kuliah kardio 2
TRANSCRIPT
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ANGINA PEKTORIS STABIL
FRANS WANTANIA
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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$%"s Sta&"l
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DEFINISI
– NERI ANG TIMB2L KARENA ISKEMIA
MIOKARD• L$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
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APS
1ANGINA PAIN
'EKG SAAT ISTIRA;AT
(EKG SAAT AKTIISE
TEST
)EKOKARDIOGRAFI
+STRESS IMAGING
-ANGIOGRAFI KORONER
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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$k4 na"k tan##a '
lanta"
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KLASIFIKASI ANGINA PEKTORISSTABIL
KLAS III :
7 N3e%" ,a,a &"la &e%jalan 1 &l$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/
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FAKTOR RESIKO PJK
• MEROKOK RIWAAT KEL2ARGA
•
;IPERTENSI OBESITAS
• DISLIPIDEMIA K2RANG AKTI
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PERBEDAAN APS DENGAN SKA
PADA SINDROM KORONER AK2T :
1 NERI DADA MENETAP C '9 MENIT
' PENINGKATAN ENIM JANT2NG
( PER2BA;AN EKG @ST ELE
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PENATALAKSANAANANGINA PEKTORIS STABIL
1 FARMAKOLOGIS
' NON FARMAKOLOGIS
( REPERF2SI MIOKARDI2M
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PENATALAKSANAANFARMAKOLOGIS
ASPIRIN
BETA BLOKER
A>E IN;IBITOR
OBAT PEN2R2N LDL @STATIN
NITROGLISERIN
KALSI2M ANTAGONIS
KLOPIDOGREL
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NON FARMAKOLOGIS
• BER;ENTI MEROKOK
• DIET SE;AT
• PEN2R2NAN BERAT BADAN KE NORMAL
• OLA; RAGA TERAT2R
• MENG;INDARI STRESS
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REPERF2SI MIOKARDI2M
• PEMAKAIAN STENT
• >ABG
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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 $&at
ant"5"pe%tens" se?a%a te%at/% Pa,a peme%"ksaan
!s"k TD 1)969 mm;# ;as"l peme%"ksaan EKG
,"tem/kan T "n8e%s" ," lea, III ,an a
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KAS2S '
•
Se$%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
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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
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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
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TERIMA KASI;