Khoiriah, Fabella and Angraini, Dian Isti (2017) Congestive Heart Failure NYHA IV et causa Penyakit Jantung Rematik dengan Hipertensi Grade II dan Gizi Kurang. Majority, 6 (3). pp. 102-108.

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Heart failure is a complex clinical syndrome caused by disorders of the structure and function of the heart thus affecting the ability of the heart to pump blood in accordance with the needs of the body. A 16-year-old boy complained of shortness of breath during the heaviest activity in the past week, . Previously had a high fever, followed by joint pain relocated. On physical examination, the pulse rate was 112 x / min, respiratory rate 42 x / min. There is a 4/6 diastolic murmur and an increase in jugular venous pressure. Examination of chest X-ray shows cardiomegaly, haematological laboratories have anemia, leucocytosis and elevated rate of sedimentation of blood. ASTO positive with CRP quantitative> 6 mg / L. Echocardiographic results show severe tricuspid regurgitation. EKG obtained interval P-R elongated. Patients were diagnosed with NYHA class IV heart failure et causa rheumatic heart disease with grade II hypertension. The patient performed bed rest and was treated with oxygen, cardiac diet I, ACE inhibitors, diuretics, antibiotics, and steroids.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Divisions: Fakultas Kedokteran (FK) > Prodi Pendidikan Dokter
Depositing User: DIAN ISTI Rini Angraini
Date Deposited: 03 Jul 2018 09:50
Last Modified: 03 Jul 2018 09:50

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