Anestesi Dalam Persalinan Pada Wanita Dengan Kelainan Jantung
Abstract
Insidensi penyakit jantung selama kehamilan hampir tidak berubah selama puluhan tahun dengan penyebab terseringnya adalah kehamilan pada ibu dengan penyakit jantung kongenital, diikuti oleh kehamilan pada ibu dengan penyakit jantung rematik.Angka kematian maternal menurun dari sebesar 6% pada tahun 1930-an hingga kini menjadi 0.5%-2.7%. Kehamilan akan meningkatkan resiko mortalitas maternal pada pasien dengan kelainan jantung dibandingkan dengan populasi normal. Kelainan jantung selama kehamilan juga akan meningkatkan morbiditas akibat kejadian gagal jantung, aritmia, dan stroke. Perkembangan sirkulasi uteroplasenter menginduksi perubahan besar dalam fisiologi kardiovaskular wanita hamil. Pada wanita hamil terdapat peningkatan volume intravaskular sampai 60%, penurunan tekanan darah, peningkatan denyut jantung sebesar 10%-20%, peningkatan curah jantung hingga 40%-50%, dan kejadian supine hypotensive syndrome10%-20%. Perubahan-perubahan ini dapat menyebabkan deteriorasi hemodinamik pada wanita hamil dengan kelainan jantung. Manajemen anestesi pada persalinan pasien dengan kelainan jantung bergantung pada kelainan jantung yang dideritanya. Pemberian anestesi pada sebagian besar wanita hamil dengan kelainan jantung umumnya dapat ditoleransi dengan baik. Persalinan pervaginam direkomendasikan pada sebagian besar kasus, kecuali pada beberapa keadaan khusus.
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References
Van Mook Walther NKA, Peters Louis. Severe cardiac disease in pregnacy, part II: impact of congenital and acquired cardiac diseases during pregnancy. Lipincott Williams and Wilkins. 2005; 435-48.
Siu SC, Sermer M, Colman JM. Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 2001; 104: 515-21.
McFaul PB, Dornan JC, Lamki H, Boyle D. Pregnancy com-plicated by maternal heart disease. A review of 519 women. Br J Obstet Gynaecol 1988; 95: 861-67.
Jindal UN, Dhall GI, Vashista K. Effect of maternal cardiac disease on perinatal outcome. Aust N Z J Obstet Gynaecol 1988; 28: 113-15.
Weiss BM, Hess OM. Pulmonary vascular disease and pregnancy. Heart 2001; 85: 710-15.
Ferne R, Braveman. Pregnancy associated diseases. In: Hines RK, Marschall, KE, ed. Stoelting’s anesthesia and coexisting disease. 5th edition. New York: Saunders Elsevier; 2008: 557-64.
Somerville J. Grown-up congenital heart disease: medical de-mands look back, look forward 2000. Thoracic Cardiovascular Surg 2001; 49: 21-26.
Siu SC, Colman JM. Heart Disease and pregnancy. Heart 2001; 85:710-15.
Somerville J. The Denolin Lecture: The woman with congenital heart disease. Eur Heart J 1998; 19: 1766-1775.
Gei AF, Hankins GD. Cardiac disease and pregnancy. Obstet Gynecol Clin North Am 2001; 28: 465-512.
Bhatla N, Lal S, Behera G. Cardiac disease in pregnancy. Int J Gynecol Obstet. 2003; 82: 153-159.
Avila WS, Rossi EG, Ramires JA. Pregnancy in patients with heart disease; experience with 1000 cases. Clin Cardiol 2003; 26: 135-142.
James A Dinardo. Interpreting cardiac catheterization data. In: James A Dinardo, Editor. Anesthesia for cardiac surgery. Second edition. Connecticut: Appleton and Lange;1998:17–36.
Gregg S Hartmann, Stephen J Thomas. Valvular heart dissease. In : Fun Sun F Yao, Yoseph F Artusio, editors. Anesthesiology: problem oriented patient management. Fourth edition. Phila-delphia: Lippincott-Raven;1998:194 – 217.
Jill Fong. Breech presentation, fetal distress and mitral stenosis. In: Fun Sun F Yao, Yoseph F Artusio, editors. Anesthesiol-ogy: problem oriented patient management. Fourth edition. Philadelphia:Lippincott-Raven;1998:704-19.
William E Ackerman, Mushtaque M Juneja.Obstetric anesthesia pearls. Connecticut: Appleton and Lange;1992: 3–13,183–91,.
Anita Bachus Chang. Physiologic changes of pregnancy.In : David H Chestnutt, editor. Obstetric anesthesia, principles and practice. Third Edition. Philadelphia: Elsevier-Mosby; 2004:15 – 36.
Landau Ruth, Smiley Richard. In: Anesthesia for cardiac surgery in the pregnant patient. In: Estafanous Fawzy G, Barash Paul G, Reves JG, ed. Anesthesia: Principles and Clinical Practice, Second Edition. Lipincott Williams & Wlkins, Philadelphia. 2001. P 895-909
Maroo, Anjli. Pregnancy and Heart Disease. In: Disease man-agement project. Center for continuing education Cleveland Clinic. January, 2009.
