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Sindroma Koroner AkutOleh:Alfa Alfin N, dr

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

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DefinisiKumpulan gejala yang berkaitan dengan obstruksi a. Koroner, dimana gejala utamanya adalah nyeri dada, gejala lain: mual, muntah, diaforesis LIFE THREATENINGPresentasi nyeri dada ACS:Angina saat istirahat durasi > 20 menitAngina muncul pertama kali sehingga tidak mampu aktivitas ringanAngina progresif3Typical angina v.s. Angina atypical 3 kriteria adl: 1. the presence of substernal chest pain 2. discomfort that was provoked by exertion or emotional stress 3 was relieved by rest and/or nitroglycerin.

4Diagnosis the patients presenting symptoms acute ECG abnormalities,detection of specific serum markers of myocardial necrosis CKMB/Trop T-I56

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 leads78

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ECG NSTEMI-UA10

Evolusi Cardiac Marker11

Tata Laksana ACS12

Tata laksana13

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Komplikasi22

D Dx23

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Terima KasihReff:ESC guidelines ST-ACS&NST ACS Patophysiology of Heart Disease25