[HEART
FAILURE]
Heart
Vein
s Arteries
Preload Contractility Afterload
Need constriction to
Need volume to maintain pressure
increase stretch,
Frank Starling
Need contractility and
rate to maintain output
DEFINISI GAGAL JANTUNG
Kompensasi intrinsik
Kompensasi neurohumoral
Kompensasi neurohormonal
Penyakit primer
Kompensasi neurohumoral
Pump
Cardiomyopathy Valvular
disease
failure
• Neurohormonal stimulation
• Endothelial dysfunction Symptoms: Chronic
Noncardiac Dyspnea
• Vasoconstriction heart
factors Fatigue
Edema failure
• Renal sodium retention
(Abraham, 2000)
Rantai Kejadian Menuju Endstage Heart
Disease
Infark myokard
Trombosis Kematian
Arritmia
koroner mendadak
Iskemik Silent
myokard Angina Remodeling
Dilatasi ventrikel
PA
Stroke CAD
D
Atherosklerosi
s LVH Gagal jantung
Stage A Stage B
Stage C Stage D
Preload
Volume
&
cairan Kontraktilitas
Afterload