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[ILMU MUDAH]: JANTUNG IRREGULAR / IRREGULAR HEART BEATS / AFIB

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Post time 3-11-2019 04:24 AM | Show all posts |Read mode
Edited by ipes2 at 4-11-2019 02:14 AM

Irama degupan jantung adalah regular pada keadaan normalnya. Ini dipanggil ''Normal Sinus Rhythm''. Kadangkala, ada sejenis penyakit yang agak kerap kejadiannya, yang dinamakan ''Atrial Fibrillation'', atau AFib atau AF. Penyakit irama jantung ini berpunca dari 2 chambers kecil ie Atria (Atrium jika 1) yang terletak diatas Ventricles itu, berdegup dengan pantas dan tanpa irama. Ini dapat dilihat dari ECG strips (see below).
Ini menyebabkan darah di dalam Atria tadi bergoncang setempat. Sebagaimana darah yang digoncang dalam test tube akan membeku membentuk blood clots, ini jugalah yang berlaku di dalam Atria tadi di dalam kes kes AF. Blood clots ini boleh dibawa oleh saluran darah ke otak dan ini membawa kepada terjadinya Stroke (see diagram kat bawah). Stroke inilah yang merupakan isu terbesar dari AF.

Untuk mengurangkan risiko Stroke, pesakit yang didiagnose dengan tepat sebagai mempunyai AF, mereka akan ditreat dengan ubat pencair darah. Ini termasuklah Warfarin, Dabigatran, Rivaroxaban, Epixaban atau Edoxaban. Adalah amat penting, treatment AF ini diambil endah oleh pesakit2 nya.






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Post time 3-11-2019 10:53 AM From the mobile phone | Show all posts
Macam mana boleh dapat masalah atrial fibrillation ni? kolestrol menempel ke?
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Post time 3-11-2019 01:16 PM From the mobile phone | Show all posts
Great info doc.

@ipes2

Can  Afib inherited? since this is exactly what mum dignosed with and she did have a mild stroke few years back. Surprisingly she recover well. The doctor kata my mum have a very strong will. Alhamdulillah. Banyak kali actually we facing emergency situation.. where kena panggil ambulance kerumah.. so far past 2yrs ni mama very healthy. Hope for long. Her heart doctor kata ok. Cuma anything that cab causes high blood pressure tu yg akan give band impact. Usually my mum bp is 200/150 keatas and doctors pun amazed mama can adapt to it. However mudahlah rosak organ lain. Hope and pray for a better.
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Post time 3-11-2019 07:20 PM From the mobile phone | Show all posts
adila39 replied at 3-11-2019 01:16 PM
Great info doc.

@ipes2

Mak aii!! Tingginye BP.. hope your mom getting better. Makanannya macam mana? Limit salt, bnyk hidden salt dlm makanan skrg ni..

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Post time 3-11-2019 07:21 PM From the mobile phone | Show all posts
Nak tnya doc @ipes2,  etco2 tu actually dia measure apa kat jantung tu?
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Post time 3-11-2019 08:08 PM From the mobile phone | Show all posts
najib888 replied at 3-11-2019 11:20 AM
Mak aii!! Tingginye BP.. hope your mom getting better. Makanannya macam mana? Limit salt, bnyk hid ...

yes she did all. Tapi xtau la.. dah immune agaknya.. but bp dia akan gitu if dia sakit lain like kaki crem ke or sakit lain yg buat darah dia naik. She is on medication. Ubat dia masyaallah banyak sgt. Penah admit last yr sbb kidney level protein to high. So my mum situation hanya kena sustain and eat well. If perut kosong my mum akan muntah... like a week ago.. baru je sampai tesco.. sbb dia makam mee kuning tu je, muntah kat parking area.. so we go back home, belikan bubur. My mum dah buat bypass 3yrs ago masuk 4yrs. And now she is 64yrs old healthy and young at heart. Hopefully

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 Author| Post time 4-11-2019 02:16 AM | Show all posts
Catpaw replied at 3-11-2019 10:53 AM
Macam mana boleh dapat masalah atrial fibrillation ni? kolestrol menempel ke?

itu pon boleh jugak
ie nanti cholesterol plaques dalam coronary arteries boleh rosakkan dinding jantung, lalu electrical impulses yg lalu kot situ jadi terganggu, maka dapat jugak lah AF.. ie kerana ischaemic heart disease (IHD) kita kata, ie coronaries kata org banyak
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 Author| Post time 4-11-2019 02:21 AM | Show all posts

terima kasih for the tag adila

tinggi tuh BP mak awak. kena di treat dgn sangat aggressive, takut nanti dapat hypertensive heart disease (high BP akan rosakkan saluran darah yg halus2 dalam jantung.. sgt bahaya). hypertensive heart disease boleh cause AF jugak

harap mak awak tetap ambil blood thinners tu dan terus ambil semua BP meds nya. Kami combine BP meds dgn banyak, kadang2 sampai 5 jenis setiap pesakit eg alpha-blockers, beta-blockers, calcium channel blockers, diuretics, ACE inhibitors, ARB2 inhibitors etc

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 Author| Post time 4-11-2019 02:25 AM | Show all posts
najib888 replied at 3-11-2019 07:21 PM
Nak tnya doc @ipes2,  etco2 tu actually dia measure apa kat jantung tu?

terima kasih for the tag

tu capnography readings je tu, ada la dlm some monitoring machines. dia biasanya di baca bersama dgn data2 lain termasuklah ECG, dan beberapa respiratory parameters yg lain. if pt tu kena intubated, ha ini amat penting sebab ni ialah end tidal carbon dioxide values yg dia beri.
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 Author| Post time 4-11-2019 02:26 AM | Show all posts
adila39 replied at 3-11-2019 08:08 PM
yes she did all. Tapi xtau la.. dah immune agaknya.. but bp dia akan gitu if dia sakit lain like k ...

ala sain dia
moga she continues to do well .
harap dai sabar2 selalu
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 Author| Post time 4-11-2019 05:23 PM | Show all posts
terima kasih cik @seribulan   kerana highlight dan bersihkan board dari spammers
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Post time 6-11-2019 07:23 AM | Show all posts
ipes2 replied at 4-11-2019 04:23 PM
terima kasih cik @seribulan   kerana highlight dan bersihkan board dari spammers

Terima kasih je

Haa ni outstation working holiday. Online bila sempat je.

