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    Heart Failure:: Role of GP

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    novian
    1) Heart failure is defined as an abnormality of cardiac structure or function leading to the failure of the heart to deliver oxygen at a rate commensurate with metabolizing tissues. 2) There is no single diagnostic test for heart failure, as it is largely a clinical diagnosis based on a careful history and physical examination. 3) Risk factors for heart failure include hypertension, dyslipidemia, diabetes, insulin resistance, and smoking, which can lead to endothelial dysfunction, atherosclerosis, coronary thrombosis, myocardial infarction, and cardiac remodeling.

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    Heart Failure:: Role of GP

    Uploaded by

    novian
    3 views27 pages
    1) Heart failure is defined as an abnormality of cardiac structure or function leading to the failure of the heart to deliver oxygen at a rate commensurate with metabolizing tissues. 2) There is no single diagnostic test for heart failure, as it is largely a clinical diagnosis based on a careful history and physical examination. 3) Risk factors for heart failure include hypertension, dyslipidemia, diabetes, insulin resistance, and smoking, which can lead to endothelial dysfunction, atherosclerosis, coronary thrombosis, myocardial infarction, and cardiac remodeling.

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    1) Heart failure is defined as an abnormality of cardiac structure or function leading to the failure of the heart to deliver oxygen at a rate commensurate with metabolizing tissues. 2) There is no single diagnostic test for heart failure, as it is largely a clinical diagnosis based on a careful history and physical examination. 3) Risk factors for heart failure include hypertension, dyslipidemia, diabetes, insulin resistance, and smoking, which can lead to endothelial dysfunction, atherosclerosis, coronary thrombosis, myocardial infarction, and cardiac remodeling.

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    3 views27 pages

    Heart Failure:: Role of GP

    Uploaded by

    novian
    1) Heart failure is defined as an abnormality of cardiac structure or function leading to the failure of the heart to deliver oxygen at a rate commensurate with metabolizing tissues. 2) There is no single diagnostic test for heart failure, as it is largely a clinical diagnosis based on a careful history and physical examination. 3) Risk factors for heart failure include hypertension, dyslipidemia, diabetes, insulin resistance, and smoking, which can lead to endothelial dysfunction, atherosclerosis, coronary thrombosis, myocardial infarction, and cardiac remodeling.

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    of 27

    Heart Failure :

    Role of GP

    Mochamad Yusuf MD PhD FIHA FESC


    What ?
    By Definition
    • As an abnormality of cardiac structure or
    function leading failure of the heart to deliver
    oxygen
    • At a rate commensurate of metabolizing
    tissues despite normal filling pressure or only
    at the expense of increased filling pressure
    Heart Failure
    There is no single diagnostic test for HF, since it
    is largely a clinical diagnosis that is based upon
    a careful history and physical examination
    Why ?
    Endothelial Dysfunction - Atherosclerosis

    Coronary Myocardial
    thrombosis infarction

    Myocardial Arrhythmia loss


    ischemia of muscle

    Coronary artery Cardiac


    disease remodeling

    Ventricular
    Atherosclerosis
    dilation

    Endothelial Congestive heart


    dysfunction failure

    End stage heart


    disease
    Risk factors :
    Hypertension
    Dyslipidemia
    Diabetes
    Insulin resistance
    Smoking

    http://www.medicographia.com 8
    How
    Which?
    Treatments
    When to Refer ?
    Indikasi
    Diagnostic Therapeutic

    • Konfirmasi HF • Diastolic or Systolic


    • Konfirmasi CAD • PCI or CABG
    • Konfirmasi VHD • Repair or Replacement
    • Konfirmasi • Optimal tx
    Cardiomyopathy
    • Konfirmasi Penyakit
    Sistemik : Anemia, HT,
    DM, CKD

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