ppt fix AS
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Transcript of ppt fix AS
REFRAT
Diagnosis dan Penatalaksanaan
Oleh:
Muhammad Agung Wijaksana, S.ked
Pembimbing:
Dr. Erwin Sukandi, Sp.PD-KKV
Stenosis Aorta
Anatomi Katup
Katup aorta atau katup semilunaris memiliki 3 daun katup: left coronary cusp, right coronary cusp, dan non-coronary cusp
Definisi
Stenosis Katup Aorta adalah suatu penyempitan atau penyumbatan pada katup aorta. Penyempitan pada Katup aorta ini mencegah katup aorta membuka secara maksimal sehingga menghalangi aliran darah mengalir dari jantung menuju aorta.
Patofisiologi
Etiologi
Penyempitan katup aorta
Hipertropi Ventrikel kiri
Angina Disfungsi sistolik
syncope sesak nafas
Diagnosis
Anamnesis Pemeriksaan Fisik Pemeriksaan Penunjang
ECG Chest x-ray Echocardiography Treadmil exercise test Cardiac Catheterization
Tatalaksana
Farmakologi Statin Antibiotik Antikoagulan Antihipertensi : ACE-inhibitor, β-Bloker
Non-Farmakologi Penggantian katup AVR/TAVR
Daftar Pustaka• Ottto CM, Prendergast B. Aortic-valve stenosis: from patients at risk to severe valve
obstruction. The new England journal of medicine. 2014• Panggabean MM. Stenosis aorta. Buku Ajar Ilmu Penyakit Dalam Jilid II. Ed. V. 2009.
Jakarta: Balai Penerbit FK UI• Nishimura RA, et al. 2014 AHA/ACC guidlines for the management of patients with
valvular heart desesase: aortic stenosis. A report of the american college cardiology/American heart association task for on practice guidlines. J Acoll cardiol. 2014
• Olswaska M. Pathogenesis and pathofisiology of aortic valve stenosis in adults. Department of sosial cardiology, department of cardiac and valvular desease, institute of cardiology. Jagiellonian unversity, medical college. Krakow. Poland. 2011.
• Bonow OR, et al. ACC/AHA 2006 guidlines for the management of patients with valvular heart desesase: aortic stenosis. A report of the american college cardiology/American heart association task for on practice guidlines. J Acoll cardiol. 2006
• Grimard BH, Larson JM. Aortic stenosis: Diagnosis and Treatment. American family physician. 2008.
• Baumgartner H, et al. Guidelines and standards echocardiographic of valve stenosis: EAE/ASE recommendations for clinical care. European society of cardiology. 2008
• Carry T. Aortic stenosis: pathofisiology, diagnosis, and management of non surgical patients. 2013