((6 'e("++a !a')k ke #e"(ke$ k(( e2ad( d($aa'( a()! k(( ♥ Apa,($a pe!,)kaa" ka)p !(a$ E ♥ D($aa'( a()! k(( (dak 'e$a$) 1 5! %'e"o'(' !(a$ ,ea*6 d('ea( pe"("++(a" eka"a" pada daa da( a()! k(( ke!,a$( ke a()! k(( #e"(ke$ ka"a" da" pa) ♥ Se'ak "afa' 'aa ak(#(a'6 de!a!6 ♥ 'e'ak "afa' 'aa ak(4a' da" kea!($a"6 da" pa$p(a'( !)da $e$a ♥

3
Ba+(a" da( ka)p !(a$ !e"++e$e!,)"+  po$ap' ke a()! k((  ka)p !(a$ !e"e,a$  (dak !a!p) !e"2a+a o(4'()! !(a$ 'e$a!a fa'e '('o$(k ♥ 3ada pe!e(k'aa" ('opao$o+( dapa d(e!)ka" de+e"ea'( !(k'ede!a pada 2a("+a" ka)p !(a$ da" pe!a"2a"+a" koda e"d("ae ♥

pee!p)a" @6 'e,a+(a" ,e'a a'(!po!a(k ♥ "-e( dada6 pa$p(a'( ♥ 'ak( kepa$a6 p)'("+ % migren * ♥

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PEMERIKSAAN PENUNJANG

,)"-( 2a")"+ 3 -a"+ !e"+ea'  ,('("+ Gaa! Steel A. FO?O ?ORAKS : A. FO?O ?ORAKS : ♥ pe!,e'aa" a()! k(( da" ♥ pe!,e'aa" a()! k(( da" #e"(ke$ ka"a" #e"(ke$ k(( ♥ (pee"'( #e"a da" ae( ♥ (pee"'( a7# p)$!o"a$(' p)$!o"a$(' : +a(' ke$e- B (dak 2e$a'6 ke5)a$( MR ak)

B.
KOMPLIKASI

B. * C.
♥

A. FO?O ?ORAKS : 'e("+ (dak d(e!)ka" ke$a("a"

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B.
♥

C.
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MR -a"+ ,ea  +a+a$ 2a")"+ k(( e!,o$( '('e!(k

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PENATALAKSANAAN

pe!,e")ka" pa) a()! 3
3
KATUP AORTA ETIOLOGI

3
REGURGITASI de!a! e)!a(k %8 9* ♥ '(4$(' ♥ d('ek'( aoa ♥ !e$e!a"-a ka)p ♥

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH ke$a("a" ,a0aa" ("fek'( ,ake( ♥ 5edea fako $a(""-a -a"+ (dak d(kea)( ♥ Se"o'(' ,(a'a"-a e2ad( 'e5aa ,eaap da$a! ♥ D($aa'( #e"(ke$ k(( !e)paka" ko!pe"'a'( )a!a pada 0ak) -a"+ $a!a6 'e("++a 'e!pa d(da)$)( e+)+(a'( aoa6 ,e)2)a" )")k !e!peaa"ka" e2ad("-a (peo4 #e"(ke$ k(( de"+a" 5)a 2a")"+ d('ea( pe"("++(a" eka"a" d(a'o$(k !e"(!,)$ka" pe"("++(a" eka"a" ("a#e"(k)$a #e"(ke$ k(( da$a! !e!peaa"ka" 5)a 2a")"+ -a"+ "o!a$ ♥ 3ada 'aa ak(#(a'6 de"-) 2a")"+ da" e'('e"'( ♥ Ok'(+e"a'( !(okad !e"2ad( (dak adek)a ak(,a #a'k)$a pe(fe !e"))" 'e("++a 5)a 2a")"+ ,('a (peo4 oo6 pepa"2a"+a" !a'a e2ek'( da" epe")( ("++("-a eka"a" ("a#e"(k)$a6 0a$a)p)" ')k) a"ao!( ae( koo"e !a'( "o!a$. ♥ 'e'ak "afa'6 "-e( dada ♥ 'e'ak "afa'6 "-e( dada da" ,ede,ade,a ♥ '("kop %'ee$a o,')k'( ,ea)"a)"* ♥ a"daa"da +a+a$ 2a")"+ k(( ♥ ♥

