Post on 17-Feb-2018
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CARDIOVASCULARCARDIOVASCULAR
SYSTEMSYSTEM
By Willi ardiatmBy Willi ardiatm
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IntroductionIntroduction
Review Anatomi & FisiologyReview Anatomi & Fisiology
T!" #"art! li"$ %it!i& t!" t!ra' ("t%""& t!" l)&*$ i&T!" #"art! li"$ %it!i& t!" t!ra' ("t%""& t!" l)&*$ i&
t!" m"dia$ti&al $+a,"- %!i,! i$ a .)r,!am("r$t!" m"dia$ti&al $+a,"- %!i,! i$ a .)r,!am("r$
$"+arat"d (y $"+t)m$"+arat"d (y $"+t)m
1.1. Rigt atriumRigt atrium
2.2. Right ventricularRight ventricular
3.3. Left AtriumLeft Atrium
4.4. Left entricularLeft entricular
A! valve have "a"illary muscle to su""ort of the valve #yA! valve have "a"illary muscle to su""ort of the valve #y
the corda tendinae "revent the eversion of the leafletthe corda tendinae "revent the eversion of the leafletin to the atria during ventricular contractionin to the atria during ventricular contraction
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T!" !"art! %all i$ ,m+$"d . t!r"" lay"rT!" !"art! %all i$ ,m+$"d . t!r"" lay"r"&d,ardi)m i$ t!" t!i& i&&"r li&i&*-"&d,ardi)m i$ t!" t!i& i&&"r li&i&*-
my,ardi)m i$ t!" middl" m)$,)lar lay"rmy,ardi)m i$ t!" middl" m)$,)lar lay"ra&d )t"r m"m(ra& i$ "+i,ardi)m T!"a&d )t"r m"m(ra& i$ "+i,ardi)m T!"+"ri,ardi)m 3+"ri,ard $a,4 $)rr)&d t!"+"ri,ardi)m 3+"ri,ard $a,4 $)rr)&d t!"!"art! %!i,! t!i$ $a, ,&$i$t$ . 5i$,"ral!"art! %!i,! t!i$ $a, ,&$i$t$ . 5i$,"ral3I&&"r4 lay"r a&d a +ariatal 3O)t"r 4 lay"r3I&&"r4 lay"r a&d a +ariatal 3O)t"r 4 lay"rB"t%""& t!" 5i$,"ral lay"r +ari"tal lay"rB"t%""& t!" 5i$,"ral lay"r +ari"tal lay"ri$ t!" +"ri,ardial $+a," A $mall . .l)id i&i$ t!" +"ri,ardial $+a," A $mall . .l)id i&
t!i$ $+a," a,t$ a$ a l)(ri,a&t$ a&d r"d),"$t!i$ $+a," a,t$ a$ a l)(ri,a&t$ a&d r"d),"$t!" .ri,ti& ,a)$"d (y m5"m"&t . t!"t!" .ri,ti& ,a)$"d (y m5"m"&t . t!"lay"r %it! "a,! ,&tra,ti& 3lay"r %it! "a,! ,&tra,ti& 3Lewis HeitkemperLewis HeitkemperDirksen, Chapter 30)Dirksen, Chapter 30)
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Bld ,ir,)lati& t!r*! t!"Bld ,ir,)lati& t!r*! t!"
#"art!#"art!V"&a Ca5a S)+/I&.- ,r&ary $i&)$V"&a Ca5a S)+/I&.- ,r&ary $i&)$ Ri*!t atri)mRi*!t atri)m tri,)$+id 5al5"tri,)$+id 5al5" i*!ti*!t
5"&tri,)lar5"&tri,)lar S"mil)&ar +)lm&ali$ 5al5"S"mil)&ar +)lm&ali$ 5al5"
Art"ri +)lm&ali$Art"ri +)lm&ali$ pulmonary circuitpulmonary circuit
3d"'i*"&i8" (ld43d"'i*"&i8" (ld45"&a +)lm&ali$5"&a +)lm&ali$
l".t 5"&tri,)larl".t 5"&tri,)lar Mitral 5al5"Mitral 5al5" L".tL".t
5"&tri,)lar5"&tri,)lar $"mil)&ar arta 5al5"$"mil)&ar arta 5al5"artaarta sistemik circuitsistemik circuit
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Ri*!t V"&tri,)lar a&d L".t V"&tri,)larRi*!t V"&tri,)lar a&d L".t V"&tri,)lar
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Ri*!t V"&tri,)lar a&d L".t V"&tri,)larRi*!t V"&tri,)lar a&d L".t V"&tri,)lar
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A V VALVEA V VALVE
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Ma&i."$ta$i ;li&i< Dy$.)&*$iMa&i."$ta$i ;li&i< Dy$.)&*$i
=a&t)&*=a&t)&* Dy$+&"aDy$+&"a C!"$t +ai&C!"$t +ai& Sy&,+"Sy&,+" >al+itati&>al+itati& Ed"maEd"ma ?a&**)a& >ada T"ada T")l$ A(&rmal>)l$ A(&rmal #"art! $)&d#"art! $)&d M)rm)rM)rm)r >"ri,ardial .ri,ti& r)(>"ri,ardial .ri,ti& r)( Di$t"&$i =V>Di$t"&$i =V> CRT a(&rmalCRT a(&rmal
Cya&$i$Cya&$i$ >allr>allr @ati*)"@ati*)" Cl)(i&* .i&*"rCl)(i&* .i&*"r ?a&*)a&
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Cr&ary Art"riCr&ary Art"ri
#"art! &""d$ (ld $)+ly 3)tri"&t #"art! &""d$ (ld $)+ly 3)tri"&t
O
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SIR;ULASI ;OROERSIR;ULASI ;OROER
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SISTEM LISTRI; =ATU?SISTEM LISTRI; =ATU?
