congestive cardiac failure.(ppoint)
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8/9/2019 Congestive Cardiac Failure.(Ppoint)
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CONGESTIVE CARDIACCONGESTIVE CARDIAC
FAILUREFAILURE
Pn. Maznah OsmanBns (Hons) OUM.
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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$&'!.
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P!n,!na&anP!n,!na&an
7!+!"a2an %n,s$ 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$")
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Sistem peredaran darahSistem peredaran darah
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D!*n$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.
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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$n,an.
7!,a,a&an an#n, "$'$m!mba;a "!2aa "!,a,a&an
an#n, s!b!&ah "anan.
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E#$o&o,0 an '$s" %a+#o'E#$o&o,0 an '$s" %a+#o'
1. Faktor intrinsic
B s ny melibatkan penyakit
CAD, kerana kurang bekalan O2 ke
myocardium menyebabkan otot sel
tidak berfungsi, contoh !yocardial infarct
"al#e disease
Cardiomyopathy
dysrhythmias
8/9/2019 Congestive Cardiac Failure.(Ppoint)
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2. Extrinsic factor
Faktor luaran daripada jantung ini
melibatkan peningkatan strokevolume (SV) preload atauafterload. !ontoh"
#.$%pertension ( increasedafterload).
2.$%pervolemia ( increased preload).&. 'h%rotoxicosis pregnanc% high
output failure ( increased bod%demand).
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E#$o&o,$ Am CCFE#$o&o,$ Am CCF
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. A#h!'os+&!'os$s
/. H02!'#!ns$on ( < a%#!'&oa ).
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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.
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LEFT
VENTRICULARFAILURE
(LVF)
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:an#n, #!'b!ban@
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(o-!'s#'a$n!)@
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@Da'ah b!'"m2& $ -!n#'$"!& an a#'$m"$'$3"!s!sa"an b!'&a" $ a#'$m "$'$ an
-!na 2&mona'$
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2a'/@
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@
D$s2n!a8
B!'m&a masa !!'#$on
Bo&!h b!'&a" #$ba/ 2aa ;"# m&m $2an,,$& Paroxymal nocturnal dyspnea
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an#n,.R!s#&!ssn!ss6 ,an,,anb!"a&an O/6s#'!ss #" a2a#b!'na%as.
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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"#$%.
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E#$o&o,$E#$o&o,$
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S!"n!'8 "!,a,a&an an#n,s!b!&ah "$'$ "!s!sa"an 2a'/an $s2n!a b!'&a".
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@
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@
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8/9/2019 Congestive Cardiac Failure.(Ppoint)
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a'ah 0an, m!n,a&$' ba&$" a'$2!'!a'an -!na.
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H!2a#om!,a&06 'asa sa"$#(#!n!'n!ss) $ '$,h# h$2o+on'$a6
"on,!s$ $ "a&!na' h!2a'.As+$#$s6 a"$ba# #!"anan $
$a%'a,ma3 $s2n!a b!'&a".
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6 2a'62a'8
"on,!s$.
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$n%a'"s$Bs!3 Hb
P!'$%!'$6 2!'$"sa #aha2 !!ma.
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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#
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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'$a" o# 2#
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7om2&$"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+".