ACS

PF:
Cek pulse
Hipertensi
Anemia

Lab:
Cek urin ginjal dan DM mempercepat aterosklerosis
Lipid
Glucose
Hematocrit
Creatine
EKG
Cardiac marker

Prognosis
Age
Functional state pf the left ventrikel
Location
Severity narrowing
Severity of ischemia

Treatment
Explanation and reassurance
o Pasien perlu dijelaskan mengenai kondisinya dan tetap mungkin
hidup yang produktif
Identification and Treatment of Aggravating condition
o Menyingkirkan kemungkinan hipertrofi ventrikel kiri
o Penyakit katup aorta
o Cardiomyopathy
o Obesitas
o Hipertensi
o Hipertiroid treat secara agresif untuk mengurangi episode
angina
o Merokok atau tidak, anemia atau tidak
Recommendation of adaptation of activity
Treatment of Risk factor
o Obesitas
o DM
o Hiperlipidemia
o Hipertensi
Angina therapy
o Nitrogliserin
o Beta blocker or Ca channel blocker
o Aspirin chronic administration of 75-325 mg orally
menurunkan kejadian coroner pada laki-laki usia 50 tahum pasien
dengan chronic stable angina, pasien yang tetap hidup pada
unstable dan myocardial infarction
o Clopidogrel + apirin acute coronary syndrome
Consider revascularization
o Unstable phase
o Intractable symptom
o Severe ischemia or high risk coronary anatomu
o Diabetes
o Impaired LV function

NSTEMI

o Bed rest with continuous ECG monitoring for ST segment deviation and
aritmia
o Risk factor modification smoking cessation, optimal weight. Daily
exercise following diet, blood pressure control, control of hypoglycemic,
lipid management
o Beta blocker
o atorvastatin
o ACE inhibitor
o Aspirin
o Clopidogrel