PATO*ISIOLOGI

GEJALA

3
♥

PEMERIKSAAN PENUNJANG

♥

A)'k)$a'( :  B II pada aea ka)p aoa $e!a da" kada"+ (dak ede"+a   paradoxical splitting  da( ,)"-( 2a")"+ ked)a  !)!) '('o$(k %diamond shaped murmur   '('o$(k* A. FO?O ?ORAKS : (peo4 #e"(ke$ k((

B. * ♥ pe!,e'aa" a()! k(( : +e$o!,a"+ 3 -a"+ $e,a ♥

3
H(pee"'( '('o$(k : kae"a pe"("+ka" 'oke #o$)!e  ?eka"a" d(a'o$(k e"da : kae"a ke5epaa" a$(a" aoa !e"("+ka A. FO?O ?ORAKS : ♥ (peo4 da" d($aa'( #e"(ke$ k((  ,a-a"+a" #e"(ke$ k(( !e!,e'a ♥ eka"a" #e"a p)$!o"a$(' da" a()! k(( (dak !e"("+ka  #a'k)$a(a' pa) "o!a$ da" a()! k(( (dak !e!,e'a ♥ ♥

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH ♥

pe!,e'aa" #e"(ke$ k(( : S? 'a("

C.
B. * ♥ e$e#a'( +e$o!,a"+ S? ♥

C.
PENATALAKSANAAN ♥ ♥

♥

PROGNOSIS

KATUP TRIKUSPID DE*INISI

ETIOLOGI

3
3
RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH 'e,a, %d($aa'( a")$)'* Pen(!'it J!ntun+ Bu'!n Reu!ti'   <"dokad((' ("fek(f  LAIN@LAIN  A"o!a$( <,'a("T' ♥ Ka0a pa5) 2a")"+ %2aa"+*  3o$ap' ka)p (k)'p(d  Ko"+e"(a$6 defek ka"a$ a(o#e"(k)$a ♥ H(pe(o(d('!e  Ka'("o(d %de"+a" (pee"'( p)$!o"a$* ♥ <"dokad((' LoeQe  I"fak !(okad6 ('ke!( 7 )p) M. 3ap($a(' ♥ A"e)('!a '(")' #a$'a#a   ?a)!a  Ke$a("a" 2a("+a" (ka %S("do! Mafa"*  A((' e)!ao(d  Rad(a'(6 de"+a" ak(,a +a+a$ 2a")"+  F(,o'(' e"do!(okad PATO*ISIOLOGI ♥ A$(a" ,a$(k da( #e"(ke$ ka"a" ke a()! ka"a" kae"a f)"+'( ka)p (k)'p(d (dak ,eke2a de"+a" 'e!p)"a o$e kae"a ("')4'(e"'( ka)p ♥ Re+)+(a'( ka)p (k)'p(d aka" !e"("+kaka" eka"a" ak( d(a'o$(k pada a()! ka"a" da" #e"(ke$ ka"a" ♥ ?eka"a" '('o$(k ae( p)$!o"a$(' da" #e"(ke$ ka"a" dapa d(paka( 'e,a+a( pe)"2)k koo eadap e+)+(a'( p(!e 7 'ek)"de GEJALA KLINIK  ♥ ?a"pa (pee"'( p)$!o"a$: ♥ Be'a!aa" de"+a" 'e"o'(' !(a$:  A'(!po!a(k  Se'ak "afa' pada $a(a" -a"+ po+e'(f   M)da $e$a  D('p"ea "ok)"a$ paok'('!a$  Dapa (!,)$ ,a)k daa   (ka $e,( ,ea: 
RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH & a()! ka"a" Dapa e2ad( +a!,aa" (pee"'( p)$!o"a$ ♥ 3ada )oo'kop( e$(a p)$'a '('o$(k pada a()! ka"a" ♥

PENATALAKSANAAN

♥

ka"a" %+e$o!,a"+ 3 !e"("+ka & 'e!p(6 d(ke"a$ 'e,a+a( 3 p)$!o"a$e* ,($a (a!a '(")' "o!a$ F(,($a'( a()! H(peo4 #e"(ke$ ka"a"

MEDIKAMENTOSA  (ka edapa a"daa"da ke+a+a$a" f)"+'( 2a")"+: ♥ I'(aa ♥ D()e(k D(+(a$(' ♥

Ve+ea'( pada ka')' e"do5ad(('

ka"a" de"+a" +e$o!,a"+ V -a"+ "-aa

OPERATI*  ?a"pa ')a) a"da (pee"'( p)$!o"a$ ,(a'a"-a (dak d(pe$)ka" pe!,edaa" ♥ A")$op$a'( ♥ 3oe'(' ♥

T-ROMBUS TROMBUS ARTERI

P!to.siolo+i

O&!t *!'to# Risi'o Ate#os'le#os is Den(ut N!%i Pe#u&!6!n Kulit Neu#op!ti Lo'!si W!#n! !t!u N!! L!in K!n%un+!n

A"(a+e+a'( o!,o'(

TROMBUS VENA D(a0a$( de"+a" ada"-a 'a+"a'( %+)!pa$a" daa* d( a$(a" daa aka" !e!(5) e2ad("-a ka'kade koa+)$a'(  pod)k'( 4,("  !e"a"+kap e(o'( da" o!,o'( )")k !e!,e")k o!,)'  o!,)' -a"+ e,e")k ,eeko pa"2a"+ -a"+ !e"2ad( pe"-e,a, e!,o$( pa). ?o!,)' !a')k ke da$a! pa)pa) ke!)d(a" ke ("+ka kap($e  e2ad( ke+a+a$a" pe)kaa" a"aa O  de"+a" CO  %pa) da" 'ee,a$ e!,o$(* A"(koa+)$a"

 Ya

?(dak

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Ya

Ke!)"+k("a" dapa e2ad( D('a$

?(dak Ma$$eo$)' !ed(a$

 ?o!,)' p)(

?o!,)' !ea

Ba"-ak !e"+a"d)"+ o!,o'(

Ba"-ak !e"+a"d)"+ e(o'( -a"+ ,ea'a$ da( 'a+"a'(

Ade'( o!,o'(  a+e+a'( o!,o'(  !e"+a!,a a$(a" daa  4,("6 o!,o'(6 da" e(o'( !e"e!pe$ !e"+e$($("+( +)!pa$a"  +)!pa$a" 'e!ak(" !e!,e'a  !e"-)!,a pe!,)$) daa  ('ke!(a 2a("+a"  5edea 2a("+a" kae"a kek)a"+a" ok'(+e"

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De.nisi Etiolo+i

*!'to# DVT Menu#ut Vi#/6o2 9TRIAD Vi#/6o2:

Wells Clini/!l P#e%i/tion Gui%e

Di!+nosis

TROMBOSIS VENA DALAM Deep Ve(" ?o!,o'(' %DV?* ada$a pe!,e")ka" +)!pa$a" daa d( 'a$a 'a) pe!,)$) daa da$a! ),)6 ,(a'a"-a d( kak( %'e')a( +a#(a'(* B(a'a"-a o!,o'(' d(!)$a( e,e")k pada +a'ok"e!()'6 ke!)d(a" ke pop$(ea6 ke!)d(a" ke fe!oa$('6 ke!)d(a" ke ($(a5a. 8  89 e!,o$( pa) ,ea'a$ da( DV?. Sa'(' Ve"a H(pekoa+)$a'( Ke)'aka" <"doe$ Kae"a (d) e)' !e"e)' 'e$a!a = B('a e2ad( kae"a opea'( aa) a)!a6 Iao+e"(k -a() kae"a ("daka" a(6 edapa +a"++)a" pada kak( ke+a"a'a" %ka"ke o#a()!*6 pe"("+kaa" a"+(o+a46 ("'e'( #e"a %IV pe(fe $("e* %fak)*6 'oke %paa$('('*6 a)!a kada e'eo+e" %!('a$ pada keadaa" 5oda 'p("a$(' %5a5a*6 kae"a a!($6 pa'5a a,o'(6 da" pe"++)"a p($ pe2a$a"a". KB*. Ke$a("a" ,a0aa" pada koa+)$a'( : %e.siensi p#otein C, S, Antit#o&in III0 Ke$a("a" d(dapa pada koa+)$a'( : a. S("do!a "efo(k Me"-e,a,ka" poe(")(a : A"(o!,(" III ke$)a $e0a )(" 'e("++a pe"de(a !e"+a$a!( de4'(e"'( A"(o!,(" III ,. 3e"-ak( a)o(!)" S("do!a A"(po'po$(p(d da" SL< : !e!p)"-a( a"(,od( -a"+ ,e'(fa koa+)$a'( 5. 3o'e' ("a!a'( S(5k$e 5e$$ de'ea'e6 ("a!!ao,o0e$ de'ea'e %IBD* a. Ka"ke %pea0aa" ,eke$a"2)a"6 aa) da$a! 0ak) > ,)$a" aa) pa$(a(f %eap( ke2(0aa"** Ke!)"+k("a" ?("++( : ,. Ke$)!p)a" aa) (!o,($('a'( ,a),a) ("( @/ 5. Ba),a) ("( e,a("+ d( e!pa (d) 'e$a!a@ / a( aa) opea'( ,e'a E= !("++) Ke!)"+k("a" Seda"+ : d. N-e( $oka$ 'epa"2a"+ d('(,)'( '('e! #e"a da$a! e. Se$)) kak( ,e"+kak f. 3e!,e"+kaka" ,e(' @ / 5! d(,a"d("+ka" de"+a" kak( -a"+ (dak ,e"+kak +. 3(("+ ede!a . Co$$aea$ #e"a ')pe4'(a$ %"o"#a(5o'e* (. D(a+"o'(' a$e"a(f %'e,a+a( ke!)"+k("a" e2ad( DV?* a. DD(!e  ?e' )")k !e"+ea+)( kada 4,(" d(da$a! ),). Ka$a) DD(!e J !aka 4,(" J