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M",!a&i,al $y$t"mM",!a&i,al $y$t"m
C&tra,ti& . my,ardi)m r"$)lt$ i& "",ti& .C&tra,ti& . my,ardi)m r"$)lt$ i& "",ti& .
(ld .rm t!" ,ardia, ,!am("r a&d it i$ t"rm"d(ld .rm t!" ,ardia, ,!am("r a&d it i$ t"rm"d
$y$tl"- r"la'ti& . t!" m)$,l" i$ t"rm"d$y$tl"- r"la'ti& . t!" m)$,l" i$ t"rm"d
dia$tl" Cardia, )t+)t 3CO4 i$ t!"dia$tl" Cardia, )t+)t 3CO4 i$ t!"m"a$)r"m"&t . m",!a&i,al "..i,i"&,y CO i$m"a$)r"m"&t . m",!a&i,al "..i,i"&,y CO i$
t!" am)& . (ld +)m+"d (y "a,! 5"&tri,"l i&t!" am)& . (ld +)m+"d (y "a,! 5"&tri,"l i&
1 mi&)t" It i$ ,al,)lat"d (y m)lti+lyi&* t!"1 mi&)t" It i$ ,al,)lat"d (y m)lti+lyi&* t!"
am)&t . (ld "",t"d .rm &" 5"&tri,"l %it!am)&t . (ld "",t"d .rm &" 5"&tri,"l %it!&" !"art! ("at t"rm"d $tr
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$erontologic %onsideration$erontologic %onsideration T!" m$t ,mm& ,ardi5a$,)lar +r(l"mT!" m$t ,mm& ,ardi5a$,)lar +r(l"m
i$ ,r&ari art"ri$,l"r$i$- ,)rr"&ti$ ,r&ari art"ri$,l"r$i$- ,)rr"&tr"$"a,! $)**"$t t!at $m" . &rmalr"$"a,! $)**"$t t!at $m" . &rmal,!a&*"$ . a*i&* +rmt" art"ri$,l"r$i$-,!a&*"$ . a*i&* +rmt" art"ri$,l"r$i$-
!y+"rt"&$i&- ,ardia, .ail)r"!y+"rt"&$i&- ,ardia, .ail)r"Am)&t . ,la*"& i&,r"a$" a&d "la$ti&Am)&t . ,la*"& i&,r"a$" a&d "la$ti&d",r"a$"d",r"a$"
Cardia, 5al5" (",m" t!i,
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T!" &)m("r . +a," ma
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A$$"$m"t O. T!"A$$"$m"t O. T!"
Cardi5a$,)lar Sy$t"mCardi5a$,)lar Sy$t"mS)(",ti5" dataS)(",ti5" dataIm+rta&*. #"alt! i&.rmati&Im+rta&*. #"alt! i&.rmati&
>a$$ !"alt!ty i&.rmati&>a$$ !"alt!ty i&.rmati&M"di,ati&M"di,ati&
S)r*"ry r t!"r tr"atm"&tS)r*"ry r t!"r tr"atm"&t
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A$$"$m"&t O. T!" ,ardi5a$,)larA$$"$m"&t O. T!" ,ardi5a$,)lar
$y$t"m$y$t"m
S)("a$t !"alt! !i$try
M"di,ati&M"di,ati&
@)&,ti&ally !"alt! +att"r&@)&,ti&ally !"alt! +att"r&
O(",ti. DataO(",ti. Data
>!y$i,al "'ami&ati&3 Vital $i*&4>!y$i,al "'ami&ati&3 Vital $i*&4
>"ri."ral 5a$,)lar $y$t"m>"ri."ral 5a$,)lar $y$t"m
T!ra'T!ra'
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Dia*&$ti, $t)di"$ . t!"Dia*&$ti, $t)di"$ . t!"
,ardi5a$,)lar $y$t"m,ardi5a$,)lar $y$t"mLa(ratri)mLa(ratri)m
W!l" (ld- "ritr$it- l")r,"d)r
El"
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EC?EC?
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V"rti,al li&" 3Vlta$"4V"rti,al li&" 3Vlta$"4
mmG0- mV mmG0- mV1 mmG 0-1 mV1 mmG 0-1 mV
#ri8&tal li&"3Tim"4#ri8&tal li&"3Tim"4
mm G 0-2 $",&d mm G 0-2 $",&d
1 mm G 1 $mal (' G 007 $",&d1 mm G 1 $mal (' G 007 $",&d
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Cal,)lat" #"art! Rat" .rm EC?Cal,)lat" #"art! Rat" .rm EC?
