Download - Cardio Vasku Ler
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SISTEMA KARDIOVASKULERSISTEMA KARDIOVASKULER- JANTUNG DAN PEMBULUH DARAHJANTUNG DAN PEMBULUH DARAH- BERFUNGSI DALAM HEMODINAMIK BERFUNGSI DALAM HEMODINAMIK (SIRKULASI DARAH)(SIRKULASI DARAH)- JANTUNG TERLETAK DI MEDIASTINUMJANTUNG TERLETAK DI MEDIASTINUM BERSAMA-SAMA DENGAN :BERSAMA-SAMA DENGAN :
- AORTA THORAKALIS - AORTA THORAKALIS (ASCENDENS DAN DESCENDENS)(ASCENDENS DAN DESCENDENS)
-- V.CAVA SUPERIOR & V.CAVA V.CAVA SUPERIOR & V.CAVA INFERIOR INFERIOR - ESOPHAGUS- ESOPHAGUS
- - TRACHEATRACHEA- - KELENJAR LYMPHEKELENJAR LYMPHE- - SARAFSARAF
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MEDIASTINUMMEDIASTINUM
- RONGGA DI TENGAH THORAKRONGGA DI TENGAH THORAK
DIBATASI OLEH PLEURA PARIETALIS DIBATASI OLEH PLEURA PARIETALIS DEXTRA DAN SINISTRADEXTRA DAN SINISTRA
- STERNUM DI DEPAN- STERNUM DI DEPAN
- V. THORAKALIS DI BELAKANG- V. THORAKALIS DI BELAKANG
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PEMERIKSAAN RADIOLOGIPEMERIKSAAN RADIOLOGI
SYSTEM KARDIOVASKULER:SYSTEM KARDIOVASKULER:
- FOTO THORAK- FOTO THORAK
- COR ANALYSA- COR ANALYSA
- ARTERIOGRAFI- ARTERIOGRAFI // ANGIOGRAFIANGIOGRAFI
- PHLEBOGRAFI- PHLEBOGRAFI
- USG DOPLER- USG DOPLER
- CT Scan- CT Scan
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Penilaian Foto Thorak (utk nilai Jantung)Penilaian Foto Thorak (utk nilai Jantung) Situs (kedudukan )Situs (kedudukan ) Bentuk Bentuk Besar (CTR )Besar (CTR ) Pemb Drh Besar ( Aorta & v Pulmonalis )Pemb Drh Besar ( Aorta & v Pulmonalis ) Pemb Drh ParuPemb Drh Paru Paru Paru
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SITUS :SITUS : Situs solitus = NSitus solitus = N Situs InversusSitus Inversus Dekstro kardiDekstro kardi Dekstro versiDekstro versi Meso versiMeso versi
BENTUK :BENTUK :
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BESAR :BESAR : Dg CTR (Cardio Thoracis Ratio )Dg CTR (Cardio Thoracis Ratio )
Diperhatikan :Diperhatikan :
CTRCTR Foto PA dan LatFoto PA dan Lat Bandingkan foto lamaBandingkan foto lama
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BATAS-2 Jantung :BATAS-2 Jantung : Batas Kiri : (dari atas )Batas Kiri : (dari atas )
T1 – AortaT1 – Aorta T2 – A . PulmonalisT2 – A . Pulmonalis T3 – Atrium Kiri (-)T3 – Atrium Kiri (-) T4 – Ventrikel Kiri T4 – Ventrikel Kiri
T2 & T3 = Pinggang JantungT2 & T3 = Pinggang Jantung
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Batas Kanan (dari atas):Batas Kanan (dari atas): T1 – V Cava SuperiorT1 – V Cava Superior T2 – Aorta AsendensT2 – Aorta Asendens T3 – V Azigos (-)T3 – V Azigos (-) T4 – Atrium Kanan T4 – Atrium Kanan
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Pembesaran jantung : lokalPembesaran jantung : lokal menyluruh menyluruh Pem b. L0KAL : krn pembPem b. L0KAL : krn pemb
Ventrikel sajaVentrikel saja Atrium sajaAtrium saja Pembuluh darah besar Pembuluh darah besar
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Pemb esaran :Pemb esaran : 1. Atrium Ka : Th-PA : jant ke ka & bulat1. Atrium Ka : Th-PA : jant ke ka & bulat ( Ventr ka >)( Ventr ka >) 2. Atrium Ki : Th Lat : dev esofagus keblk2. Atrium Ki : Th Lat : dev esofagus keblk dobel kontur dobel kontur 3. Ventr Ka : Th Lat : retro stern sp smpt3. Ventr Ka : Th Lat : retro stern sp smpt 4. Ventr Ki : Th PA : Apek kekiri kaudal4. Ventr Ki : Th PA : Apek kekiri kaudal
