Kesesuaian Pengukuran Hemodinamik Secara Non-Invasif Dan Invasif: Apakah Aplikatif?
Abstract
Upaya penyederhanaan pengukuran –pengukuran invasif dengan pengukuran non-invasif selalu menarik untuk diteliti. Jika pengukuran yang lebih sederhana dan non-invasif dapat memiliki akurasi mendekati baku emas pengukuran invasif tentu akan sangat bermanfaat bagi pasien. Pada jurnal ini Priyana dkk mencoba meneliti kesesuaian pengukuran tahanan vaskular sistemik (TVS) antara Swan-Ganz dengan ekokardiografi transtorakal .TVS adalah tahanan terhadap aliran darah oleh seluruh vaskularisasi sistemik di luar vaskularisasi paru. TVS kadang disebut juga sebagai total peripheral resistance(TPR). TVS ditentukan oleh faktor-faktor yang mempengaruhi tahanan vaskular pada setiap vascular beds. Mekanisme yang menimbulkan vasokonstriksi akan meningkatkan TVS, sementara mekanisme yang menyebabkan vasodilatasi akan menurunkan TVS. Sekalipun TVS secara primer ditentukan oleh perubahan diameter pembuluh darah, tetapi perubahan dalam viskositas darah juga berpengaruh terhadap TVS.
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References
Priyana A, Joesoef AH, Kalim H, Soesanto AM. Kesesuaian isi sekuncup, curah jantung, dan tahanan vaskular sistemik yang ditentukan secara swan-ganz dan ekokardiografi. J Kardiol Indones. 2009; 30: 50-61
Kwan S, Abbas A, Khanderia B. Echocardiographic Assessment of Right Heart Hemodynamic Parameters. Journal of the American Society of Echocardiography. 2007;20: 773-82.
Brennan JM, Blair J, Gooneawrdena S, Ronan A, Shah D, Kirkpatrick J, et al. Reappraisal of the Use of Inferior Vena Cava for Estimating Right Atrial Pressure. Am Soc Echocardiogr. 2007;20:857-61.
Jue J, Schiller CW. Does Inferior Vena Cava Size Predict Right Atrial Pressures in Patients Receiving Maechanical Ventilator? J Am Soc Echocardiogr. 1992;5(6): 613-9.
Kwan S, Abbas A, Khanderia B. Echocardiographic Assessment of Right Heart Hemodynamic Parameters. Journal of the American Society of Echocardiography. 2007;20: 773-82.
Brennan JM, Blair J, Gooneawrdena S, Ronan A, Shah D, Kirkpatrick J, et al. Reappraisal of the Use of Inferior Vena Cava for Estimating Right Atrial Pressure. Am Soc Echocardiogr. 2007;20:857-61.
Jue J, Schiller CW. Does Inferior Vena Cava Size Predict Right Atrial Pressures in Patients Receiving Maechanical Ventilator? J Am Soc Echocardiogr. 1992;5(6): 613-9.
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How to Cite
Yuniadi, Y. (1). Kesesuaian Pengukuran Hemodinamik Secara Non-Invasif Dan Invasif: Apakah Aplikatif?. Indonesian Journal of Cardiology, 30(2), 57-8. https://doi.org/10.30701/ijc.v30i2.163
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