M"t!d" 1M"t!d" 1
#"art! Rat"G#"art! Rat"G 2 mm/$", ' 60 $",/mi&2 mm/$", ' 60 $",/mi&
)m("r . mm ("t%""& ("at$)m("r . mm ("t%""& ("at$
E' & t!i$ $tri+ - t!"r" ar" 2 mm ("t%""& t!" .ir$t 2 ("at FRSE' & t!i$ $tri+ - t!"r" ar" 2 mm ("t%""& t!" .ir$t 2 ("at FRS
,m+l"'- $,m+l"'- $#RG#RG 100100
22
#R G 6 ("at$/miR G 6 ("at$/mi&
M"t!d" 2M"t!d" 2C)&t t!" &)m("r . FRS ,m+l"'$ ("t%""& t!" $",&d mar
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'R(I$ %AR) I'R(I$ %AR) I
%AR*I+A(%'LAR (,(-)%AR*I+A(%'LAR (,(-)*I(+R*)R*I(+R*)R
M"di,al S)r*i,al )r$i&* IIM"di,al S)r*i,al )r$i&* II
>ART II>ART IIBy Galih Jatnika, S.Kep, NersBy Galih Jatnika, S.Kep, Ners
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/,0)R-)(I+/,0)R-)(I+
!y+"rt"&$i& i$ $)$tai&"d "l"5ati& B> I&!y+"rt"&$i& i$ $)$tai&"d "l"5ati& B> I&
& ad)lt %it! SB>& ad)lt %it! SB> 170 mm!* DB> 90 170 mm!* DB> 90
mm!*mm!*
#i*! B> may ,&tri()t" t MI- CVA- a&d#i*! B> may ,&tri()t" t MI- CVA- a&d
at!"r$,l"r$i$at!"r$,l"r$i$
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Cla$i.i,ati& O. #y+"rt"&$iCla$i.i,ati& O. #y+"rt"&$i
11 >rimary #i+"rt"&$i& 39 all Ca$">rimary #i+"rt"&$i& 39 all Ca$"
#y+"rt"&$i&4#y+"rt"&$i&4 a*" 0 0 y"ar$-a*" 0 0 y"ar$-
,a)$" i$ )&
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S",&dary !y+"rt"&$i&S",&dary !y+"rt"&$i&
El"5at"d B> %it! $+",i.i, ,a)$" t!at .t"&El"5at"d B> %it! $+",i.i, ,a)$" t!at .t"&,a& (" id"&ti.i"d a&d ,rr",tt"d- i&,a& (" id"&ti.i"d a&d ,rr",tt"d- i&ad)lt m$tly 3:04 i& ,!ildr"& %it!ad)lt m$tly 3:04 i& ,!ildr"& %it!
,a)$",a)$"Car,ttati& r ,&*"&ital &arr%i&* .Car,ttati& r ,&*"&ital &arr%i&* .arta- r"&al di$"a$"- "&d,ri&" di$rd"r-arta- r"&al di$"a$"- "&d,ri&" di$rd"r-
&")rl*i, di$rd"r- $l""+ a+&"-&")rl*i, di$rd"r- $l""+ a+&"-m"di,ati& 3$ym+ati, $tim)lati&- ralm"di,ati& 3$ym+ati, $tim)lati&- ral,&tra,"+ti& +ill$- SAID$4- a&d >I#,&tra,"+ti& +ill$- SAID$4- a&d >I#
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Cla$i.i,ati& . B> 3ad)lt4Cla$i.i,ati& . B> 3ad)lt4
Brd"rli&" 1019/::9 mm!*Brd"rli&" 1019/::9 mm!*
Sta*" 1 17019/9099 mm!*Sta*" 1 17019/9099 mm!*
Sta*" II 16019/100109 mm!*Sta*" II 16019/100109 mm!*Sta*" IIISta*" III 1:0/ 110 mm!* 1:0/ 110 mm!*
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Cli&i,al Ma&i."$tati&Cli&i,al Ma&i."$tati&
@ati*)"- a,ti5ity i&tl"ra&,"- di88i&"$-@ati*)"- a,ti5ity i&tl"ra&,"- di88i&"$-
+al+itati&- a&*i&a- a&d dy$+&"a+al+itati&- a&*i&a- a&d dy$+&"a
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Cm+li,ati&Cm+li,ati&
T!" m$t ,m+li,ati& . !i+"rt"&$i& ar"T!" m$t ,m+li,ati& . !i+"rt"&$i& ar"
tar*"t r*a& di$"a$" !y+"rt"&$i !"art!tar*"t r*a& di$"a$" !y+"rt"&$i !"art!
di$"a$"- CVA 3TIA/Str
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)r$i&* A$$"$m"&t)r$i&* A$$"$m"&t
S)(",ti5" dataS)(",ti5" data
>a$t !"alt! i&.rmati& a&d m"di,ati&>a$t !"alt! i&.rmati& a&d m"di,ati&
@)&,ti&al !"alt! +att"r& 3!"alt! +"r,"+ti&-@)&,ti&al !"alt! +att"r& 3!"alt! +"r,"+ti&-&)tri&al m"ta(li,- "limi&ati&- a,ti5ity&)tri&al m"ta(li,- "limi&ati&- a,ti5ity"',"r,i$"- ,*&iti5"+"r,"+t)al- $"')al-"',"r,i$"- ,*&iti5"+"r,"+t)al- $"')al-,+i&* m!",a&i$m,+i&* m!",a&i$m
O(",ti5" DataO(",ti5" DataCardi5a$,)lar B> r"ti&al 5"$$"l ,!a&*"$-Cardi5a$,)lar B> r"ti&al 5"$$"l ,!a&*"$-
a(&rmal !"art! $)&$- +)l$- "d"maa(&rmal !"art! $)&$- +)l$- "d"ma
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Dia*&$ti, $t)di"$Dia*&$ti, $t)di"$
M"a$)r"m"&t B> a&d m&itri&*M"a$)r"m"&t B> a&d m&itri&* R)ti&" )ri&ali$i$R)ti&" )ri&ali$i$ S"r)m "l",trlit a&d )ri, a,idS"r)m "l",trlit a&d )ri, a,id BU a&d $"r)m ,r"ati&i&BU a&d $"r)m ,r"ati&i& Bld *l),$"Bld *l),$" W!l" (ldW!l" (ld S"r)m li+id- ,!l"$t"rl- tri*li,"ridaS"r)m li+id- ,!l"$t"rl- tri*li,"rida EC?EC?