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

Di!+nosi B!n%in+

Pen+o&!t!n

Ke5)a$( pada keadaa" : a!($6 '(o'(' a(6 ("fek'( ak)6 )!o +a"a'6 d$$. ,. INR U")k !e"+ea)( 3oo!,(" ?(!e 5. Ve"o+a4 Go$d 'a"dad d. N)5$ea Med(5("e S)d(e' U")k !e!,edaka" o!,o'(' -a"+ ,a) da" -a"+ $a!a e. 3$e-'!o+apU")k !e"+ea)( pe),aa" e'po" ek'e!(a' ,a0a eadap e'po" ee") f. USG Ga ,a+)' kae"a 'e"'((#(a' a$a"-a ,a5a o!,)'6 e)' 2)+a e++a")"+ '( pe!,a5a6 +a ,a+)' 2)+a ,)a (,) a!($6 +a !aa$ +. MRI 9 'e"'((f da" 9 'pe'(4k DV?6 a!a" ,)a (,) a!($6 ap( !aa$ A(('6 pe"-ak( a(6 +a+a$ +("2a$ Ka$a) USG 2e$a'6 / fako e$$' ada6 o,a( pake A"(koa+)$a" %Hepa("7LMH : ("2ek'(. afa(" : oa$* Ka$a) USG +a ada6 fako e$$' E /6 +a )'a d(o,a( Ka$a) USG +a 2e$a'6 ap( / fako e$$' ada6 o,a( pake A"(koa+)$a" Opea'( : 'ee$a aa$ak'a"a -a"+ $a(" +a ,('a So5k("+ ko!pe'( : d(+)"aka" 'e5aa )("

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

ACE IN-IBITOR  Me"+a!,a ko"#e'( a"+(oe"'(" I !e"2ad( a"+(oe"'(" II  A"+(oe"'(" II : #a'oko"'(k'(6 'eke'( a$do'eo"6 pe"("+kaa" ak(#(a' '(!pa(' da" (peop( !(okad 
INOTROPIK LAIN  Co"o o,a : Dop!in %!n Do&ut!in  ANTIARITMIA  Co"o o,a : @&lo'e#,

OBA? GAGAL  AN?UNG

ANTITROMBOTIK  ANTAGONIS ANGIOTENSIN II 9AT@  BLOCKER: Co"o o,a : %!n"!ls!#t!n  Co"o o,aW!#$!#in : los!#t!n, %!n '!n%es!#t!n
@BLOCKER  Co"o o,a : etop#olol, &isop#olol %!n '!#"e%ilol  Me"+a!,a ak(#(a' 'aaf '(!pa('  Me"+)a"+( ('ke!(a !(okad6 a)o!a('(a' 2a")"+6 pe$epa'a" e"("  D(eko!e"da'(ka" 'e5aa )(" pada: +a+a$ 2+ IIIII 'a,($6 ('ke!(k aa) "o"('ke!(k6 ,e'a!a AC< aa) a"a+o"(' a$do'eo"6 da" d()e(k  2(ka pe$)  Ge a$a ada a0a$ ea ( : ee"'(

