patof peradangan jantung

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 1/16

NURSISWATI 

DEPATMENT OF MEDICAL SURGICAL NURSING

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 2/16

Anatomy of CoronaryArtery

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 3/16

INFLAMMATION AND

INFECTION IN THE HEARTRHEUMATIC FEVER

IS AN ACUTE SYSTEMIC INFLAMMATORYCONDITION THAT APPEARS TO RESULT FROM ANABNORMAL IMMUNE REACTION OCCURING AFEW WEEKS AFTER AN UNTREATED INFECTION,USUALLY CAUSED BY CERTAIN STRAINS OFGROUP A BETAHEMOLYTIC STREPTOCOCCUS

INVOLVES THE HEART AND OTHER PARTS SUCHAS JOINTS AND SKIN

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 4/16

USUALLY OCCURS IN CHILDREN 5-15 YEARS

 THE INFECTION COMMONLY APPEARS AS AN

UPPER RESPIRATORY INFECTION, TONSILITIS,PHARYNGITIS, OR STREP THROAT.

ANTIBODIES TO THE STREPTOCOCCUSORGANISM FORM AS USUAL AND THEN REACT

WITH CONNECTIVE TISSUE (COLLAGEN) IN THE SKIN, JOINTS, BRAIN, AND HEARTCAUSING INFLAMMATION.

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 5/16

DURING THE ACUTE STAGE, THEINFLAMMATION IN THE HEART MAY INVOLVEONE OR MORE LAYERS OF THE HEART

1. PERICARDITIS..OUTER LAYER!MAYINCLUDE EFFUSION

". MYOCARDITIS!HEART MUSCLE!ASCHOFF

BODIES, MAY INTERFERE WITH CONDUCTION#. ENDOCARDITIS..VALVES!BECOME

EDEMATOUS AND VERRUCAE FORM

PANCARDITIS

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 6/16

OTHER SITES OF INFLAMMATION IN PATIENTSWITH RHEUMATIC FEVER INCLUDE THE LARGE JOINTS, PARTICULARLY IN THE LEGS,

WHICH MAY BE INVOLVED WITH SYNOVITIS IN AMIGRATORY POLYARTHRITIS THE SKIN..RED MACULES OR POPULES THAT

ENLARGE AND HAVE WHITE CENTERS

 THE WRISTS, ELBOWS, KNEES, OR ANKLESBASAL NUCLEI IN THE BRAIN!CAUSING

INVOLUNTARY JERKY MOVEMENT OF THE FACE,ARMS, AND LEGS.

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 7/16

SIGNS AND SYMPTOMSRHDLOW GRADE FEVER

LEUKOCYTOSIS

MALAISEANORE$IA

FATIGUE

 TACHYCARDIA, EVEN AT REST

HEART MUJR MURS INDICATE THE SITE OFINFLAMMATION

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 8/16

CONT..EPISTA$IS % ABDOMINAL PAIN MAY BE

PRESENT

ACUTE HEART FAILURE MAY DEVELOP FROMARRYTHMIA

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 9/16

PERICARDITISNYERI PRECORDIAL

NYERI PERIKARDITIS BERKURANG DG DUDUK TEGAK DAN MEMBUNGKUK KE DEPAN

FRICTION RUB!&''*+ '/*0

EFUSI PERIKARDIUM!** 23& 46 4'7*6

 TAMPONADE JANTUNG

NADI PARADOKSAL

EKG!E4'8* ST '&7'+..3*+* ' 9RS

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 10/16

E: '/*07I74 *' 2*+3+& 03 64*+& *3* *3*

*0*+& 3'**

F4;;; 7'7'46*3*+ 0'+<3 8'+3'4'*+&

P' '*

 TANDA EWART

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 11/16

 TAMPONADE JANTUNGPENGUMPULAN CAIRAN INTRAPERICARDIUM

MENYEBABKN OBSTRUKSI SERIUS THD

MASUKNYA DARAH KE KE" ATRIUM BSMENIMBLK TAMPONADE

"5= CC-1=== CC

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 12/16

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 13/16

MYOCARDITISPEMBESARAN JANTUNG % TANDA" DECOMP

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 14/16

ENDOKARDITISNON INFEKTIF

INFEKTIF

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 15/16

MANIFESTASI KLINISKELAINAN VASKULER

RUPTUR KATUP

7/23/2019 patof peradangan jantung

http://slidepdf.com/reader/full/patof-peradangan-jantung 16/16

 THANKS