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>"ridi, m&itri&* B>>"ridi, m&itri&* B> A$$i*m"&t . ri$< l"5"lA$$i*m"&t . ri$< l"5"l
LIF) (-,L) +*IFI%A-I+LIF) (-,L) +*IFI%A-I+ R"$tri,t $di)m- ,!l"$t"rlR"$tri,t $di)m- ,!l"$t"rl Mai&tai&" ad"J)at" i&ta
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%+R+AR, AR-)RI *I()A() %A*%+R+AR, AR-)RI *I()A() %A*
CAD i$ ty+" . (ld 5"$$"l di$rd"r t!atCAD i$ ty+" . (ld 5"$$"l di$rd"r t!ati&,l)d" i& *"&"ral ,at"*ry . at!"r$,l"r$i$i&,l)d" i& *"&"ral ,at"*ry . at!"r$,l"r$i$
%A'() +F %A*%A'() +F %A*
11
El"5at"d $"r)m li+idEl"5at"d $"r)m li+id22 #y+"rt"&$iy+"rt"&$i&
Sm!y$i,al a,ti5ity
O("$ityO("$ity66 DMDM
Str"$$ ("!a5i)rStr"$$ ("!a5i)r
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Ma&i."$ta$i ,li&i,Ma&i."$ta$i ,li&i,
11 A&*i&a +",tri$A&*i&a +",tri$ Sta(l" a&*i&a +",tri$Sta(l" a&*i&a +",tri$
U&$ta(l" a&*i&a +",tri$U&$ta(l" a&*i&a +",tri$
22 EC? a(&rmalEC? a(&rmal
ST d"+r"$iST d"+r"$i
!"art! E&8im 3C;- LD#-AST4 !"art! E&8im 3C;- LD#-AST4
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MIOCARDIAL I@ARCTIOMIOCARDIAL I@ARCTIO
$)at)
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>at.i$il*i>at.i$il*i
M"&)r)&&ya $)++ly
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C!"$t >ai& +ada
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D"mam- +ada
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Ma&i."$ta$i ;li&i"&i&* -@a$" a%al >"&i&* - .a$" la&)t >"&)r)&a& B>.a$" la&)t >"&)r)&a& B> >"&)r)&a& )ri&" )t +)t>"&)r)&a& )ri&" )t +)t Cra,
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0))RI(AA *IA$+(-I0))RI(AA *IA$+(-I
1.Riwayat %hest "ain6 Ris7 factor dan1.Riwayat %hest "ain6 Ris7 factor dan
Riwayat 7esehatanRiwayat 7esehatan 2. )$2. )$
E;? >ada )m)m&ya *am(ara& E;? +adaE;? >ada )m)m&ya *am(ara& E;? +ada
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+"&*"m"ri
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$))RAL I-)R)-I+$))RAL I-)R)-I+
>"m("ria&>"m("ria& o7sigen 2 ! 4 l 9mto7sigen 2 ! 4 l 9mt
0osisi semi fowler0osisi semi fowler 0emasangan I catheter0emasangan I catheter- )&t)< m"m)da!
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;la(rati. +"m("ria&;la(rati. +"m("ria& itrogliserin I itrogliserin I )&t)
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;la(rati. A&ti,a*)la&t t!"ra+y #"+ari&-;la(rati. A&ti,a*)la&t t!"ra+y #"+ari&-)&t)< m"&,"*a! +"m("
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%>$)(-I) /)AR-/ FAIL'R)%>$)(-I) /)AR-/ FAIL'R)
;"tida< mam+)a& a&t)&* )&t)< m"mm+aaya! a&t)&* adala! $)at) $i&drmaya&* da+at di$"(a(
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>aya! a&t)&* ("raya! a&t)&* ("r
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e7anisme 7om"ensasie7anisme 7om"ensasi >ada +aya!>ada +aya!
