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  • Pericadial Disease: Dr. Hadi Hartono, SP - JP FIHA

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    This document discusses various types of pericardial disease including acute pericarditis, chronic pericarditis, constrictive pericarditis, and pericardial effusion. Acute pericarditis is the most common type and is usually self-limited. It is commonly caused by viruses or is idiopathic. Pericardial effusion occurs when there is excessive fluid in the pericardial sac, which can lead to cardiac tamponade if a large amount of fluid accumulates and obstructs fluid drainage from the sac. Constrictive pericarditis results from dense, fibrous thickening of the pericardium that adheres to the myocardium and

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    This document discusses various types of pericardial disease including acute pericarditis, chronic pericarditis, constrictive pericarditis, and pericardial effusion. Acute pericarditis is the most common type and is usually self-limited. It is commonly caused by viruses or is idiopathic. Pericardial effusion occurs when there is excessive fluid in the pericardial sac, which can lead to cardiac tamponade if a large amount of fluid accumulates and obstructs fluid drainage from the sac. Constrictive pericarditis results from dense, fibrous thickening of the pericardium that adheres to the myocardium and

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    9 views34 pages

    Pericadial Disease: Dr. Hadi Hartono, SP - JP FIHA

    Uploaded by

    mithaitalia8
    This document discusses various types of pericardial disease including acute pericarditis, chronic pericarditis, constrictive pericarditis, and pericardial effusion. Acute pericarditis is the most common type and is usually self-limited. It is commonly caused by viruses or is idiopathic. Pericardial effusion occurs when there is excessive fluid in the pericardial sac, which can lead to cardiac tamponade if a large amount of fluid accumulates and obstructs fluid drainage from the sac. Constrictive pericarditis results from dense, fibrous thickening of the pericardium that adheres to the myocardium and

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    of 34

    PERICADIAL DISEASE

    dr. Hadi Hartono,Sp.JP FIHA


    PERICARDIAL DISEASE
    Acute Pericarditis
    Chronic Pericarditis
    Constrictive Pericarditis
    Pericardial Effusion
    FUNGSI PERICARD
    Fixasi
    Perlindungan terhadap trauma dan infeksi
    Dual layer : viceral dan parietal
    Volume : 5 50 cc

    Acut Pericarditis
    Most common
    Commonly self limited disease
    Laki > Perempuan, Adult > children
    Penyebab utama : Virus dan Idiopatik
    Penyebab lain :
    Uremia - TBC
    Emboli - fungi
    Collagen disease - RF
    Radiasi
    Gejala Klinik
    Chest pain :
    Tidur meningkat
    Duduk menurun
    Dyspneu, palpitasi, batuk, fibris
    Pericardial friction rub

    Dyspneu, palpitasi, batuk, fibris
    Pericardial friction rub

    Laboratorium
    EKG :
    Non spesific
    Perubahan segmen PR dan ST
    90% Px
    Theraphy
    Self limited disease
    Therapy Causa
    Awas Tamponada
    Constrictive Pericarditis
    Dense, fibrous thickening melekat pada
    miokard gangguan diastolik filling
    Proses menahun
    Causa
    Cardiac surgery
    Radiasi mediastinum
    Kronik pericarditis
    Idiopathic
    Gejala Klinik
    Low cardiac output syndrome
    JVP
    Pulmonary Venous Congestion

    Manifestation (Ax):
    Dyspnea terus memburuk
    Edema, ascites,
    Chest pain
    Lemah
    Fisik
    Kussmoul Sign : inspirasi JVP
    Pulsus paradoxus
    Tachycardi
    Apex melemah
    Suara jantung menjauh
    Pericardial knock
    Ascites, pleura effusion, edema
    Hepato splenomegali
    Pmx penunjang
    EKG
    Low voltage
    T wave flat
    X- foto
    Kalsifikasi Pericard (TBC)
    Echo
    Jelas
    Terapi
    Surgical
    PERICARDIAL EFFUSION
    Jumlah cairan pericardial berlebihan, 80 cc
    s.d. 2 liter
    Tersumbatnya fluid drainage
    Bila banyak disebut Tamponade

    Etiologi
    Inflamatory Disease
    Infeksi
    Ca
    Proses Auto Immune
    Trauma



    Gejala
    Tergantung jumlah cairan
    Kecepatan ke cairan
    Dyspnea, batuk, orthopneu, chest pain
    Paradox pulse, tachypnea, tachycardia,
    hipotensi, edema
    Terapi
    Puncsie
    Mengatasi causa
    Cardiac Tamponade
    Causa
    Trauma thorak
    Carcinoma
    Excessive Pericardial Effusion

    Klinik
    Bergantung jumlah cairan
    Semakin banyak semakin berat (Tamponade)
    Dyspnea (85%), caughing (30%), orthopnea
    (25%), & chest pain (20%)
    Paradoxic pulse (45%), tachypnea (45%),
    tachycardia (40%), hypotension (25%), &
    peripheral edema (20%)
    Gejala di atas akan meningkat jika sudah
    terjadi Tamponade
    Diagnosis
    Klinis
    Echocardiography

    Theraphy
    Causa
    Punksi / drainase

    SAMPAI JUMPA DI UJIAN
    SEMOGA SUKSES

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