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All Journal Cermin Dunia Kedokteran
Kristianus, David
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Health Professions

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Wanita Dewasa Muda dengan Gagal Jantung, Pneumonia, dan Hipoksemia: Komplikasi Obesitas Morbid – Laporan Kasus: Laporan Kasus Kristianus, David; Ngantung, Robert Noldy; Sutanto, Hari
Cermin Dunia Kedokteran Vol 53 No 03 (2026): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i03.1776

Abstract

Introduction: Heart failure is a clinical syndrome resulting from structural or functional abnormalities of the heart that cause cardinal symptoms and signs of heart failure. One of the contributing factors to increased incidence of heart failure among young people is obesity. Obesity also increases the risk of impaired lung function and other organs. Case: A 25-year-old female with shortness of breath since 1 day. Peripheral oxygen saturation (SpO2) was 80% in room air. Her body mass index was 52 kg/m2. Chest radiology showed cardiomegaly with pulmonary infiltrates and edema. Echocardiography revealed a left ventricular ejection fraction of 79.8% and mild left ventricular diastolic dysfunction. Discussion: Diagnosis was heart failure with preserved ejection fraction (HFpEF) 79.8% and pneumonia. Treatment with furosemide and antibiotics relieved the shortness of breath, congestion, and pulmonary infiltrates, yet the patient continued to experience hypoxemia in room air. Chest physiotherapy and breathing exercises were applied to improve the impaired lung function due to obesity. Conclusion: Obesity is a risk factor for heart failure in young adult population. Maintaining ideal body weight is important to prevent obesity and its complications.
Co-Authors Hari Sutanto, Hari Ngantung, Robert Noldy