Pericardial Effusion
Juga dikenal sebagai: Pericardial fluid accumulation, Hemorrhagic pericardial effusion
Singkatnya
Pericardial effusion is a life-threatening veterinary emergency where fluid builds up in the sac surrounding the heart. This pressure prevents the heart from filling with blood, leading to weakness, breathing difficulties, and potential collapse. Immediate veterinary intervention is critical to drain the fluid and restore normal heart function.
TL;DR. Cairan di sekitar jantung menghambat pengisian; darurat jika tamponade.
Ekokardiografi adalah standar emas.
Apa itu?
Penumpukan cairan di kantung perikardium yang menekan jantung (tamponade) dan menurunkan output jantung.
"Cardiac tamponade develops when pericardial fluid accumulation raises intrapericardial pressure to or above the normal diastolic pressure of the right side of the heart, preventing normal filling."
Penyebab dan faktor risiko
Neoplasia (hemangiosarkoma, kemodektoma) dan idiopatik hemoragik; ras besar: golden, labrador, Saint Bernard, German Shepherd.
Tanda
- Bunyi jantung redam (kardinal)
- Sesak napas, intoleransi olahraga, asites, mukosa pucat
- Kolaps, nadi lemah
Asites mencerminkan kongesti kanan.
Diagnosis
Ekokardiografi (emas); rontgen (jantung globoid); ECG (voltase rendah, alternans listrik); analisis cairan.
Ultrasound menunjukkan cairan yang menekan jantung.
Pengobatan
Perikardiosentesis segera. Jangan diuretik/vasodilator sebelum drainase. Steroid jika idiopatik; perikardiektomi jika berulang.
Prognosis
Idiopatik sering baik. Neoplastik: hati-hati hingga buruk.
Pencegahan
Tanpa khusus; pemeriksaan pada ras berisiko.
Kapan ke dokter hewan
Sesak napas, kolaps, mukosa pucat/biru, abdomen tegang: darurat level 5.
Sumber
- Small Animal Critical Care Medicine, p. 276
- Internal Medicine (5th Edition), p. 196, 200
My highlights & notes
Tanda & gejala
Ras berisiko lebih tinggi
Cara didiagnosis
- EchocardiographyStandar emas
- Central Venous Pressure (CVP) measurement
- Electrocardiography (ECG)
- Pericardial fluid analysis
- Plasma cardiac troponin I (cTnI) concentration
- Thoracic radiography
Pendekatan pengobatan
Pengobatan harus diresepkan dokter hewan berlisensi. Dosis spesifik sengaja tidak ditampilkan.
Pertanyaan umum
What is Pericardial Effusion?
Pericardial effusion is a life-threatening veterinary emergency where fluid builds up in the sac surrounding the heart. This pressure prevents the heart from filling with blood, leading to weakness, breathing difficulties, and potential collapse. Immediate veterinary intervention is critical to drain the fluid and restore normal heart function.
What are the symptoms of Pericardial Effusion?
Muffled heart sounds、Loss of appetite、Fluid in the belly (ascites)、Cough、Difficulty breathing (dyspnea)、Enlarged liver、Jugular distension、Lethargy
How is Pericardial Effusion diagnosed?
Echocardiography、Central Venous Pressure (CVP) measurement、Electrocardiography (ECG)、Pericardial fluid analysis、Plasma cardiac troponin I (cTnI) concentration、Thoracic radiography
How is Pericardial Effusion treated?
Pengobatan harus diresepkan dokter hewan berlisensi. Dosis spesifik sengaja tidak ditampilkan.
Sumber
- Internal Medicine 5th · p. 200
- Current Techniques in Small Animal Surgery, 5th Edition (VetBooks.ir) · p. 685
- Internal Medicine 5th · p. 196
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 276
Artikel ini edukasi umum, bukan pengganti saran dokter hewan. Jika hewan sakit, konsultasikan dokter hewan.
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