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CARDIOVASCULAR SYSTEM
Ali Ghanie
Sub Divisi Kardiologi Bagian Pena!i" Dala#
$K U%SRI & RSM' Pale#bang
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INTRODUCTION
The term heart and vascular, a pumping
system and circulation
Anatomic, Physiologic, and
pathophysiologic aspect
Disease o cardiovascular
Diagnosis o
Treatment
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ETIOLOGY OF CV DISEASES
!" Coronary artery disease
#" $ypertensive heart disease
%" &alvular $eart disease
'" (yocardial disease, myocarditis)" Pulmonary artery $ipertension
*" Pulmonary em+oly
" Congenital heart diseasel
-" Arthmia and conduction system
." Pericardial disease
!/" 0ndocarditis inecti
!!" Rheumatic heart disease
!#" Cardiac tumor
!%" Cardiac in1ury2Trauma
!'" 0ndocrine meta+olic cardiac disease
!)" Cardiac neuromiopathy
!*" Drug induced cardiac disease
!" Aortic disease
!-" Peripheral arterial disease
!." Cardiac disease due to non cardiac
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DIA3NO4I4
Physical diagnosis
5a+oratory e6am
0lectrocardiogram resting, e6ercise
6Ray
0chocardiography CT scan 2 nuclear
Angiography
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TR0AT(0NT
7ehaviour
Covservative, drugs Th2
Intervention non surgical 8percutaneous9
4urgery
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RIWAYAT PENYAKIT
( 'arus di)er"a*an!an hubungan dokter
pasien+ ,angan #endelegasi
( Me#)erole* informasi dasar guna ren-anadan evaluasi+ ser"a )engoba"an
( Bersa#aan menimbulkan kepercayaan antar
pasien - dokter
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KERANGKA DARI RIWAYAT PENYAKIT
( Masala* )si!ologis
( Su#ber in.or#asi
( Sin"esis diagnosis( Landasan ren-ana )e#eri!saan .isi!+ lab+
)engoba"an dan )rognosis
( Consul"an" be*avior
( Men-a"a" ri/aa"( Ring!asan dari ri/aa"
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Ringkasan dari Riwayat Penyakit
Proble# Pri#er
Di..erensial Diagnosis
Kelainan Ana"o#i
Kelainan $isiologi
S"a"us Kardiovas!uler+ Ko#)ensasi+ S"abil & Tida!
Ri/aa" Pengoba"an La#)au+ Se!arang
Prognosis
Per"anaan ang belu# "er,a/ab
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SUMBER INFORMASI
( Tele)on+ sura"+ au"o & allo0ana#nase
PERSIAPAN PEMERIKSAAN
AB ! FISIK" PROGNOSIS" PENGOBATAN
( Lab1 S"andard 2
( sesuai dengan ga#baran !lini! 2
( da)a" di)a!ai a"au *arus diulang 2
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#ONSUTANT BE$A%IOUR
( Bu!an *ana #engu#)ul!an !elu*an+ "e"a)i didasari
ole* )enge"a*uan ang luas( Me#erlu!an !ea*lian un"u! da)a" #enga#bil #a!na dari
ri/aa"
( 'arus ber!esina#bungan+ "ida! "er)u"us 3 )u"us+ da)a"
,uga "er)o"ong+ sa#bil #engevaluasi da"a ang ada( Pada !eadaan "er"en"u )asien #e#bua" )ersonal
diagnosis+ dengan #a!sud s"i#ulasi dis!usi+ ,angan di
!ri"i!+ "un,u!!an ba*/a !i"a "oleran dan "er"ari!1
( Kadang 3 !adang res)on )asien #e#bua" .rus"asi+ "e"a)i*arus "e"a) si#)a"i
( Pasien da)a" diban"u dala# .i!iran dan di bi#bing dala#
#en,elas!an
( 'indari !e-enderungan )ene#)i"an dala# )ers)e!"i.
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Diagn&sis Sintesis
( Ma,or disabling s#)"o#s+ bu!an sa,a Keluhan
utama+ ,uga *al lain ang ber*ubungan dengan senseo. /ell being1
( Beri!an !ebebasan !e)ada )asien un"u!#ena#)ai!an )erasaan dan rea!sina1
( Berdasar!an i"u "i#bul di.erensial diagnosis danusa*a !lari.i!asi diagnosis "er#asu! kronologis,diskriptip, danasosiatip.
( Sela#a /a/an-ara *arus di observasi e#osi rea!sigera! .isi! )asien1
( A)a!a* si#)"o# benar 3 benar #engga#bar!an)ena!i"+ deviasi nor#a+ a"au dibesar 3 besar!an1
( Melalui )roses dia"as da)a" dibua" sua"u !esi#)ulanang #endasari !o#)le! si#)"o# )enderi"a
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Ge'a(a Se)agai Diagn&stik Marker
( Sarana -anggi* "en"una da)a" di"eri#a+ /alau)un
bedside -lini-al e4a#ina"ion "e"a) "ida! beruba*
( Dulu 567 diagnosis berdasarkan anamnese, 867
.isi!+ 967 dengan sarana )enun,ang1( Lain *alna se!arang+ sangat bergantung dengan
)ena!i" ang #endasarina
( Keadaan "er"en"u *ana da)a" dengan Sarana bantu
( Do!"er *arus da)a" #enen"u!an nilai prediksi dari
gejala+ sa#)ai se,au* #ana )e#eri!saan lan,u"an
di*arus!an
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'ISTORY
( Kenaikan tekanan vena pulmonalis+ dis)nea+or"*o)nea+ ba"u!+ *e#o)"isis
( Aliran koroner tidak adekwat+ angina )e!"oris
( Shunt dari kanan ke kiri+ -anosis+ dis)nea+s:ua""ig+ sin!o)e
( Gagal jantung kongesti+ beng!a! !a!i+ neri*a"i
( urah jantung rendah+ .a"igue+ dis)nea
( Aritmia jantung+ )al)i"asi+ sin!o)e1
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Si*+t&* Kardi&,ask-(er
(%eri+ lo!asi+ luasna area+ )enebaran neri+!/ali"as neri+ se,a! !a)an+ la#ana neri+ .a!"orang #eni#bul!an dan #eng*ilang!an neri1
( Ds)nea+ on e..or"+ )aro4s#al no-"urnal+ or"*o)nea
( Ba"u!
( 'e#o)"sis
( Pal)i"asi
( Sn-o)e
( Ede#a
( $a"igue+ !elela*an
( Canosis
( Anore!sia+ nausea+ vo#i""ing
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#.est Pain
( Angina )e!"oris+ a!iba" iskemik miokard
( Dise!si aneurs#a aor"a
( Peri!ardi"is a!u"
( E#boli )aru( A!iba" *i)er"ensi )ul#onal+ is!e#i! RV 2
( %on !ardia!+ cemas, muskuloskletal, herpes,
esofagus, lambung, shoulder hand syndrome
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Nyeri ain / ain
( !yeri tungkai" )eri.er a"*eros!lerosis+ Ranaud+
"*ro#bo)*lebi"is+ !laudi!asio in"er#i""en+ e#boli
( !yeri kepala+ #igraine+ *i)er"ensi+ neri ra*ang+
)ala"u#+ )i)i+ rongga "elinga ;is!e#i #io!ard
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