a&t)&* da+at t"radi $",ara a
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-I0) 0A,A/ :A-'$-I0) 0A,A/ :A-'$
1.1. 0ayah ?antung 7iri Left heart failure0ayah ?antung 7iri Left heart failure (ia$a&ya t"radi
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;illi+ Cla$$i.i,ati& . #"art @ail)r";illi+ Cla$$i.i,ati& . #"art @ail)r" illi" I illi" I -ida7 ada failure-ida7 ada failure illi" II )arly6 oderate failure6illi" II )arly6 oderate failure6 dita&dai d"&*a& ada&ya S-dita&dai d"&*a& ada&ya S-
+"&i&*
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-he ew ,or7 /eart Association-he ew ,or7 /eart Association
Fungtional %lassificationFungtional %lassification Fungtional class IFungtional class I Cardia, di$"a$"- >aya! =a&t)&* ta&+aCardia, di$"a$"- >aya! =a&t)&* ta&+a
m"&*a
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S S ?MAI@ESTASI ;LII; >AYA# =ATU? ;AA
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MAI@ESTASI ;LII; >AYA# =ATU? ;AAMAI@ESTASI ;LII; >AYA# =ATU? ;AA
*istensi vena ?ugularis*istensi vena ?ugularis
)dema de"endent)dema de"endent /e"atomegali 0em#esaran liver/e"atomegali 0em#esaran liver
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;OM>LI;ASI;OM>LI;ASI
0leural effusion0leural effusion m"&i&*
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>E?;A=IA>E?;A=IA
Data $)(""&i&* 3.a$" a%al4 Uri&ary +"&)r)&a& )ri&" )t +)tUri&ary +"&)r)&a& )ri&" )t +)t
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>"m"ri
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*IA$+(A )0)RABA-A*IA$+(A )0)RABA-A
egagalan "roses "ertu7aran gasegagalan "roses "ertu7aran gas("r!)()&* d"&*a&("r!)()&* d"&*a&
+)m+ .ail)r" ya&* dima&i."$ta$i
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Activity intolerance #erhu#ung denganActivity intolerance #erhu#ung dengan
fatiue 7arena menurunnya cardiac outfatiue 7arena menurunnya cardiac out"ut6"ut6"d"ma +ar)- ya&* dima&i."$ta$i
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T))a&T))a& a$)!a&
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RE@ERESIRE@ERESI
Br)&&"r S)ddart! 2000Br)&&"r S)ddart! 2000 Medical Surgical NursingMedical Surgical Nursing9t! "diti&9t! "diti& >!ilad"l+!iaLi++i&,tt>!ilad"l+!iaLi++i&,tt
D&&a- I 1991D&&a- I 1991 Medical Surgical NursingMedical Surgical Nursing )r$i&* )r$i&*>r,"$$ A++ra,! >!ilad"+!ia M$(y>r,"$$ A++ra,! >!ilad"+!ia M$(y
L"%i$- #"it
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'R(I$ %AR) I'R(I$ %AR) I
%AR*I+A(%'LAR (,(-)%AR*I+A(%'LAR (,(-)*I(+R*)R*I(+R*)R
M"di,al S)r*i,al )r$i&* IIM"di,al S)r*i,al )r$i&* II
>ART III>ART IIIBy willi ardiatmoBy willi ardiatmo
A t! iA t! i
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Arryt!miaArryt!mia
Di$rd"r ,&d),t"dDi$rd"r ,&d),t"d a(&rmal ,ardia,a(&rmal ,ardia,
r!yt!m$r!yt!m$
T!" %a5" .rm EC? ar" +rd),"d (y t!"T!" %a5" .rm EC? ar" +rd),"d (y t!"
m5"m"&t . ,!ar*"d i&$ a,r$$ t!"m5"m"&t . ,!ar*"d i&$ a,r$$ t!"
m"m(ra&"$ . my,ardial ,"ll$-m"m(ra&"$ . my,ardial ,"ll$-
r"+r"$"&ti&* d"+lari8ati& a&dr"+r"$"&ti&* d"+lari8ati& a&d
r"+lari8ati&r"+lari8ati&
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Si&)$Si&)$ r!yt!mr!yt!m 3SR43SR4
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Si&)$Si&)$ r!yt!mr!yt!m3SR43SR4
IramaIrama T"rat)r T"rat)r
@r"< a&t)&* 3 #R 4@r"< a&t)&* 3 #R 4 60 K 100 rmal- $"lal) diiRI&t"r5al >R rmal 3 0-12 K 0-20 d"t 4 rmal 3 0-12 K 0-20 d"t 4
?"lm(a&* FRS?"lm(a&* FRS rmal 3 0-06 K 0-12 d"t 4 rmal 3 0-06 K 0-12 d"t 4
EKG 6 detik
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Ty+"$ . Arryt!miaTy+"$ . Arryt!mia
11 Si&)$ Brady,ardia &rmal ryt!"m$ %it!Si&)$ Brady,ardia &rmal ryt!"m$ %it!
#R N 60 ("at$/mi&)t"#R N 60 ("at$/mi&)t"
Cli&i,all a$$,iati& $tim)l)$ .Cli&i,all a$$,iati& $tim)l)$ .
+ara$ym+ati,- 5al$a5a ma&)5"r-+ara$ym+ati,- 5al$a5a ma&)5"r-
!y+t"rmia- !y+tirid$m!y+t"rmia- !y+tirid$m
Cli&i,al ma&i."$tati& #i+t"&$i& %it!Cli&i,al ma&i."$tati& #i+t"&$i& %it!
