systema cardiovasculare.pptx
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SYSTEMA CARDIOVASCULARE
( SISTEM KARDIOVASKULER/
SISTEM SIRKULASI )
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SYSTEMIC
CIRCULATION
PULMONARY
CIRCULATION
SYSTEMICCIRCULATION
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* SIST. TERTUTUP
• TERBENTUK 0 BERFUNGSI SEBELUM TERBENTUK
ORGAN, LAIN
• MULAI TERBENTUK: EMBRYO MINGGU KE1
• BEBAN KERJA BERAT: 23/MENIT -33.333 4/HARI
• ,56 MILYAR 4 DALAM SEUMUR HIDUP(23 TH.)
• DALAM TUBUH: 17 L DARAH
• - SIKLUS: 8/ - MENIT
• OUTPUT 9AKTU OLAH RAGA: MENINGKAT 6 4
• RATA, COR MEMOMPA 2.633 L/HARI
SIRKULASI
MAYOR/SISTEMIK MINOR/PULMONER KORONER
SIST. KV
MAYOR/SISTEMIK MINOR/PULMONER
SIST. KV
KORONER
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LOKASI/POSISI COR
DI ANTARA , PULMO (SINISTER/DE4TER)
SEBAGAI SALAH SATU KOMPONEN MEDIASTINUM( MASSA JAR. DI ANTARA PLEURA
- TERLETAK DI ANTARA STERNUMCOLUMNA VERTEBRALIS)
MEDIASTINUM
SUPERIUS
INFERIUS
ANTERIUS
MEDIUS
INFERIUS
TERLETAK COR
BIDANG*
* Melalui garis antara corpus –anu!riu sterni
BATAS COR
STERNOCOSTALIS
FACIES
DIAPHRAGMATICA
SINISTER
MARGO DE4TER
SUPERIOR
INFERIOR
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COR
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BENTUK COR: SEPERTI SEPATU
APE4 CORDIS ictus cor"is
(Di!entu# ole$% &entric' sin'
Menuu% ant' – in)'
BASIS CORDIS
(Meng$a"ap sup'+post'+#anan
RONGGA
COR (1)
ATRI,M
(-
&ENTRIC,L,.
(-
ATRI,M DE/TR,M
ATRI,M .INI.TR,M
&ENTRIC,L,. DE/TER
&ENTRIC,L,. .INI.TER
.E0T,MINTERATRIALE *
.E0T,M
ATRIO&ENTRIC,+
LARE **
.E0T,MINTER&ENTRI+
C,LARE
* A"a )ossa o1alis 2or' O1ale (pa"a antung )etus
** 3ar' i#at )i!ro#artilago (se!agai origo otot-45ocar"iu 1entriculus
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VASA BESAR COR
I. ARTERIA BESAR-. TRUNCUS AORTICUS (&e+r #ri e$tri'. "i$.)
AORTA ASCENDENS ARCUS AORTAE
AORTA DESCENDENS
(AORTA THORACALIS AORTA ABODOMINALIS)
,. TRUNCUS PULMONALIS (&e+r #ri e$tri'. #e;t.)
A.PULMONALIS (DE4TRA/SINISTRA)
(<"+& &e *+< #e;ter/"i$i"ter)
II. VENA BESAR
ATRIUM DE4TRUM
-. V. CAVA SUPERIOR
,. V. CAVA INFERIORKE0ALA4LE6ER4E/TR' .,0'
BADAN4E/TR' IN2'
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VALVULA CORDIS
(KATUP JANTUNG)
&AL&,LA CORDI.
• 3ar' I#at #olagen
• Keras4#uat4liat
•
Mencega$ aliran "ara$ !ali#(+ "ari 1entric' #e atriu
+ "ari trunc' aortic'4pulonalis #e 1entric'
VALVULA
ATRIOVENTRICULARIS (7 Cuspis seilunarisVALVULA
SEMILUNARIS
VALV. AV
DE4TRA
(TRICUSPIDALIS)
VALV. AV
SINISTRA
(BICUSPIDALIS/
MITRALIS)
7 cuspis (ar' I#at
)i!rosa8 "ilapisi
en"otel
- cuspis
VALV.
SEMILUN.PULMONALIS
VALV.