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Pembesaran ; <------ akibat :Pembesaran ; <------ akibat : Atrium Ka >Atrium Ka > : insufisiensi Trikuspidal : insufisiensi Trikuspidal
( TI )( TI ) Atrium Ki >Atrium Ki > : MS ; MI ; VSD ; : MS ; MI ; VSD ; Ventrikl Ka >Ventrikl Ka > : MS ; MI ; ASD ; VSD ; TF: MS ; MI ; ASD ; VSD ; TF Ventrikl Ki >Ventrikl Ki > : Ht ; AI ; AS ; : Ht ; AI ; AS ;
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`````````````````````````````````````````````````````` Pemb Darah Besar (Ao ; A Pulm)Pemb Darah Besar (Ao ; A Pulm) A .Pulm < : Pinggang Jantung dalamA .Pulm < : Pinggang Jantung dalam
Atresia A .PulmonalisAtresia A .Pulmonalis Tetralogi FallotTetralogi Fallot Hipoplasi paru kiri Hipoplasi paru kiri
A Pulmonalis nenonjol = ASD (LR shunt)A Pulmonalis nenonjol = ASD (LR shunt)
= PS = PS
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Arkus aorta menonjol = 3 – 3.5 CMArkus aorta menonjol = 3 – 3.5 CM Arkus a di kanan Arkus a di kanan = TF : Eisenmenger sy= TF : Eisenmenger sy Aorta lebar Aorta lebar = AI ; AS = AI ; AS Aorta kecil Aorta kecil = MI ; MS = MI ; MS Yg merobah bentuk aorta :Yg merobah bentuk aorta : HtHt UsiaUsia AIAI RadangRadang
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5 . PARU :5 . PARU :Corakan paru = bayangan a. Corakan paru = bayangan a.
PulmonalisPulmonalis
bayangan opak bayangan opak = infiltrat ; efusi pl= infiltrat ; efusi pl
bayangan lusens= pnemothoraksbayangan lusens= pnemothoraks
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6. VASKULER PARU :6. VASKULER PARU : A Pulmonalis dr hilus ke perifer ---kecilA Pulmonalis dr hilus ke perifer ---kecil Corakan paru bertambah (kasar) = radangCorakan paru bertambah (kasar) = radang Corakan paru berkuran ( sepi ) = PSCorakan paru berkuran ( sepi ) = PS
Perfusi : Perfusi : Pd LR Shunt : pemb lebar Pd LR Shunt : pemb lebar corakan paru kasar corakan paru kasar
= ASD ; VSD ; PDA= ASD ; VSD ; PDA HipertiroidHipertiroid polisitemipolisitemi
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Perfusi berkurang :Perfusi berkurang : Pengecilan pemb darah bg tepiPengecilan pemb darah bg tepi
= COPD= COPD = Dekomp ventr kanan = Dekomp ventr kanan = PS= PS
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KONGESTIKONGESTI Pembuluh darah lebar ; kongesti paruPembuluh darah lebar ; kongesti paru Oedem intertitielOedem intertitiel Oedem alveoler Oedem alveoler Sumbatan pemb limfeSumbatan pemb limfe Kongesti v pulmonalis Kongesti v pulmonalis
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JANTUNGJANTUNG
- DINILAI BESAR, BENTUK DAN LETAKDINILAI BESAR, BENTUK DAN LETAK
- BESAR JANTUNG DIUKUR DENGAT CTRBESAR JANTUNG DIUKUR DENGAT CTR
- CARDIO THORAXIS RATIO- CARDIO THORAXIS RATIO
- PERBANDINGAN DIAMETER- PERBANDINGAN DIAMETER
JANTUNG DAN THORAXJANTUNG DAN THORAX
- CTR - CTR ≤ 50 % = NORMAL≤ 50 % = NORMAL- BENTUK SEPERTI SEGITIGABENTUK SEPERTI SEGITIGA- LETAK DI DADA DEPAN TENGAH AGAK KEKIRILETAK DI DADA DEPAN TENGAH AGAK KEKIRI
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PEMBESARAN JANTUNGPEMBESARAN JANTUNG
- BISA SELURUH JANTUNG MEMBESARBISA SELURUH JANTUNG MEMBESAR
1.PADA WAKTU STROKE VOLUME1.PADA WAKTU STROKE VOLUME
MENINGKATMENINGKAT
- ATLET- ATLET
- ANEMIA- ANEMIA
- THYROTOXICOSIS- THYROTOXICOSIS
