CASE REPORT:
STEMI ANTEROSEPTAL WALL
ONSET 4 HOURS, KILLIP 1
Presented by:
Supervisor:
dr. Pendrik Tandean, SpPD-KKV,
FINASIM
PATIENT IDENTITY
Name : Mr. MT
Age : 55 years old
Gender : Male
Address : Tinanggea
Medical Record : 805671
Admitted : June 27th, 2017
HISTORY TAKING
Lifestyle History:
History of smoking (+), since 20 years ago, 1 packs/day
RISK FACTOR
Vital status
Heart rate 81 bpm
Respiratory rate 21 tpm
Temperature 36,7 oC
Conclusion:
Sinus rhytm,
HR 78x/mnt,
normoaxis,
STEMI
anteroseptal
Laboratory Finding
Modifiable Non-
Modifiable
WHO DIAGNOSTIC CRITERIA
Prolonged chest pain
Usually retrosternal location
Ischemic symptoms Dyspnea
Diaphoresis
Inverted T wave
Diagnostic ECG ST segment depression or elevation
changes Pathological Q wave
Troponin-T or I
Serum cardiac CK-MB
marker elevations CK
Myoglobin
CLINICAL PATHWAY
ISCHEMIC SYMPTOMS
ECG CHANGES
Aspirin 160-320 mg 80 mg
Clopidogrel 300 mg --> 75 mg
MONA
M : Morfin
Nitrogliserin/ISDN
O : Oksigen
N : Nitrat
A : Antiplatelet Morfin 1-5 mg
COMPLICATION
PROGNOSIS
KILLIP CLASSIFICATION
CLASS DESCRIPTION MORTALITY RATE (%)