Pembimbing :
dr. Afdhalun Hakim, SpJP(K), FIHA, FAsCC
Parameter (TIMI)
Usia >65 tahun 1
Lebih dari 3 faktor risiko (hipertensi, DM, rokok, riwayat keluarga, 1
dislipidemi)
Angiogram koroner sebelumnya menunjukkan stenosis >50% 1
Bisoprolol B1 10 mg/hari
Antikoagulan Dosis
1. Wijaya IP, Liwang F. Kapita Selekta. 4th ed. Penyakit Jantung Koroner. Jakarta: Media Aesculapius FKUI, 2014;
748-51.
2. Yeh RW, Sidney S, Chandra M, Sorel M, Selby JV, Go AS. Population trends in the incidence and outcomes of
acute myocardial infarction. N Engl J Med 2010; 362:2155 – 2165.
3. Fox KA, Eagle KA, Gore JM, Steg PG, Anderson FA. The Global Registry of Acute Coronary Events, 1999 to
2009-GRACE. Heart 2010; 96:1095 – 1101
4. Hamm CW, Mollmann H, Bassand JP, Van de Werf F. Acute coronary syndrome. In: Camm AJ, Lu s ̈ cher TF,
Serruys PW, eds. The ESC Textbook of Cardiovascular Medicine. 2nd ed. Oxford: Oxford University Press;
2009
5. Peterson ED, Roe MT, Mulgund J, et al. Association between hospital process performance and outcomes
among patients with acute coronary syndromes. JAMA 2006; 295:1912–20.
6. Amsterdam EA, Wenger NK, et al. 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-
Elevation Acute Coronary Syndromes. Journal of the American College of Cardiology 2014.
7. Hamm CW, Bassand JP, Agewall S, Bax J, Boersma E,Bueno H, et al. ESC Guidelines for the Management of
Acute Coronary Syndromes in Patients Presenting without Persistent ST-segment elevation. European Society
of Cardiology 2011.
8. Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata MK, Setiati S, editors. Ilmu Penyakit Dalam. 5 th ed. Jakarta: Pusat
Penerbitan Depatemen Ilmu Penyakit Dalam FKUI, 2009.
9. Alexander M, Baker F, Blem L, Burroughs CW, Cagle R, et al. Van De Graaf Human Anatomy. 6 th ed. Circulatory
System. McGraw-Hill, 2001; p. 550-51.
10. Gray HH, Dawkins KD, Morgan JM, Simpson IA. Lecture notes Cardiology. 4 th ed. Jakarta: Penerbit Erlangga,
2005.
11. Irmalita, Juzar DA, Andrianto, Setianto BY, Tobing DP, Firman D, Firdaus I. Pedoman Tatalaksana Sindrom
Koroner Akut. 3rd ed. Jakarta: Centra Communications, 2014.
12. NSTEMI.org; NSTEMI definition, symptoms, treatment, prognosis , 2014.
Differential Diagnosis
Kondisi Durasi Kualitas Lokasi
Angina >2 menit <10 Tertekan, Retrosternal,
menit tertindih berat, menjalar ke
terbakar leher, lengan
kiri
Unstable angina 10-20 menit Seperti angina, Seperti angina
namun lebih
berat
Diseksi aorta Mendadak, nyeri Sensasi dirobek Dada anterior,
hebat kadang menjalar
ke punggung,
antar skapula
Emboli pulmonal Mendadak Pleuritik Kadang lateral,
beberapa menit- tergantung lokasi
jam emboli