PBL
BLOK KARDIVASKULAR
Learning objective
1. Definisi dan etiologi DVT
2. Faktor resiko DVT
3. Patofisiologi DVT
4. Alur penegakkan diagnosis
5. Tatalaksana dari DVT
6. Diagnosis banding dari DVT
7. Komplikasi DVT
8. Pencegahan pada DVT
Tatalaksana DVT (farmakologi)
Jangka
Inisial Lanjutan
Panjang
5-21 hari > 3 bulan
3 bulan
Lucia Mazzolai, et al. Second consensus document on diagnosis and management of acute deep vein thrombosis: updated document elaborated by the ESC Working Group on aorta and peripheral vascular diseases and the
ESCWorking Group on pulmonary circulation and right ventricular function. European Journal of Preventive Cardiology. August 2021.
Tatalaksana DVT (farmakologi)
Lucia Mazzolai, et al. Second consensus document on diagnosis and management of acute deep vein thrombosis: updated document elaborated by the ESC Working Group on aorta and peripheral vascular diseases and the
ESCWorking Group on pulmonary circulation and right ventricular function. European Journal of Preventive Cardiology. August 2021.
Tatalaksana DVT
Lucia Mazzolai, et al. Second consensus document on diagnosis and management of acute deep vein thrombosis: updated document elaborated by the ESC Working Group on aorta and peripheral vascular diseases and the
ESCWorking Group on pulmonary circulation and right ventricular function. European Journal of Preventive Cardiology. August 2021.
Tatalaksana DVT (non farmakologi)
Trombolisis/tromboektomi
Cateter directed thrombolysis (CDT) dapat mencegah PCT
Filter vena cava
Digunakan pada pasien dengan DVT proksimal dengan kontraindikasi absolut antikoagulan
Komplikasi : thrombosis filter
Kompresi
Tujuan : control gejala dan pencegah PTS
Efikasi baik pada apsien dengan terapi kompresi + mobilisasi dini + olahraga berjalan kaki
Lucia Mazzolai, et al. Second consensus document on diagnosis and management of acute deep vein thrombosis: updated document elaborated by the ESC Working Group on aorta and peripheral vascular diseases and the
ESCWorking Group on pulmonary circulation and right ventricular function. European Journal of Preventive Cardiology. August 2021.