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Coronary Syndrome
Bagaimana dengan
Tenaga Kesehatan?
Pathogenesis of atherosclerosis
Peter Libby,2012
Peter Libby,2012
Risk factor
Smoker
Hypertension
DM
Dislipidemia
Family history
Angina pectoris
CCS Classification
Angina
Stable
Unstable
STEMI
( ST Elevation Myocardial lnfarction)
ECG Evolution...!!!
Differential Diagnosis
Treatment
Early reperfusion (PCI or Thrombolysis)
Oxygen
Loading dual antiplatelet
Statin high intensity
Morphin sulfat
Nitrat ( if no contraindication)
Beta-blocker ( if no contraindication)
Anticoagulant(Heparin,LMWH,Fondaparinux)
Venodilator ( ACE inhibitor)
Gabriel steg et al,2012
Thombolysis
Angiography with a view to revascularization (of the infarctrelated artery) is indicated after successful fibrinolysis.
Thygesen et al, 2012
Boland et al,2003
Thrombolysis contraindication
Absolute
Relative
Infective endocarditis
Aortic dissection
m
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h
T
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Rescue PCI
Risk Stratification
Cardiac Complication of
STEMI
Mechanical
Valve
regurgitation
VSR
Freewall
ruptured
Arrhythmia
AF
VT/VF
SVT
SA/AV block
Pump Failure
Cardiogenic
shock
Smoking cessation
Physical activity
NSTEACS(NSTEMI/UAP)
Treatment
Oxygen
Morphin sulfat
Nitrat ( if no contraindication)
Beta-blocker ( if no contraindication)
Anticoagulant(Heparin,LMWH,Fondaparinux)
Risk Stratification
Grace Score
TIMI Score
Thank You