rangkuman cardiovaskular.docx

8/20/2019 RANGKUMAN CARDIOVASKULAR.docx

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RANGKUMAN CARDIOVASKULAR | BY: FARHANA&ROBIAH

PENYAKIT JANTUNG BAWAAN NON SIANOTIK

ASD VSD PDA STENOSIS

PULMONAL

STENOSIS AORTA COA

ANATOMI 1. Defek padafoa!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('ea(

ke$a("a" pada da)"!(a$

1. Defek '),ae(a$%d( ,a0a ka)pp)$!o"a$ da" ka)paoa*

. Defekpe(!e!,a" %padapa' !e!,a"a'ea'ep)!*: defek o)$e

da" defek ("$e./. Defek !)'k)$a

D)k)' ae(o')'%Boa$$(*!e"+),)"+ka" A.p)$!o"a$(' d+"

aoa pada !a'a 2a"(".See$a $a( 3O !e"("+ka da"

ae(o$a pa)d($aa'( !e"-e,a,ka" d)k)'!e"))p ke!)d(a"

!e"2ad( 4,o(k.3DA pada ,a-(5)k)p ,)$a" ,)ka"kae"a (dak

e'po"'(#e dok'(+e"6 p k"

ke$a("a" oo po$o'

stenosis pulon!l

"!l"ul!# %ka)pp)$!o"a$ ,(k)'p(d*stenosis pulon!l

in$un%i&ul!# %(peo4("f)"d(,)$a*

pe#&e%!!n !nt!#!

'e%u!n(!) p!%!

stenosis

in$un%i&ul!# ti%!'

%i%!p!t'!n %il!t!si

post stenosis

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

Ka)p )"(k)'p(d7"o"k)'p(d %'e"o'(',ea*189 d('ea(

("')4'(e"'( aoa

Me)paka"pe"-e!p(a" aoa.Se,a+(a" ,e'ae$eak d( 'e,ea"+

("'e'( d)k)'ae(o')'Dapa ,ed(( 'e"d((aa) d('ea( ke$a("a"

$a(""-a 'epe( 3DA6VSD aa) 'e"o'('aoapada COA ,ea

,(a'a"-a edapa(pop$a'(a ('!)'

MANI*ESTA

SI

KLINIS

♥A'(!po!a(k

♥Uk)a" ),) $,

k))' da(

'e,a-a"-a♥3e"o"2o$a" dada k((

k" pe!,e'aa"Vka

♥S1 kada"+ !e"+ea'6

S 'p$( ko"'a"♥B('("+ e2ek'( '('o$(k

pada SIC II $("ea

'e"a$(' '("('a%ka)p p)$!o"a$*

♥B('("+ !(dd(a'o$(k

SIC IV $("ea'e"a$(' '("('a%ka)p (5)'p(d*

♥Defek 'ek)"d)!

♥B('("+ pa"'('o$(k d(

SIC III $("ea'e"a$(' '("('a

♥Defek ,e'a: ,('("+

!(d d(a'o$(5 d(ape; %'e"o'('!(a$ e$a(#e*

♥Defek ke5($:

a'(!po!a(k

♥S("d <('e"!e"+e:

!)$a!)$a pa'(e"

a!pak !e!,a(kke!)d(a" !e"2ad('(a"o(k da"o$ea"'( $a(a"

!e"))" ke!,a$(♥3e"))pa" 'po"a"

=89 2d pada VSD

♥A0a$ ke(d)pa"

(dak ede"+a,('("+6 ,('("+e2ad( )'(a >!("++) !)$a

!)$a ,('("+'('o$(k 2d ,('("+ko"(")

♥BB "o!a$ 'a!pa(

failure to thrive6+ ,e'a defek.

♥A'(!po!a(k

'a!pa( +a+a$

2a")"+ ko"+e'(f ♥ Ik)' kod('

,e+e'e ke k((%pe!,e'aa"#e"(ke$ k((*

Se"o'(' ("+a":

a'(!po!a(k

Se"o'(' 'eda"+

,ea: d(p'"e)%'e'ak "afa'* pdak((a' ,ea da"$eka' $e$a

Stenosis "!l"ul!#

#in+!n) S 'p$(

$e,a ,e#a(a'(de"+a" pe"afa'a"%$e,( $e,a 'aa("'p(a'(*6 k$(k

e2ek'( %pe!,)kaa"ka)p -+ kak)*,

,('("+ e2ek'( dea2a/7> d( SIC II $("ea

'e"a$(' '("('a

♥R("+a"'eda"+:

a'(!po!a(k6 kd+("o$ea"'( o$aa+a

♥Bea:Neo"a)': +a+a$ 2a")"+A"ak $e,( ,e'a:"-e( dada 'aao$a a+a6 '("kop6

'e'ak '$ ak(4a'4'(k

♥ ?(dak '(a"o(k6 "ad(

ea,a "o!a$%ke5)a$( pada'e"o'(' ,ea6 "ad(

ea,a ke5($*♥H(peak(4a' Vk(6

(k)' kod(' $e,a

♥ Me"-e,a,ka" +a+a$

2a")"+ pada!("++) ke pa'5a$a( e)a!ad('ea( VSD

♥ 3ada a"ak d+"

!a"(fe'a'(

(pee"'( ae(a$6'e,a+(a"a'(!o!a(k

♥ Nad( d($e"+a" kea'6

)"+ka( $e!a♥ ?eka"a" '('o$(k d(

$e"+a"@)"+ka(♥ Coa -a"+ dp d(

pok'(!a$ 3DA "ad(fe!oa$(' ea,a"o!a$




=89 aka" !e"))p'po"a" '!p )'(a =".

♥D+" d(a!ee @!!

2aa"+ !e"))p.

♥ ?IDAK DI3<RLUKAN

3ROFILAKSIS SB<

pe(!e!,a" da"!)'5)$a pd >,)$a" pea!a.

♥VSD ,e'a: ,('a

e2ad( 3VOD

♥Nad( kea'

%,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$('6("fa5$a#(5)$a6p)"++)"+7 padadaea

("fa5$a#(5)$ade;a

♥S kea' de"+a"

'p$( 'e!p( pada(pee"'(

p)$!o"a$♥B($a '("d

e('e"!e"+e

'(a"o'(' pada),) ,a+ ,a0a

!e"2a$a ke $ee

Stenosis "!l"ul!#

se%!n+) k$(k $e,(d("(6 ,('("+ $e,(pa"2a"+ da" k)a

Stenosis "!l"ul!#

&e#!t) k$(k (dak

ede"+a kae"a

ka)p 'a"+a kak)6,('("+ '(o$(k 'a"+apa"2a"+ da" kea'.

Stenosis

in$u%i&ul!#) (dak

ede"+a k$(ke2ek'( kae"a ka)p"o!a$6 dea2a ,+("+a"7,ea

da" k)a♥K$(k e2ek'( d( apek'

pada ek'p(a'(♥B('("+ e2ek'( '('o$(k

ep( ka"a" 'e")!

aa) d( apek'♥S "o!a$6 pada

'e"o'(' ,ea '

)"++a$ aa) e2ad( paradoxical

splitting aa)

reverse spitting

♥ 3e"("+kaa" ak Vk(6

($$ '('o$(k ea,apada $ek)k')pa'e"a$6 '1da" ' "o!a$

Di!+nosis ♥ aa"+ d(e!)ka"

+a+a$ 2a")"+

♥Se("+ pada a"ak

k))'6 d+"!a"(fe'a'( ',

♥Foo dada: Aka

!e!,e'a6 'e+!e"p)$!o"a$ !e"o"2o$6

#a'k)$a('a'(,ea!,a

♥<KG: IRBBB

%a!,aa" pd,ada" ('*6(peo4 Vka

♥<5o: defek pada

'ep)! a()!

♥Saa $a( dk

ede"+a ,('("+

ke!)d(a"ede"+a

♥A"ak ,(a'a"-a

"o!a$ 'a!pa(de"+a" failure to

thrive

♥Foo dada:

pe!,e'aa" Ak(da" Vk(6 5oaka"pa) ,ea!,a

♥<KG: (peo4 Vk(

♥<kokad(o+a4:

e!pa6 ,e'a da"'e,)a defek

♥Nad( ea,a k)a

da" ede"+a

,('("+ ko"(")♥<$ekokad(o+a4:

d(a+"o'(' pa'(

♥A'(!o!a(k de"+a"

k$(k '('o$(k %pada

(pe #a$#)$a* -+d((k)( de"+a",('("+ '('o$(k da"'p$( S -a"+ $e,a

da" ,e#a(a'(de"+a" "afa'

♥Foo dada:

pe!,e'aa" Vka6de"+a" ko")'p)$!o"a$ !e"o"2o$

%(pe #a$#)$a*♥<KG: do!("a'( ka"a"

♥<kokad(o+a4:

d(a+"o'(' pa'(

♥Foo dada: (peo4

Vk( de"+a" 5ooka"

pa) "o!a$ da"k"o, aoa!e"o"2o$

♥<KG: (peo4 Vk(

♥<kokad(o+a4:

d(a+"o'(' pa'( da"

!e"e")ka"dea2a 'e"o'('

♥ Foo dada:

kad(o!e+a$(

("+a"6 k"o, aoapo!("e"6 5oaka"pa) "o!a$

♥ <KG: (peo4 Vk(

d+" dea2ao,')k'(

♥ <kokad(o+a4: ')$(

)k COA♥ A"+(o+a4 da"

kaee('a'( 2a")"+)k d(a+"o'('




p(a) da( k(( keka"a"

Di!+nosis

B!n%in+♥Defek 'ep)! a()!

p(!)!: 'e("+d('ea( do0"

'-"do!e6 ,($ad('ea( ("')4'(e"'(

ka)p !(a$

ede"+a ,('("+pa"'('o$(k d(apek'6 (peo4

#e"(ke$ k((6 pd<KG de#(a'( ')!,)RS kek((.

♥Se"o'(' p)$!o"a$

("+a" %k" ada(peo4 Vka*

♥A"o!a$( pa'(a$

de"a'e #e"a

p)$!o"a$(' %k" ada

o#eo0 ke Ak(*♥B('("+ ("o'e"

♥3DA 'aa e'('e"'(

#a'5)$a pa)!a'( ("++(

♥ ?OF '(a"o(k

♥B('("+ ("o'e"

♥3B "o" '(a"o(k $a(" ♥Se"o'(' p)$!o"a$

T!t!l!'s!n

!♥O,'e#a'( 'a!pa(

)'(a = a)"6 ka$a)

@=" dk !e"))popea'(.

