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Sindroma Koroner Akut

Oleh:

Alfa Aln N, dr

PPDS I | Kardiologi&Kedokteran Vaskuler | FK NS !"SD Dr# $u%ardi

i'(iingan Dokter $uda

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Definisi

Kumpulan gejala yang berkaitan denganobstruksi a. Koroner, dimana gejalautamanya adalah nyeri dada, gejala lain:

mual, muntah, diaforesis)IF*+"*A+*NIN-

Presentasi nyeri dada ACS:

Angina saat istirahat durasi > ! menit

Angina mun"ul pertama kali sehingga tidakmampu akti#itas ringan

Angina progresif

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$ypi"al angina #.s. Angina atypi"al

% kriteria adl: 1. the presence of substernal chest pain

2. discomfort that was provoked by exertion oremotional stress

3 was relieved by rest and/or nitroglycerin.

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Diagnosis

1. the patient&s presenting symptoms

. a"ute 'C( abnormalities,

%. dete"tion of spe"i)" serum markersof myo"ardial ne"rosis CK*+$rop $-

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0

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S$'*: 2a#es , S$ ele#ations, hyper a"ute $

2a#es3 follo2ed by $ 2a#e in#ersions.

Clini"ally signi)"ant S$ segmentele#ations: > than 1 mm 4!.1 m56 in at least t2o

anatomi"al "ontiguous leads

or mm 4!. m56 in t2o "ontiguouspre"ordial leads

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ECG NSTEMI-UA

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Evolusi Cardiac Marker

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Tata aksana ACS

1!

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Tata laksana

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Kom!likasi

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D D"

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%

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TerimaKasi#

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