Pemeriksaan Hemodinamik Ekokardiografi pada Kasus Kegawatan dan Kritikal Jantung (Seri II) Edema Paru; kardiak atau non kardiak ?
Abstract
Edema paru dapat disebabkan oleh masalah kardiak maupun non kardiak. Edema paru yang disebabkan oleh kelainan kardiak antara lain adalah gagal jantung kiri baik sistolik maupun diastolik, kelainan katup, dan kelainan jantung kiri lainnya, sedangkan edema paru akibat masalah non kardiak antara lain disebabkan oleh Acute Respiratory Distress Syndrome (ARDS). Kelainan jantung sebelah kiri mengakibatkan peningkatan pengisian diastolik, peningkatan tekanan atrium kiri, peningkatan tekanan vena pulmonalis, dan selanjutnya peningkatan tekanan hidrostatik yang menyebabkan ekstravasasi cairan intravaskuler ke ekstravaskuler. Berdasarkan penjelasan tersebut, maka penyebab edema paru dapat dibedakan dari tekanan baji yang mencerminkan tekanan atrium kiri.Downloads
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References
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Ommen SR, Nishimura RA, Appleton CP, Miller FA, Oh JK, Redfield MM, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation 2000;102:1788-94.
Nagueah S, et al. Recommendation for the Evaluation of the LV Diastolic Function by Echocardiography. J Am Soc Echocardiogr 2009; Febr:107-133.
Hurrell D, Nishimura RA, Ilstrup DM, Appleton CP. Utility of preload alteration in assessment of left ventricular filling pressure by Doppler echocardiography: a simultaneous catheterization and Doppler echocardiographic study. J Am Coll Cardiol 1997;30:459-67.
Kuecherer HF, Muhiudeen IA, Kusumoto FM, Lee E, Moulinier LE, Cahalan MK, et al. Estimation of mean left atrial pressure from transesophageal pulsed Doppler echocardiography of pulmonary venous flow. Circulation 1990;82:1127-39.
Yamamuro A, Yoshida K, Hozumi T, Akasaka T, akagiT, Kaji S, et al. Noninvasive evaluation of pulmonary capillary wedge pressure in patientswith acute myocardial infarction by deceleration ime of pulmonaryvenous flow velocity in diastole. J Am Coll Cardiol 1999;34:90-4.
Ommen SR, Nishimura RA, Appleton CP, Miller FA, Oh JK, Redfield MM, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation 2000;102:1788-94.
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How to Cite
Soesanto, A. (1). Pemeriksaan Hemodinamik Ekokardiografi pada Kasus Kegawatan dan Kritikal Jantung (Seri II) Edema Paru; kardiak atau non kardiak ?. Indonesian Journal of Cardiology, 33(4), 274-8. https://doi.org/10.30701/ijc.v33i4.35
Section
Forum Ekokardiografi
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