♥@!! $a"+')"+

opea'(♥Opea'( 2a")"+

e,)ka pada )'(apa'eko$a

♥De4"((#e: pe"))pa"

defek♥Defek pe(!e!,a"7

!)'5)$a ke5($ dp

!e"))p 'po"a">,$"a)"

♥Defek ke5($ -+ dk

!e"))p 'ee$a)'(a " (dak

d($ak)ka" opea'(%ke5)a$( defek'),ae(a$* kae"aa"-a ada ('(koe"dokad((' da"

('(ko opea'( $e,(,e'a

♥ ?(dak d(pe$)ka"

pe!,aa'a"

♥Opea'( aa)

kaee('a'(

("e#e"'(♥3e"))pa" 'po"a"

dk 2d pada ,a-(5)k)p ,)$a"6 pada,a-( 5)k)p ,)$a"ka"a ke$a("a"

oo po$o' DAB♥ ?(dak pe$)

pe!,aa'a"ak(#(a' 4'(kke5)a$( ada(pee"'(

p)$!o"a$♥3o4$ak'(' ',e

♥3ada ,a-(

pe!a)e: o,a

♥Se"o'(' ("+a":

o,'e#a'(♥Se"o'(' 'eda"+:

o,'e#a'(

♥Se"o'(' ,ea: eap(

,eda )k

pe$e,aa" o,')k'(aa) #a$#)$op$a'(

♥3e!,aa'a" ak 4'(k:

'e"o'(' ,ea♥3o4$ak'(' ',e ,($a

ada ("d(ka'(

♥Se"o'(' ("+a"

%pe,edaa" ek

a"aa #e"(ke$ k((da" aoa E8

!!H+*: a"-ad(pa"a) apakae2ad( pe,eaa"'e"o'('

♥Se"o'(' 'eda"+:

a'(!po!a(kde"+a" ,('("+dea2a =7> aa)$e,( & pe,edaa"eka"a" 8

8!!H+6 (dak,o$e o$aa+ako!pe((f. Re'(koke!a(a" !ddk

♥ 3ada "eo"ae':

+a0a da)a6

'e+ea ,e(po'a+$a"d(" a+a

d)k)' ae(o')'eap e,)ka

♥ Beda: a,

'),5$a#(a" aa)

a"a'o!o'(' e"d o

e"d




ak(#(a' 4'(kke5)a$( ada(pee"'( p)$!o"a$

%!e"-e,a,ka"3VOD*

♥3o4$ak'(' ',e6 2a+a

ke'eaa" +(+(

a"(po'a+$a"d("%57 ("do!ea'("*d(,e(ka" )'(a

E1!("++)6,(a'"-a e))p'ee$a /;pe!,e(a" 'e$a"+

0k 1 2a!6 )k

5e+a e,)kake!,a$( d(,e(ka" a(.

♥Se"o'(' ,ea: +a+a$

2a")"+ 'aa"eo"ae' aa) padaa"ak dapaa'(!o!a(k

de"+a" "ad( ke5($da" ,('("+ kea'.B<DAH

♥

a+a ke'eaa" +(+(da" !)$)♥3o4$ak'(' ',e

♥ ?(dak ,$ ak(4a'

,ea

PENYAKIT JANTUNG BAWAAN SIANOTIK

TETRALOGY O* *ALLOT ?e(d(( da( = ke$a("a":1. VSD. Stenosis pulon!l/. -ipe#to. "ent#i'el

'!n!n=. O"e##i%in+ !o#t!

Se"o'(' p)$!o"a$ ("+a": ')" k(( ke ka"a"6 da" +a!,aa" k$("(' !((pVSD !)"(. D('e,) ?OF a'(a"o(k aa) p("k ?OF.

Se"o'(' p)$!o"a$ ,ea: ')" ka"a" ke k((6 k$("(' a!pak '(a"o(k

KLASI*IKASI TO* ASIANOTIK TO* SIANOTIK

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!%ien(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!%!




♥Ada"-a 'e"o'(' p)$!o"a$ !e!("(!a$('( p(a) k(( keka"a".

♥Uk)a" 2a")"+ da" #a'k)$a(a' pa) !e"("+ka

("+a" 'a!pa( 'eda"+6 !((p d+ pada VSD ke5($'a!pa( 'eda"+.

♥<KG !e")"2)kka" (peo4 VKa da" kada"+

(peo4 VK(.♥B('("+ ede"+a da( VSD da" 3S6 ,('("+ '('o$(k (pe

e2ek'( da( 3S da" ,('("+ '('o$(k e+)+(a" da( VSD.♥ ?ede"+a 'epa"2a"+ $("ea 'e"a$(' k(( e"+a da"

,a0a6 kada"+ !e$)a' ke aa'.♥A"ak de"+a" e!)a" k$("(' da" ad(o$o+(' !((p VSD

eap( <KG !e")"2)kka" (peo4 VKa a)'d(p(k(ka" ada"-a ?OF a'(a"o(k.

♥3e"de(a ?OF a'(a"o(k aka" !e"2ad( '(a"o(k6

)!)!"-a pada )'(a 1 a)"6Ge2a$a ka' ?OF 'epe( d-'p"ea pada ak(#(a' 4'(k

,ea da" ,e2o"+kok.

♥Ada"-a 'e"o'(' p)$!o"a$ ,ea !e"+a'($ka" p(a)

ka"a" ke k(( da" ,ek)a"+"-a a$(a" daa pa).♥A3 ke5($6 AK( da" VK( $e,( ke5($ da( "o!a$ kae"a

#o$)!e daa -a"+ ke!,a$( ke 2a")"+ k(( ke5($.♥Foo o dada !e")"2)kka" )k)a" 2a")"+ -a"+ ke5($

da" 5oaka" #a'k)$a pa) -a"+ !e"))".♥<KG !e")")kka" (peo4 VKa kae"a ,e,a"

eka"a" ,e$e,(.♥3(a) ka"a" ke k(( (dak !e"-e,a,ka" ,('("+.

B('("+ ,ea'a$ da( 'e"o'(' p)$!o"a$ ,e)pa ,('("+

'('o$(k (pe e2ek'( -a"+ ede"+a pada $("ea

'e"a$(' '("('a ,a+ e"+a da" kada"+ d( ,a+aa'.♥I"e"'(a' da" d)a'( ,('("+ e+a")"+ 2)!$a daa

-a"+ !e$a$)( ka)p -a"+ 'e"o'('.♥B($a 'e"o'(' ("+a"6 daa -a"+ !e$a$)( $e,(

,a"-ak 'e("++a p(a) da( ka"a" ke k(( ,ek)a"+da" ,('("+ !e"2ad( kea' da" pa"2a"+.

♥3ada 'e"o'(' -a"+ ,ea daa -a"+ !e$a$)( ka)p

'e"o(k 'ed(k( 'e("++a p(a) ka"a" ke k((




!e"2ad( $e,( ,e'a da" ,('("+ ($a"+.♥Dea2a p(a) ka"a" ke k(( aa) a$(a" daa ke pa)

d(pe"+a)( o$e a$(a" ,a$(k daa '('e!(k ke 2a")"+.

♥3e"))"a" a$(a" ,a$(k '('e!(k !e"("+kaka" p(a)

ka"a" ke k(( da" !e"))"ka" a$(a" daa kepa) 'e("++a '(a"o'(' ,ea!,a.

♥3e"("+kaa" a$(a" ,a$(k '('e!(k !e"))"ka" p(a)

ka"a" kek(( da" !e"("+kaka" a$(a" daa ke pa)'e("++a '(a"o'(',ek)a"+.

♥ ?ak(kad(a aa) (po#o$e!(a !e"("+kaka" p(a)

ka"a" ke k((-a"+ !e"))"ka" 'a)a'( ok'(+e" daa '('e!(k.H(pok'(a-a"+ e2ad( !e!(5) e2ad("-a hypoxic spell/tet

spell.♥H-po;(5 'pe$$75-a"o(5 'pe$$7e 'pe$$ e2ad( pada

,a-( d+ ?OF. ?ed(( aa' (pep"ea %"apa' 5epa da" da$a!*6pe,))ka" '(a"o'(' da" ($a"+"-a ,('("+ 2a")"+.

♥H(pep"ea d(p(5) o$e !e"a"+('6 defeka'( aa)

ke"a(ka" ak(#(a' 4'(k -a"+ !e"))"ka" a$(a",a$(k #e"a 'e5aa !e"dadak aa) !e"("+kaka"p(a) ka"a" ke k((. Dapa p)$a d(p(5) o$eak(kad(a aa) -po#o$e!(a.

Te#!pi untu' si!noti'8

epe#l!&!t %en(ut 1!ntun+, ele&!#'!n 1!lu# 'elu!# VK!,enin+'!t'!n "olue %!#!6, enin+'!t'!n!li#!n &!li' sistei'0

♥K"ee 5e' po'((o"

♥Mo4" ')$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"




♥Va'oko"'(ko %!(': fe"($ef("*: !e"("+kaka" a$(a"

,a$(k '('e!(k♥Kea!(": !e"("+kaka" a$(a" ,a$(k '('e!(k da"

!e"e"a"+ka"♥3opa"o$o$:

keadaa" ak): !e"+)a"+( 'pa'!e 2a$) ke$)aVKa6 !e"))"ka" fek)e"'( de"-) 2a")"+

pe"5e+aa": 'a,($('a'( eak'( ae(a '('e!(k'+ !e"5e+a pe"))"a" a$(a" ,a$(k '('e!(k-a"+ !e"dadak.

MANI*ESTASI KLINIS ♥Kae"a 'e"o'(' 'e!ak(" $a!a 'e!ak(" ,ea !aka '(a"o'(' )!)!"-a a!pak 'ee$a ,a-( ,e)'(a

,e,eapa !("++).♥Sea"+a" '(a"o(k %cyanotic spell* e2ad( pada )'a( > ,)$a" da" dapa !e"-e,a,ka" ('ke!(a 'ee,a$

♥Squatting

♥pada ,a-( da" a"ak ke5($ dada a!pak "o!a$.

♥3ada a"ak ,e'a edapa (peo4 #e"(ke$ ka"a" '+ dada k(( a!pak !e!,o"2o$.

♥S1 "o!a$ aa) !e"+ea' kae"a ka)p aoa deka ke d("d("+ depa" dada.

♥S 'p$( !e$e,a eap( 'e')a( pe"apa'a" 'e!ak(" ,ea 'e"o'(' 'e!ak(" $e!a ')aa ko!po"e" p)$!o"a$

♥3ada 'e"o'(' ,ea S )"++a$.♥B('("+ e2ek'( '('o$(k kae"a ),)$e"'( pada ka)p p)$!o"a$.,

♥Mak(" ,ea '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"("+kaka" ('(ko e2ad("-a o!,o'(' oak aa) a,'e' oak

DIAGNOSIS ♥Foo dada: 2a")"+ 'epa)6 ko")' p)$!o"a$(' 5ek)"+6 #a'k)$a('a'( pa) !e"))"

♥<KG: do!("a'( ka"a"

♥<kokad(o+a4: d(a+"o'(k

DIANOSIS BANDING ♥ ?OF a'(a"o(k d(,edaka" de"+a" VSD de"+a" ada"-a (peo4 #e"(ke$ ka"a" pada <KG

♥ ?OF a)' d(,edaka" de"+a" 3B '(a"o(k $a(""-a -a"+ !e!,e(ka" +e2a$a #a'k)$a('a'( pa) ,ek)a"+ da"

do!("a'( #e"(ke$ ka"a" %,(a'a"-a de"+a" ekokad(o+a4*TATA LAKSANA ♥Opea'( koek'( de"+a" !e!pe$e,a 'e"o'(' da" !e"))p VSD.

