Menilai Doppler Jaringan pada Gagal Jantung: Perlukah ?
Abstract
Gagal jantung kongestif (C?F) telah diketahui merupakan penyakit kardiovaskular yang menjadi masalah kesehatan di Indonesia maupun di banyak negara lainnya. Berbagai metode diagnostik dikembangkan untuk penegakan diagnosis dan evaluasi tata laksana pasien. Pemeriksaan peptida natriuretik seperti Brain natriuretic peptide (BNP) maupun N-terminal pro-BNP (NT-BNP) telah umum dilakukan untuk kep-erluan diagnostik maupun evaluasi terapi CHF.Akan tetapi pemeriksaan biomarker tersebut relatif mahal, terutama bila dilakukan secara serial untuk mengetahui keberhasilan terapi.
Pada CHF timbulnya gejala dan tanda telah diketahui terkait dengan tingginya tekanan baji pul-monal (PCWP). Keberhasilan terapi dan perbaikan klinis, kapasitas fungsional serta prognosis pasien CHF tentunya juga terkait dengan seberapa jauh terapi yang diberikan mampu menurunkan PCWP tersebut.
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References
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Dokainish Dokainish ?, Zoghbi WA, Lakkis NM, Al-Bakshy F, Dhir M, Quinones MA, Nagueh SF. Optimal noninvasive assessment of left ventricular filling pressures: a comparison of tissue Doppler echocardiography and B-type natriuretic pep-tide in patients with pulmonary artery catheters. Circulation. 2004;109:2432-2439.
Siregar RA, Kalim ?, Siswanto BB, Soesanto AM. Korelasi antara kadar plasma NT-proBNP dengan Kecepatan Doppler Jaringan di anulus katup mitral pada penderita Gagal Jantung. J Kardiol Indones. 2010;31:168-74
Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, Waggoner AD, Flachskampf FA, Pellikka PA, Evan-gelisa A. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22:107-133
Nagueh SF, Middleton KJ, Kopelen ?A, Zoghbi WA, Quino-nes MA. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol. 1997;30:1527-1533
Dokainish Dokainish ?, Zoghbi WA, Lakkis NM, Al-Bakshy F, Dhir M, Quinones MA, Nagueh SF. Optimal noninvasive assessment of left ventricular filling pressures: a comparison of tissue Doppler echocardiography and B-type natriuretic pep-tide in patients with pulmonary artery catheters. Circulation. 2004;109:2432-2439.
Siregar RA, Kalim ?, Siswanto BB, Soesanto AM. Korelasi antara kadar plasma NT-proBNP dengan Kecepatan Doppler Jaringan di anulus katup mitral pada penderita Gagal Jantung. J Kardiol Indones. 2010;31:168-74
Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, Waggoner AD, Flachskampf FA, Pellikka PA, Evan-gelisa A. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22:107-133
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How to Cite
Sukmawan, R. (1). Menilai Doppler Jaringan pada Gagal Jantung: Perlukah ?. Indonesian Journal of Cardiology, 31(3), 175-6. https://doi.org/10.30701/ijc.v31i3.130
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