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KEHAMILAN
(Medical and Surgical Complications)
Daliman, Dr, Sp.OG(K)FM
RS Margono Soekarjo/ FK Unsoed,
Purwokerto
2. PENYAKIT
DIABETES
MELLITUS
DIAGNOSIS,
PRONOSIS,
PULMONARY
HYPERTENSION
AND PREGNANCY
(Management, Labor
and Delivery)
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Cardiovascular Disorders
8. Cardiomyoppathies,
Hypertrophyc cardiomyopathy,
Dilated cardiomyopathy (PERIPARTUM
CARDIOMYOPATHY, prognosis),
Other primary Causes of Cardiomyopathy
(Arrhythmogenic Right Ventricular Dysplasia, Restrictive
Cardiomyopathy)
9. HEART FAILURE,
Dianosis,
Management,
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Cardiovascular Disorders
10. INFECTIVE 11. ARRHYTHMIAS,
ENDOCARDITIS,
Bradyarrhythmias,
Diagnosis, supraventricularTac
Management, hycardias,
Endocarditis in Ventricular
pregnancy Tachycardia,
(Endocarditis Prolonges QT-
prophylaxis) Interval.
KARDIOVASKULER
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KEMATIAN MATERNAL DAN
PENYAKIT KARDIOVASKULER DALAM KEHAMILAN
FUNGSI
VENTRIKEL
pada
KEHAMILAN
TEMUAN KLINIK.
SIANOSIS, CLUBBING OF FINGER.
DISTENSI V JUGULARIS MENETAP.
SISTOLIK MUMUR DERAJAT 3/6 ATAU LEBIH.
DIASTOLIK MUMUR.
KARDIOMEGALI.
ARITMIA MENENTAP.
SPLIT SUARA JANTUNG KEDUA MENETAP.
KRITERIA HIPERTENSI PULMONAL.
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PREDIKTOR KOMPLIKASI KARDIAL,
DIANTARANYA:
1. KEGAGALAN JANTUNG SEBELUMNYA,
TRANSIENT ISCHEMIC ATTACK, ARITMIA ATAU
STROKE.
2. BERBASIS NYHA KLAS III ATAU IV, ATAU SIANOSIS.
3. Left-sided obstruction didefinisikan sebagai area
katup mitral kurang dari 2 cm2, area katup aorta
kurang dari 1,5 cm2, atau puncak aliran ventrikel
kiri tract gradient diatas 30 mmHg dengan
echocardiography.
Electrocardiography
Chest Radiography
Echocardiography
SC (Simpson, 2102),
Pada umumnya dilakukan pada:
persalinan dapat
1. Dilated aortic root >
dilakukan aman,
4 cm, atau
pervaginam aneurysma aortae,
dengan induksi 2. Acute severe CHF,
persalinan,
3. Recent myocardial
sedangkan SC infarction,
terbatas atas
4. Severe symptomatic
indikasi OBSTETRI. aortic stenosis.
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PENANGANAN PENYAKIT JANTUNG PADA
KEHAMILAN.
mechanical disturbances in ventricular filling during diastole when there’s too little blood for the
ventricle to pump, as in mitral stenosis secondary to rheumatic heart
disease or constrictive pericarditis and atrial fibrillation
systolic hemodynamic disturbances such as excessive cardiac workload due to volume
overloading or pressure overload that limit the heart’s pumping ability.
These disturbances can result from mitral or aortic insufficiency, which causes volume
overloading, and aortic stenosis or systemic hypertension, which results in increased resistance to
ventricular emptying.