echo presentation - endocrine nefro hemato
TRANSCRIPT
Echocardiografi di bidang Endokrinologi, Nefrologi, Hematologi
(Fokus pada beberapa kasus)
Yogi P. Rachmawan
Pembimbing :
dr. Susi Herminingsih SpJP(K)
Pokok Bahasan
• Endokrinologi– Gangguan fungsi tiroid– Diabetes
• Nefrologi– Gagal ginjal kronis
• Hematologi– Anemia kronis– Hemochromatosis– Hipereosinofilia
Endokrinologi
Penyakit Tiroid• Hipertiroid
• Sinus takikardia• Atrial Fibrilasi• Hipertrofi• Kardiomiopati
reversibel• Gagal jantung
Toft AD, Boon NA. Thyroid Disease and The Heart. Heart 2000;84:455–460
• Gambaran Echocardiogram Hipertiroid– FS ↑– LVEF ↑– IVRT ↓– Early filling deceleration time ↓– LV dilatasi dan hipertrofi– MVP
Yusoff Rahal. Echocardiography in Endocrinopathies.:http://www.malaysianheart.org/article.php?aid=517
Parasternal Long Axis Echocardiogram : Pasien dgn tirotoxicosis yang mengalami kardiomiopati, dgn LVIDD 52 mm (normal)
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
• Hipotiroid
Hiperlipidemia, penyakit jantung koroner : angina pectoris, infark miokard
Dillmann, W H. Cardiac function in thyroid disease: Clinical features and management considerations. Ann Thorac Surg 1993;56:9-15
• Gambaran Echocardiogram Hipotiroid– FS ↓– LVEF ↓– IVRT ↑– Efusi perikardial (30-80% pada keadaan lebih lanjut)
Yusoff Rahal. Echocardiography in Endocrinopathies.:http://www.malaysianheart.org/article.php?aid=517
Parasternal Short Axis Echocardiogram : Pasien hipotiroid dengan penyakit jantung koroner
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Dzuvo AH et al. Echocardiographic Evaluation of Cardiac Function in Female Patients with Thyroid Disorders. Bosnian Journal of Basic Medical Sciences 2010; 10 (2): 112-115
Endokrinologi
Diabetes Melitus
Bauters C et al. Influence of Diabetes Mellitus on Heart Failure Risk and Outcome. Cardiovascular Diabetology 2003, 2 :1
Fang et al. Echocardiographic Detection of Early Diabetic Myocardial Disease. JACC Vol. 41, No. 4, 2003
Apical 4 chamber view : menunjukan gambaran kesan dilatasi semua ruang jantung dan global hipokinetik pada pasien dgn diabetic kardiomiopati
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Nefrologi
Gagal Ginjal Kronis
Hung MJ et al. Three-dimensional echocardiographic assessment of left ventricular remodeling in predialysis
chronic kidney disease patients. Jnephrol 2012; : 01) 96- 106 25
Parasternal long axis echocardiogram pd pasien dgn GGK : menunjukan kalsifikasi annulus mitral (tanda panah) dan efusi perikardial
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
a. Parasternal long axis view : menunjukan gambaran LVH konsentrik b. Parasternal short axis c. Gambaran klasik gangguan relaksasi d. Tanda panah menunjukan kalsifikasi annulus mitral
Filho RP, Barberato FH. Echocardiography in Chronic Kidney Disease: Diagnostic and Prognostic Implications. Nephron Clin Pract 2010;114:c242–c247
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Hung MJ et al. Three-dimensional echocardiographic assessment of left ventricular remodeling in predialysis
chronic kidney disease patients. Jnephrol 2012; : 01) 96- 106 25
Hayashi et al. Left ventricular Function in Patients with Chronic Kidney Disease Evaluated by Colour Tissue Doppler Velocity Imaging. Nephrol Dial Transplant (2006) 21: 125–132
Hematologi
Anemia Kronis
Mehta PA, Dubrey SW. Review : High output heart failure. Q J Med 2009; 102 :235–241
Kim Yoo Ri, et al. Relation of AAnemia to Echocardiographically Estimated Left Ventricular Filling Pressure in Hypertensive Patients Over 50 Year-Old. J Cardiovasc Ultrasound 2010;18(3):86-90
Apical 4 chamber echocardiogram : wanita 19 th dgn anemia kronis – sickle cell anemia (Hb 6 g/dl), tampak kesan dilatasi LV dgn global hipokinetik LV, yg terjadi akibat kombinasi mikroinfark & high-output state
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Hematologi
Hemochromatosis
Downloaded from http://echealthinsurance.com/health-insurance-advisor/hemochromatosis/
Parasternal short axis echocardiogram : Pasien dgn cardiac hemochromatosis, didapatkan penebalan dinding ventrikel & abnormalitas tekstur myocardial dgn fungsi sistolik ↓
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Hematologi
Hipereosinofilia
Rodig SJ, Kutok JL. Bone Marrow Disorders with Associated Eosinophilia. http://dx.doi.org/10.1016/j.mpdhp.2009.01.012
Leiferman KM, Gleich GJ. Hypereosinophilic Syndrome: Case presentation and update. http://dx.doi.org/10.1016/j.jaci.2003.01.051
Feigenbaum's Echocardiography, 6th Edition. 2005. p738-772
Apical 4 chamber echocardiogram : Pasien dgn hipereosinofilia, didapatkan massa dgn tekstur abnormal yg secara homogen mengisi apex LV