congestive cardiac failure.(ppoint)

8/9/2019 Congestive Cardiac Failure.(Ppoint)

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CONGESTIVE CARDIACCONGESTIVE CARDIAC

FAILUREFAILURE

Pn. Maznah OsmanBns (Hons) OUM.



Ob!"#$% P!mb!&aa'anOb!"#$% P!mb!&aa'an

. M!n!*n$s$"an +on,!s#$-! Ca'$a+ Fa$&'!.

/. M!n0a#a"an !#$o&o,$ Con,!s#$-! Ca'$a+Fa$&'!.

1. M!n!'an,"an s!+a'a '$n,"as 2a#o*s$o&o,$

Con,!s#$-! Ca'$a+ Fa$&'!. 1.. L!%# H!a'# Fa$&'!3

1./. R$,h# H!a'# Fa$&'!.

4. M!n0a#a"an man$%!s#as$ "&$n$"a& +on,!s#$-!

+a'$a+ %a$&'!.5. M!n0a#a"an !n$s6!n$s 2!n0$asa#an

+on,!s#$-!

+a'$a+ Fa$&'!.



P!n,!na&anP!n,!na&an

7!+!"a2an %n,s$ an#n, b!',an#n,"!2aa8•7on#'a"#$&$#$ an#n,.•P'!&oa 9 aman a'ah a&am

-!n#'$"!& 2aa 2!n,hn, $as#o&!.•A%#!'&oa 9 '$n#an,an -!n#'$"!& "$'$s!masa m!no&a" a'ah "!&a'.•7aa' !n0#an an#n,.

(:$"a #!'a2a# 2!'bahan 2aa 4"om2on!n $ a#as ma"a a"anm!n!as"an an#n, b!'%n,s$ !n,anba$")



Sistem peredaran darahSistem peredaran darah



D!*n$s$ CCFD!*n$s$ CCF

• Sa# "!aaan $mana an#n,,a,a& m!n,!2am +"2 a'ah"! s!&'h baan n#"

m!m!nh$ "!2!'&an o"s$,!nan n#'$!n #$s6#$s.

• Is#$&ah CCF $n$ m!'""!2aa "!,a,a&an an#n,"$'$ an "anan.



7&as$*"as$ "!,a,a&an7&as$*"as$ "!,a,a&an

an#n, an#n,. Left heart failure.

2. Right heart failure.

7!,a,a&an an#n, $n$ bo&!hb!'&a" b!'as$n,an.

7!,a,a&an an#n, "$'$m!mba;a "!2aa "!,a,a&an

an#n, s!b!&ah "anan.



E#$o&o,0 an '$s" %a+#o'E#$o&o,0 an '$s" %a+#o'

1. Faktor intrinsic

B s ny melibatkan penyakit

CAD, kerana kurang bekalan O2 ke

myocardium menyebabkan otot sel

tidak berfungsi, contoh !yocardial infarct

"al#e disease

Cardiomyopathy

dysrhythmias



2. Extrinsic factor

Faktor luaran daripada jantung ini

melibatkan peningkatan strokevolume (SV) preload atauafterload. !ontoh"

#.$%pertension ( increasedafterload).

2.$%pervolemia ( increased preload).&. 'h%rotoxicosis pregnanc% high

output failure ( increased bod%demand).



E#$o&o,$ Am CCFE#$o&o,$ Am CCF

Fa"#o' $n#'$ns$+8b$asan0a

. A#h!'os+&!'os$s

/. H02!'#!ns$on ( < a%#!'&oa ).

1. In=amma#o'0 $s!as! ($n%!+#$on). Rh!ma#$+ h!a'# $s!as!. S02h$&$#$+ h!a'# $s!as!.

4. P!n0a"$# an#n, +on,!n$#a& ("!+a+a#an

an#n,).5. P&mona'0 h!a'# $s!as!.

>. Fa"#o' s$s#!m$"8 !,3 #$'o#o"s$"os$s.

?. M0o+a'$a& $n%a'+#$on.



LEFT

VENTRICULARFAILURE

(LVF)



Pa#o*s$o&o,$ &!%# h!a'# %a$&'!Pa#o*s$o&o,$ &!%# h!a'# %a$&'!

:an#n, #!'b!ban@

Sa$z *b!' o#o# an#n, m!n$n,"a#3 &ama"!&amaan o#o#/ an#n, &!mah

(o-!'s#'a$n!)@

H$2!'#'o* m$o"a'$m3 -!n#'$"!& "$'$ #$a"mam2 2am +"2 a'ah "! s$s#!m$"

@Da'ah b!'"m2& $ -!n#'$"!& an a#'$m"$'$3"!s!sa"an b!'&a" $ a#'$m "$'$ an

-!na 2&mona'$



@

7on,!s$"!s!sa"an sa&' a'ah $

2a'/@

Pa'/ a$ '$,$3 m!n,ha&an,

m!"an$sm! 2a'/ n#" m!n,n+2an m!n,!mban, !n,an s!m2'na

@

D$s2n!a8

B!'m&a masa !!'#$on

Bo&!h b!'&a" #$ba/ 2aa ;"# m&m $2an,,$& Paroxymal nocturnal dyspnea



Man$%!s#as$ "&$n$"a&Man$%!s#as$ "&$n$"a&

7on,!s$ 2&mona'$6 #!"anan2&mona'$ <3 +!+a$' "!&a' "!a&-!o&$3 ,an,,an 2!'#"a'an,as b!'&a" m!n,a"$ba#"an8

D$s2n!a7!&!san3 &!mah6 @ O/ "! #$s/.Ta"$"a'$a6 2!n$n,"a#an b!ban

an#n,.R!s#&!ssn!ss6 ,an,,anb!"a&an O/6s#'!ss #" a2a#b!'na%as.



