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Gagal Jantung 6-12-16
Gagal Jantung 6-12-16
as therapy for
chronic heart
failure
Butterfly
appearence
LEFT-SIDED HEART FAILURE
DYSPNEA CHEYNE-STOKES
DRY COUGH RESPIRATIONS
FATIQUE
CRACKLES
WEAKNESS
WHEEZES
CYANOSIS
ORTHOPNEA
NOCTURIA
HEMOPTYSIS
TACHYCARDIA
Paroxysmal
NOCTURNAL Pulmonary Edema
DYSPNEA
R Heart failure
RIGHT-SIDED HEART FAILURE
JUGULAR VEIN SPLENOMEGALY
DISTENSION HEPATOMEGALY
DEPENDENT GI DISCOMFORT
PERIPHERAL EDEMA NOCTURIA
ASCITES TACHYCARDIA
WEIGHT GAIN
FATIGUE
WEAKNESS
ETIOLOGI
Many etiologies of CHF
Congenital heart disease
Coronary artery disease
Valvular heart disease
Cardiomyopathy
Arrythmia cordis
Hypertension
Peripartum cardiomyopathy
Lung disease
Thyroid
Anemia
Toxins
Many others
Diagnosis jantung
Diagnosis anatomi :
- Kardiomegali
- Kelainan katup (MI,MS)
Diagnosis fungsionial:
- Dekompensasi kordis
Diagnosis etiologi
- Penyakit jantung rematik
(PJR)
- Penyakit jantung koroner
(PJK)
ETIOLOGI
Remember 1 small
> 2 boxes (in height)
box in height = 1 mm
Normal LAE
A common cause of LAE is LVH from hypertension.
For more presentations
www.medicalppt.blogspot.com
RVH
Normal RVH
For more presentations
www.medicalppt.blogspot.com
LVH
Left ventricular hypertrophy
To diagnose LVH you can use the following criteria*:
R in V5 (or V6) + S in V1 (or V2) > 35 mm, or
avL R > 13 mm
S = 13 mm
* There are several
other criteria for the
diagnosis of LVH.
R = 25 mm
A common cause of LVH
is hypertension.
Lifestyle management
Pengelolaan gagal jantung
Bed Rest (Acute Stage) ,Later On
Decreased Physical Activity
Oxygen Therapy
Low Salt Diet
Diuretics
ACE Inhibitors
Beta blockers (Under Certain Conditions )
Digitalis
Anticoagulation
Implantable ICD
Cardiac Transplantation
Sifat sifat otot Jantung
1. Inherent rhythmycity ( chronotropic )
kesanggupan jantung dengan cara otomatis dan secara
periodik merangsang dirinya sendiri.
2. Conductivity ( dromotropic )
kesanggupan jantung untuk menghantar rangsang, baik dari
jaringan kusus penghantar rangsang maupun dari ototnya.
3. Exitability ( bathmotropic )
kemampuan jantung untuk dapat dirangsang.
4. Contractility ( inotropic )
kemampuan jantung untuk berkontraksi.
Sifat obat jantung
Inotropik: Kronotropik: