Gangguan

Penyakit Jantung
dan Pembuluh
Darah
Kelompok 4
Annisa Mustika Arum
Isra Hafira
M. Anandia Arifka
Qorry Aquino
Vany Novriyanti
Gagal Jantung

Penyakit Gagal Jantung yang dalam istilah

medisnya disebut dengan "Heart Failure atau Cardiac
Failure", merupakan suatu keadaan darurat medis
dimana jumlah darah yang dipompa oleh jantung
seseorang setiap menitnya {curah jantung (cardiac
output)} tidak mampu memenuhi kebutuhan normal
metabolisme tubuh.
Patogenesis
Bilik jantung dapat merespon dengan
merenggang untuk membawa lebih
banyak darah untuk dipompa ke
seluruh tubuh

Bilik jantung lebih kaku dan

menebal, menjaga darah bergerak
sementara, dinding otot jantung
melemah.

Respon ginjal menyebabkan tubuh

menahan air dan natrium

Air menumpuk pada organ, tubuh

menjadi bengkak karena air yang
disebut edema. Terjadilah gagal
jantung.
Gejala atau manifestasi
Gagal Jantung Kiri
 Dispnea
 Batuk
 Mudah Lelah
 Kegelisahan dan Kecemasan
Gagal Jantung Kanan
 Kongestif jaringan perifer dan viseral.
 Edema ekstrimitas bawah (edema
dependen), penambahan berat badan
 Hepatomegali. Dan nyeri tekan pada
kuadran
 kanan atas abdomen
 Anorexia dan mual.
 Nokturia
 Kelemahan.
Gagal Jantung Campuran
Gagal jantung kongestif kiri dan
kanan terjadi secara bersamaan.
  Disfungsi miokard (kegagalan miokardial)
 Beban tekanan berlebihan-pembebanan
sistolik (systolic overload)
 Beban volume berlebihan-pembebanan
diastolic (diastolic overload)
 Peningkatan kebutuhan metabolic-
PENYEBAB peningkatan kebutuhan yang berlebihan
(demand overload)
 Gangguan pengisian (hambatan input).
 Kelainan Otot Jantung
 Aterosklerosis Koroner
 Hipertensi Sistemik / Pulmonal
 Peradangan dan Penyakit Miokardium
 Penyakit jantung
 Faktor sistemik
PENATALAKSANAAN GIZI

Pengaturan diet membuat kerja dan

ketegangan otot jantung minimal. Selain
itu pembatasan natrium ditujukan untuk
mencegah, mengatur, atau mengurangi
edema dan untuk menurunkan retensi
garam dan air.
 Pencegahan Pengobatan

Perubahan gaya hidup dapat Anda Memperlambat detak jantung:

buat untuk membantu mencegah  Tahu
gagal jantung meliputi:  Pisang
 Tidak merokok  Kismis
 Mengendalikan kondisi tertentu,  Bayam
seperti tekanan darah tinggi,  Almond
kolesterol tinggi dan diabetes
 Tetap aktif secara fisik Menjaga Tekanan Darah
 Makan makanan yang sehat  Mengkudu
 Menjaga berat badan yang sehat  Tomat
 Mengurangi dan mengelola stres  Alpukat
Gangguan Katup Jantung

Penyakit jantung katup merupakan salah

satu penyakit jantung yang dapat berakhir pada
keadaan gagal jantung. Penyakit katup jantung
merupakan kelainan aliran darah melintasi katup
jantung. Kelainan katup yang terjadi dapat
disebabkan oleh infeksi, kelainan bawaan,
ataupun trauma. Jantung memiliki 4 katup, dan
kesemua katup dapat mengalami kerusakan.
Satu kerusakan katup dapat menyebabkan
kerusakan katup yang lain.
Patogenesis
Demam rematik timbul jika terjadi
respons antibody atau imunologi
terhadap infeksi streptokokus.

Peradangan pada semua lapisan

jantung (pankarditis).

Peradangan mengenai
endokardium mengakibatkan
pembekakan daun katup dan
erosi pada pinggir daun katup,
sehingga mengganggu
penutuan katup jantung
 5
Sesak Nafas, Pipi
Kelelahan, Pingsan 4 6 Merah

