hipertensi pulmonal upn 2015

7/25/2019 Hipertensi Pulmonal Upn 2015

1/20

IPERTENSI

IPERTENSI

PULMONALULMONAL

Prof.DR.dr.ZAINAL MUSTHAFA,MSi.,FS.,SpJP,FIHAProf.DR.dr.ZAINAL MUSTHAFA,MSi.,FS.,SpJP,FIHA

Dep. Kardiologi RSPAD-GSDep. Kardiologi RSPAD-GS

FK-UPN !e"era#$ Ja%ar"aFK-UPN !e"era#$ Ja%ar"a


2/20

PA

PA

Re&i&"e#&i A. P'l(o#ali&Re&i&"e#&i A. P'l(o#ali&

Gagal Ja#"'#g Ka#a#Gagal Ja#"'#g Ka#a#

Ke(a"ia# (e#dada%Ke(a"ia# (e#dada%


3/20

Proses Selulerroses Seluler

PA

PA

Di&f'#g&i )#do"*elDi&f'#g&i )#do"*el

Ke&ei(+a#ga# +ioa%"if al Ke&ei(+a#ga# +ioa%"if al Ni"ro'& ide /N0Ni"ro'& ide /N0

Pro&"a&i%li#Pro&"a&i%li#

T*ro(+oa# AT*ro(+oa# A11 )#do"*eli'( 2 3)#do"*eli'( 2 3


4/20

GANGGUAN

ANGGUAN

F'#g&i %a#al K 4 NaF'#g&i %a#al K 4 Na

)pre&i "ra#&por &ero"o#i#)pre&i "ra#&por &ero"o#i#

Prod'%&i (a"ri (e#i#g%a" /T'#i%a.ad!0Prod'%&i (a"ri (e#i#g%a" /T'#i%a.ad!0


5/20

KLASIFIKASI PALASIFIKASI PA

3.3. Idiopa"i%Idiopa"i%

1.1. Fa(ilialFa(ilial

5.5. 6er*'+'#ga# de#ga#6er*'+'#ga# de#ga# Pe#7a%i" Jari#ga#Pe#7a%i" Jari#ga#

PJ6PJ6

Hiper"e#&i Por"alHiper"e#&i Por"al Pe#gar'* o+a" 4 Toi#Pe#gar'* o+a" 4 Toi#

Lai#-lai#Lai#-lai#


6/20

KLASIFIKASI PA -------2

LASIFIKASI PA -------2

8.8. HPA a%i+a" pe#7a%i" Ja#"'#g KiriHPA a%i+a" pe#7a%i" Ja#"'#g Kiri Ga#gg'a# f'#g&i A"ri'( 4 !e#"ri%el %iriGa#gg'a# f'#g&i A"ri'( 4 !e#"ri%el %iri

Ga#gg'a# %a"'p 9a#"'#g %iriGa#gg'a# %a"'p 9a#"'#g %iri

:.:. HPA a%i+a" pe#7a%i" Par' 4 Hipo%&iaHPA a%i+a" pe#7a%i" Par' 4 Hipo%&ia PPMPPM

Pe#7a%i" par' i#"re&"i"ialPe#7a%i" par' i#"re&"i"ial

Ga#gg'a# "id'rGa#gg'a# "id'r Hipo!e#"ila&i al!eoliHipo!e#"ila&i al!eoli

Ke"i#ggia#Ke"i#ggia#

Kelai#a# per"'(+'*a#Kelai#a# per"'(+'*a#


7/20

KLASIFIKASI PA -------3

LASIFIKASI PA -------3

;. HPA a%i+a" "*ro(+o e(+oli;. HPA a%i+a" "*ro(+o e(+oli

)(+oli p'l(o#al)(+oli p'l(o#al

)(+oli #o# "*ro(+o& /"'(or,para&i",+e#da)(+oli #o# "*ro(+o& /"'(or,para&i",+e#da

a&i#g0a&i#g0


8/20

PATOGENESIS PA

ATOGENESIS PA

M'l"ifa%"orial, a.l. M'l"ifa%"orial, a.l.

!a&o %o#"ra%&i!a&o %o#"ra%&i

re(odelli#gre(odelli#g

o+&"r'%&i pe(+'l'* dara*o+&"r'%&i pe(+'l'* dara*

i#fla(a&i da# "*ro(+o&i&i#fla(a&i da# "*ro(+o&i&


9/20


10/20

CURIGAURIGA

K)LUHAN 4 GANGGUANK)LUHAN 4 GANGGUAN

&e&a% "a#pa %elai#a# 7a#g lai#&e&a% "a#pa %elai#a# 7a#g lai#

>epa" lela*>epa" lela*

le(a*le(a*

a#gi#aa#gi#a&7#>ope&7#>ope

di&"e#&i a+do(e#di&"e#&i a+do(e#


11/20

DETEKSI PAETEKSI PA

)KG)KG

Fo"o T*oraFo"o T*ora

)%*o%ardiograp*7)%*o%ardiograp*7

A#giograp*7A#giograp*7


12/20

KLASIFIKASI KLINISLASIFIKASI KLINIS

Te&" f'#g&i par'Te&" f'#g&i par'AGDAGD

=T=T

A#giograp*7A#giograp*7


13/20

PENETUAN TYPEENETUAN TYPE

LA6. DARAH 4 IMUNLGILA6. DARAH 4 IMUNLGI

USG A6DM)NUSG A6DM)N

TR)ADMILL T)STR)ADMILL T)S

AGIGRAPH?AGIGRAPH?6IPS?6IPS?


14/20

Dx PA

x PA

Die!"##"$ie!"##"$( PAP @ 5 ((Hg( PAP @ 5 ((Hg

PBPPBP 15 mmHg 15 mmHg

PWR > 3PWR > 3


15/20

TATALAKSANA

ATALAKSANA

UMUMUMUM

+a"a&i a%"ifi"a&+a"a&i a%"ifi"a&

*i#dari %e"i#ggia#*i#dari %e"i#ggia#

>ega* i#fla&i>ega* i#fla&i

>ega* a#e(ia 4 H+>ega* a#e(ia 4 H+o+a"-o+a"a# 4o+a"-o+a"a# 4


16/20

O%AT

%AT

ANTI KAGULANANTI KAGULAN

DIUR)TIKDIUR)TIK

KSIG)NASIKSIG)NASI

INTRPIKINTRPIK

==6 4 CASDILATASI==6 4 CASDILATASICAS DILATASICAS DILATASI

DLLDLL


17/20

INTER&ENSI

NTER&ENSI

6ALN6ALN

TRANSPLANTASITRANSPLANTASI


18/20


19/20


20/20

hipertensi pulmonal upn 2015

Documents