Ekokardiografi pada Gagal Jantung

Abstract

Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality worldwide.  Clinical diagnosis of HF is often challenging because the symptoms and signs of HF are either too nonspecific or too infrequent. Echocardiography, given its safety, easy availability, and the ability to permit a comprehensive assessment of cardiac structure and function, is an indispensable tool in the evaluation and management of patients with heart failure (HF). It can also detect and define the hemodynamic and morphologic changes in HF over time and might be equivalent to invasive measures in guiding therapy. The early detection of heart failure has been facilitated by the assessment of global longitudinal strain, which is also useful in later heart failure for the assessment of left ventricular synchrony.The use of echocardiography has been associated with favorable outcomes, probably onthe basis of facilitation of appropriate therapy. Although the guidelines emphasize that no singletest satisfies all imaging requirements in heart failure, and other modalities can provide additional information about specific questions (especially tissue characterization), echocardiography is indispensable in the management of heart failure.Gagal jantung merupakan sindrom klinis kompleks yang ditandai dengan beberapa gejala umum seperti kesulitan bernapas, pembengkakan tungkai, dan rasa lelah yang mungkin disertai dengan gejala lainnya. Gagal jantung umumnya memiliki prognosis yang buruk serta konsekuensi biaya yang relatif besar. Ekokardiografi merupakan salah satu modalitas dalam penegakkan diagnosis dan monitoring kondisi gagal jantung yang relatif mudah dilakukan, bersifat noninvasif, serta mampu mengukur banyak parameter klinis jantung yang penting untuk dievaluasi, termasuk di antaranya status hemodinamik, fraksi ejeksi ventrikel kiri, volume, serta massa jantung.