PPDS I | Kardiologi&Kedokteran Vaskuler | FK UNS - RSUD Dr.

Muwardi
Bimbingan Dokter Muda

Sindroma Koroner Akut

Oleh:
Alfa Alfin N, dr
Arini Nur F, dr
Farah Mutiara H, dr
Adi Bestara, dr

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 Definisi
Kumpulan gejala yang berkaitan dengan
obstruksi a. Koroner, dimana gejala utamanya
adalah nyeri dada, gejala lain: mual, muntah,
diaforesis LIFE THREATENING
Presentasi nyeri dada ACS:
Angina saat istirahat durasi > 20 menit
Angina muncul pertama kali sehingga tidak
mampu aktivitas ringan
Angina progresif

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 Typical angina v.s. Angina atypical
3 kriteria adl:
1. the presence of substernal chest pain
2. discomfort that was provoked by exertion
or emotional stress
3 was relieved by rest and/or nitroglycerin.

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 Diagnosis
1. the patients presenting symptoms
2. acute ECG abnormalities,
3. detection of specific serum markers of
myocardial necrosis CKMB/Trop T-I

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 STEMI:
Q waves , ST elevations, hyper acute T waves;
followed by T wave inversions.
Clinically significant ST segment elevations:
> than 1 mm (0.1 mV) in at least two anatomical
contiguous leads
or 2 mm (0.2 mV) in two contiguous precordial leads

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ECG NSTEMI-UA

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Evolusi Cardiac Marker

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Tata Laksana ACS

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Tata laksana

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Komplikasi

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D Dx

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 Terima Kasih
Reff:
ESC guidelines ST-ACS&NST ACS
Patophysiology of Heart Disease

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