♥B($a )k)a" a p)$!o"a$ ke5($ d($ak)ka" p("a'a" B$a$o5k?a)''(+ %a"a'o!o'(' a '),5$a#(a d+ a p)$!o"a$('*

aa) !od(4ka'("-a♥Me"5e+a 'ea"+a" '(a"o(k de"+a" !e!peaa"ka" kada H, 1>1 +7dL

♥Ba-( -+ pe"a !e"dapa 'ea"+a" '(a"o(k d(,e(ka" popa"o$o$ 1 !+7k+7a(.

♥Sea"+a" '(a"o(k ,e)$a"+ !e")"2)kka" pe$) d($ak)ka" ("daka" ,eda ,a(k pa$(a(f aa) k)a(f

♥Ke"a$( da" a"+a"( 'e+ea 'ea"+a" (pok'(a




♥<d)ka'( oa"+)a )")k !e"+e"a$( 'ea"+a" (pok'(a

♥3e$(aa (+(e"e +(+( da" !)$)

♥ ?eap( po4$ak'(' SB< 'e')a( ("d(ka'(

ATRESIA TRICUSPID ATRESIA PULMONAL♥ ?(dak ada ka)p (5)'p(d da" 'e,a+(a" da( #e"(ke$ ka"a".

♥ ?e!)a" 4'(k (dak ka'. Ba-( !e"de(a '(a"o'(' de"+a" da(

("+a" 'a!pa( ,ea6 de"+a" ,('("+ VSD. M)"+k(" edapa epao!e+a$( kae"a ,e"d)"+a" d( Aka ak(,a

),)"+a" ("ea(a$ (dak adek)a aa) kae"a +a+a$ 2a")"+.

♥ Dapa d('ea( aa) (dak d('ea( VSD

♥ M)$ak d(pe$)ka" d)k)' ae(o')' )")k !e!a'ok daa da(

aoa. 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 po+"o'('"-a.

♥ Foo dada: pe!,e'aa" a()! ka"a"6 'e+!e" p)$!o"a$

5ek)"+6 #a'k)$a('a'( pa) !e"))"♥ <KG: de#(a'( ')!,) RS ke ka"a"6 (peo4 #e"(ke$ ka"a"6

pe!,e'aa" a()! ka"a"♥ 3G<1 'e+ea '$ $a( )")k !e!peaa"ka" d)k)' eap

e,)ka♥ e#a$)a'( apaka pe$) d($ak)ka" p("a'a" B$a$o5k?a)''(+ aa)

$a(""-a ,($a a$(a" daa pa) dapa d(pe,a(k( d($ak)ka"#a$#)$oo!(

TGAANA?OMI ♥ Be")k aoa da" p)$!o"a$ e)ka




♥ 3a'(e" dapa ,eaa" (d)p ,($a ada ASD7VSD73DA.

♥ 3a$("+ ,a(k ada$a pe5a!p)a" pada a()! !e$a$)( ASD aa)

foa!e" o#a$eMANIF<S?ASI KLINIS ♥ Ba-( de"+a" ,ea $a( "o!a$ aa) $e,( ,e'a da( "o!a$6

a!pak '(a"o'(' 'e2ak $a(6 ("+ka '(a"o'(' e+a")"+ ("+kape5a!p)a" daa.

♥ ?(dak ada ,('("+7,('("+ pa"'('o$(k7,('("+ ko"(").

♥ Ge2a$a +a+a$ 2a")"+ ')da a!pak 'e2ak !a'a "eo"a)'

DIAGNOSIS ♥ Foo dada: egg on side appearance6 #a'k)$a('a'( pa)

!e"("+ka ke5)a$( ada 'e"o'(' p)$!o"a$♥ <KG: de#(a'( ')!,) RS ke ka"a"6 (peo4 #e"(ke$ ka"a"6

pe!,e'aa" a()! ka"a"♥ <kokad(o+a4: d(a+"o'(' de4"((#e

?A?ALAKSANA ♥ Be(ka" 3G<1 'e+ea

♥ See$a d(a+"o'(' pa'( d($ak)ka" BAS %,a$$oo" a(a$

'epo'o!-*: a()! ka"a" !e"dapa daa da( a()! k((6 da(a()! ka"a" ke #e"(ke$ ka"a" da" ke 'e$)) ),)

♥ See$a 'a,($ dapa d($ak)ka" opea'( pe)kaa" ae(

,($ad(a!ee a p)$!o"a$(' da" aoa 'e(!,a"+6 defek $a(" 2)+ad(koek'(.



Cu#!6 J!ntun+9C!#%i!/Output:

IsiSe'un/up

3e Load

Af&e Load

Ko"&ak&($(&a'*#e'uensi

N!%i

&ed(( da(


GAGAL JANTUNG

D(pe"+a)( :Ada$a eka"a" ak( d(a'o$(k

#e"(ke$ k((. Te'!n!n p#e lo!% ; <

Me)paka" eka"a" '('o$(k.D(pe"+a)( o$e :

a. Re'('e"'( pe!,)$) daa#a'k)$a :- Ka)p aoa

%se!'in sepit < !$te#

lo!% ;*- Re'('e"'( ae(

%se!'in #esisten < !$te#

Me)paka" ke!a!p)a" ko"ak($(a'oo 2a")"+ %("oop(k*

a. Ne+a(f : !e"))"ka"ko"ak($(a'<; o,a : ,$o5ke6 Ca5a""e$,$o5ke

,. 3o'((f : !e"("+kaka"ko"ak($(a'

*#e'uensi 1!ntun+ ; < /u#!6 1!ntun+;

'a!pa( HR 181>8 %HR @1>86 CO!e"))" %de5ea'ed 4$$("+ (!e**KRONO?RO3IK : S),'a"'( -a"+!e!pe"+a)( ke2a 2a")"+ %de"-)

2a")"+*




GAGAL JANTUNG AKUT Ude! 3a) Ak) ?edapa ak)!)$a'( 5a(a" pada a$#eo$)Ma"(fe'a'( :Ba)k ,edaa6 'e'ak "afa' e,a6 ?D J6 ak(kad(6 o"k(6 0ee("+6 3O 6 3CO 6 Ke$e- B $("e'

%+a(' pada daea ("e((a$ pa)*So5k Cad(o+e"(k

Ke+a+a$a" pada a$(a" daa ke 2a("+a" %kae"a ("fak !(okad da" ada"-a e!,o$( pa)*Ma"(fe'a'( : ?D 6 pe(kad(a$ a!po"ade6 e+)+(a'( ka)p.

Me"-e,a,ka" ko"ak'( !(okad()! (dak 'e!p)"a st#o'e "olue = >/!#%i!/ output =

D('f)"+'(M(okad()

Kl!si.'!siA&no#!l P#essu#e O"e#lo!% A&no#!l Volue O"e#lo!%

?eka"a" -a"+ ,e$e,(a" %e;: 'e"o'(' aoa6koaka'(o aoa6 (pee"'(6 'e"o'('

p)$!o"a$* !e"-e,a,ka" a$(a" daa da(#e"(ke$ ea!,a. Se("++a st#o'e

"olue?isi se'un/up =

Vo$)!e daa -a"+ ,e$e,(a" d(da$a!#e"(ke$ !e"-e,a,ka" pe $oad ,e$e,(a".

H)k)! 'a$("+ : #o$)!e J eka"a" #e"(ke$J 5ad(a5 o)p) !ak'(!a$. ?ap( ka$a)#o$)!e ,e$e,(a" & eka"a" ,e$e,(a" /!#%i!/ output =.%e;: a"'f)'( ,e$e,(a"6 MI6 d$$*

Ve"(5)$a

Etiolo+i

G!+!l 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'elP#ie# Se'un%e#

Pe#i'!#%itis Konst#i'ti$

Ada"-a 2a("+a" 4,o'a72a("+a" pa) da$a!pe(kad()! 'e("++a !e!,aa'( e$a'('(a'

#e"(ke$ da$a! pe"+('(a" #o$)!e ak( d(a'o$%p#e lo!% =*

Stenosis V!l"! Mit#!l

Daa da( a()! '("('a (dak dapa'epe")"-a !e!a')k( #e"(ke$ k(( 'e("++a

e2ad( ak)!)$a'( daa da$a! a()! k(( ,aka",('a ke!,a$( p)$!o"a$ da" #e"(ke$ de;a.P#e lo!% =

K!#%ioiop!ti Rest#i'ti$

Ada"-a 2a("+a" pa) d( !(okad()!6 2ad( !a''a#e"(ke$ J '+ )a"+ )")k daa 'e!ak(" 6p#e lo!% =

Stenosis V!l"! T#i'uspi%!l

Daa da$a! a()! de;a (dak 'epe")"-a!e!a')k( #e"(ke$ de;a 'e("++a eka"a"pada #e"a 5a#a !e"("+ka da" a$(a" ,a$(k daake 2a")"+ !e"))".Me"-e,a,ka" a()! de;a J da" #e"(ke$de;a

T!pon!%e J!ntun+

Ada"-a 5a(a" da$a! pe(kad()!6 'e("++ae$a'('(a' #e"(ke$ )")k pe $oad 2)+a

Ga"++)a"

3e"+('(a"Ve"(ke$

Ke,))a"Mea,o$('




DE*INISI '("do!a -a"+ (!,)$ kae"a 2a")"+ (dak !a!p) !e!o!paka" daa da$a! '('(! '(k)$a'( )")k !e!e")(ke,))a" !ea,o$('!e 'e$)) 2a("+a" ),)6 0a$a)p)" eka"a" pe"+('(a" daa ke da$a! #e"(ke$ 5)k)p !e!ada(

KLASI*IKASI A. Da( 'e+( +e2a$a da" a"daa"da :

♥ fo0adfa($)e #e')' ,a5k0adfa($)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

PATOGENESIS G.. (+ o)p): Ga+a$

2a")"+ de"+a" '(k)$a'(-a"+ (ped("a!('.D('e,a,ka" kae"a!e"("+ka"-a ke,))a"'(k)$a'( daa -a"+,e$e,(a" da" !e$a!p)(ke!a!p)a" 4'(o$o+('

2a")"+

G $o0 o)p): ?e2ad(pe"))"a" f)"+'( 2a")"+'e("++a 5)a 2a")"+!e"))"

