Rrra Lye to2rtcrorzn : . not | ser ACC KEMENTERIAN KESEHATAN RI DIREKTORAT JENDRAL PELAYANAN KESEHATAN RUMAH SAKIT UMUM PUSAT H.ADAM MALIK MEDAN 1 Bunge au Ne. Meson Turturgan Ki 12 Kota Ps 26 : Wie Annis Weight lee) 38 | Height ( iat ema Referring physician Pediatricia ‘Age/DOB Diagnosis == (VSD, ASD, PDA, Mod CoA, Pit ies Medan Echo No, 2nd Clinical findings | Screening Echocardiography Report a Normal pulmonary venous drainage Moderate ASD Secundum diameter 6-8mm, bidirectional shunt, LR shunt dominant periniembrane outlet VSD, diameter 7-8 + Moderate PDS, diameter 4-5 mm, bidirectional shunt, RL Dilated all cham Large P outlet VSD Moderate ASD Secudum er aiaela am inosine © Heart cathetherization medan, 13 Febevar DPIP Kardiologi Anak Dr. Ricky ir, 197905192006 yah, M1. KedlPed), So. A (K) 0100726.02.2024 12:18:58 Location: teem 150 bom SUP Adam Matt Onder Hamer: Sunga tau No.1? Vist edn Indieton: ~ [mmHg Medeaton 1 Mecseaton Techneian: Mediation 3: fale Pr ‘tending Pi NER Ansa. QRS = 182 ms Wide QRS tachycardia QT/ QtcBaz 322 / 508 ms Nonspecific intraventricular block PR = ms Lateral infarct , age undetermined PE ~ ms ‘Abnormal ECG RR/ PP 398 / 400 ms P/QRS/T: 53 / 95 degrees Ss nae : PON aarti Malad Palade sylalelul Yuftelabaladalel [ls ind ieen ose ead oS MAC2000. 1a 12SL™ v241 25 mm/s 10 mm/mVv ADS = 0.56- Pate 50 Hz 4x2.5x3_25_R1 oie u- DEPARTEMEN KESEHATAN R.I. Vy DIREKTORAT JENDERAL BINA PELAYANAN MEDIK & RUMAH SAKIT UMUM PUSAT Cc b> H. ADAM MALIK NSeNAr ‘ag ett ann axons angst. Gite et cee eens INSTALASI KARDIOVASKULAR LAPORAN PENYADAPAN JANTUNG Nama Widya Preise Umur 44 Kelamin Peremapuan. No.RM 1... 2006) Tel penyadapan B/ hy No. Register Cath Dr. Pengirim dy eet, Meleonrge, SrA(L) @ Cm BB... Kg 9 HBr .w..gt% — Ureum Creatinin Diagnosa Jenis Penyadapan (Kanan (A Kiri Tekanan dan saturasi : vy Sl a3 Karmen: \pdocupeh 2erhe gab by £ lange VSO [ipQrte feuds AID lege PIAS BH Shep oo de Rrcky Paleionrye ApH)