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terima kasih kerana bersihkan board dan digesting threads dalam board ini  Post time 6-11-2019 03:46 PM

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 Author| Post time 6-11-2019 03:45 PM | Show all posts
seribulan replied at 6-11-2019 07:23 AM
Terima kasih je

Haa ni outstation working holiday. Online bila sempat je.

ish asyik outstation aje
semoga semua nye smooth
sy beri tacang kerana bersihkan board dan digest threads sy dan threads lain dalam perubatan ni
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Post time 7-11-2019 11:42 AM From the mobile phone | Show all posts
Edited by adila39 at 7-11-2019 03:44 AM
ipes2 replied at 3-11-2019 06:26 PM
ala sain dia
moga she continues to do well .
harap dai sabar2 selalu


Salam Dr, semalam buat check up. Dr kata sbb dah lama buat bypass possibly utk sumbat ada lagi. ye ke? @ipes2  jantung ok tapi cholesterol pulak tgi. Did u know sbb hosp gomen tgu lama... dari 6.30am. Bp mak 200 and even after bg medication turun 190 je... dr tu kata terornya mak ni... ada org collapsed. Is it becoz dah immune dgn range bp tu? possible ke patients age 64++ buat bypass lagi doc?
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 Author| Post time 7-11-2019 03:26 PM | Show all posts
adila39 replied at 7-11-2019 11:42 AM
Salam Dr, semalam buat check up. Dr kata sbb dah lama buat bypass possibly utk sumbat ada lagi.  ...

terima kasih for the tag adilla

adoih lamanya nunggu
takleh wat block appointment ke?
kat sini appointment org staggered tau, makcik A card dia kata kol 0815, makcik B card dia 0830, pakcik C 0900 etc

tinggi sgt tu BP tu
combination antihypertensive dah ke? if so, how many? is many, doses nya di optimized kah?
dah buat 24 ABPM?

CABg ari tu kat sini org umur 87 pon dibuat nya
selamat je org umur 64 buat CABG
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Post time 8-11-2019 05:52 PM | Show all posts
ipes2 replied at 6-11-2019 02:45 PM
ish asyik outstation aje
semoga semua nye smooth
sy beri tacang kerana bersihkan board dan diges ...

2 hari lagi baru tenet deras, sempat move ad ke bod jualbeli...dan highlite thread, bagi kredit ikut mood tenet

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terima kasih sebab buang sampah2. nah tacang  Post time 9-11-2019 01:04 AM

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Post time 8-11-2019 09:01 PM From the mobile phone | Show all posts
ipes2 replied at 7-11-2019 07:26 AM
terima kasih for the tag adilla

adoih lamanya nunggu

Salam.

Oh nak buat cemana kat sini beribu pesakit datang. Alhamdulillah mak ok je..

after buat abpm tu la baru proceed check up. Tapi dr kata, mak tak perlu jumpa neurologist lagi sbb buah pinggang ok

Yes, semua jenis ubat dr mentioned mmg mak ambil termasuk antiplatelet pun ada.

Doc kata mak kena sustain health je and boleh lead healthy life..

@ipes2
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Post time 8-11-2019 09:09 PM | Show all posts
Lupa...cuma kenapa ya mak selalu krem kaki esp yg diambil urat tu and salah duduk or baring akan sakit belakang kat tulang rusuk tu..mmg gitu ke?
@ipes2

I kn tag kdg xkuar notification after reply 😽
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 Author| Post time 9-11-2019 12:58 AM | Show all posts
adila39 replied at 8-11-2019 09:01 PM
Salam.

Oh nak buat cemana kat sini beribu pesakit datang. Alhamdulillah mak ok je..

terima kasih Mod Adilla for the tag

ye, sustaining current health sy rasa adalah satu aim yg sesuai utk mother awak.
nephrologist yg jaga kidney tu, if dia tak follow up lagi, akan ingin tahu apakah status function buah pinggang mak awak.
sy syorkan, every 12weeksmak awak ambil ''U&E''ie Urea & Electrolytes.
ini akan memberi bacaan Sodium (Na), Potassium (K), Chloride (Cl), Urea (Ur) dan Creatinine (Cr).
U&E ini boleh lah blood tests nye dibuat di clinic2.
nephrologist patut tahu bacaan nya bila tinggi, Cr tu especially
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 Author| Post time 9-11-2019 01:02 AM | Show all posts
adila39 replied at 8-11-2019 09:09 PM
Lupa...cuma kenapa ya mak selalu krem kaki esp yg diambil urat tu and salah duduk or baring akan sak ...

terima kasih for the tag

sy tak familiar dgn ''yg diambil urat''. adakah ianya typo
cramps boleh disebabkan oleh statins (anticholesterol meds) tetapi juga jika electrolytes kita berterabur.
commoner ialah jika urat saraf dibelakang tertekan oleh osteoarthritic degenerative changes yg occur with aging.
susah utk beri pendapat kerana info nya tidak banyak yg awak beri
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