CHF Radiologi

7/25/2019 CHF Radiologi

http://slidepdf.com/reader/full/chf-radiologi 1/19

CONGESTIVEHEART FAILURE

(CHF)By: Muhyiddin



DEFINISI

Congesi!e he"# $"i%u#e (CHF) is he #esu% o$insu&'ien ouu e'"use o$ '"#di"' $"i%u#e*high #esis"n'e in he 'i#'u%"ion o# +uido!e#%o"d,

In he i%%us#"ion* so.e o$ he $e"u#es* h" '"n

e seen on " 'hes/0%. in " "ien 1ih CHF,



GEJALA KLINIS

2 Gejala :

Dyspnea

3 Dyspnea on effort (DOE)

3 Orthopnea3 Paroxysmal Nocturnal Dyspnea (PND

2 Tanda :

Tanda bendungan/retensi cairan :

3 Edema tungkai 3 Ascites

3 Hepato-splenomegaly

3 Distensi ena !ugularis

e!eri"saan #isi" paru : r$nc%i basa% basal &'(/&'(



MO4ALITAS RA4IOLOGI

2Rongen ho#"5



Ga!baran radi$l$gi pada

gagal jantungG"g"% 6"nung5i#i2 4isensi !en" %ous

sue#io#* enu5.enye#u"i hu#u$ 7deng"n '""ng %u#us

.end""# 5e %"e#"%2 B""s hi%us u%.o e#%ih"

5"u#

2 Menun6u55"n "d"ny"ede." u%.onu. 5e"d""n

"1"%2 Te#d"" "nd"/"nd"

ede." u%.onu.*.e%iui ede." "#uine#e#sisie% d"n "%!eo%e#

G"g"% 6"nung5"n"n2 Ven" 5"!" sue#io# .e%e"#*

e#%ih" se"g"i e%e"#"n disu#"hi%e# 5"n"n s"."i 5e""s

2 Ven" "8ygos .e.es"# s"."i.en'""i %eih d"#i 9 ..

2 E$usi %eu#"* i"s"ny" e#d"" disisi 5"n"n ""u i%"e#"%

2 Interlobar efussion ""u ssuralefussion, Se#ing e#6"di "d" 0ssu#e.ino#* enu5ny" o!"% ""u e%is,See%"h g"g"% 6"nung d""

di""si* ."5" e$usi e#seu.enghi%"ng* sehingg" din"."5"n

vanishing lung tumor se"enu5ny" .i#i u.o# "#u

2 "d"ng/5"d"ng dise#"i deng"ne$usi e#i5"#di"%



2 Ede." ine#sisie%

2 Ede." ini .eni.u%5"n se"% %ines y"ng di5en"%

se"g"i e#%ey;s %ine* y"ng "d" < 6enis* y"iu3 Kerley A: garis panjang di lobus superior paru,

berasal dari daerah hilus menuju keatas dan perifer.

3 Kerley B: garis-garis pendek dengan arah horizontaltegak lurus pada dinding pleura dan letaknya dilobus inferior, paling mudah terlihat karena letaknyatepat diatas sinus ostophrenius. !aris ini adalah yang paling mudah dilihat ditemukan pada keadaangagal jantung.

3 Kerley ": garis-garis pendek, berabang, ada dilobus inferior. #erlu pengalaman untuk melihatnya

karena hamper sama dengan pembuluh darah.3 Kerley $: garis-garis pendek, horizontal, letaknya



2Ede." "%!eo%"#

2 Te#6"diny" engu#"ng"n %usensi "#uy"ng di$us .u%"i d"#i hi%us s"."ie#i$e# "gi"n ""s d"n "1"h,G"."#"n ini din"."5"n butterfy

appearance/butterfy pattern""u bat’s wing pattern, B""s5edu" hi%us .en6"di 5"u#,



In'#e"sed "#e#y/o/#on'hus #"io in CHF



LEFT: no#."%, RIGHT: CHF s"ge II 1ihe#%ey B/%ines due o ine#sii"% ede."



=e#ihi%"# h"8e in ine#sii"% s"ge o$ CHF



=#e!ious no#."% 'hes >/#"y (%e$) "nd CHFs"ge II 1ih e#ihi%"# h"8e (#igh)



O%d 0%. $o# 'o."#ison (%e$) CHF 1ih#edis#iuion* ine#sii"% ede." "nd so.e%eu#"% +uid



A%!eo%"# ede."



"%!eo%"# ede." 1ih e#ihi%"# 'onso%id"ions "nd "i# #on'hog#".s(ye%%o1 "##o1s)?%eu#"% +uid (%ue "##o1)?

#o.inen "8ygos !ein "nd in'#e"sed 1idh o$ he !"s'u%"# edi'%e#ed "##o1



A$e# #e".en 1e '"n si%% see "nen%"#ged '"#di"' si%houee* %eu#"% +uid

"nd #edis#iuion o$ he u%.on"#y %ood



"#dio.eg"%i



Re$#ensi

2 Si.one C#e.e#s* @enni$e# B#"dsh"1 "nd F#ee5He#$5ens, "hest %-&ay - 'eart (ailure, R"dio%ogy

de"#.en o$ he A%e# S'h1ei8e# Hosi"% in4o#d#e'h "nd he Medi'"% Cen#e A%5.""#* heNehe#%"nds* he Nehe#%"nds, =u%i'"iond"e See.e# * 9 h:111,#"dio%ogy"ssis"n,n%en<'D9$DDd<'hes/>/#"y/he"#/$"i%u#e,h.%

2 Rusdy Gh"8"%i M"%ue5" (Edio#), 9, R"dio%ogi4i"gnosi5, =us"5" Cende5i" =#ess 7ogy"5"#",

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CHF Radiologi

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