2 kardiologi anak 1111

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7/23/2019 2 Kardiologi Anak 1111

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KARDIOLOGI ANAKKARDIOLOGI ANAK

Prof. dr. H. RUSDIDJAS, Sp(K)Prof. dr. H. RUSDIDJAS, Sp(K)

Prof.dr. Hj. Rata R, SpA(K)Prof.dr. Hj. Rata R, SpA(K)

dr. Hj. Oke Rina Raa!ani,dr. Hj. Oke Rina Raa!ani,

SpA Dept. IKA "K UISU,SpA Dept. IKA "K UISU,

 Ja#an S$ Raja $edan  Ja#an S$ Raja $edan%%

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Anatomi dan FisiologiAnatomi dan Fisiologi

 Jantung. Jantung. ADA 4 COMPARTEMEN 2SERANBI (AURICLE)

(KIRI DAN KANAN)

2 BILIK (VENTRICLE) (KIRI

DAN KANAN

4. KLEP (VALVULA):

  1. 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)&&

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T

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SSTEM SARA!

(NERVE CONDUC"

TION:)):

SA NODE

AV NODE

(TA#ARA)

HIS BUNDLE

R BUNLE BRANCH

L BUNDLE BR.

PURKINE !IBERS

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 SA KE AV-----TRACT:

1. POST. INTERNODAL T

2. MID INTERNODAL T

3. ANT. INTERNODAL T

4. Bachmann Bund!

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SA N"d! #!$!#a% &d A-Ka

d!%a# V!na Ca'a Su&.AV N"d! &ada V-Ka 

**

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++

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  T(ORELL

)P"*#. In#!$n"da+

BACHMANN

  BACHMANN

($% A&'* $')

 #ENCKEBACH

(An&%'+' Md-% In&%'n+da-)Di AtriKiri 1-1-

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SA N"d!

AV N"d!

)Ta,a$a+

Bund! " (**

 B

 /. Md

 T

R B$anch

L B$anch Pu$%n0! $!

Pu$%n0! $!

S*#!m S0a$a Sm&.

 / .An#

1111

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1.K%-anan a&n/ Ba0aan (KB)1.K%-anan a&n/ Ba0aan (KB)  C+n/%n&a- H%a'& D%a% (CHD)  C+n/%n&a- H%a'& D%a% (CHD)

  1.1. Aan+&$ (Aan+& CHD)  1.1. Aan+&$ (Aan+& CHD)

  1.2. San+&$ (Can+& CHD)1.2. San+&$ (Can+& CHD)

2. K%-.an&n/ ddaa& (A5'%d HD D%a%)2. K%-.an&n/ ddaa& (A5'%d HD D%a%)

  2.1. D%*a* R%*a&$ (R6%*a& !%7%') dan  2.1. D%*a* R%*a&$ (R6%*a& !%7%') dan

  P%n..R%*a&$ (R6%*a& HD)  P%n..R%*a&$ (R6%*a& HD)

  2.2. S8 A&% Ba&%'a- End+a'd&2.2. S8 A&% Ba&%'a- End+a'd&2.3. Ca'd& D6&6%'a  2.3. Ca'd& D6&6%'a

 3. D%+*%na&+ C+'d (H%a'& !a-'%)3. D%+*%na&+ C+'d (H%a'& !a-'%)

1212

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1. ASDL #" R *hun# 2. VSDL #" R

Shun#

KJB Acyanotic : 1) ASD 2). VSD, 3). PDA,

4). Coactatio Aota!

1%1%

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DAERA( PANCARANDAERA( PANCARANKERAS )ET LESION+KERAS )ET LESION+

3). PDA

"P!#i#t!ntD$ct$#

At!io#$#)

%$&$n'an antaa

Aota "A) (an

A.P$*onai# "P)

L R #+$nt

"Acyanotic )

 A P

1&1&

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4). Coactatio Aota!

"Aota *!ny!*it (#$at$ (a!a+

 anda K#ini/ 0

i#a pepitan //d.A.ra3ia#i/

1). 45SI 46tre Ata/ 7eda8 2). A. "era#i/ 9Pidto#

/oot :n; %). P#/e 4tre Ke3i#

1'1'

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TETRALO5 O6 6ALLOTTETRALO5 O6 6ALLOT

TETRA 7 4 KELAINANTETRA 7 4 KELAINAN

1.VSD1.VSD

2.OVERIDIN AORTA88..2.OVERIDIN AORTA88..3.P9LMONAL STENOSIS3.P9LMONAL STENOSIS

4. RV(4. RV(

S(9NT DARI KA-KIS(9NT DARI KA-KI

DARA( KOTOR BERCAMP9RDARA( KOTOR BERCAMP9R

DN DARA( BERSI(-C5ANOSISDN DARA( BERSI(-C5ANOSIS-6AIL9RE TO T(RIVE-6AIL9RE TO T(RIVE

-M9DA( CAPEK-M9DA( CAPEK

-S;9ETTN <ONKOK-S;9ETTN <ONKOK

-LIDA( = 99N ARI BIR9-LIDA( = 99N ARI BIR9-DR9MSTICK 6INER-DR9MSTICK 6INER

 )ARI TAB9(+)ARI TAB9(+

A

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1.

2.

3.

4.

1+.TO6

)TETRALOI

O6 6ALLOT+1. RV(

2.VSD

3.NARRO/

P9LM.VAVE

4. OVERIDIN

AORTA.

KJB Cyanotic 1). TOF, 2). Single Ventricle, 3).

TGV (Transp. O Great Ves.)

!. "no#alo$s Veno$s ret$rn

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2). Sin<#e =ent. D#2). Sin<#e =ent. D#

=entr. dara=entr. dara7er3apr,7er3apr,

>!anoti3.>!anoti3.

1*1*

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%). :=. (ran/p of%). :=. (ran/p of

:reat =e//#e) Aorta:reat =e//#e) Aorta

7era/a# dari7era/a# dari=entri3#e Kanan ?=entri3#e Kanan ?

A.P#ona#i/ dariA.P#ona#i/ dari

=entri3#e Kiri. 1=entri3#e Kiri. 1

a!i ar @air ira!i ar @air ir ati, Utk 7i/aati, Utk 7i/a

idp r/ adaidp r/ ada

Snt PDA.Snt PDA.

1+1+

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PA

M

2.

3.

4.

KJB Cyanotic 1). TOF, 2). Single Ventricle, 3).

TGV (Transp. O Great Ves.)

!. "no#alo$s Veno$s ret$rn

2-2-

=P

=>S

=>

I

=ena !< /ear/n!a a/k ke

 Jantn< ke

tepat #ain, i/0A= S7 >#aBia@R

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2121

 

 KS