VASODILATOR  H(da$a("I'o'o,(d d("(a A$e"a(f pe"++a"( AC< I"(,(o da" A"a+o"(' A"+(oe"'(" $$  Na N(op)'(d ANTAGONIS ALDOSTERON D(+)"aka" !e"+aa'( +a+a$  Co"o  2a")"+ o,a : spi#onol!'ton, eple#enon ak) d( IGD  A"a+o"(' !e"+)a"+( ee"'( Na  a$do'eo" N(o+$('e("  A$do'eo" d(eko!e"da'(ka" )k I"f)' $a!,a #e"od($aa'( d(a!,aka" pada:  d($aa'( ae( I"f)' 5epa a* AC< ("( da" d()e(k k)a %k$' IIIIV* D((d(ka'(ka" )")k +a+a$ 2a")"+ ,* AC< ("( da" B,$oke 'ee$a ("fak k(( !(okad Se,e$)! pe!,e(a" o,a pe(k'a kada K % W

RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

RESIN T#i+lise#i%! ; %'e!e"aa*6 LDL = Co"o o,a : 'olesti#!in %'e,)k*, 'olestipol %'e,)k*, 'olese"el! %a,$e* Do'edepe"de" : 'e!ak(" J do'(' 'e!ak("  LDL KI : A,'o$) : d-',ea$(popoe("e!(a fa!($(a$6 (+$('e(da @ =88 !+7d$ Re$a(f : (+$('e(da @ 88 !+7d$ I"eak'( o,a : #(. A6D6<6K6 d(+ok'("6 k$oo(a(d6 popa"o$o$6 'a("6 Fe6 fe"($,)ao" da" 0afa(" @Kolese"el! ti%!' en+i'!t %i+o'sin, st!tin, 2!#$!#in Beke2a d( 'a$)a" 5e"a6 2d
ORLISTAT Me"+a!,a e"(! $(pa'e d( )')' 2d $e!ak !aka"a" +a d('eap $a"+')"+ d(ek'ke'(ka" d( fe'e' I : o,e'(a' 
Go$.pe"+a! ,a A'a!

AN?I HI3
NIASIN 9As! Ni'otin!t: V(a!(" B/ T#i+lise#i%! =, VLDL =, LDL =, -DL ; Do'(' ("++(  +a"++)a" f)"+'( a( %epa(('*6 a$ka$( fo'faa'e & a"'a!("a'e J PROBUKOL ?e'ed(a ,e")k k('a$(" %p$a("*  / ; 888 !+7a(6 e;e"dede$ea'e 1 ; 1 +7a( Uda +a 
aa" "(a'(". ?p
Go$.pe"+a !,a HMG CoA

EHITIMIDE = Koleste#ol tot!l F LDL A,'o,'( : GI
STATIN LDL = Co"o o,a : si"!st!tin, p#!"!st!tin, lo"!st!tin, !to#"!st!tin, u"!st!tin, #osu"!st!tin I"d(ka'( : (peko$e'eo$e!(a fa!($(a$ eeo(+o6 (peko$e'eo$e!(a po$(+e"(k6 (peko$e'eo$ kae"a DM 7 '("do! "efo(k KI : 'e6!il!n, pen(!'it 6!ti !'ti$?'#oni', 'olest!sis 
ASAM *IBRAT T#i+lise#i%! =, VLDL = Co"o o,a : +e.&#oil, 'lo.&#!t, &e!.&#!t, $eno.&#!t @ Ge.&#oil 7 e$e'ti$, ES 3 @ Klo.&#!t F +e.&#oil %i!&so#&si %+n /ep!t %i s!l0/e#n! I"d(ka'(: (pe(+$('e(de!(a -+ d(do!("a'( VLDL6 d(',ea$(popoe("e!(a I"eak'( o,a : !e!pek)a efek a"(koa+)$a" k)!a(" & ("da"ed(o"6 ('(ko !(opa( J ,($a 4,a d(,e(ka" ,e'a!a HMG CoA ed)5a'e ("(,(o