kuliah kardio 2

8/18/2019 KULIAH KARDIO 2

1/17

ANGINA PEKTORIS STABIL

FRANS WANTANIA


2/17

SASARAN PEMBELAJARAN

Dapat menjelaskan :

1De!n"s" An#"na Pekt$%"s Sta&"l

'Et"$l$#" An#"na Pekt$%"s Sta&"l

(Pat$#enes"s APS)Man"*estas" Kl"n"s APS

+Ba#a"mana Men,"a#n$s"s APS

-Klas"!kas" An#"na Pekt$%"s Sta&"l.Pe%&e,aan APS ,en#an S"n,%$m K$%$ne%

Ak/t

0Penatalaksanaan An#"na Pekt$%"s Sta&"l


3/17

DEFINISI

– NERI ANG TIMB2L KARENA ISKEMIA

MIOKARD• L$kas" &"asan3a ," ,a,a4 s/&ste%nal

• Penjala%an ke le5e%4 %a5an#4 &a5/ k"%"4 len#an

• N3e%" t/mp/l6 te%t"n,"54 sepe%t" ,"%emas7%emas

• N3e%" &e%5/&/n#an ,en#an akt"8"tas

• Lama n3e%" k/%an# ,a%" '9 men"t


4/17

APS

1ANGINA PAIN

'EKG SAAT ISTIRA;AT

(EKG SAAT AKTIISE

TEST

)EKOKARDIOGRAFI

+STRESS IMAGING

-ANGIOGRAFI KORONER


5/17

KLASIFIKASI ANGINA PEKTORISSTABIL

KLAS I :

7 Akt"8"tas se5a%"75a%" tanpa n3e%" ,a,a

7 N3e%" ,a,a saat lat"5an &e%at4 &e%jalan ?epat

KLAS II :

7 Akt"8"tas se5a%"75a%" a#ak te%&atas7 N3e%" ,a,a &"la jalan ' &l$k4 na"k tan##a '

lanta"


6/17

KLASIFIKASI ANGINA PEKTORISSTABIL

KLAS III :

7 N3e%" ,a,a &"la &e%jalan 1 &l$k

7 N3e%" ,a,a &"la na"k tan##a 1 lanta"

KLAS I< :

7 N3e%" ,a,a &"sa t"m&/l saat "st"%a5at7 Sem/a akt"8"tas men"m&/lkan an#"na @man,"4

men3ap/


7/17

FAKTOR RESIKO PJK

• MEROKOK RIWAAT KEL2ARGA

•

;IPERTENSI OBESITAS

• DISLIPIDEMIA K2RANG AKTI


8/17

PERBEDAAN APS DENGAN SKA

PADA SINDROM KORONER AK2T :

1 NERI DADA MENETAP C '9 MENIT

' PENINGKATAN ENIM JANT2NG

( PER2BA;AN EKG @ST ELE


9/17

PENATALAKSANAANANGINA PEKTORIS STABIL

1 FARMAKOLOGIS

' NON FARMAKOLOGIS

( REPERF2SI MIOKARDI2M


10/17

PENATALAKSANAANFARMAKOLOGIS

ASPIRIN

BETA BLOKER

A>E IN;IBITOR

OBAT PEN2R2N LDL @STATIN

NITROGLISERIN

KALSI2M ANTAGONIS

KLOPIDOGREL


11/17

NON FARMAKOLOGIS

• BER;ENTI MEROKOK

• DIET SE;AT

• PEN2R2NAN BERAT BADAN KE NORMAL

• OLA; RAGA TERAT2R

• MENG;INDARI STRESS


12/17

REPERF2SI MIOKARDI2M

• PEMAKAIAN STENT

• >ABG


13/17

KAS2S 1

•

Se$%an# an"ta /s"a +. ta5/n men#el/5 n3e%" ,a,asaat selesa" sa%apan4 %asan3a sepe%t" te%t"n,"54

k/%an# le&"5 19 men"t ,an men#5"lan# setela5

"st"%a5at I&/ "n" tela5 + ta5/n mem"n/m $&at

ant"5"pe%tens" se?a%a te%at/% Pa,a peme%"ksaan

!s"k TD 1)969 mm;# ;as"l peme%"ksaan EKG

,"tem/kan T "n8e%s" ," lea, III ,an a


14/17

KAS2S '

•

Se$%an# an"ta /s"a +. ta5/n men#el/5 n3e%" ,a,asaat selesa" sa%apan4 %asan3a sepe%t" te%t"n,"54

k/%an# le&"5 19 men"t ,an men#5"lan# setela5

"st"%a5at I&/ "n" tela5 + ta5/n mem"n/m $&at

ant"5"pe%tens" se?a%a te%at/% Pa,a peme%"ksaan

!s"k TD 1)969 mm;# ;as"l peme%"ksaan EKG

n$%mal4 5an3a te%,apat pen"n#katan LDL 109

• Apa t"n,akan an,a


15/17

KAS2S (

•

Se$%an# an"ta /s"a +. ta5/n ,atan# kep%aktek an,a /nt/k peme%"ksaan %/t"n I&/ "n"

tela5 + ta5/n ,","a#n$s"s DM T",ak a,a

kel/5an n3e%" ,a,a Pa,a peme%"ksaan !s"k TD

1(96.9 mm;# ;as"l peme%"ksaan EKG

,"tem/kan T "n8e%s" ," lea, III ,an a


16/17

KAS2S )

• Se$%an# /s"a p%"a /s"a +. ta5/n ,atan#

,en#an kel/5an n3e%" ,a,a saat men$nt$n

sepak&$la ta," s/&/5 Me%$k$k %/t"n sejak

k/l"a5 Pa,a peme%"ksaan !s"k TD 1(96.9

mm;# ;as"l peme%"ksaan EKG n$%mal

•

Apa t"n,akan an,a


17/17

TERIMA KASI;

kuliah kardio 2

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