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Penatalaksanaan Sindrom Koroner Akut karyanti 2025-04-24T10:18:18+07:00 2025-04-24T10:18:18+07:00
Sindrom Koroner Akut
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Penatalaksanaan Sindrom Koroner Akut

Oleh :
dr. Qorry Amanda, M.Biomed
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Tujuan penatalaksanaan pada sindrom koroner akut adalah mencegah nekrosis sel-sel miokardium dan mengupayakan terjadinya reperfusi ke jaringan miokardium. Pada pasien STEMI, reperfusi secepatnya dengan percutaneous coronary intervention (PCI) atau kateterisasi jantung adalah terapi lini pertama, bila dapat dilakukan dalam 120 menit dari onset gejala. Intervensi ini dapat dilakukan di fasilitas pelayanan tersier. Akan tetapi, apabila PCI tidak dapat dilakukan atau tertunda, maka fibrinolisis harus dilakukan.[80,81]

Pada UA dan NSTEMI, reperfusi diindikasikan bila berdasarkan perhitungan skoring thrombolysis in myocardial infarction (TIMI) didapatkan hasil >3 atau global registry of acute coronary event (GRACE) >140.[17,78]

Terapi inisial pada pasien dengan SKA adalah morfin, oksigen, nitrat, dan aspirin atau MONA, yang diberikan sesuai indikasi. Selain itu, pasien harus disarankan untuk melakukan tirah baring. Setelah penatalaksanaan awal dilakukan, baru tata laksana definitif diberikan sesuai etiologi kardiak pada SKA.[1,17]

Berobat Jalan

Referensi

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dr.Anindita Farah Yuwana
Dibalas 20 April 2025, 09:45
Apabila ditemukan gambaran ST elevasi dan ST depresi dalam satu EKG, didiagnosis STEMI atau NSTEACS?
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Jika T inversi hanya di temukan di lead V1 apakah bermakna dan harus ditangani?
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Alo Dokter. Ijin bertanya, jika ada pasien di lakukan ekg dan hanya di temukan t inverted di lead V1. Apakah bermakna dan harus dilakukan penanganan? Kadang...
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