Manifestasi Klinis CHF

Signs
Cachexia and muscle wasting Tachycardia Pulsus alternans Elevated jugular venous pressure Displaced apex beat Right ventricular heave Crepitations or wheeze Third heart sound Oedema Hepatomegaly (tender) Ascites

Symptoms
Dyspnoea Orthopnoea Paroxysmal nocturnal dyspnoea Reduced exercise tolerance, lethargy, fatigue Nocturnal cough Wheeze Ankle swelling Anorexia

kardiomegali • BB ↓ 4.5 kg 5 hr tx Kriteria Minor • Edema tungkai bilateral • Nocturnal dispnea • Dispnea on ordinary exertion • Hepatomegali • Efusi pleura • Penurunan kapasitas vital 1/3 • HR > 120 Dx Heart Failure: 2 major atau 1 major + 2 minor .Framingham Hearth Study criteria for CHF Kriteria Mayor • • • • • • • • • Paroksismal Noct Dispn Jugular venous distent Ronkhi basah Kardiomegal (radiologi) Edema paru akut Suara jantung III CVP > 16 cm H20 Reflex hepatojugular Otopsi: edem paru. kong viseral.

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