SEMILUN.AORTAE
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&AL&,LA CORDI.
Epicar"iu
M5ocar"iu
En"ocar"iu
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&AL&,LA CORDI.
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MEKANISME ALIRAN DARAH
9' &al1' A& e!u#a :
ATRIUM VENTRICULUS VASA BESAR;'Kontra#si :a'&al1' A& enutup <'Kontra#si
-'M' papillaris rela#sasi ='M' papillaris #ontra#si
7'C$or"ae ten"ineae #en"or >'C$or"ae ten"ineae tegang
PERICARDIUM 0 DINDING COR (-5,5=)
DARI DALAM KE L,AR%
-. ENDOCARDIUM (e$#te)
,. MYOCARDIUM (tt >$t+$%)=. EPICARDIUM (L<i$ i"'eri" *. "er" *eri'r#ii)
1. PERICARDIUM? Pr" "er" *eri'r#ii
(<i$ *rieti")
Pr" @i!r" *eri'r#ii
CAVITAS
PERICARDII (i"i:
'ir$ "er"/
*e+<")
* 0ericar"iu% selaput4!ung#us antung
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RONGGA
3ANT,NG ?
ALIRANDARA6
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DINDING COR
?
0ERICARD,M
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SIRKULASI
KORONER
M
Y
O
C
A
RD
I
U
M
A' CORONARIA O- ? N,TRIEN
&' CORONARIA LIMBA6 ? CO-
.IN,. CORONARI,.
ATRI,M DE/TR,M
A' CORONARIA O-4N,TRIEN
&' CORONARIA CO-4LIMBA6
A. CORONARIA
A. CORONARIA DE4TRA A. CORONARIA SINISTRA
R. MARGINALIS R. INTERVENTRIC.
POST.R. CIRCUMFLE4US R. INTERVENTRIC'
ANT.
DINDING
&ENTRIC' DE/T DIND' &ENTRIC
.IN' ? DE/T' 0O.T
DIND' &ENTRIC'
.IN' 0O.T'DIND' &ENTRIC'
.IN' ? DE/T' ANT'
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&as#ularisasi cor
Tapa# anterior
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Tapa# anterior
Bul!us aorticus
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ALIRAN DARAH BALIK
(VENOSA) DARI COR
CABANG- A'CORONARIA .IN'
M@OCARDI,M
&' CARDIACA MEDIA &' CARDIACA MAGNA
.IN,. CORONARI,.
TR,NC' 0,LMONALI. &ENTRIC' DE/T' ATRI,M DE/T'
COR&' 0,LMONALI.
(DE/T' ? .IN'
0,LMO (O-
(DE/T' ? .IN' A' 0,LMONALI.
(DE/T' ? .IN'
CABANG- A' CORONARIA .IN'
M@OCARDI,M
CABANG- A' CORONARIA DE/T'
M@OCARDI,M
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Tapa# anterior
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SYSTEMA
CONDUCTORIUM
• SISTEM YANG MENYELARASKAN (SINKRONISASI) KEJADIAN,
DALAM SIKLUS JANTUNG
• BERASAL DARI OTOT JANTUNG (MYOCYTUS CORDIS) YANG
MENGALAMI MODIFIKASI (STRUKTURAL 0 FUNGSIONAL: TIDAK
UNTUK KONTRAKSI) MENJADI SISTEM YANG MENGHANTARKANIMPULS, LISTRIK
• IMPULS BERASAL DARI (-) NODUS SINOATRIALIS (SA)?
