Shabrina Maharani, Laporan Kasus Seminar, Nstemi.docx

Laporan Kasus

Non ST Elevation Myocardial Infarction

Disusun Oleh:

Shabrina Maharani

KEPANITERAAN KLINIK BAGIAN ILMU KARDIOLOGI & KEDOKTERAN VASKULER FAKULTAS KEDOKTERAN UNIVERSITAS RIAU RSUD ARIFIN ACHMAD PEKANBARU

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Background Heart disease caused by coronary artery abnormalities is called coronary heart disease (CHD). This disease attacks the blood vessels that drain blood to the heart resulting in narrowing of the coronary arteries. This narrowing of the coronary arteries occurs due to the process of atherosclerosis or spasm or a combination of both. 1,2Acute coronary syndrome is related to pathophysiology in general which is known to be associated with most cases of Unstable Angina Pectoris (UAP), Non ST myocardial infarction (NSTEMI) and myocardial infarction with ST elevation (STEMI).2

Case Illustration Mr. S, 53 years old, complained of heartburn, which has been increasingly burdensome since 1 day. 1 day SMRs patients experience heartburn, pain is stabbing puncture, the pain is felt up to the left chest, also felt a sudden pain and intermittent, the pain is influenced by the activity, the pain occur when patients feel numbness in the left arm. Chest pain is reduced by rest, the patient is more comfortable with sitting pain also accompanied by cold sweat. Pain is felt for approximately 30 minutes. The patient complained of feeling heavy in the neck and the body felt weak. On physical examination found the left heart border in the anterior axilary line. From the investigations performed, troponin reactive enzymes were obtained. From the EKG, T inverted is obtained in lead I, aVL, V4, V5, V6, ST segment depression in lead I, aVL, V4, V5, V6 and left ventricular hypertrophy. Troponin rective

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Diagnosis Non ST Elevation Myocardial Infarction Pharmacotherapy :       

ISDN 3 x 5 mg Clopidogrel 1 x 75 mg Aspilet 1 x 80 mg Ranitidin 2x1 amp Amlodipin 1x5 mg Bisoprolol 1x2,5 mg Simvastatin 1x20 mg

Conclusion Pharmacological therapy can be given Anti-ischemia, aatiplatelet, Anticoagulants or thrombolytics, statins and invasive therapy.

DAFTAR PUSTAKA 1.

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World Health Organization. Deaths from coronary heart disease. Cited 2017 Jan. Available from:http://www.who.int/mediacentre/factsheets/fs317/en/ Rahman AM. Angina Pektoris Stabil. Dalam : Sudoyo AW, Setiuohadi B, Alwi I, Simadibrata M, Setiati S. (Editor). Buku Ajar Ilmu Penyakit Dalam. Jilid III. Edisi IV. Penerbit FK UI,2006. Jakarta: p.1611.

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