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Jumat, 04 Januari 2008

Re: [Dokter Umum] Sinus bradikardi?

Dh,
Sebaiknya, selang berapa lama..misal 1-2 bulan,
pemeriksaan diulang di tempat lain, dan hasilnya
dibawa untuk konsultasi ke kardiologist.

Sepintas sih nampak normal, tapi tidak tahu.. apa ada
kelainan struktural, kelainan konduksi, atau lainnya.

Bagaimana bila menjalani test treadmill? Bagaimana
dengan orang yg dengan varian normal sinus bradikardi,
apakah respon terhadap beban latihan seperti orang
normal?

Sebenarnya ada 2 sudut pandang. Pertama, bila tidak
bergejala --> maka tidak usah kuatir. Kedua, patut
diketahui bahwa banyak juga kelainan jantung yang
cukup serius --> namun tidak bergejala.
Patut direnungkan kedua kemungkinan tsb.

Dalam Ilmu kedokteran, dimana ada niat untuk mengobati
sesama.. banyak yang menganut: overdiagnosed lebih
baik, dari pada underdiagnosed.

Jadi gini deh, bila punya biaya...gak ada salahnya
konsult ke cardiologist. Mungkin menghilangkan
kekhawatiran, ekg + echo + treadmill sudah lebih dari
cukup untuk menyingkirkan kemungkinan adanya kelainan
pada jantung. Bila ketiganya oke, maka mungkin suatu
varian normal..

BTW, bila suka OR maka seperti para atlit, bisa jadi
HR memang lambat, karena jantung efektif, dalam satu
kali pompa maka stroke volume sudah memadai..

Untuk bayangan orang awam, kalo di RS pemerintah
standar di poli spesialis, harga ekg sekitar 25-50
ribu, echo rp.300 rb dan treadmill rp.200 rb. biaya
consult cardiologist rp.50-80 rb.
Ini kurang lebih, barangkali bisa beda kalo di RS
lain..

Demikian, semoga bisa membantu menjawab.
Terimakasih.

NB.Itu expertise ekg dari ahli jantung atau otomatis
dari mesin?

salam,
MV

> Terimakasih atas jawabannya, bersama ini saya
> lampirkan hasil pemeriksaan ekg-nya, namun
>

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