MENJALAR KE SELURUH OTOT ATRIA KONTRAKSI ATRIA (,)
MENUJU KE NODUS ATRIOVENTRICULARIS (AV)(MENJALARLAMBAT) (=) TURUN MELALUI BERKAS
ATRIOVENTRICULARIS (BERKAS HISS) MENYEBAR KE
SELURUH MYOCARDIUM VENTRICULI KONTRAKSI VENTRICULI
SIKLUS JANTUNG
* No"us .A% sinoatrialis4sinoauricularis
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.5stea con"uctoriu
Ber#as 6iss(Ber#as A&
.era!ut 0ur#ine
Ca!ang #anan
Ca!ang #iri
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SYSTEMA CONDUCTORIUM
-. NODUS SA
- SEBAGAI PACEMAKER (*e$e$t+ ir< >$t+$%)- LETAK: #i #i$#i$% #r" tri+< #e;t. (#i
i$@erir <+r . ' "+*./#i "+*erir 'ri"t
ter<i$i")
- SIFAT: <e<*+$i *eri#i"it" i$tri$"i&
ter'e*t- Dri $#+" SA ter*$'r %e<!$% &$tr&"i:
? &e "e+r+ tri (<e+i:i$t"$
i$tertri
? &e $#+" AV (<e+i:i$t"$ i$ter$#)
,. NODUS AV
LETAK: #i #i$#i$% "e*t+< tri+< #e;tr+<
(#i *"terir *ere&t$ '+"*i" "e*ti" +
tri'+"*i#i")
- Di "+*erir <+r "i$+" 'r$ri+"
BENTUK:
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=. BERKAS HISS
(ATRIOVENTRICULARIS
BERKAS KONDUKSI INI BERJALAN: DARI NODUS AV (<e+i "+r$ #i #< "&eet$ 'r#i")
<e$'*i !%i$ <e<!r$" "e*t+< i$tere$tri'+re
Ber'!$%:
(-) R<+" #e;ter (,) R<+" "i$i"ter:
(#i #i$#i$% "e*t+<) Ber>$ &e $terir *#
tr!e'+ "e*t<r%i$i" "i"i "e*t+< <+"'+re
*e; e$tri'++" #e;ter <<. **ire"
e$tri'. "i$
<<. **ire"
R. De;ter 0 r. "i$i"ter !er'!$%'!$% +":
"er!+t, P+r&i$>e <<. **ire"
R<+" #e;ter R<+" "i$i"ter
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SYSTEMA VASCULARE
(SISTEM VASKULER)
HISTOLOGI VASA
ARTERIA
BESAR
-. TUNICA INTERNA/INTIMA
(ENDOTEL 8 MEMBRAN ELASTIK?)
,. TUNICA MEDIA/MUSCULARIS (OTOT POLOS)
SIRKULER (#<)
LONGITUDINAL (+r)
KONTRAKSI/RELAKSASI BERDENYUT
•. JAR. IKAT ELASTIK:
ELASTIC COIL SPASME:
MENGURANGI PERDARAHAN
(>i& ter>#i +& *# rteri !e"r)
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ARTERIOLA - OTOT POLOS: MAKIN SEDIKIT
- MENGANDUNG SER., ELASTIK
- VASOKONSTRIKSI/VASODILATASIMENGATUR ALIRAN
DARAH KE KAPILER
-. ARTERIA BESAR
(A. ELASTICA/CONDUCTING ARTERY)
Ser!+t, e"ti& tt *"
C$t: rt5 . !r'i'e*i'5 . 'rti" '<<+$i"5 . "+!'i5
. erte!ri"5 . ii' '<<+$i"
,. ARTERIA SEDANG
(A. MUSCULARIS/DISTRIBUTING ARTERY)
Ott *" "er., e"ti&
C$t: . ;iri"5 .!r'ii"5 . r#ii"5 . @e<ri"5 . **ite5
. ti!ii"
Anastoosis Arteriola
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&ena
&al1ula
&enula
arterio1enosa
Metarteriola
.p$incter precapillaris
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INERVASI COR INTRINSIK: SYST. CONDUCT.
EKSTRINSIK: SS OTONOMIK
INERVASI COREKSTRINSIK (OTONOMIK)
MEDULLA OBLONGATA
PUSAT PARASIMP. PUSAT SIMP.
(PUSAT KARDIOINHIBITORIS) (PUSAT KARDIOAKSELERATORIS)(CIC: CARDIOINHIBITORY CENTER) (CAC: CARDIOACCELERATORY CENTER)
MED. SPIN.
NODUS AVNODUS SA
MYOCARDIUM
KECEPATAN DJKEKUATAN DJ
N. 'r#i'+": NE
N 4: AC
D3
DEN@,T 3ANT,NG
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Iner1asi e#strinsi# sist' K&
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CIC CAC
SEIMBANG
INPUT
(IMPULS, SENSORIS)
RESEPTOR
(PADA VASA):
BARORESEPTOR/
VASORESEPTOR
REFLEKS
-. SINUS CAROTICUS
,. AORTICUS
=. ATRIAL
Baroreseptor Te#anan "ara$
&asoreseptorDilatasi 1asa
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RE2LEK.
