Komplikasi Ibu Hamil dengan Penyakit Jantung

Purwoko Purwoko

doi:10.47507/obstetri.v4i2.76

Komplikasi Ibu Hamil dengan Penyakit Jantung

Jurnal Anestesi Obstetri Indonesia ◽

10.47507/obstetri.v4i2.76 ◽

2021 ◽

Vol 4 (2) ◽

Author(s):

Purwoko Purwoko

Keyword(s):

Ventricular Septal Defect ◽

Atrial Septal Defect ◽

Septal Defect ◽

Ectopic Beat

Penyebab kematian ibu hamil pada operasi non kardiak 25 – 50 % adalah komplikasi kardiovaskuler seperti infark, miokard, edema paru, gagal jantung, aritmia dan tromboemboli perioperatif. Prediktor risiko komplikasi kardiovaskuler pada maternal dan neonatal sangat penting dilakukan agar risiko kematian dapat ditekan semaksimal mungkin. Prediktor mortalitas pada maternal dengan penyakit jantung seperti atrial septal defect (ASD), ventricular septal defect (VSD), persisten ductus aeteiousus (PDA) dengan hipertensi pulmonal, ectopic beat, atrial ventrikuler yang tidak respon terapi, stenosis pulmonal berat dan prolap katub mitral. Tujuan anestesi pada kehamilan dan kelahiran spontan antara lain mengoptimalkan fungsi kardiovaskuler dan respirasi dengan memanipulasi hemodinamik sesuai target dan pemilihan teknik anestesi yang sesuai kondisi pasien. Prinsip dari manajemen anestesi adalah menjaga sirkulasi uteroplasenta dengan mencegah kompresi aorto cava, meminimalkan blok simpatis dan menjaga kecukupan cairan serta monitoring ketat pada ibu dan janin.

Download Full-text

Management of Platelets in a Persian Girl with the Tetralogy_Pantalogy of Fallot (Tof_Pof): A Case Report Study

Journal of Internal Medicine and Emergency Research ◽

10.37191/mapsci-2582-7367-1(1)-002 ◽

2020 ◽

Author(s):

Bahram Alamdary Badlou

Keyword(s):

Case Report ◽

Ventricular Septal Defect ◽

Atrial Septal Defect ◽

Sleep Disorders ◽

Social Life ◽

Rare Case ◽

Septal Defect ◽

Old Persian ◽

Underlying Mechanisms ◽

The Relationship

We report a rare case of unrepaired Tetralogy_Pantalogy of Fallot (TOF_POF) in a 20 years old Persian girl Mrs Zeynab S., who presented with cyanotic finger tops appearance, ongoing chronic thrombolytic destruction processes, and remarkable thrombocytopenia [1,2], heart ventricular septal defect (VSD), and might atrial septal defect (ASD), anxiety, sleep disorders, nightmares, and limited social life. Additionally, the relationship between underlying mechanisms, possible treatments of the thrombocytopenia, erythrocytosis, and unrepaired cardiovascular leakages remains unknown.

Download Full-text

Comparative efficacy of sildenafil in Eisenmenger's syndrome secondary to atrial septal defect versus ventricular septal defect: a cardiac catheterisation follow-up study

Cardiology in the Young ◽

10.1017/s1047951111000497 ◽

2011 ◽

Vol 21 (6) ◽

pp. 631-638 ◽

Cited By ~ 9

Author(s):

Naveen Garg ◽

Nishant Tripathy ◽

Nakul Sinha

Keyword(s):

Ventricular Septal Defect ◽

Atrial Septal Defect ◽

Vascular Resistance ◽

Septal Defect ◽

Functional Class ◽

Cardiac Catheterisation ◽

Haemodynamic Parameters ◽

Mean Pulmonary Arterial Pressure ◽

Eisenmenger’S Syndrome ◽

Minute Walk

AbstractObjectivesThis study evaluates the efficacy and safety of sildenafil in patients with Eisenmenger's syndrome with special emphasis on haemodynamic parameters and its comparative efficacy in atrial septal defect versus ventricular septal defect patients.MethodsOral sildenafil was given to 22 patients with Eisenmenger's syndrome – eight with atrial septal defect and 14 with ventricular septal defect – after detailed baseline evaluation including a six-minute walk test, echocardiography, and cardiac catheterisation. Patients were followed up for a period of 6 months for functional class assessment and six-minute walk distance. Cardiac catheterisation was repeated in all patients.ResultsA significant improvement in the World Health Organization functional class, six-minute walk distance, mean pulmonary arterial pressure, and pulmonary vascular resistance was noticed. Systemic arterial and mixed venous oxygen saturations were also significantly improved along with improvement in pulmonary blood flow. None showed any significant side effects or worsening of systemic arterial saturation. At baseline, mean pulmonary arterial pressure, pulmonary vascular resistance, and pulmonary/systemic vascular resistance ratios were significantly higher in ventricular septal defect patients than in atrial septal defect patients. Atrial septal defect patients showed better response in clinical as well as haemodynamic parameters.ConclusionsSildenafil is an effective and safe agent for patients with Eisenmenger's syndrome. It improves their functional capacity as well as haemodynamic parameters. The beneficial effects are greater in patients with Eisenmenger's syndrome secondary to atrial septal defect than ventricular septal defect.

Download Full-text