G.. k((

Ga"++)a" f)"+'( po!pa#e"(ke$ k((

C)a 2a")"+ k(( ?eka"a" ak( d(a'o$(k

#e"(ke$ k(( !e"("+ka J

Be"d)"+a" pada a()!k((

?eka"a" da$a! a()! k((J

Be"d)"+a" pada #e"ap)$!o"a$('

?eka"a" da$a! #e"a

G '('o$(k da" G d(a'o$(5 fo0adfa($)e:

a!,aa" a$(a" daa keda$a! '('e! ae(a$6 a$(a" daa (dak dapa!e!e")( ke,))a"!ea,o$('!e ),) !a"(fe'a'( k$("('

,a5k0adfa($)e:a!,aa" pe"+o'o"+a"'('e! #e"a pada a$(a"daa '('e!(k da"p)$!o"a$ ,e"d)"+a"pada #e"a '('e!(k da"aa) ,e"d)"+a" padapa) !a"(fe'a'( k$("('

G!+!l

J!ntun+

Sistoli'

G!+!l

J!ntun+

Di!stoli

Ke&utu6! et!&olise ; < 'e#1! 1!ntun+ ;, '!lo te#us

ene#us > +!+!l 1!ntun+0




p)$!o"a$(' J

Be"d)"+a" pa)Pulmonary wedge

pressure J

Be"d)"+a" pada ae(p)$!o"a$('

?eka"a" ae( p)$!o"a$('J

Be,a" '('o$(k #e"(ke$ka"a"

G ka"a"

Ga"++)a" f)"+'( po!pa#e"(ke$ ka"a"

C)a 2a")"+ ka"a" ?eka"a" ak( d(a'o$(k

#e"(ke$ ka"a"!e"("+ka J

Be"d)"+a" pada a()!

ka"a" ?eka"a" da$a! a()!

ka"a"J

Be"d)"+a" pada #e"a'('e!('

?eka"a" da$a! #e"a

'

Deo+#!

.

U!) E>8 a)"Lak($ak(

U!) @8 a)"3ee!p)a"

Pen(!'it

Ko@

o#&i%

CAD6

R(0a-a("fak!(okad6A$koo$('!e6I"')4'(e"'( #a$#)$a

H(pee"

'( Ko"(k63e"-ak(+("2a$6O,e'(a'6Se"o'('aoa

Ge1!l!

Klinis

Se'ak"afa'-a"+po+e'(f

<de!apa)ak)6A(a$

4,($$a(o"

Pee#i's

!!n *isi'

No!oe"'( aa)(poe"'(6D('e"'(#e"a

2)+)$a('6S/ +a$$op

H(pee"'(6

?(dakadad('e"'(#e"a

2)+)$a('6S= +a$$op

EKG

0a#e'6+a!,aa"(0a-a("fak!(oka

H(peo4#e"(ke$k((

*oto

To#!Kad(o!e+a$(

No!a$aa)!e!,e'a 'ed(k(




'('e!(' %#e"a ka#a* J

Ha!,aa" a)' ,a$(k #e"a%#e"o)' e)"*

Be"d)"+a" '('e!('

E1e/tion

*#!/tion

E =96d($aa'(o"++a6d("d("+(p('

No!a$6o"++a"o!a$6d("d("+'e("+e,a$

PENYAKIT JANTUNG PERIKARDIAL

PERIKARDITIS AKUT TAMPONADE JANTUNG PERIKARDITIS KONSTRIKTI*D<FINISI edapa 5a(a" -a"+ !e$e,((

"o!a$ %8!$* ?e2ad( pada keadaa" pe(5ad(('ko"(k6 !((p +a+a$ 2a")"+6 p ?D pada

a!po"ade 2a")"+ !e"))"6'eda"+ka" +a+a$ 2a")"+ !e"("+ka

J 2)!$a 5a(a" ("ape(kad Jeka"a" ("akad(a$ ak)!)$a'( 5a(a" a!po"ade 2a")"+ +a"++)a"pe"+('(a" CO

5edea pe(kad pe,a(ka" ko"(k :pe"e,a$a" 4,o'a $ap('a"

pe(kad()! pe$ekaa"pe(kad()!

<?IOLOGI ♥Id(opa(k : 'e("+ka$( d(da)$)( d(5)(+a( ada"-a a!po"ade 2a")"+♥5edea pe(kad(a$ ak)

K#ite#i! Mino#

<de!a ek'(!(a'6 ,a)k pada!a$a! a(6 D-'p"ea 'aaak(#(a'6 Hepao!e+a$(6 <f)'(p$e)a6 kapa'(a' V(a$ ,ek)a"+'epe(+a da( "o!a$ da"

?ak(kad(a % 18 ,p!*.3e"))"a" ,ea ,ada" =6 k+

K#ite#i! M!(o#

3ND %pao;-'!a$ "o5)"a$d-'"ea*6 d('e"'( #e"a 2)+)$a('%pe"("+kaa" eka"a" #e"a

2)+)$a('*6 Ra$e' %,)"-( 'aa,e"apa'*6 Kad(o!e+a$(6 ede!apa) ak)6 +a$$op S/6 3e"("+kaa"eka"a" #e"a %@ 1> 5!HO* da"

D(a+"o'(' +a+a$ 2a")"+ apa,($a edapa : 1 k(e(a !a-o da"

Kl!si.'!si G!+!l 1!ntun+ Menu#ut Ne2 Yo#' -e!#t

Asso/i!tion 9NY-A:C$a' I ?(dak ada pe!,aa'a". La(a" 4'(k "o!a$ (dak

!e"-e,a,ka" ke$e$aa"6 'e'ak aa) pa$p(a'(.C$a' II Kee,aa'a" !e"e"+a. Saa ('(aa "-a!a"

eap( ak(#(a' 4'(k "o!a$ !e"-e,a,ka" ke$e$aa"6'e'ak aa) pa$p(a'(.

C$a' III Kee,aa'a" ea"da. Saa ('(aa "-a!a" eap(ak(#(a' 4'(k -a"+ ke5($ 'a2a ')da !e!pe$(aka"!e"(fe'a'( +a+a$ 2a")"+.

C$a''IV

Ma"(fe'a'( +a+a$ 2a")"+ e2ad( 'aa ('(aa da"d(pe,))k o$e ,e,a+a( ak(#(a' 4'(k.




de"+a" de!a! aa) '("do!#()'

♥I"fek'( : V()' 6 Bake(6 a!)

♥3e"-ak( 2a("+a" (ka : AR6 SL<6

3AN6 Sk$eode!a♥Ke+a"a'a" : !ea'a'('6 $(!fo!a6

$e)ke!(a da" !e$a"o!a♥Ue!(a

♥O,ao,aa" : 3oka("a!(d6

H(da$a("6 INH6 D(fe"($(da"o("6Dok'o),('(" %O,a ke!oeap(ka"ke pa-)daa6 a)' d($ak)ka"pe!e(k'aa" <KG*

♥3a'5a ("fak !(okad %S("do!a

De''$e*♥3a'5a pe(kad(oo!(

♥ ?eap( ad(a'( !ed(a'("a$

♥M(k'ede!a

♥Sako(do'('

pada pa'(e" de"+a" :

♥ (0a-a pe(kad(('

♥ 'ee$a a)!a dada )!p)$ aa)

pe"ea'(

♥ 'ee$a ,eda 2a")"+ e,)ka

aa) kaee('a'( 2a")"+

♥ "eop$a'!a ("aoak'

♥ d)+aa" ada"-a a"e)('!ad('eka"'

♥'ee$a a)!a 2a")"+ P

pedaaa" ("ape(kad(a$♥'ee$a pe(kad(oo!(

♥pe(kad((' : 2a!)6 ),ek)$o'('6

)e!(a

Ma"(fe'a'( k$("(' ♥"-e( dada %!e!,))k 'aa

e$e"a"+6 !e!,a(k 'aa d)d)k*eo'e"a$ aa) pekod(a$6 'aa("'p(a'( da" !e"2a$a ke aa"+$ee ,a) 1 2a(

♥ 'e'ak6 de,ade,a

♥f(5(o" ), %')aa -a"+ (!,)$

ak(,a +e'eka" a"aa pa(ea$da" #('ea$*

♥"ad( 5epa da" (e+)$a

♥'e'ak "afa' e,a6 ak(kad(a

♥pe"))"a" ?D '('o$(k

♥p)$')' paadok')' %pe"))"a" ?D

'('o$(k 'e$a!a ("'p(a'( 'po"a"*,aa' 2a")"+ ,e+e'e ke $aea$

,)"-( 2a")"+ 2a)

♥ +a+a$ 2a")"+ : ede!a6 a'(e'6

oop"ea6 d('p"ea

♥ !((p +a+a$ 2a")"+ ka"a" kae"a

ada pe"("+kaa" V36 da"epao'p$e"o!e+a$(

♥pada 3F :

o p)$')' paadok')'6

pe"("+kaa" V3o 2a")"+ (dak !e!,e'a6

!)!) ea$- d(a'o$(ko ope"("+ '"ap6

epao'p$e"o!e+a$(6 a'(e'




3e!e(k'aa"pe")"2a"+

LABORA?ORIUM ♥H()"+ daa $e"+kap6 ()"+ 2e"('

♥L<D

♥Ue)! da" kea("("

♥Seo$o+( Sepokoka$ : AS?O

♥B(aka" daa

♥Seo$o+( :♥ ?(e #()' ak) da" ko"#a$e'e"'

♥ANA6 a"( d'DNA6 RF6 H,'A+

♥U2( k)$( ?B %e' Ma"o);*

FO?O ?ORAKS ♥ef)'( 'ed(k( (dak e$(a ada"-a

ke$a("a"♥ 2)!$a 5a(a" @ 8 !$

+a!,aa" 'epe( ,oo$ a(

♥pe!,e'aa" ,a-a"+a" 2a")"+ %5ad(a5

'($$o)e*♥foo dada $aea$ : $ap('a" $e!ak

ep(kad(a$ d( da$a! ,a-a"+a" 2a")"+

♥,a-a"+a" 2a")"+ -a"+ 'ed(k(

!e!,e'a♥,(da"+ pa)pa) ,e'( de"+a"

#a'k)$a('a'( "o!a$♥ka$'(4ka'( pekad(a$

<KG♥

Fa'e ak) :♥e$e#a'( S? $ead III da" VV>

♥S? depe'( aa) ('oe$ek(k pada V1

♥depe'( 'e+!e" 3R pada $ead II6 AVF

da" V=V>♥Sad()! : S? ('oe$ek(k da"

a!p$()do ? !e"))"♥Sad()! / : S? ('oe$ek(k6 ("#e'( ?