.IN,. CAROTIC,.
.IN,. CAROTC,.*
TEKANAN
DARA6 * MED' OBL
(+ (CAC CIC
COR
KECE0ATAN KONTRAK.I
KEK,ATAN KONTRAK.I
CARDIAC
O,T0,T
TEK' DARA6
ARTERIAL
TEK' DARA6
KE ARA6 NORMAL
*.IN' CAROT'%
Leta#% "i perca!angan
a' caroticus counis ena"i
a' carot' eternus ? internus
* 3i#a te#' "ara$ 0roses% se!ali#n5a
KEMORE.E0TOR%
CO-4O-
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KEMORE.E0TOR%
AORTIC,.
GLOM,.4COR0,.
CAROTIC,.
MED' OBL'
N I/
N /
Glo' Aortic'
Glo' Carotic'
BARORE.E0TOR* %
AORTIC,.
.IN,.
CAROTIC,.
MED' OBL'
.IN' CAROTIC'
N' 6ERING
N I/
.IN' AORTIC'
* A#$iran sara)
en5e!ar(spra5
"i "in"ing arteria
A'carot' et'
A' carot' int'
A' Carotis co'
Arcus aortae
N /
CO-4O-
TEK'
DARA6
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RE2LEK. AORTIC,.
(Re)le#s Bain!ri"ge
TEK' DARA6.I.TEMIK ,M,M
BARORE.E0TOR("i arc' Aortae
TEK' DARA6
&ENO.A
CAC KEC'4KEK,ATANDEN@,T 3ANT,NG
&OL' DARA6KEL,AR COR
(
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COR MESODERMA
, TUBA ENDOCARDIALIS
TUBA PRIMITIVA CORDIS
6 REGIO
-. BULBUS CORDIS ,. JANTUNG TUMBUH LEBIH CEPAT DP.
VENTRICULUS PERLEKATAN DI SUP.ERIOR
ATRIUM 0 SIN. VENOSUS BENTUK S BENTUK U
PERKEMBANGAN
COR
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OKLUSI KORONERSERANGAN
MATI
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OKLUSI
KORONER
OKLUSI KORONERSERANGAN
JANTUNGMATI
ATHEROSCLEROSIS
ATHEROMA
PENYAKIT
DEGENERATIF
DEPOSISI FIBROTIK LEMAK
DI DINDING A. CORONARIA
-. KERUSAKAN SEL, ENDOTEL MULTIPLIKASI
MENONJOLKAN ENDOTEL KE PERMUKAAN
,. DEPOSISI AS. LEMAK (KOLESTEROL) DI DALAM/SEKITAR
TONJOLAN SEL, OTOT POLOS
KERUSAKAN FIBROTIK LEMAK
(PLAK ATEROSKLEROTIK
MENYEMPITKAN
LUMEN ARTERI
MENGHAMBAT ALIRAN DARAH
ATHEROSCLEROSIS
T
A
6
A0
A
A
L
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ATHEROSCLEROSIS (lan'
T
A
H
A
P
AK
H
I
R
KALSIFIKASI PLAK 8 KALSIFIKASI
JAR. FIBROSA
ARTERIOSCLEROSIS
(PENGERASAN ARTERI)
(*r%re"i@)
ATHEROSCLEROSIS HEART DEBILITY
-. PROSES KRONIK
PENYEMPITAN A. CORONARIA PROGRESIF PASOK DARAH COR
OKLUSI (-/ A. CORONARIA CORONAR Y RESER VE
PROSES KRONIK
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PENY. JANTUNG
KONGENITAL
GANGGUAN SIRKULASI
PULMONERBLUE BABY
-. FOR. OVALE (PADA SEPTUM
INTERATRIALE) TIDAK MENUTUP
,. DUCTUS ARTERIOSUS (BOTALI)
PATEN (TIDAK MENUTUP)
=. TETRALOGI FALLOT:
(-) DEFEK SEPTUM INTERVENTICULARE
(,) KONSTRIKSI A. PULMONALIS
(=) AORTA PINDAH KE KANAN(1) HIPERTROFI VENTRICULUS DE4TER