TUJUAN PEMERIKSAAN

•UNTUK MENDENGARKAN KELAINAN RITME DAN

ALIRAN DARAH JANTUNG BERDSARKAN SUARA
YANG DIHASILKAN
STETHOSCOPE
LOW FREQUENCY OF SOUND

HIGH FREQUENCY OF SOUND

CARA AUSKULTASI
• LAKUKAN PADA TEMPAT YANG TENANG UNTUK MENDAPATKAN SUARA YANG JERNIH
• POSISI AUSKULTASI
• ANJING = BERDIRI
• KUCING = BERDIRI
• KELINCI = DUDUK
AREA AUSKULTASI KIRI
AORTIC VALVE

PULMONARY VALVE
MITRAL VALVE
AREA AUSKULTASI KANAN

TRICUSPID VALVE
PARAMETER YANG DIAMATI
• SUARA JANTUNG
• NORMAL
• MURMUR
• SYSTOLIC MURMUR
• DIASTOLIC MURMUR
• FREKUENSI DAN RITMRE DETAK JANTUNG
• KUCING 120-140 BPM
• ANJING 70-120 BPM
BLOOD FLOW
DIAGRAM
 SUARA JANTUNG NORMAL

S1 S2 S1
Systole Dyastole
Closing of Closing of Closing of
Tricuspid valve Aortic valve Tricuspid valve
& Ventricle & Ventricle &
Mitral Valve
contract Pulmonary Valve
Relaxed Mitral Valve
PHONOCARDIOGRAM SUARA JANTUNG NORMAL
MURMUR
• MURMUR ARE AUDIBLE VIBRATION SOUND EMANATING FROM THE HEART OR MAJOR BLOOD VESSELS
• THE VAST MAJORITY ARE DUE TO TURBULENT BLOOD FLOW BROUGHT ON BY HIGH VELOCITY BLOOD FLOW
THAT PRODUCES A MIXED-FREQUENCY MURMUR.
• MURMURS ARE TYPICALLY DEFINED RELATIVE TO TIMING (SYSTOLE, DIASTOLE, CONTINUOUS), INTENSITY
(GRADE I-VI), AND LOCATION (EG, LEFT APEX, LEFT BASE) BUT CAN ALSO BE CHARACTERIZED BY
FREQUENCY (PITCH), QUALITY (EG, MUSICAL), AND CONFIGURATION (EG, CRESCENDO-DECRESCENDO).
SYSTOLIC MURMUR AORTIC SYSTOLIC MURMUR MITRAL
STENOSIS REGURGITATION
 DIASTOLIC MURMUR
DIASTOLIC MURMUR PULMONARY
AORTIC REGURGITATION REGURGITATION
DIASTOLIC MURMUR DIASTOLIC MURMUR
TRICUSPID STENOSIS MITRAL STENOSIS
TERIMA KASIH