%III da" VV>*♥Sad()! = : ko!p$ek' RS

,e#o$a'e e"da

♥

ko!p$ek' RS #o$a'e e"da6 e$e#a'(S?6 depe'( 3R

♥

(dak ada 5((5(( d(a+"o'(k -a"+ka'

<KOKARDIOGRAFI

♥!e$(a ada"-a 5a(a" pe(kad

♥pe")")" da$a! !e$ak)ka"

pe(kad(o'e"e'('

♥5a(a" ("ape(kad

♥,($a 5a(a" ,a"-ak 2a")"+ ,ea-)" d(

da$a! )a"+ pe(5ad(a$

♥pe"e,a$a" pe(kad

♥+eaka" 'epa$ e$(a a,"o!a$

3<NA?ALAKSANAAN

♥A?ASI 3<NY<BABNYA

♥"-e( dada : 'a$('($a6 NSAID aa)

'eo(d♥pe(kad(o'e"e'(': pe"+e$)aa"

♥pe!,e(a" 5a(a"

♥pe(kad(o'e"e'('

♥'(pp("+ pe(kad(a$ %,eda*

|




5a(a"♥pe!,e(a" o,ao,aa"

("ape(kad6 !('a$"-a o,aa"("eop$a'(k aa) o,a'k$eo(ka"

♥pe(kad(eko!( : )")k !e"+)a"+(

e$ap' da" po4$ak'(' eadappe(kad((' ko"'(k(f

KARDIOMIOPATI

DILATASI -IPERTRO*I RESTRIKTI*MOR*OLOGI 3e!,e'aa" o"++a #e"(ke$ ka"a"

da" aa) k((F)"+'( '('o$(k !(okad ,))kKo"ak($(a' #e"(ke$ ,ek)a"+ 5)a 2a")"+ eka"a" & #o$)!eak( '('o$(k da" d(a'o$(k J

3e"("+kaa" !a''a oo #e"(ke$a"pa ,eka(a" de"+a" pe"("+kaa")k)a" o"++a3e"))"a" f)"+'( d(a'o$(k #e"(ke$k((3e"("+kaa" eka"a" ak( d(a'o$(k#e"(ke$ k((

?e,e")k a("+a" pa)e"do!(okad()! pe"e,a$a" !(okad J !a''a 2a")"+ e'(k'( padape"+('(a" #e"(ke$ pe"))"a"ke$e")a" #e"(ke$Vo$)!e ak( d(a'o$(k #e"(ke$

?eka"a" ak( d(a'o$(k #e"(ke$ k(($e,( ("++( da( eka"a" ak( d(a'o$(k#e"(ke$ ka"a"

ETIOLOGI 1. A$koo$: !e"-e,a,ka" 2a")"+!e!,e'a. Kad(o!(opa( pe(pa)!/. 3e"-ak( "e)o!)'k)$e : d('o4 oopeo"ea$=. O,a : <!e("6 Ko,a$6 Da)"o),('(". La("$a(" :

3e"-ak( 2a (ka : SL<6

Sk$eode!a6 3AN6 3o$(!(o'(('

I"fek'( : #()'6 paa'((k Ga"++)a" e"dok(":

(ook'(ko'(' %-o(d*6!(k'ede!a

D(a,ee'

Fa!($(a$: H(pee"'( )'(a !)daNa!a $a(" : Kad(o!(opa( o,')k(f (peo46 Se"o'(' '),ao(k (peo4(d(opa(k6 Se"o'(' '),ao(k !)'5)$a

1.I"4$a(f : a!($o(do'('6 'ako(do'('6e!oko!a('('. 3a'5a ad(a'(/. 3a'5a opea'( 2a")"+ e,)ka=. D(a,ee'. La("$a(" :

'k$eode!a6 pe"-ak( +$(ko+e"

Ke+a"'a" !ea'a'('

S("do! (peeo'("o4$(a

GEJALA Ge2a$a +a+a$ 2a")"+ ko"+e'(f %G'('o$*Ge2a$a ak(,a e!,o$( p)$!o"a$ aa)

Se'ak "afa' e,aN-e( dada3a$p(a'(

Ge2a$a da" a"da +a+a$ 2a")"+ko"+e'(f %G d(a'o$(k*Ge2a$a $a(" 'e')a( pe"-ak( '('e!(k

RANGKUMAN CARDIOVASKULAR | BY FARHANA&ROBIAH




'('e!(k 3("+'a"R(0a-a ke$)a+a de"+a" ke!a(a"!e"dadak aa) ke+a+a$a" 2a")"+

-a"+ !e"da'a("-a

PEMERIKSAAN

*ISIK Kad(o!e+a$( 'eda"+ 'a!pa( ,eaB / da" =M)!) '('o$(k d( !(a$ aa) (k)'p(dM)!) d(a'o$(k d( ap(5a$

Kad(o!e+a$( -a"+ ("+a"B =M)!) '('o$(k pada apek' da" ,aa''e"a$ k((6 -a"+ !e"("+ka ,($ad($ak)ka" !a")#e

3)$')' ,('4ee"'

3e"("+kaa" V3B / da" =M)!) '('o$(k d( ka)p !(a$ da"(k)'p(d3)$')' paadok')'

*OTO TORAKS 3e!,e'aa" 2a")"+ 'eda"+ 'a!pa(,e'aH(pee"'( #e"a p)$!o"a$

3e!,e'aa" 2a")"+ ("+a" ?(dak ada pe!,e'aa" 2a")"+

EKG 3e!,e'aa" #e"(ke$ da" a()!Ge$o!,a"+ A(a$ F(,($a'(6 3VCB$ok 5a,a"+ ,eka' k((

LVH6 LAHGe$o!,a"+ %V= V>*3VCLBBB

Lo0 #o$a+e6 ap( ,('a 2)+a "o!a$

EKOKARDIOGRA

*I

F)"+'( ko"ak'( ,))k<2e5(o" F(5(o" %<F* !e"))"3e"("+kaa" #o$)!e ak( '('o$(k da"

ak( d(a'o$(k

<F "o!a$Ga"++)a" f)"+'( d(a'o$(k3e"("+kaa" kee,a$a" 'ep)!

("e#e"(k)$aRa'(o kee,a$a" 'ep)! d("d("+po'e(o : @ 16/

<F "o!a$3e"e,a$a" d("d("+ -a"+ '(!e('H(pok("e'(' d(f)'

F)"+'( #e"(ke$ k(( -a"+ "o!a$ aa)!e"))" 'eda"+

DIAGNOSIS

BANDING

Kad(o!(opa( ('ke!(k3e"-ak( 2a")"+ (pee"'(3e"-ak( ka)p e+)+(a'(Kad(o!(opa( (peo4

Se"o'(' aoaSe"o'(' p)$!o"a$VSDM(a$ e+)+(a'(3e"-ak( 2a")"+ (pee"'(

3e(kad((' ko"'(k(f Kad(o!(opa( d($aa'(3e"-ak( 2a")"+ (pee"'(M(k'o!a a(a$ ka"a"

PENATALAKSAN

AAN

Aa'( pe"-e,a,"-a : !('a$"-a,epa"a"+ a$koo$ pada ka')'

kad(o!(opa( a$koo$

Aa'( +a+a$ 2a")"+:D()e(k %,(a'a"-a +a+a$ 2a")"+'('o$(k*6 d(+(a$('6 da" #a'od($ao

A"(koa+)$a":Se$)) pa'(e" -a"+ a"pako"a("d(ka'( d(pe(!,a"+ka"

O,a $a(":Bea ,$oke : "-e( dada da" pa$p(a'(

Caa"a+o"(' : ko"ak($(a' !(okad ke,))a" O

kekak)a" #e"(ke$

Opea'(:Opea'( !(o!eko!( 2)+a d($ak)ka"pada keadaa" ee")

Aa'( pe"-ak( p(!e"-a He!oko!ao'(' %pe")!p)ka" a

,e'( d( a(* : e,oo!(6de'feok'a!(" Sako(do'(' : ko(ko'eo(d6

(!)"o')pe'(f

Aa'( +a+a$ 2a")"+:D()e(k6 d(+(a$('6 da" #a'od($ao

A"(koa+)$a":





pe!,e(a" a"(koa+)$a" 2a"+ka pa"2a"+

O,a $a(":AC< ("(,(o H(da$a("I'o'o,(d d("(a dapa !e"+)a"+( ke!a(a".

3a'(e" de"+a" '("do! LoeQede"+a" o!,oe!,o$( ,e)$a"+ dapad(eap( de"+a" a"(koa+)$a".

PROGNOSIS 3o+"o'(' (dak ,e+() ,a(kKe,a"-aka" !e"("++a$ 'ee$a a)"

'e2ak (!,)$ +e2a$aNa!)"6 pe,a(ka" 'po"a" dapae2ad( pada 9 pa'(e"

S<BAB K<MA?IAN:Ga+a$ 2a")"+ ko"+e'(f Ve"(ke$ ak(a(!(aBad(a(!(a

A"+ka !oa$(a' a"-a 19 pea)"Be,eapa pa'(e" eap a'(!o!a(k

'a!pa( ,e,eapa a)"

S<BAB K<MA?IAN:Dapa e2ad( ke!a(a" !e"dadakpada a$e da" oa"+ !)da

3o+"o'(' ,e$)! d(kea)(

KOR PULMONAL

KOR PULMONAL

De.nisiAda$a ke$a("a" 2a")"+ kae"a ke$a("a" pa)pa) ko"(k %#a'k)$a aa) pae"k(! pa)*6 !e"++a"++) #e"(ke$ de;a%(peo4 aa) d($aa'(*

Etiolo+i

Kae"a ada"-a (pee"'( p)$!o"a$ @ !!H+ ka$a) $a+( ('(aa da" @/8 !!H+ ka$a) $a+( ak(#(a' %N : E !!H+*.H(pee"'( p)$!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$6 S("d. 3o'e"'efa$(('6K(fo'ko$(o'('6 Sk$eode!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*

P!to+enesis

H(po#e"($a'( a$#eo$)' aa) o,')k'( a$#eo$)' (pok'(a e'(k'( p)$!o"a$ %#('ko'(a' J da" a'(do'('* (pee"'(

p)$!o"a$ 5o p)$!o"a$ ko"(k +a+a$ 2a")"+ ka"a"

Ge1!l! %!n

T!n%!

Ge2a$a : – Se'ak "afa'6 p)5a6 ,a"-ak ,eke("+a – Ba)k,a)k pod)k(f6 "-e( dada ?a"da :

?ak(p"ea6 ap(d p)$'e of '!a$$ a!p$()de V3 !e"("+ka

M)!) '('o$(k da" ea#("+ d( (k)'p(d %LSS*





T!t!l!'s!n! ?eap( epa("('a'(

PENYAKIT KATUP JANTUNG

KATUP MITRAL STENOSIS REGURGITASI PROLAPSETIOLOGI ♥de!a! e)!a(k:

Sepokok)' ,ea e!o$((k)'+)p A

♥ko"+e"(a$ %ap( 2aa"+*

♥de!a! e)!a(k %8 9 ka')'*

♥pe"-ak( 2a")"+ ('ke!(k de"+a"

d('f)"+'( !. pap($a('♥!(a$ #a$#e po$ap'6 ka$'(4ka'(

a"")$)' !(a$♥d($aa'( #e"(ke$ k((6 kad(o!(opa(

(peo4 e"dokad((' ("fek(f6 ke$a("a"

ko"+e"(a$

♥(d(opa(k6 fa!($(a$

♥de!a! e)!a(k

♥pe"-ak( 2a")"+ ('ke!(k

♥a(a$ 'epa$ defe56 '("do!a Mafa"

PATO*ISIOLOGI ♥Da$a! keadaa" "o!a$ $)a'

pe!,)kaa" ka)p !(a$ ,ek('aa"aa => 5!

