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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 $-
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S$'*: 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
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Tata laksana
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Kom!likasi
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TerimaKasi#
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