d",r"a$"d COd",r"a$"d CO
T"ra+i atr+i&" 3a&ti,!li&"r*i, dr)*$4T"ra+i atr+i&" 3a&ti,!li&"r*i, dr)*$4
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22 Si&)$ Ta,!y,ardiaSi&)$ Ta,!y,ardia
rmal ryt!"m$ %it! a(&rmal #R 100 ("at$/mi&)t"rmal ryt!"m$ %it! a(&rmal #R 100 ("at$/mi&)t" Cli&i,al a$$,iati&Cli&i,al a$$,iati&
E'"r,i$"E'"r,i$"
@"5"r@"5"r
>ai&>ai&
#i+t"&$ii+t"&$i&
#y+5l"mia#y+5l"miaA&'i"tyA&'i"ty
A&"miaA&"mia
#y+'ia#y+'ia
#y+*li
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TACHYCARDIA (SVT) CIRI KHAS : HR leih dari sama
den!an "#$ % & mnt 'A(A )BJ*K(I+: 'iastole
C) HR -re e/istin! Heart 'isease& dama!e 0diseakan karena !1pd arteri 2oronaria aliran darah
2hest pain3
4 ATRIAL FLUTTER
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Rapid rate atria 4$$ 5$$ % &
mnt
Sin!le atrial imp6ls dari SAnode
Sin!le imp6ls dari A7
node
7entri26lar rateslower
4. ATRIAL FLUTTER
5. HEART BLOCK /
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5. HEART BLOCK /ATRIOVENTRICULAR BLOCK 0!1 kond6ksi dari SA node ke A7 node
tidak ada respon ata6 imp6ls setelah dilak6kan tindakan rady2ardia 3
CIRI KHAS : HR: 1$ 5$ % & mnt
8ACA8 +irst de!ree
Se2ond de!ree (hird de!ree& 2omplete heart lo2k0tdk ada sama sekali imp6ls 9entrikel
erkontraksi sendiri3
(*RA-I : -a2e maker insertion
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6. PREMATURE VENTRICULARCONTRACTION (PVC)
0 Kontraksi awal teradi seel6m teradi kond6ksi dari SA node3
-*N;*BAB
A. +lip
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pallor & p62at Ner9o6sness
Sweatin! & erkerin!at === >aintness Gamaran *KG : a. ? ata6 leih -7C & mnt
. Bi!emini 0@3 2. 4 -7C dalam " row ata6 leih d. 86lti>o2al -7C e. Gamaran !el R ada pada !el (
'A8-AK : Setelah di operasi irritailitymio2ardi6m ine2tion lido2aine 0ol6s3 9ia i.9
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7. VENTRICULAR TACHYCARDIA'A(A )BJ*K(I+ : Sin!le and irritale 9entrikel
HR "#$ 4#$ % & mnt
C) Nadi & p6lse
PENGKAIAN PADA KLIEN DGN G3
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PENGKAIAN PADA KLIEN DGN G3ARITMIA
!. C"#$%"& O'' ') : ta2hy2ardia, an!ina pain, hipotensi, syn2ope, red62erenal,
weak, tired
*. H+"# R"+ , "&-&"#$%"
-alpitasi & ast
nadi
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nadi di api2al dan radial K6lit : p62at dan din!in Bila otak kek6ran!an oksi!en 2on>6se and demensia
3. T"$" 0%"1
4. R%2"" "*" ($+ "$ %$+ ++&)
5. R%2"" ++-"" "8 1"1'1
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INTERVENSI
". (erapi oat 0oral dan i.934. Res6sitasi1. 8emperaiki hemodynami2
5. 'erilasi 0A6tomati2 Implantale Cardia2 'erilation3
indikasi : rilasi& 2ardia2 arrest
ata6 ila !el R tidak teridentikasi
D 9 %1 %
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D+9#%1"%(A':"%& I:1""1+ C"#$%"&
D+9#%1"%)
DIAGNOSA KEPERA;ATAN YANG
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DIAGNOSA KEPERA;ATAN YANGMUNGKIN MUNCUL
". -en6r6nan 2ardia2 o6tp6t.d.aritmia
ata6 ine>ekti> respon setelahdilak6kan tindakan medis
(66an 6m6m : 2ardia2 o6tp6tmenin!kat ditandai den!an :
(7 dalam atas normal
2hest pain 'iDDiness Syn2ope
Balan2e inp6t and o6tp6t
( kh Si it d l
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(66an kh6s6s : Sin6s ritme dalam atas normalInter9ensi :
monitor 2ardia rate & HR dan ritme kai tanda 9ital
kai & oser9asi inp6t dan o6tp6t
kai stat6s nyeri klien oser9asi terape6tik respon oser9asi toleran2e a2ti9ity tin!katkan physi2al dan emosionalrest erikan oksi!en a!i klien d!nindikasi
dyspne, 2hest pain dan syn2ope
4. 'esit pen!etah6an klien tt!
