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disease
Tengku Winda Ardini, Sp.JP
CARDIAC ANATOMY
AORTA
KATUP AORTA
ATRIUM KANAN ATRIUM KIRI
ARTERI PULMONAL
RA RV (Tricuspid Valve)
REGURGITASI/INSUFISIENSI
• Tidak tertutup secara penuh atau sempurna
CARDIAC MURMUR
MITRAL STENOSIS
Cardiomegaly, Pulmonal
prominent, LA >, Apex upward
• DE MUSSET’S SIGN: BOBBING OF THE HEAD WITH EACH HEARTBEAT (LIKE A BIRD WALKING)
• QUINCKE’S SIGN: CAPILLARY PULSATIONS SEEN ON LIGHT COMPRESSION OF THE NAIL BED
• TRAUBE’S SIGN: SYSTOLIC AND DIASTOLIC SOUNDS HEARD OVER THE FEMORAL ARTERY
(“PISTOL SHOTS”)
• DUROZIEZ’S SIGN: GRADUAL PRESSURE OVER THE FEMORAL ARTERY LEADS TO A SYSTOLIC
AND DIASTOLIC BRUIT
• HILL’S SIGN: POPLITEAL SYSTOLIC BLOOD PRESSURE EXCEEDING BRACHIAL SYSTOLIC BLOOD
PRESSURE BY ≥ 60 MMHG (MOST SENSITIVE SIGN FOR AORTIC REGURGITATION)
• GERHARDT’S SIGN (AKA SAILER’S SIGN): PULSATION OF THE SPLEEN IN THE PRESENCE OF
SPLENOMEGALY
• MAYNE’S SIGN: A DECREASE IN DIASTOLIC BLOOD PRESSURE OF 15 MMHG WHEN THE ARM IS
HELD ABOVE THE HEAD (VERY NON-SPECIFIC)
Etiology : congenital
PULMONARY REGURGITATION
Etiology :
pulmonary
hypertension
TRICUSPID REGURGITATION
KATUP TRICUSPID
KATUP MITRAL
VENTRIKEL KANAN
ATRIUM KIRI
TERIMA KASIH
FIGURE 2. THERAPEUTIC ROLES OF RENIN-
ANGIOTENSIN-ALDOSTERONE SYSTEM INHIBITION
IN AORTIC STENOSIS.
FIGURE 1. THERAPEUTIC ROLES OF STATINS AND
OTHER LIPID-LOWERING THERAPY IN AORTIC
STENOSIS.