♥Apa,($a $)a' pe!,)kaa" ka)p

!(a$ ("( 5! %mild stenosis*6

!aka ')da !)$a( (!,)$pe),aa" e!od("a!(k6 d(!a"adaa da( a()! k(( (dak dapa!a')k ke #e"(ke$ k((

♥Apa,($a pe!,)kaa" ka)p !(a$ E

1 5! %'e"o'(' !(a$ ,ea*6daa da( a()! k(( ke!,a$( ke#e"(ke$ ka"a" da" pa)

♥3ada 'aa '('o$(k #e"(ke$6 daa

,a"-ak !a')k ke #e"(ke$ k((da" aoa

♥Ak(,a"-a #e"(ke$ k(( ,ed($aa'(

kae"a #o$)!e daa -a"+

,a"-ak !a')k da( a()! k((pada 'aa '('o$(k♥Se,a+(a" daa e'e,) 2)+a

ke!,a$( ke a()! k((6 'e("++ae2ad( d($aa'( a()! k((

♥D($aa'( a()! k(( (dak 'e$a$)

d('ea( pe"("++(a" eka"a" padaa()! k((

♥Ba+(a" da( ka)p !(a$

!e"++e$e!,)"+ po$ap' kea()! 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" ('opao$o+( dapad(e!)ka" de+e"ea'( !(k'ede!apada 2a("+a" ka)p !(a$ da"pe!a"2a"+a" koda e"d("ae





GEJALA ♥Se'ak "afa' 'aa ak(#(a'6 de!a!6

kea!($a"6 da" pa$p(a'(

3<M<RIKSAAN FISIK

♥3e"a!paka" )!)! : "o!a$6

eap( pada 'e"o'(' !(a$ ,ea!e!pe$(aka" 0a2a !(a$.

?a"daa"da"-a (a$a '(a"o'('pada 0a2a da" ek'e!(a'

♥3a$pa'( :

apek' "o!a$6 eap( kada"+kada"+ ')$( d(e!)ka"6 ke5)a$(pada po'('( ee") %$aea$dek),()'*

lift pada aea #e"(ke$ ka"a"

♥A)'k)$a'( :

,)"-( 2a")"+ pea!a -a"+!e"+ea' %M1 !e"+ea'*

opening snap !)!) d(a'o$(k6 $a!a"-a

!)!) 'e')a( de"+a" dea2ao,')k'(

,)"-( 2a")"+ 3 -a"+!e"+ea'

,('("+ Gaa! Steel

♥'e'ak "afa' 'aa ak(4a' da"

!)da $e$a

3<M<RIKSAAN FISIK ♥3e"a!paka" )!)! : "o!a$6

ke5)a$( ada +e2a$a+e2a$adeko!pe"'a'(

♥3a$pa'( : apek' e+e'e ke $aea$ da"

$e,( $)a' da(pada "o!a$ lift pada aea #e"(ke$ k((

♥A)'k)$a'(: pada aea ka)p !(a$ : B I

!e$e!a6 ap( B II !e$e,a !)!) pa"'('o$(k6 !)!)

ea$-!(dd(a'o$(k

♥pee!p)a" @6 'e,a+(a" ,e'a

a'(!po!a(k♥"-e( dada6 pa$p(a'(

♥'ak( kepa$a6 p)'("+ %migren*

♥!)da $e$a 3<M<RIKSAAN FISIK

♥a(!(a #e"(ke$ da" a(!(a')pa#e"(ke$

♥'('o$(k click -a"+ ka' !e$a$)(

'eo'kop

♥'('o$(k !)!)6 d(5e)'ka" o$e

!a")#e #a$'a#a da" ,ek)a"+da$a! po'('( 2o"+kok

PEMERIKSAAN

PENUNJANGA. FO?O ?ORAKS :

♥pe!,e'aa" a()! k(( da"

#e"(ke$ ka"a"♥(pee"'( #e"a da" ae(

p)$!o"a$(' : +a(' ke$e- B

B. <KG :

♥AF6 LAH6 LAD6 RVH

A. FO?O ?ORAKS :

♥ pe!,e'aa" a()! k(( da"

#e"(ke$ k((♥ (pee"'( a7# p)$!o"a$('

(dak 2e$a'6 ke5)a$( MR ak)

B. <KG :

♥pe"("+kaa" #o$a'e R pada

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

B. <KG :♥"o!a$6 aa) a(!(a #e"(ke$ da"

')pa#e"(ke$

C. <KOKARDIOGRAFI :♥ka)p !(a$ ,a+(a" depa" edoo"+

ke ,e$aka"+





C. <KOKARDIOGRAFI :

♥ka)p !(a$ !e"e,a$6 ka$'(4ka'(

da" 'a$("+ !e$eka ,a+(a"a"e(opo'e(o

♥d(a!ee a()! k(( ,ea!,a6

ap( )k)a" #e"(ke$ k(( "o!a$

♥#e"(ke$ ka"a" !e!,e'a da"

d("d("+"-a !e"e,a$

♥o!,)' a()! k((

pekod(a$ k(( %V=V>*

♥pe!,e'aa" a()! k(( :

+e$o!,a"+ 3 ,(fa'(k

♥a(a$ 4,($a'(

C. <KOKARDIOGRAFI :

♥LAH

♥#e"(ke$ ka"a" (ped("a!(k

KOMPLIKASI ♥ e!op('('

♥ e!,o$( pa) da" e!,o$( '('e!(k

♥ ("fek'( pa)6 e"dokad(('

♥ ?o!,)' !)a$ da" e!,o$('!e

'('e!(k 'e("+ e2ad( pada'e"o'(' !(a$6 e)a!a 2(ka :

a()! k(( 'a"+a !e!,e'a edapa 4,($a'( a()!

F(,($a'( a()!6 d('e,a,ka"o$e :

3o'e' ("a!a'( da"pe"("+kaa" eka"a" d( da$a!a()! d($aa'( a()!

3o'e' e)!a(k pe!,e")ka" pa) a()!

♥MR -a"+ ,ea +a+a$ 2a")"+ k((

♥e!,o$( '('e!(k

PENATALAKSANAAN 3<NA?ALAKSANAANM<DIKAM<N?OSA

♥ AF a"pa +a+a$ 2a")"+ :,$oke6 #eapa!($ dapa

!e!pe$a!,a de"-) 2a")"+da" !e!,a") !e"+e"da$(ka"4,($a'( a()!

♥ AF ko"(k dapa d(,e(ka"

d(+ok'("♥ AF de"+a" +a+a$ 2a")"+ :

d()e(k: !e"+)a"+( eka"a"daa da$a! pa)pa) de"+a"

3<NA?ALAKSANAANM<DIKAM<N?OSA

♥po4$ak'(' e"dokad((' ,ake(a$('

♥a"pa +a+a$ 2a")"+ :

,$oke6 d(+o;(" da"#eapa!($ : )")k 4,($a'( a()!

♥+a+a$ 2a")"+ :

d()e(k : !e"+)a"+( #o$)!e'(k)$a'( daa

d(+ok'(" : ("oop(k da"!e"+aa'( AF

AC< ("(,(o : !e"+)a"+(

3<NA?ALAKSANAANM<DIKAM<N?OSA

♥B($a (dak ada ke$)a" !aka (dak

pe$) d(eap(

♥3o4$ak'(' e"dokad((' ,ake(a$('d(,e(ka" ,($a edapa !)!)'('o$(k -a"+ 2e$a' da" +a!,aa"!(a$ e+)+(a'( padaekokad(o+a4

♥A"(koa+)$a" d(,e(ka" pada (0a-a

e!,o$( pa)7e!,o$( '('e!(k♥ (ka 2a")"+ ,ede"-) e$a$) 5epa6





5aa !e"+)a"+( #o$)!e'(k)$a'( daad(+ok'(": !e!pek)a de"-)

2a")"+♥ AF da" aa) (0a-a e!,o$(

pa)7'('e!(k: AN?IKOAGULAN

3<NA?ALAKSANAAN O3<RA?IF

♥ (ka eap( o,a (dak dapa!e"+)a"+( +e2a$a 'e5aa!e!)a'ka"6 !)"+k(" pe$)d($ak)ka" pe,a(ka" aa)pe"++a"(a" ka)p

♥3e!('aa" da)" ka)p -a"+

!e"-a) 2)+a ,('a d($ak)ka"!e$a$)( pe!,edaa"

♥#a$#)$op$a'( : ,($a o(4'()! !(a$

E 16 5!♥pe5)a"e)' ,a$$o" #a$#)$op$a'- :

MS a"pa MR

afe$oad

♥a"(koa+)$a" : AF da" aa) (0a-a

e!,o$( pa)7'('e!(k3<NA?ALAKSANAAN O3<RA?IF

♥A"")$op$a'- : pada )'(a !)da aa)

a"aka"ak

♥ (ka pe"-ak("-a ,ea6 ka)p pe$)

d(pe,a(k( aa) d(+a"( -a()d($ak)ka" pe!,edaa" )")k!e!pe,a(k( ka)p %valvuloplasti*aa) !e"++a"("-a de"+a" ka)p!eka"(k

,ea,$o5ke dapa d(+)"aka"

3<NA?ALAKSANAAN O3<RA?IF♥Opea'( pe"++a"(a" ka)p

%Va$#)$op$a'-* ,($a edapa !(a$e+)+(a'( -a"+ ,ea

KATUP AORTA STENOSIS REGURGITASIETIOLOGI ♥de!a! e)!a(k

Sepokok)' ,ea e!o$((k)' +)p A♥ko"+e"(a$

de+e"ea(f : dapa d(e!)ka" pada )'(a $a"2)

♥de!a! e)!a(k %8 9*

♥ '(4$('

♥d('ek'( aoa

♥!e$e!a"-a ka)p

♥ ke$a("a" ,a0aa"

♥ ("fek'( ,ake(

♥ 5edea

fako $a(""-a -a"+ (dak d(kea)(

PATO*ISIOLOGI ♥Se"o'(' ,(a'a"-a e2ad( 'e5aa ,eaap da$a!0ak) -a"+ $a!a6 'e("++a 'e!pa d(da)$)(e2ad("-a (peo4 #e"(ke$ k(( de"+a"!e"(!,)$ka" pe"("++(a" eka"a" ("a#e"(k)$ada$a! !e!peaa"ka" 5)a 2a")"+ -a"+ "o!a$

