1 kardiologi anak.ppt [read-only] -...

17

Upload: truongxuyen

Post on 06-Mar-2019

224 views

Category:

Documents


0 download

TRANSCRIPT

KARDIOLOGI ANAKKARDIOLOGI ANAK

Prof. Dr. RUSDIDJAS, Sp(K)Prof. Dr. RUSDIDJAS, Sp(K)

Kasubbag Nefro Kasubbag Nefro –– KardioKardio

FKFK--USU / RSU Pusat HAM Medan.USU / RSU Pusat HAM Medan.

Anatomi dan Fisiologi Anatomi dan Fisiologi Jantung.Jantung.

ADA 4 COMPARTEMEN 2

SERANBI (AURICLE)

(KIRI DAN KANAN) 2

BILIK (VENTRICLE) (KIRI

DAN KANAN

4. KLEP (VALVULA):

1. MITRAL1. MITRAL

2. AORTAL

3. PULMONAL

4. TRICUSPIDAL

2. PEMB. DARAH KELUAR

(AORTA dan A. PULMO.)

2. PEMB.D. MASUK

(V.PUL,OMALIS dan V.CAVA)

T

PA

M

SYSTEM SYARAF

(NERVE CONDUC-

TION:)):

SA NODE

AV NODE

(TAWARA)

HIS BUNDLE

R BUNLE BRANCH

L BUNDLE BR.L BUNDLE BR.

PURKINYE FIBERS

SA KE AV-----TRACT:

1. POST. INTERNODAL T

2. MID INTERNODAL T

3. ANT. INTERNODAL T

4. Bachmann Bundle

SA Node terletak pd A-Ka

dekat Vena Cava Sup.

AV Node pada V-Ka

BACHMANN

BACHMANN

THORELLWENCKEBACH

SA Node

AV Node

(Tawara)

Bundle of Hiss

B

W

T

L Branch Purkinje fibre

System Sjaraf Symp.

R Branch

L Branch Purkinje fibre

Purkinje fibre

1.Kelainan Jatung Bawaan (KJB)1.Kelainan Jatung Bawaan (KJB)

Congenital Heart Diseases (CHD)Congenital Heart Diseases (CHD)

1.1. Asianotik (Acyanotic CHD)1.1. Asianotik (Acyanotic CHD)

1.2. Sianotik (Cyanotic CHD) 1.2. Sianotik (Cyanotic CHD)

2. Kel.Jantung didapat (Aquired HDt Diseases)2. Kel.Jantung didapat (Aquired HDt Diseases)2. Kel.Jantung didapat (Aquired HDt Diseases)2. Kel.Jantung didapat (Aquired HDt Diseases)

2.1. Demam Rematik (Rheumatic Fever) dan2.1. Demam Rematik (Rheumatic Fever) dan

Peny.J.Rematik (Rheumatic HD)Peny.J.Rematik (Rheumatic HD)

2.2. Sub Acute Bacterial Endocarditis 2.2. Sub Acute Bacterial Endocarditis

2.3. Carditis Diphtherica2.3. Carditis Diphtherica

3. Decompensatio Cordis (Heart Failure) 3. Decompensatio Cordis (Heart Failure)

ASD L to R shunt

VSD L to R Shunt

TOF

TOF

(TETRALOGI

OF FALLOT)

1. RVH

T

PA

M

1.

2.

3.

4.1. RVH

2.VSD

3.NARROW

PULM.VAVE

4. OVERIDING

AORTA.