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kuliah kedaruratan kardiologi

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  CARDIAC EMERGENCY PROBLEMS Prof. Dr. dr. Ali Aspar Mappahya, Sp.PD, Sp,JP Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Hasanuddin  CONGESTIVE HEART FAILURE   ACUTE PULMONARY EDEMA : Dyspnea, orthopnea, rales, and wheezing. X-ray : perihilar congestion, hypoxemia.  CARDIOGENIC SHOCK ; Hypotension; abnormal renal, hepatic and CNS function due to decreased perfusion and lactic acidosis.  Cardiomegaly, decreased VEF/abnormal ventricular wall motion, elevated PAWP, low cardiac output.  May have a previously known cause such as valvular heart disease/cardiomyopathy but may present also as a result of ischemia or secondary to severe systemic hypertension.    Pneumonia, ARDS, fluid overload, COPD, asthma.   Pericardial effusion,   Cor pulmonale, pulmonary arteriopathy/PPH. Pulmonary emboli   Volume depletion, sepsis, pulmonary embolism  1.Systolic dysfunction without hypotension.  Digoxin, diuretics, ACEI  Metolazone/HCT  Nesiritide ( a recombinant human BNP)  Spironolactone  Nitrate/hydralazine  Ultrafiltration  Mechanical ventilation
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