Gangguan Irama Nyeri Dada

Jantung
3 Gejala atau 7

Manifestasi
Pusing dan
Edema Batuk
2 Berdarah
8

1
Penyebab
Proses Penuaan

Demam Reumatik Penyakit Autoimun

Gagal Jantung Radioterapi

Hipertensi
 Kontrol tekanan darah tinggi dan
tingkat kolesterol tinggi. Makan
makanan rendah lemak, rendah
garam, dan rendah kolesterol.
Penatalaksanaan Turunkan berat badan bila memiliki
Gizi berat badan berlebih. Mulailah
menerapkan pola hidup sehat seperti
olahraga dan diet makanan yang baik
bagi kesehatan jantung guna
menurunkan kolesterol dan tekanan
darah, serta untuk mencegah
serangan jantung dan gagal jantung.
DIAGNOSIS
Pengobatan
Penyakit katup jantung dapat
didiagnosis berdasarkan gejala
yang muncul dan setelah pasien  Asparagus
menjalani tes fisik yang serupa
dengan pemeriksaan pada  Avokad
penderita penyakit jantung.  Brokoli
Pemeriksaan fisik dilakukan dengan
cara mendengarkan suara detak  Ikan
jantung yang tidak normal pada  Bayam
saat pemeriksaan dengan
stetoskop (bising atau murmur  Tomat
jantung) atau irama jantung yang  Kacang-Kacangan
tidak beraturan, serta
memperkirakan ukuran jantung.  Sayuran Hijau
 Penyakit jantung bawaan atau
congenital heart disease adalah
JANTUNG kelainan pada struktur jantung yang
dialami sejak lahir. Kondisi ini dapat
BAWAAN mengakibatkan gangguan pada aliran
darah dari dan ke jantung, baik yang
Tergolong ringan ataupun kompleks.

PENYEBAB
 Genetika  Merokok
 Alkohol  Obat-obatan
 Diabetes
 PATOFISIOLOGI
terjadi hubungan antara rongga-ronga jantung yang
bertekanan tinggi dengan rongga-rongga jantung yang
bertekanan rendah akan terjadi aliran darah dari rongga
jantung yang bertekanan tinggi ke bertekanan rendah.

Sebaliknya tekanan rongga jantung kanan akan lebih

tinggi dari tekanan rongga jantung kiri sehingga darah
dari ventrikel kanan yang kurang akan oksigen mengalir
melalui defek tersebut ke ventrikel kiri yang kaya akan
oksigen,keadaan ini disebut dengan pirau (shunt) kanan
ke kiri

berakibat kurangnya kadar oksigen pada sirkulasi

sistemik. Kadar oksigen yang terlalu rendah akan
menyebabkan sianosis.
 Gejala atau Manifestasi
Berat Badan
Menurun
Tidak Nafsu
Makan Detak jantung
tidak beraturan

Kesulitan
Berolahraga
Mudah Lelah
Mengeluarkan
keringat
berlebihan
Istirahat, dimana kerja jantung tidak normal
harus dikurangi beberapa kegiatan seperti
bedres total dan diet yang diberikan pada
anak, makanan yang lunak dan rendah garam
sesuai kebutuhan.

Penatalaksanaan Gizi
 Pencegahan,
Pengobatan
Pencegahan Pengobatan
• Berolahraga secara rutin • Makanan yang rendah lemak (susu
• Menjaga aktivitas fisik agar tidak dan yoghurt)
mudah lelah • Makanan mengandung protein
• Mengatur pola makan nabati (kacang kedelai,tahu dan
tempe,kentang dan ubi rebus,sayur
• Makan makanan yang sehat bayam,buah alpukat,brokoli)
• Makanan yang mengandung
omega-3 (ikan salmon,ikan
tuna,ikan teri,kuning telur)
Angina pectoris

Angina pectoris adalah suatu syndrome yang

ditandai dengan rasa tidak enak yang berulang
di dada dan daerah lain. Rasa tidak enak
tersebut sering kali digambarkan sebagai rasa
tertekan, rasa terbakar, rasa bengkak dan rasa
seperti sakit gigi. Rasa tidak enak tersebut
biasanya berkisar 1 – 15 menit di daerah
retrosternal, tetapi dapat juga menjalar ke
rahang, leher, bahu, punggung dan lengan kiri.
 Pusing Mudah lelah

Gelisah
Mual GEJALA

Sesak Nafas Keringat berlebihan

 PENYEBAB
makan makanan
berat dan stress 1 2 Ateroskelerosis

Spasme pembuluh
koroner
3 4 Latihan fisik

Istirahat 2 Aktifitas fisik

Berhenti
Sesuaikan BB 3 4 merokok
 Pencegahan dan Pengobatan
Pencegahan
• Berolahraga secara rutin
• Menjaga pola makan
• Menjaga aktifitas fisik
• Menjaga makanan yang
baik
Pengobatan
• Berhenti merokok
• Mengonsumsi makanan rendah lemak dan tinggi serat,
seperti nasi merah, roti, pasta, sayur-sayuran, dan buah-
buahan.
• Mengurangi makanan tinggi lemak jenuh dan tidak jenuh
seperti sosis, daging berlemak, pai daging, mentega, keju,
lemak babi, ikan goreng, alpukat, kue, biskuit, serta
makanan-makanan yang mengandung minyak kelapa
murni, kelapa sawit, atau minyak zaitun.
• Mengurangi konsumsi garam
• Menjaga BB
• Melakukan olahraga ringan seperti jalan cepat, berenang,
atau bersepeda secara rutin atau sesuai saran dokter.
Hindari olahraga yang menguras tenaga, seperti tenis atau
sepak bola.
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