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4. 'esit pen!etah6an klientt! penyakitnya .d 6n>amiliarity terape6ti2 re!imen (66an 6m6m : pen!etah6an klien tt! penyakit 0perawatan3
(66an kh6s6s: re!imen terape6ti2 >amiliarity
Inter9ensi :
Kai pen!etah6an dasar klien Klarikasi & re9iew kemali t66an, resti dan ke6nt6n!an dilak6kannya
prosed6r tindakan keperawatan
B i kli d l k k
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Ba!i klien yan! sedan! melak6kan kontrol aritmia, elaskan prosed6r,
side eEe2t, dosis oat Aari se2ara sederhana 6nt6k
memonitor sendiri keadaan p6lse 0nadi 3 diradial *9al6asi kemali kee>ekti>an hasil H* klien Beri alternati> kons6ltasi klien tt! penyakitnya 9ia telp
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I@LAMATORYI@LAMATORY
#EART# DISEASE#EART# DISEASE
>ERICARDITIS
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>ERICARDITIS>ERICARDITIS
I&.lamati& . +"ri,ardi)m $a,)$- %!i,! mayI&.lamati& . +"ri,ardi)m $a,)$- %!i,! may
,,)r & a& a,)t",,)r & a& a,)t"
Idi+ati< %it! a 5ari"ty . $)$+",t"d 5iralIdi+ati< %it! a 5ari"ty . $)$+",t"d 5iral
,a)$" ,'$a,
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Cli&i,al ma&i."$tati&Cli&i,al ma&i."$tati&
C!"$t +ai&- dy$+&"a- a&d +"ri,ardialC!"$t +ai&- dy$+&"a- a&d +"ri,ardial
.ri,ti& r)($.ri,ti& r)($
d",r"a$" B>d",r"a$" B>
>)l$)$ +arad)l$)$ +arad
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ASSESMETASSESMET
>a$t !"alt! !i$try a&d +!y$i,al>a$t !"alt! !i$try a&d +!y$i,al
"'ami&ati&"'ami&ati&
Dia*&$ti, $t)di"$ EC? ST "l"5a$i allDia*&$ti, $t)di"$ EC? ST "l"5a$i all
l"ad$ "',"+t aVR a&d V1- ,!"$t ' ray-l"ad$ "',"+t aVR a&d V1- ,!"$t ' ray-",!,ard*ra+!y- +"ri,ardi,"&t"$i$-",!,ard*ra+!y- +"ri,ardi,"&t"$i$-
+"ri,ardial (y+$i- CT $,a&- ),l"ar $,a&+"ri,ardial (y+$i- CT $,a&- ),l"ar $,a&
. !"art!. !"art!
M ditiM diti
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My,arditi$My,arditi$
A .,al r di..)$" i&.lamati& . t!"A .,al r di..)$" i&.lamati& . t!"
my,ardi)m- !a$ (""& a$$,iati"dmy,ardi)m- !a$ (""& a$$,iati"d
5ir)$"$ 3M$t i& US a&d ,a&ada4- (a,t"ria-5ir)$"$ 3M$t i& US a&d ,a&ada4- (a,t"ria-
ri,
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Cli&i,al ma&i."$tati&Cli&i,al ma&i."$tati&
Early $y$t"mi, Viral ill&"$ @"5"r- .ati*)"-Early $y$t"mi, Viral ill&"$ @"5"r- .ati*)"-
malai$"- myal*ia$- +!ari&*iti$- dy$+&"a-malai$"- myal*ia$- +!ari&*iti$- dy$+&"a-
lym+ad"&+at!y- ?I $ymtmlym+ad"&+at!y- ?I $ymtm
Wit! i&.",ti& 5iral a++"ar i& K 10 day$Wit! i&.",ti& 5iral a++"ar i& K 10 day$(",m" ,ardia, ma&i."$tati& +"ri,ardial(",m" ,ardia, ma&i."$tati& +"ri,ardial
,!"$t +ai&- .ri,ti& r)($- S ,ra,- +"ri+!"ral "d"ma a&d maydi$t"&$i =V>- +"ri+!"ral "d"ma a&d may+r*r"$ t C#@+r*r"$ t C#@
A tA t
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A$$"$m"&tA$$"$m"&t
#"alt! !i$try a&d +!y$i,al "'ami&ati"alt! !i$try a&d +!y$i,al "'ami&ati&
Dia*&$ti, $tidi"$ a(&rmal a&d ,&d),tDia*&$ti, $tidi"$ a(&rmal a&d ,&d),t
di$t)r(a&," i& EC? 3ST $"*m"&tdi$t)r(a&," i& EC? 3ST $"*m"&t
a(&rmal4- i&,r"a$" l",$it 3mild ta(&rmal4- i&,r"a$" l",$it 3mild tmd"rat"4- i&,r"a$" my,ardial "&8immd"rat"4- i&,r"a$" my,ardial "&8im
3AST- C;MB- LD#4 "l"5at"d tit"r 5iral i& 3AST- C;MB- LD#4 "l"5at"d tit"r 5iral i&
K 10 day$K 10 day$
EDOCARDITISEDOCARDITIS
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EDOCARDITISEDOCARDITISI&.",ti& . t!" "&d,ardi)m $)r.a," %it!I&.",ti& . t!" "&d,ardi)m $)r.a," %it!