S$anos$s6 @ b!"a&an O/ #!'#ama$ 2!'$%!'$.

O'#ho2n!a 9 "!s"a'an b!'na%as $"a a&am 2os$s$ s2$n!b!'#!'san.

Ba#" 9 2'o"#$% a#a non

2'o"#$%.



E#$o&o,$E#$o&o,$

Pn+a 2'$m!'8 a"$ba# 2!n0a"$#b'on"$#$s "'on$"3 2&mona'$s#!nos$s.

S!"n!'8 "!,a,a&an an#n,s!b!&ah "$'$ "!s!sa"an 2a'/an $s2n!a b!'&a".



Pa#o*s$o&o,$ '$,h# h!a'#Pa#o*s$o&o,$ '$,h# h!a'#

%a$&'!%a$&'!

R$,h# -!n#'$"!&

@

RV b!ban "!'a < m!n,a"$ba#"an$&a#as$ an h$2!'#'o* -!n#'$"!& "anan

@

V!n#'$"!& "anan a$ &!mah3 "on,!s$b!'&a" $ a#'$m "anan s!#!'sn0a!!ma an "on,!s$ -!na b!'&a".



@

7on,!s$ $ o',an/ an #$s/

2!'$%!'$ b!'&a" "!'ana an#n,#$a" a2a# a&$'"an a'ah "!&a'

an ,a #" a2a# m!n!'$ma

a'ah 0an, m!n,a&$' ba&$" a'$2!'!a'an -!na.



Man$%!s#as$ "&$n$"a& R$,h#Man$%!s#as$ "&$n$"a& R$,h#

H!a'# Fa$&'!H!a'# Fa$&'!E!ma8 an,,o#a ba;ah baan8

2$##$n, !!ma (!2!n!n#!!ma).

B!'a# baan m!n$n,"a#62!n,m2&an +!+a$' $ #$s/.

H!2a#om!,a&06 'asa sa"$#(#!n!'n!ss) $ '$,h# h$2o+on'$a6

"on,!s$ $ "a&!na' h!2a'.As+$#$s6 a"$ba# #!"anan $

$a%'a,ma3 $s2n!a b!'&a".



In-!s#$,a#$onIn-!s#$,a#$on

Ch!s# Ra0 9an#n,8+a'$om!,a&0.

6 2a'62a'8

"on,!s$.

ECG6 m!nn""an h$2!'#'o*-!n#'$"!& "$'$3 $s"!m$a a#a

$n%a'"s$Bs!3 Hb

P!'$%!'$6 2!'$"sa #aha2 !!ma.



P!n,'sanP!n,'san

. Ra;a# a;a& $n%!"s$ !mam 'h!ma#$" Ba"#!'$a !no+a'$#$s

/. Ra;a#an s!,!'a 2!n0a"$# 0an,

bo&!h a"$ba#"an "!,a,a&an"a'$a"

An,$na 2!"#o'$s M$o"a'$a& $n%a'"s$ A'$#m$a

1. P!n$$"an "!s$ha#an 9ama&an,a0a h$2 s$ha#



D$a,nos$s "!''a;a#anD$a,nos$s "!''a;a#an. P!'bahan "!&a'an "a'$a" b "!'osa"an

m$o"a'$m

/. Gan,,an 2!'na%asan b "on,!s$ 2a'62a'.1. P!'bahan $s$2a +!+a$' b!'&!b$han b

"'an, "a'$a" o#2#.

4. In#o&!'ans$ b &!#$h &!s an $s2n!a a"$ba#"!"'an,an 2!n,!&a'an "a'$a".

5. D!*s$# 2!n,!#ahan m!n,!na$ 2'os!s 2!n0a"$#.>. Po#!ns$o& ,an,,an $n#!,'$#$ "&$# b !!ma

?. 7!,a,a&an 2!'#"a'an ,as b!'"a$#an !n,an"!ha$'an +!+a$' $ a&-!o&$

. Po#!ns$ ,an,,an a"#$-$#$ $n#o&!'an+! b!'"a$#an!n,an "'an, "a'$a" o#2#.

. Gan,,an 2!'%s$ #$s b!'"a$#an !n,an "'an,"a'$a" o#2#

. Po#!ns$ ,an,,an "!b$mban,an b!'"a$#an!n,an "'an, "a'$a" o# 2#



7om2&$"as$ CCF7om2&$"as$ CCF

. Ca'$a+ a''!s# an#n,#!'h!n#$ #$ba6#$ba.

/. P&mona'0 !!ma

1. In%!"s$ 2&mona'0

4. Ca'$o,!n$+ sho+".



SE7IAN

TERIMA 7ASIH

congestive cardiac failure.(ppoint)

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