Ramanathan Jaya. Analgesia and anesthesia during pregnacy. In: Elkayam Uri, Gleicher Norbert, ed. Cardiac Problems in Pregnancy, Third Edition. 1998. P 285-313
Miriam Harnett, Philip Smushlin, William R Camann. Cardiovascular dissease. In: David H Chestnutt, editor. Obstetric anesthesia, principles and practice. Third edition. Philadelphia:Elsevier-Mosby; 2004:707–33.
Lionel H Opie, Bernard J Gersh. Digitalis, acute inotrope and inotrope dilatation. In: Lionel H Opie, Bernard J Gersh, Editors. Drugs for the heart. Fifth edition. Philadelphia:W.B. Saunders; 2001:154–186.
Siu SC, Sermer M, Colman JM. Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 2001; 104: 515-21.
McFaul PB, Dornan JC, Lamki H, Boyle D. Pregnancy com-plicated by maternal heart disease. A review of 519 women. Br J Obstet Gynaecol 1988; 95: 861-67.
Jindal UN, Dhall GI, Vashista K. Effect of maternal cardiac disease on perinatal outcome. Aust N Z J Obstet Gynaecol 1988; 28: 113-15.
Weiss BM, Hess OM. Pulmonary vascular disease and pregnancy. Heart 2001; 85: 710-15.
Ferne R, Braveman. Pregnancy associated diseases. In: Hines RK, Marschall, KE, ed. Stoelting’s anesthesia and coexisting disease. 5th edition. New York: Saunders Elsevier; 2008: 557-64.
Somerville J. Grown-up congenital heart disease: medical de-mands look back, look forward 2000. Thoracic Cardiovascular Surg 2001; 49: 21-26.
Siu SC, Colman JM. Heart Disease and pregnancy. Heart 2001; 85:710-15.
Somerville J. The Denolin Lecture: The woman with congenital heart disease. Eur Heart J 1998; 19: 1766-1775.
Gei AF, Hankins GD. Cardiac disease and pregnancy. Obstet Gynecol Clin North Am 2001; 28: 465-512.
Bhatla N, Lal S, Behera G. Cardiac disease in pregnancy. Int J Gynecol Obstet. 2003; 82: 153-159.
Avila WS, Rossi EG, Ramires JA. Pregnancy in patients with heart disease; experience with 1000 cases. Clin Cardiol 2003; 26: 135-142.
James A Dinardo. Interpreting cardiac catheterization data. In: James A Dinardo, Editor. Anesthesia for cardiac surgery. Second edition. Connecticut: Appleton and Lange;1998:17–36.
Gregg S Hartmann, Stephen J Thomas. Valvular heart dissease. In : Fun Sun F Yao, Yoseph F Artusio, editors. Anesthesiology: problem oriented patient management. Fourth edition. Phila-delphia: Lippincott-Raven;1998:194 – 217.
Jill Fong. Breech presentation, fetal distress and mitral stenosis. In: Fun Sun F Yao, Yoseph F Artusio, editors. Anesthesiol-ogy: problem oriented patient management. Fourth edition. Philadelphia:Lippincott-Raven;1998:704-19.
William E Ackerman, Mushtaque M Juneja.Obstetric anesthesia pearls. Connecticut: Appleton and Lange;1992: 3–13,183–91,.
Anita Bachus Chang. Physiologic changes of pregnancy.In : David H Chestnutt, editor. Obstetric anesthesia, principles and practice. Third Edition. Philadelphia: Elsevier-Mosby; 2004:15 – 36.
Landau Ruth, Smiley Richard. In: Anesthesia for cardiac surgery in the pregnant patient. In: Estafanous Fawzy G, Barash Paul G, Reves JG, ed. Anesthesia: Principles and Clinical Practice, Second Edition. Lipincott Williams & Wlkins, Philadelphia. 2001. P 895-909
Maroo, Anjli. Pregnancy and Heart Disease. In: Disease man-agement project. Center for continuing education Cleveland Clinic. January, 2009.
Ramanathan Jaya. Analgesia and anesthesia during pregnacy. In: Elkayam Uri, Gleicher Norbert, ed. Cardiac Problems in Pregnancy, Third Edition. 1998. P 285-313
Miriam Harnett, Philip Smushlin, William R Camann. Cardiovascular dissease. In: David H Chestnutt, editor. Obstetric anesthesia, principles and practice. Third edition. Philadelphia:Elsevier-Mosby; 2004:707–33.
Lionel H Opie, Bernard J Gersh. Digitalis, acute inotrope and inotrope dilatation. In: Lionel H Opie, Bernard J Gersh, Editors. Drugs for the heart. Fifth edition. Philadelphia:W.B. Saunders; 2001:154–186.
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How to Cite
Boom, C. (1). Anestesi Dalam Persalinan Pada Wanita Dengan Kelainan Jantung. Indonesian Journal of Cardiology, 32(2), 118-27. https://doi.org/10.30701/ijc.v32i2.109
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