m )$)aly a..",t$ t!" ,ardia, 5al5"-m )$)aly a..",t$ t!" ,ardia, 5al5"-TWO @ORM O@ I@ECTIVE EDOCARDITISTWO @ORM O@ I@ECTIVE EDOCARDITIS
11 S)(a,)t" l&*"r ,li&i,al ,)r$" . mr"S)(a,)t" l&*"r ,li&i,al ,)r$" . mr"
i&$idi)$ &$"t %i,! l"$$ t'i,ity- a&di&$idi)$ &$"t %i,! l"$$ t'i,ity- a&d,a)$ati5" r*a&i$m i$ )$)aly . l%,a)$ati5" r*a&i$m i$ )$)aly . l%5ir)l"&,"$ "* $tr"+t,,,)$ 5irida&$5ir)l"&,"$ "* $tr"+t,,,)$ 5irida&$
22 A,)t" $!rt"r ,li&i,al ,)r$"- mr"A,)t" $!rt"r ,li&i,al ,)r$"- mr"5ir)l"&,"$- i&,r"a$"d t'i,ity )$)aly5ir)l"&,"$- i&,r"a$"d t'i,ity )$)aly$ta+!yl,,,)$ a)r")$$ta+!yl,,,)$ a)r")$
Cli i l i. t tiCli i l i. t ti
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Cli&i,al ma&i."$tati&Cli&i,al ma&i."$tati&
&$+",i.i, a&d ,a& i&5l5" m)lti+l" r*a&&$+",i.i, a&d ,a& i&5l5" m)lti+l" r*a&
$y$t"m a,)t" $y&drm@"5"r 3904-$y$t"m a,)t" $y&drm@"5"r 3904-
%"a
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A$$"$m"&tA$$"$m"&t
>a$t !"alt! !i$try>a$t !"alt! !i$try
Dia*&$ti, $t)di"$ %!l" (ld- (ldDia*&$ti, $t)di"$ %!l" (ld- (ld
,)lt)r"-)ri&" a&ali$"- ,!"$t 'ray- ",*-,)lt)r"-)ri&" a&ali$"- ,!"$t 'ray- ",*-
",!,ardi*ra+!y",!,ardi*ra+!y
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ASFHAN K*-*RAA(AN -A'A
KI*N '*NGAN GANGGFANKA(F- JAN(FNG
REGURGITASI KATUP MITRALREGURGITASI KATUP MITRAL
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SINONIM I:++% :%#"1 I'"$% #+ :"'"
+:"1% $"#"- $"#% 0+#%+1 %#%+ "#%': %#% "%" "$""#+8'#8%"% / :+:'"" "'
:%#"1 "8 %$" +:'#" .
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PENYEBAB (+#" $" AS)
!. R-+:"%& H+"# F+0+#*. H+"# ""& :+#'"
#''#
"' :%#"1 3. M?:"' $+8++#"%
+#'"" >"#%8" "'
@9#' :"+#%"1
M+:+#"%% $%#% "'
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+-%88" %$" :+%:'1" :1%"% 1">'" !. V"10'11" *. M+:'" "' %#'"
(:+&-"%&"1 0"10+)
DAMPAK E$"#$%% +&+8"-"$+8" +:+#%" "%%% 1
; t ti;at)+ tir)a&
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;at)+ tir)a&;at)+ tir)a&
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REGURGITASI KATUPREGURGITASI KATUP
TRIKUSPIDALISTRIKUSPIDALIS
SINONIM
I:++% #%'%$ I'
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SYMPTOM !. "%" "1%#" $"#"- 1":"+ >"'8 #+ 01':+:+'#'
+"""$% &"#%$ :+'#'
;+"+
$" "%8'+ *. @$%&:# $% "" """$ 3. +:+"#" -"%
STENOSIS KATUP MITRALSTENOSIS KATUP MITRALPENGERTIAN
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PENGERTIAN P+%8"" #+%+% ""'
-":"" "1%#" $"#"- $"#% "#%':"" + 0+#%+1 "" "%"
$+% "1%': "$" "'+1"%%" "' :+'#' @#%8%$
"' :%#"1 PENYEBAB
!. P+:+"#" "#%': $" 0+#%+1"" "%"
':#*. R-+:"%& H+"# F"%1'#+ ( +"8%"
+"#)
3. " %#- $++&
!. P"1%"%
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STENOSIS KATUP PULMONARY
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PENGERTIANP+%8"" -":"" ""' #+%+% ""
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STENOSIS KATUP AORTA
SYMPTOM
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TINDAKAN!. B+$#+*. I"+ $" ''
SUMMARY
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GENERAL ASSESMENT!. H+"# S'$A#:"1
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SUMMARY
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GENERAL INTERVENTION!. CO "$+'"+
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GENERAL COMPLICATION
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GENERAL COMPLICATION!. D+"
*. M% L'8 '$3. D%+% 0+" >'8'1"#%4. U$+:" +#%-+#"1
5. O0+#2+%8- HRmenin!kat Aritmia
*moli
DIAGNOSA KEPERA;ATAN
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DIAGNOSA KEPERA;ATANPADA KLIEN DGN GANGGUAN
KATUP ANTUNG
Resti penin!katan 2ardia2 o6tp6t seh66n!an
den!an an/ietasIntoleran2e a2ti9ity seh66n!an den!anpen6r6nan 2ardia2 o6tp6tResti !an!!6an proses perna>asan : di>6si
oksi!en seh66n!an den!an p6rmonaryhipertensi or an/ietas yan! menyeakantahipnea
Resti ker6sakan maintanan2e
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Resti in>eksi seh66n!an den!anin terape6tikre!imen seh66n!an den!an k6ran!nyapen!etah6an tt! penyakitnya
ana?emen ola#oratif farma7ologiana?emen ola#oratif farma7ologi
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11 A&ti a&*i&a dr)*$A&ti a&*i&a dr)*$ B"ta (l,
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Cardia, S)r*"ryCardia, S)r*"ry
S)at) )+aya )&t)< m"&*r"
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T))a& +"m("da!a& a&t)&*T))a& +"m("da!a& a&t)&*
11 ;r"
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I&di"&ya
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Sayata& +"ra$iSayata& +"ra$i
11 Mid $t"r&tmiMid $t"r&tmi
22 Tra
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