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DAFTAR ISI
Halaman
DAFTAR TABEL.....................................................................................

DAFTAR GAMBAR................................................................................

VI

I.

PENDAHULUAN .......................................................................

A. Latar Belakang........................................................................

B. Tujuan ....................................................................................

Presentasi Kasus ..........................................................................

A. Identitas...................................................................................

B. Anamnesis................................................................................

C. Pemeriksaan Fisik...................................................................

D. Pemeriksaan Penunjang..........................................................

E. Resume...................................................................................

11

F. Diagnosa kerja.........................................................................

13

G. Diagnosa banding...................................................................

13

H. Prognosis..................................................................................

13

I. Penatalaksanaan......................................................................

13

J. Pemeriksaan anjuran...............................................................

14

K. Follow up................................................................................

14

Pembahasan..................................................................................

18

II.

III.

A. Alasan Diagnosa
1. CHF

IV.

...................................................................18

2. Hipertiroid...........................................................................

19

3. Penyakit grave....................................................................

22

B. Alasan Diagnosa banding.......................................................

22

1. Karsinoma Tiroid...............................................................

22

2. Adenoma Tiroid.................................................................

23

C. Alasan Penatalaksanaan..........................................................

23

Tinjauan Pustaka ........................................................................

25

A. Hypertiroid heart desease........................................................

25

1. Definisi

...................................................................25

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2. Gejala Klinis ...................................................................25
3. Patoisiologi

...................................................................26

4. Radiologi.............................................................................

29

5. Elektrokardiografi..............................................................

29

6. Ekokardiografi....................................................................

29

7. Komplikasi..........................................................................

30

8. Penatalaksanaan.................................................................

31

B. Hipertiroid...............................................................................

32

1. Definisi

...................................................................32

2. Epidemiologi ...................................................................33
3. Etiologi

...................................................................34

4. Disgnosa

...................................................................34

5. Terapi

...................................................................35

6. Komplikasi

...................................................................36

C. Penyakit Grave........................................................................
1. Definisi

...................................................................38

2. Etiologi

...................................................................39

38

3. Faktor risiko ...................................................................39

4. Pathogenesis ...................................................................40
5. Penegakka diagnosa...........................................................

43

6. Gambaran Klinis................................................................

44

7. Tatalaksana........................................................................

47

V.

KESIMPULAN............................................................................

55

VI.

DAFTAR PUSTAKA...................................................................

56

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DAFTAR TABEL
Tabel 2.1. Follow up Pasien selama di RSMS...........................................

14

Tabel 3.1. Indeks Wayne............................................................................

19

Tabel 3.2. Indeks Newcastle..................................................................... .

20

Tabel 4.1. Pengaruh Obat obatan kardiovaskuler terhadap tiroid....

32

Tabel 4.2. Penyebab Tirotoksikosis.

34

Tabel 4.3. Efek berbagai obat dalam pengelolaan tirotoksikosis.............

35

Tabel 4..4. Criteria diagnosis untuk krisis tiroid..

37

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DAFTAR GAMBAR
Gambar 2.1 EKG.......................................................................................

10

Gambar 2.2. Foto Thorax...........................................................................

11

Gambar 4.1. MekanismeTiroid Mempengaruhi Gen target pada Jantung

27

Gambar 4.2. MekanismeTiroid mempengaruhi resistensi perifer.............

29

Gambar 4.4. Pathogenesis Oftalmopaty grave..........

42

Gambar 4.5. Pathogenesis Penyakit Grave..

45

Gambar 4.6. Alur penegakkan diagnosa penyebab hipertiroidsme

46