2.PADA DEKOMPENSASI CORDIS2.PADA DEKOMPENSASI CORDIS
3.LESI KATUP MULTIPLE3.LESI KATUP MULTIPLE
4.MYOCARDITIS4.MYOCARDITIS
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SEBAGIAN JANTUNG MENINGKATSEBAGIAN JANTUNG MENINGKAT
- PADA:- GANGGUAN KATUP (LEMAH)PADA:- GANGGUAN KATUP (LEMAH)
- MENINGKATNYA TAHANAN PERIFER- MENINGKATNYA TAHANAN PERIFER
- SHUNT : HUBUNGAN PENDEK- SHUNT : HUBUNGAN PENDEK
SIRKULASI PUSAT (PDA, ASD, VSD)SIRKULASI PUSAT (PDA, ASD, VSD)
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KELAINAN-KELAINAN JANTUNGKELAINAN-KELAINAN JANTUNG
A.DIDAPATA.DIDAPAT
1) MS1) MS
- KATUP MITRAL SEMPIT- KATUP MITRAL SEMPIT
- V. PULMONALIS LEBAR- V. PULMONALIS LEBAR
- HYPERTENSI PULMONAL- HYPERTENSI PULMONAL
- RVH → DELATASI- RVH → DELATASI
- VASKULARISASI PARU >>- VASKULARISASI PARU >>
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CONT’DCONT’D
2) MI ( 2) MI ( RegurgitasiRegurgitasi))
- LVH- LVH
- LAH- LAH
- AORTA KECIL- AORTA KECIL
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CONT’DCONT’D
3) AI (REGURGITASI AORTA)3) AI (REGURGITASI AORTA)
- LVH- LVH
- PINGGANG JANTUNG - PINGGANG JANTUNG DALAMDALAM
→ → BILA DEKOM →LAH + VASKULARISASI BILA DEKOM →LAH + VASKULARISASI PARU ↑PARU ↑
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CONT’DCONT’D
4) AS4) AS
- LVH- LVH
- BILA DEKOM→LAH- BILA DEKOM→LAH
BENDUNGAN V. PULMONALBENDUNGAN V. PULMONAL
AA 。。 ASC. LEBARASC. LEBAR
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CONT’DCONT’D
B. KELAINAN JANTUNG BAWAANB. KELAINAN JANTUNG BAWAAN 1. P.S.1. P.S.
- SEBAGIAN KECIL KARENA RADANG- SEBAGIAN KECIL KARENA RADANG RHEUMA.RHEUMA.
- DAPAT DI:- DAPAT DI: INFUNDIBULERINFUNDIBULERVALVULERVALVULERCABANG-CABANG/ CABANG-CABANG/
SUPRAVALVULERSUPRAVALVULER
- PELEBARAN A.P. PASCA STENOSIS- PELEBARAN A.P. PASCA STENOSIS - CORAKAN PARU KECIL/KURANG- CORAKAN PARU KECIL/KURANG - HYLUS KECIL - HYLUS KECIL
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CONT’DCONT’D
2. ASD2. ASD
- L.R SHUNT – HYLUS BESAR, TEBAL- L.R SHUNT – HYLUS BESAR, TEBAL
- TERDAPAT HYLER DANCE- TERDAPAT HYLER DANCE
- RVH DAN A.P. >> 3-5 X (3)- RVH DAN A.P. >> 3-5 X (3)
- AORTA KECIL- AORTA KECIL
- HYPERTENSI PULMONAL- HYPERTENSI PULMONAL
- BILA TERBALIK → R.L SHUT- BILA TERBALIK → R.L SHUT
SIANOSIS (EISENMENGER, SIANOSIS (EISENMENGER, S)S)
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CONT’DCONT’D
3. VSD3. VSD
- PALING SERING DIJUMPAI- PALING SERING DIJUMPAI
- TERJADI DIPARS - TERJADI DIPARS
MUSKULARIS/MEMBRANACEAMUSKULARIS/MEMBRANACEA
- L-R SHUNT- L-R SHUNT
HILUS DAN A. PULMONALIS LEBARHILUS DAN A. PULMONALIS LEBAR
- AORTA KECIL- AORTA KECIL
- LAH- LAH
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CONT’DCONT’D4. TF4. TF
TA: RVHTA: RVH
VSD (R-L)VSD (R-L)
PSPS
TRANSPOSISI AORTA (OVERIDING TRANSPOSISI AORTA (OVERIDING AORTA)AORTA)
- SIANOSIS (WAKTU NANGIS)- SIANOSIS (WAKTU NANGIS)
- VASKULARISASI PARU KURANG- VASKULARISASI PARU KURANG
- PINGGANG JANTUNG KONKAV- PINGGANG JANTUNG KONKAV
- ARCUS AORTA DI KANAN- ARCUS AORTA DI KANAN
- DYSPHAGI- DYSPHAGI
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,,,,
...................................................................................................................................... Jantung NormalJantung Normal (PA)- ka(PA)- ka kiki
Aorta asendensAorta asendens .arkus aorta.arkus aorta Atrium kananAtrium kanan .aurikula atrium.aurikula atrium ( v.cava inferior)( v.cava inferior) .ventrikel kiri .ventrikel kiri
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...................................................................................................................................... Lat –ki :Lat –ki : antant l l post;post; Aorta ascendensAorta ascendens l l Atrium kiriAtrium kiri Trunkus Pulmonale lTrunkus Pulmonale l Ventrikel kiriVentrikel kiri Ventrikel kiriVentrikel kiri l (V Cava Inf ) l (V Cava Inf )
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...................................................................................................................................... TETRALOGI FALLOT :TETRALOGI FALLOT : Ta. :Ta. : - Ventrikel Septum Defeks (VSD)- Ventrikel Septum Defeks (VSD) - Stenosis Pulmonalis - Stenosis Pulmonalis (PS) (PS) - Overriding Aorta- Overriding Aorta
- Hipertrofi Ventrikel - Hipertrofi Ventrikel kanan( RVH)kanan( RVH)
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...................................................................................................................................... Ro:Ro: (TF)(TF) JAntung sepatuJAntung sepatu Pinggang Jantung DalamPinggang Jantung Dalam Transposisi Aorta --- kaTransposisi Aorta --- ka Aorta MelebarAorta Melebar Apeks Jantung terangkatApeks Jantung terangkat Corakan paru sepiCorakan paru sepi CTR = / >CTR = / >
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ATRIAL SEPTUM DEFEKS (ASD)ATRIAL SEPTUM DEFEKS (ASD) Ro:Ro:
Corakan vaskuler paru bertambah Corakan vaskuler paru bertambah Aortic knob kecilAortic knob kecil RAHRAH RVH (Apeks jantung bulat dan terangkat)RVH (Apeks jantung bulat dan terangkat) Inverted ComaInverted Coma Retro sternal space sempitRetro sternal space sempit
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VSD ( Ventrikel Septum Defeks)VSD ( Ventrikel Septum Defeks) Ro :Ro : Vaskuler paru meningkatVaskuler paru meningkat Aortic Knob kecilAortic Knob kecil Apeks ke kiri kaudal (RVH)Apeks ke kiri kaudal (RVH) LVHLVH CTR > , Doubel konturCTR > , Doubel kontur
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.................................................................................................................................... PDA ( Patent Duktus Arteriosus )PDA ( Patent Duktus Arteriosus ) Ro;Ro; Aortik knob besarAortik knob besar Vaskuler paru bertambahVaskuler paru bertambah Bulging dibawah arkus aortaBulging dibawah arkus aorta LVHLVH CTR >CTR >
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..................................................................................................................................PULMONAL STENOSISPULMONAL STENOSIS Ro;Ro;RVH , apeks ke kiri kaudalRVH , apeks ke kiri kaudalDelatasi post stenotik a pulmonal Delatasi post stenotik a pulmonal Vaskularisasi paru sepiVaskularisasi paru sepiRetrosternal space sempitRetrosternal space sempit
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MS ( Mitral stenosis)MS ( Mitral stenosis)
Ro:Ro: Batas kiri atas menonjolBatas kiri atas menonjol Doble konturDoble kontur RVH , apekiri ks , bulat RVH , apekiri ks , bulat Bronkus kiri terangkatBronkus kiri terangkat Corakan vaskuler paru bertambahCorakan vaskuler paru bertambah
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