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

Muwardi
Bimbingan Dokter Muda

Sindroma Koroner Akut

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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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 Diagnosis

1. the patient’s 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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