CORONARY ARTERIAL DISEASE

dr. Ika Christine, SpJP., FIHA

Faculty of Medicine – Widya Mandala Catholic University

January 2018
Terms
Supply vs Demand
Risk Factors
Atherosclerosis
Stable to Unstable
Signs and Symptoms
Physical examination findings
Diagnostic Studies

1. ECG
2. Treadmill test (Exercise stress test)
3. Echocardiography
4. Nuclear imaging (PET)
5. Dobutamine stress echo
6. Multiple Slices Cardiac Tomography
7. Coronary angiography
Diagnosis

1. Chief complaint
2. Physical findings
3. Labs
4. Diagnosis
5. Differential Diagnosis

Degree of severity:
Angina pectoris  Canadian Cardiovascular Society
Differential diagnosis
Therapy
Non pharmacology Pharmacology

Exercise Anti angina

Diet Anti dyslipidemia
Comorbid management
Smoking cessation

Myocardial infarction:
Reperfusion  PCI, CABG, thrombolytic,
Acute Coronary Syndrome 
Cardiac Emergency
 Therapy
Reperfusion
Indication and contraindication

!! ! !
S C L E…
MU
E IS
TIM
ECG
Location
 Infarct Location
OLD ?

NEW ?

Inferior: II, III, AVF

Anterior: V1 – V6
Anteroseptal: V1 – V4
High lateral: I and AVL
Anterior extensive: V1-V6 + I and AVL
Reciprocal: inferior and anterior
 Complication and Prognosis

See you at PBL Pleno!

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