♥Ok'(+e"a'( !(okad !e"2ad( (dak adek)a ak(,a

(peo4 oo6 pepa"2a"+a" !a'a e2ek'( da"("++("-a eka"a" ("a#e"(k)$a6 0a$a)p)"

♥D($aa'( #e"(ke$ k(( !e)paka" ko!pe"'a'( )a!a padae+)+(a'( aoa6 ,e)2)a" )")k !e!peaa"ka"5)a 2a")"+ d('ea( pe"("++(a" eka"a" d(a'o$(k#e"(ke$ k((

♥3ada 'aa ak(#(a'6 de"-) 2a")"+ da" e'('e"'(

#a'k)$a pe(fe !e"))" 'e("++a 5)a 2a")"+ ,('aepe")(





')k) a"ao!( ae( koo"e !a'( "o!a$.GEJALA ♥'e'ak "afa'6 "-e( dada

♥'("kop %'ee$a o,')k'( ,ea)"a)"*

3<M<RIKSAAN FISIK ♥de"-) "ad( $e!a da" !e!a"2a"+

♥'e"o'(' aoa -a"+ ,ea : eka"a" "ad( !e"-e!p(

da" de"-) ae( $a!,a♥3a$pa'( :

+eaa" '('o$(k %'('o$(k thrill) pada ("eko'a$ ke deka 'e")! da" deka $ee %aea ka)paoa*

♥A)'k)$a'( : B II pada aea ka)p aoa $e!a da" kada"+

(dak ede"+a paradoxical splitting da( ,)"-( 2a")"+ ked)a !)!) '('o$(k %diamond shaped murmur '('o$(k*

♥ 'e'ak "afa'6 "-e( dada da" ,ede,ade,a

♥ a"daa"da +a+a$ 2a")"+ k((

3<M<RIKSAAN FISIK ♥de"-) ae( kao(' 5epa da" pe,edaa" eka"a" daa

,e'a♥ 2a")"+ ,('a ,e)k)a" "o!a$6 ,($a ("')4'(e"'( aoa

ko"(' ("+a"6 aa) 2(ka ("')4'(e"'("-a ak)♥A)'k)$a'( :

B II %ka)p aoa* $e!a da" kada"+ (dak ede"+a !)!) d(a'o$(k %de5e'e"do* 'epa"2a"+ +a('

'e"a$(' k(( da" ka"a" dapa ede"+a !)!) '('o$(k kae"a a$(a" daa

!e"("+ka

♥H(pee"'( '('o$(k : kae"a pe"("+ka" 'oke #o$)!e

♥ ?eka"a" d(a'o$(k e"da : kae"a ke5epaa" a$(a" aoa

!e"("+kaPEMERIKSAAN

PENUNJANG

A. FO?O ?ORAKS :♥(peo4 #e"(ke$ k((

B. <KG :♥+e$o!,a"+ R -a"+ ("++( d( pekod()! k(( %V=V>*

♥pe!,e'aa" a()! k(( : +e$o!,a"+ 3 -a"+ $e,a

♥pe!,e'aa" #e"(ke$ k(( : S? 'a("

C. <KOKARDIOGRAFI :♥)k)a" #e"(ke$ k(( dapa "o!a$6 ap( edapa

pe"e,a$a" d("d("+♥ka$'(4ka'( da" pe"e,a$a" ka)p aoa

A. FO?O ?ORAKS :♥(peo4 da" d($aa'( #e"(ke$ 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

B. <KG :♥+e$o!,a"+ R -a"+ ("++( d( pekod()! k(( %V=V>*

♥e$e#a'( +e$o!,a"+ S?

C. <KOKARDIOGRAFI :♥pe!,e'aa" a()! k(( da" #e"(ke$ k((

pada ka)p !(a$ e$(a )e d(a'o$(k -a"+ a$)'PENATALAKSANAAN 3<NA?ALAKSANAAN M<DIKAM<N?OSA

♥ po4$ak'(' e"dokad((' ,ake(a$('

♥ (dak ada ke$)a" : (dak pe$) d(eap( ap(

a)' d(("da( ak(#(a' 4'(k -a"+ ,e$e,(a"

3<NA?ALAKSANAAN M<DIKAM<N?OSA♥ (dak ada ke$)a" : (dak pe$) d(eap( ap( a)'

d(("da( ak(#(a' 4'(k -a"+ ,e$e,(a"♥+a+a$ 2a")"+ : dapa d(,e(ka" d(+ok'(" da"





♥ +a+a$ 2a")"+ : dapa d(,e(ka" eap( ap(

("da( pe"))"a" afe$oad

3<NA?ALAKSANAAN O3<RA?IF♥ #a$#)$op$a'( : +e2a$a AS da" +a"++)a"

e!od("a!(k ak(,a o,')k'( ,ea♥ a"aka"ak : p($(a" -a"+ a!a" da" efek(f

ada$a valvuloplasti balon

♥ ,a-( -a"+ $a( de"+a" ke$a("a" ("( 2aa"+ ,('a,eaa" (d)p $e,( da( a)"6 ke5)a$( 2(ka e$a!e"2a$a"( pe!,edaa"

pe"+a!,a AC<

3<NA?ALAKSANAAN O3<RA?IF#a$#)$op$a'( :

♥pada e+)+(a'( ka)p aoa -a"+ ,ea : <2e5(o" fa5(o" #e"(ke$ k(( E 8 9 LV e"d '-'o$(5#o$)!e @ !$7! 6 aa) d(a!ee e"d '-'o$(5 @ !!

♥

edapa +a"++)a" f)"+'( #e"(ke$ k((

PROGNOSIS ♥aaaa a"+ka ke!a(a" pada oa"+ de0a'a pada

'e"o'(' aoa 'ek(a 9 pe a)"♥apa,($a ke$)a" !)$a( (!,)$ !aka ("'(de" ke!a(a"

!e"("+ka 'a!pa( 189♥pe"de(a 'e"o'(' aoa -a"+ d('ea( ke$)a"

a"+("a6 a"-a 9 -a"+ ,eaa" da$a! 188a)"

♥8 9 pe"de(a de"+a" e+)+(a'( aoa ko"(' !a!p)

,eaa" a)"6 'eda"+ 8 9 !a!p) ,eaa" 18 9'ee$a d(a+"o'(' d(e+akka"

♥ 2(ka (!,)$ +a+a$ 2a")"+6 ,('a ,eaa" a)"6 da"

'ee$a (!,)$ a"+("a ,(a'a"-a ,eaa" a)" pe"de(a de"+a" e+)+(a'( aoa ak) da" ede!a pa)6

po+"o'('"-a ,))k6 ,(a'a"-a a)' d($ak)ka" opea'(

KATUP TRIKUSPID REGURGITASIDE*INISI Keadaa" ke!,a$("-a 'e,a+(a" daa da( #e"(ke$ ka"a" ke a()! ka"a" pada 'aa '('o$(k6 3<NY<BAB:

♥3(!e: ke$a("a" o+a"(k ka)p

♥Sek)"de: (pee"'( p)$!o"a$6 pe),aa" f)"+'( !a)p)" a"ao!( #e"(ke$ ka"a"6 pe),aa" pada a")$)'

(5)'p(dETIOLOGI ANATOMIS KATUP ABNORMAL

♥Pen(!'it J!ntun+ Reu!ti'

♥Pen(!'it J!ntun+ Bu'!n Reu!ti' <"dokad((' ("fek(f A"o!a$( <,'a("T' 3o$ap' ka)p (k)'p(d

Ko"+e"(a$6 defek ka"a$ a(o#e"(k)$a Ka'("o(d %de"+a" (pee"'( p)$!o"a$* I"fak !(okad6 ('ke!( 7 )p) M. 3ap($a(' ?a)!a Ke$a("a" 2a("+a" (ka %S("do! Mafa"* A((' e)!ao(d Rad(a'(6 de"+a" ak(,a +a+a$ 2a")"+ F(,o'(' e"do!(okad

ANATOMIS KATUP NORMALKe"a(ka" eka"a" '('o$(k #e"(ke$ ka"a" o$e ,e,a+a('e,a, %d($aa'( a")$)'*

LAIN@LAIN

♥ Ka0a pa5) 2a")"+ %2aa"+*

♥ H(pe(o(d('!e♥ <"dokad((' LoeQe

♥ A"e)('!a '(")' #a$'a#a

PATO*ISIOLOGI ♥A$(a" ,a$(k da( #e"(ke$ ka"a" ke a()! ka"a" kae"a f)"+'( ka)p (k)'p(d (dak ,eke2a de"+a" 'e!p)"a





o$e kae"a ("')4'(e"'( ka)p♥Re+)+(a'( ka)p (k)'p(d aka" !e"("+kaka" eka"a" ak( d(a'o$(k pada a()! ka"a" da" #e"(ke$ ka"a"

♥ ?eka"a" '('o$(k ae( p)$!o"a$(' da" #e"(ke$ ka"a" dapa d(paka( 'e,a+a( pe)"2)k koo eadap e+)+(a'(

p(!e 7 'ek)"deGEJALA KLINIK ♥ ?a"pa (pee"'( p)$!o"a$:

A'(!po!a(k♥Be'a!aa" de"+a" 'e"o'(' !(a$:

Se'ak "afa' pada $a(a" -a"+ po+e'(f M)da $e$a D('p"ea "ok)"a$ paok'('!a$

Dapa (!,)$ ,a)k daa (ka $e,( ,ea: <de!a ek'(!(a' A'5(e'

Fa(+)e & a"oek'(aPEMERIKSAAN *ISIK INSPEKSI

♥3e"))"a" ,ea ,ada"

♥Kakek'(a

♥S(a"o'('

♥Ike)'

PALPASI

♥Hepao!e+a$(

♥A'5(e'

♥<de!a pe(fe

AUSKULTASI

♥S/ da( #e"(ke$ ka"a" $e,( kea'

pada ("'p(a'( & ,($a d('ea((pee"'( p)$!o"a$ ')aa 3 aka"!e"+ea'

♥M)!) '('o$(k !e"("+ka pada 'aa

("'p(a'( & !a")#e #a$'a#a♥M)!) pa"'('o$(k de"+a" "ada

("++( ede"+a pa$("+ kea'♥M)!) !(d d(a'o$(k

PEMERIKSAANPENUNJANG

*OTO TORAKS♥3e!,e'aa" #e"(ke$ ka"a"

& a()! ka"a"♥Dapa e2ad( +a!,aa"

(pee"'( p)$!o"a$♥3ada )oo'kop( e$(a

p)$'a '('o$(k pada a()!ka"a"

EKG♥ 3e!,e'aa" a()!

ka"a" %+e$o!,a"+ 3!e"("+ka & 'e!p(6d(ke"a$ 'e,a+a( 3p)$!o"a$e* ,($a(a!a '(")' "o!a$

♥ F(,($a'( a()!

