Download - Sindroma_Koroner_Akut
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SINDROM KORONER AKUT
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SINDROMA KORONER AKUT
Menggambarkan berbagai jenis manifestasi klinis penyakit-penyakit arteri koronaria, mulai dari angina sampai dengan infark miokard akut (IMA)
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SINDROM KORONER AKUT Unstable Angina (UA)
NSTEMI
STEMI
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ETIOLOGI
Atherosklerosis
Trombosis
Spasme
Disseksi Koroner
Aneurisma
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FAKTOR RESIKO SKA
Tidak dapat dimodifikasiUmur Jenis kelaminRiwayat keluargaRas
Dapat dimodifikasiHiperlipidemiaHiperhomosisteinemiaHipertensiMerokokDiabetes melitusKontrasepsi oralObesitas Inaktivitas fisikStress dan kecemasanRisiko multifaktorial
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DIAGNOSIS IMA
Riwayat kesehatan/penyakit Rasa tidak nyama/nyeri di dada Nyeri yang menyebar ke lengan kiri bagian ulnar, leher, rahang,
regio interscapula Nyeri epigastrik dengan gangguan gastrointestinal Mual, muntah, diaporesis, palpitasi, dyspnea
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DIAGNOSIS IMA
Pemeriksaan Fisik
Keadaan Umum: alert, anxious, gelisah, fatigueKulit: dingin, pucat, diaphoresisKardiovaskuler: S3 dan S4 ada atau tidak ada, disritmia, murmur, distensi vena jugularis,
Paru-paru: dispnea, takipneaGI: Mual, muntahSirkulasi: denyut perifer reguler atau tidak, denyut bergetar
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DIAGNOSIS IMA
Pemeriksaan Diagnostik Perubahan pada EKG Enzim Jantung
CK-MB Lactate Dehidrogenase Myoglobin Troponin T dan Troponin I
Hemodinamik monitoring Echocardiografi
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POSISI INFARK
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PEMERIKSAAN ENZIM
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PENATALAKSANAAN
Problem??
Nyeri
Takipneu
Aritmia
Hipotensi
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PENATALAKSANAAN MEDIS Trombolitik/Fibrinolitik Primary Stenting Pemasukan O2 maksimalTherapi O2NitratMorphin
Kontrol nyeri Pencegahan re-infark: Aspirin. Heparin, Clopidorgel Memperbaiki fungsi ventrikel kiri: ACE Inhibitor Mengurangi kebutuhan Miokardium
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KONTRAINDIKASI TROMBOLITIK
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BALOONING AND STENTING