1.

Stable Angina Pectoris (SAP)

3. Unstable Angina Pectoris
(UAP)
2. & 12. Myocardial Infarction
(MI)
Re-Infarction!
Therapy
Reperfusion injury
Algoritma Tatalaksana:
Sindroma Koroner Akut
 Pnemonic BBB
“WiLLiaM MaRRoW”
Algoritma tatalaksana:
Cardiac Arrest
E-V-A-L
4. Hypertensive Heart Disease
(HHD)
5. Cardiogenic Shock
54
55
 Pulmonary Artery Catheterization: cardiovascular
performance

Central Venous Pressure (CVP):

CVP = right atrial pressure (RAP) = right-ventricular end-
diastolic pressure (RVEDP) (Right Ventricular Preload)

Pulmonary Capillary Wedge Pressure (PCWP):

PCWP = left atrial pressure (LAP) = left-ventricular end-
diastolic pressure (LVEDP) (Left Ventricular Preload)
 Cardiovascular Performance
Cardiac Output (CO) = HR x SV (L/min)
Normal CO = 4 to 8 L/min

Cardiac Index (CI) = CO/BSA (L/min/m2)

Normal CI = 2.5-4.2 L/min/m2

Stroke Volume Index (SVI): CI/HR (ml/beat/m2)

Normal SVI = 40-85 ml/beat/m2
Systemic Vascular Resistance = MAP – CVP / CO x 80
Normal SVR = 900-1600 dynes/sec/cm-5

Systemic Vascular Resistance Index = MAP – CVP / CI x 80

Normal SVRI = 1970-2390 dynes/sec/cm-5
60
64
6.1 Pulmonary Edema and
6.2 Pulmonary Embolism
6.1 Pulmonary Edema
Quick recap.
6.2 Pulmonary Embolism
Primary hemostasis
Secondary hemostasis
Then controlled by...
7. & 13. Mitral Valve Diseases
(MVD)
Normal systole
MVR
Normal diastole
MVS
1. MVR
a. Myxomatous degeneration
b. Damaged papillary muscle
due to heart attack
c. Left ventricular dilation
d. Rheumatic fever complication
complication  sign of mvr
b. MVS
8. Congestive Heart Failure (CHF)
A. (due to) ischemia
b. Long standing hypertension
DCM
2. DHF
COMPLICATION OF CHF
SIGN
Th/
Sign of rhf
Adv th: CRT
Adv th: VAD
Algoritma tatalaksana gagal jantung
Prof. Ali Ghani
 Myocardial Failure Inotropic

Pump Failure

COP on demand COP ⇊ Tekanan Vena 

Vasodilator

Vasokonstriksi simpatis Resistensi Perifer ⇈ Edema Edema

⇈ Perifer Pulm.

Renin release Diuretik

Retensi Na / H2O
Angiotensin I
CEI
Angiotensin II Aldosterone
AII RB
AT1 AT2
 9. Arrhythmia
1. BBB 6. VF
2. A-flutter 7. DCM
3. VT 8. HCM
4. AV Block 9. Hyperkalemia
5. AF/A-fib
10. & 11. Aortic Valve Diseases
(AVD)
AVS
AVR/AVI
Complication:
concentric LVH
Complication depends on the end-organs
b. AVR
thankyou