H(peo4 #e"(ke$

ka"a"

EKOKARDIGRA*I♥No!a$

Ve+ea'( pada ka')'

e"do5ad(('

TEMUAN -EMODINAMIK ♥ 3e"("+kaa" eka"a" a()!

ka"a" de"+a" +e$o!,a"+V -a"+ "-aa

PENATALAKSANAAN MEDIKAMENTOSA♥ (ka edapa a"daa"da ke+a+a$a" f)"+'( 2a")"+:

♥I'(aa

♥D()e(k

D(+(a$('

OPERATI*♥ ?a"pa ')a) a"da (pee"'( p)$!o"a$ ,(a'a"-a (dak

d(pe$)ka" pe!,edaa"♥A")$op$a'(

♥3oe'('





T-ROMBUS

TROMBUS ARTERI TROMBUS VENA

P!to.siolo+i

Ade'( o!,o'( a+e+a'( o!,o'( !e"+a!,a a$(a"daa 4,("6 o!,o'(6 da" e(o'( !e"e!pe$ !e"+e$($("+(

+)!pa$a" +)!pa$a" 'e!ak(" !e!,e'a !e"-)!,ape!,)$) daa ('ke!(a 2a("+a" 5edea 2a("+a" kae"a

kek)a"+a" ok'(+e"

D(a0a$( de"+a" ada"-a 'a+"a'( %+)!pa$a" daa* d( a$(a"daa aka" !e!(5) e2ad("-a ka'kade koa+)$a'( pod)k'(

4,(" !e"a"+kap e(o'( da" o!,o'( )")k!e!,e")k o!,)' o!,)' -a"+ e,e")k ,eekopa"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 e2ad( ke+a+a$a" pe)kaa" a"aa O de"+a" CO %pa)

da" 'ee,a$ e!,o$(*O&!t A"(a+e+a'( o!,o'( A"(koa+)$a"

*!'to# Risi'o

Ate#os'le#os

is Ya ?(dak

Den(ut N!%i ?(dak ea,a ?ea,aPe#u&!6!n

Kulit ?(dak Ya

Neu#op!ti Ke!)"+k("a" dapa e2ad( ?(dak

Lo'!si D('a$ %e$apak kak(* Ma$$eo$)' !ed(a$W!#n! !t!u

N!! L!in ?o!,)' p)( ?o!,)' !ea

K!n%un+!n Ba"-ak !e"+a"d)"+ o!,o'( Ba"-ak !e"+a"d)"+ e(o'( -a"+ ,ea'a$ da( 'a+"a'(

TROMBOSIS VENA DALAM

De.nisiDeep Ve(" ?o!,o'(' %DV?* ada$a pe!,e")ka" +)!pa$a" daa d( 'a$a 'a) pe!,)$) daa da$a! ),)6 ,(a'a"-a d(kak( %'e')a( +a#(a'(*

Etiolo+iB(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!oa$('6 ke!)d(a" ke ($(a5a.8 89 e!,o$( pa) ,ea'a$ da( DV?.

*!'to# DVT

Menu#ut

Vi#/6o29TRIAD

Vi#/6o2:

Sa'(' Ve"a H(pekoa+)$a'( Ke)'aka" <"doe$Kae"a (d) e)' !e"e)' 'e$a!a =a(6 edapa +a"++)a" pada kak(%fak)*6 'oke %paa$('('*6 a)!a5oda 'p("a$(' %5a5a*6 kae"ape2a$a"a".

B('a e2ad( kae"a opea'( aa) a)!a6ke+a"a'a" %ka"ke o#a()!*6 pe"("+kaa"kada e'eo+e" %!('a$ pada keadaa"a!($6 pa'5a a,o'(6 da" pe"++)"a p($KB*.Ke$a("a" ,a0aa" pada koa+)$a'( :

Iao+e"(k -a() kae"a ("daka"a"+(o+a46 ("'e'( #e"a %IV pe(fe $("e*

<;("'(5 : pe!a'a"+a" kaeeI"("'(5 : d da$a! ),)





%e.siensi p#otein C, S, Antit#o&in

III0

Ke$a("a" d(dapa pada koa+)$a'( :a. S("do!a "efo(k

Me"-e,a,ka" poe(")(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("do!a A"(po'po$(p(d da" SL< :!e!p)"-a( a"(,od( -a"+ ,e'(fakoa+)$a'(

5. 3o'e' ("a!a'(S(5k$e 5e$$ de'ea'e6 ("a!!ao-,o0e$ de'ea'e %IBD*

Wells

Clini/!l

P#e%i/tion

Gui%e

a. Ka"ke %pea0aa" ,eke$a"2)a"6 aa) da$a! 0ak) > ,)$a" aa) pa$(a(f %eap( ke2(0aa"**,. Ke$)!p)a" aa) (!o,($('a'( ,a),a) ("(5. Ba),a) ("( e,a("+ d( e!pa (d) 'e$a!a@ / a( aa) opea'( ,e'a E= !("++)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$$aea$ #e"a ')pe4'(a$ %"o"#a(5o'e*(. D(a+"o'(' a$e"a(f %'e,a+a( ke!)"+k("a" e2ad( DV?*

Di!+nosis

a. DD(!e ?e' )")k !e"+ea+)( kada 4,(" d(da$a! ),). Ka$a) DD(!e J !aka 4,(" JKe5)a$( pada keadaa" : a!($6 '(o'(' a(6 ("fek'( ak)6 )!o +a"a'6 d$$.

,. INRU")k !e"+ea)( 3oo!,(" ?(!e

5. Ve"o+a4Go$d 'a"dad

d. N)5$ea Med(5("e S)d(e'

U")k !e!,edaka" o!,o'(' -a"+ ,a) da" -a"+ $a!ae. 3$e-'!o+ap-

U")k !e"+ea)( pe),aa" e'po" ek'e!(a' ,a0a eadap e'po" ee")f. USG

Ga ,a+)' kae"a 'e"'((#(a' a$a"-a ,a5a o!,)'6 e)' 2)+a e++a")"+ '( pe!,a5a6 +a ,a+)' 2)+a ,)a (,) a!($6 +a!aa$

+. MRI9 'e"'((f da" 9 'pe'(4k DV?6 a!a" ,)a (,) a!($6 ap( !aa$

Ke!)"+k("a" ?("++( :@ /Ke!)"+k("a" Seda"+ :




|

Di!+nosis

B!n%in+A(('6 pe"-ak( a(6 +a+a$ +("2a$

Pen+o&!t!n

Ka$a) USG 2e$a'6 / fako e$$' ada6 o,a( pake A"(koa+)$a" %Hepa("7LMH : ("2ek'(. afa(" : oa$*Ka$a) USG +a ada6 fako e$$' E /6 +a )'a d(o,a(Ka$a) USG +a 2e$a'6 ap( / fako e$$' ada6 o,a( pake A"(koa+)$a"

Opea'( : 'ee$a aa$ak'a"a -a"+ $a(" +a ,('aSo5k("+ ko!pe'( : d(+)"aka" 'e5aa )("




|

OBAT GAGAL JANTUNG @BLOCKER

Co"o o,a : etop#olol,&isop#olol %!n '!#"e%ilol

Me"+a!,a ak(#(a' 'aaf'(!pa(' Me"+)a"+( ('ke!(a !(okad6

a)o!a('(a' 2a")"+6 pe$epa'a"e"("

D(eko!e"da'(ka" 'e5aa )("pada: +a+a$ 2+ IIIII 'a,($6 ('ke!(kaa) "o"('ke!(k6 ,e'a!a AC< aa)a"a+o"(' a$do'eo"6 da" d()e(k

2(ka pe$) Ge a$a ada a0a$ ea ( : ee"'(

ACE IN-IBITOR

Me"+a!,a ko"#e'( a"+(oe"'(" I !e"2ad(a"+(oe"'(" II

A"+(oe"'(" II : #a'oko"'(k'(6 'eke'( a$do'eo"6pe"("+kaa" ak(#(a' '(!pa(' da" (peop(!(okad

<fek 'a!p("+: ,a)k6 (poe"'(6 (peka$e!(a da"

ANTITROMBOTIK

Co"o o,a :

W!#$!#in %!n

INOTROPIK LAIN

Co"o o,a : Dop!in %!nDo&ut!in

ANTIARITMIA

Co"o o,a :@&lo'e#,

ANTAGONIS ALDOSTERON Co"o o,a : spi#onol!'ton, eple#enonA"a+o"(' a$do'eo" !e"+)a"+( ee"'( Na A$do'eo" d(eko!e"da'(ka" )k

d(a!,aka" pada:a* AC< ("( da" d()e(k k)a %k$' IIIIV*,* AC< ("( da" B,$oke 'ee$a ("fak!(okadSe,e$)! pe!,e(a" o,a pe(k'a kada K % W !!o$7L* kea("(" %W !+7d$* aa)

VASODILATOR

H(da$a("I'o'o,(d d("(aA$e"a(f pe"++a"( AC< I"(,(oda" A"a+o"(' A"+(oe"'(" $$

Na N(op)'(dD(+)"aka" !e"+aa'( +a+a$

2a")"+ ak) d( IGD N(o+$('e("

I"f)' $a!,a #e"od($aa'(I"f)' 5epa d($aa'( ae(D((d(ka'(ka" )")k +a+a$ 2a")"+

k((

GLIKOSIDA JANTUNG

Co"o o,a : %i+o'sin, %i+ito'sin,$oli! %i+it!lis

<fek :a* I"oop(k po'((f

Me"+a!,a po!pa NaKA?3a'e,* Ko"oop(k "e+a(f

Me"))"ka" o")' '(!pa(' d( "od)'SA

5* Do!oop(k "e+a(f Me"))"ka" o")' '(!pa(' d( "od)'SA

I"d(ka'( : +a+a$ 2a")"+ d+" 4,($a'(a()!6 +a+a$ 2a")"+ d+" (!e '(")' -+'(!o!a('

I"eak'( : (fa!p('("6 a!("o+$(ko'(da6

ko$e'(a!("6 d()e(k6 ,ea ,$oke Ko"a("d(ka'( : ,ad(kad(6 ,$ok AV /6

DIURETIK

O,a )a!a +a+a$ 2a")"+ de"+a")de! pa)7pe(fe

Ha)' d(ko!,("a'(ka" de"+a" AC<I"(,(o

<fek 'a!p("+: (poka$e!(a %d(5e+ad+" ')p$e!e"a'( K aa) pe"a!,aa"

ANTAGONIS ANGIOTENSIN II 9AT@

BLOCKER:

Co"o o,a : los!#t!n, "!ls!#t!n%!n '!n%es!#t!n

<fek 'a!p("+: a"+(oede!a ?e2ad( eak'( '($a"+ de"+a" AC<

I (,(

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