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Congestif Heart

FailurAmelia Pratiwi

Intan Purnamasari

Lia Jamayanti

Wenny Rahmah

Pembimbing :

Dr. Azhari Gani SpPD,!

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Congestive Heart Failure "#$%& atau gagal 'antung ()ngesti* a+alah suatu (ea+aan saatter'a+i ben+ungan sir(ulasi a(ibat gagal

 'antung +an me(anisme ()mpensat)ri(nya

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Prealensi

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-ti)l)gi%a(t)r eksterna "+ari luar 'antung&/ hipertensi

renal, hipertir)i+, +an anemia (r)nis0 berat.

%a(t)r interna "+ari +alam 'antung&

Dis*ungsi (atup: !entri1ular Septum De*e1t "!SD&,Atria Septum De*e1t "ASD&, sten)sis mitral, +aninsu2siensi mitral.

Disritmia: atrial 2brilasi, entri(el 2brilasi, +an

heart bl)1(.erusa(an mi)(ar+: (ar+i)mi)pati, mi)(ar+itis, +an

in*ar( mi)(ar+.

In*e(si: en+)(ar+itis ba1terial sub3a(ut

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%a(t)r Resi()$ipertensi

D4

Si+r)m metab)li(Penya(it Ater)s(ler)sis

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Pat)2si)l)giPening(atan a(tiitas a+renergi( simpatis

Pening(atan beban awal melalui a(tiasi

sistem Renin3Angi)tensin3Al+)ster)n$ipertr)2 entri(el

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4ani*estasi lini(3elelahan 3 -+ema peri*er

35rt)pnea 3 Dispnea

-Paroxysmal Nocturnal Dispnea 36atu( n)n pr)+u(ti*

3r)n(i

3$em)ptisis

3Gagal 'antung (anan3an)re(sia, rasa penuh, atau mual +apat

+isebab(an ()ngesti hati +an usus 

3asites atau e+ema anasar(a

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Penega((an +iagn)sariteria %ramingham +ipa(ai untu( +iagn)sis gagal 'antung ()ngesti* 7, 8

riteria 4a')r :Par)(sismal n)(turnal +ispnea

Distensi ena leher

R)n(i paru

ar+i)megali

-+ema paru a(utGall)p S9

Peninggian te(ana ena 'ugularis

Reu(s hepat)'ugular

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riteria 4in)r :

-+ema e(sremitas

6atu( malam hariDispnea +;e<)rt

$epat)megali

-*usi pleura

Penurunan (apasitas ital 709 +ari n)rmal

 =a(i(ar+i">7?@0menit&

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Pemeri(saan Penun'ang7. Pemeri(saan Lab)rat)rium Rutin

?. -le(tr)(ar+i)gram "-G&

9. Ra+i)l)gi. Penilaian *ungsi L!

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 =atala(sanaB C)n %arma(al)gi

3Diet "hin+ar(an )besitas, ren+ah garam

3$enti(an r)()(3$enti(an al()h)l

B %arma()l)gi

3 Diureti(

3 Anti()agulan +an antiplatelet

3 A#- Inhibit)r

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 =erima asih