cardio (stemi) andrew

8/12/2019 Cardio (STEMI) Andrew

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BY :

Name : Andrew Ruspanah

Nim : C111 08 188

SUPERVISOR

Pro ! "r! dr A#i Aspar $%Sp!P"% Sp!&P '()% *I+A%

*asCC% *INASI$

CAR"IO,O-Y "EPAR.$EN.

$E"ICA, *ACU,.Y O* +ASANU""IN UNIVERSI.Y

$A(ASSAR

/01

CASE REPORT

+O,E AN.ERIORONSE. 21/ +OURS (I,,IP I


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PA.IEN.3S I"EN.I.Y

Name : Mrs. I

Gender : Female

Age : 59 y.o

Registration no. : 60 54 18

Date o Admission : !1"04"!01#


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$%ie $om&laint :

Ches4 Pain

'resent illness %istory: $%est &ain %as (een e)&erien*ed sin*e #

days ago and in*reasingly (e*ome %ea+y1! %o,r (eore admitted to t%e %os&ital.-%is &ain as des*ri(ed as a &ress,resensation/ &enetrated to t%e (a*anddoes not radiated. istory o *%est &ain2"3.

+IS.ORY .A(IN-


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$old eat 23 %ile *%est &aino**,rred/ 'al&itation 2"3

Na,sea 23/ +omiting 23 / e&igastri*

&ain 23/ %ort o (reat%ness 23/%istory o s%ort o (reat%ness 2"3

$o,g% 23/ m,*,s 2"3/ Di77iness 2"3/

%eada*%e 2"3

rination it%in normal limit

Dee*ation it%in normal limit


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istory o %y&ertension 23 sin*e

10 years ago/ (,t not on reg,lermedi*al treatment

istory o Dia(etes mellit,s 2"3

istory o %eart disease 2"3 istory o smoing 2"3

Family %istory o *ardio+as*,lar

disease 2"3


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istory o admitted at aleangan

Maros %os&ital and %ad gi+en :

1. IFD R; !8t&m

!.

#. As&ilet 160 mg

4. IDN 5 mg5. Ranitidin 1 am&=8>=i+


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Moderate illness=$ons*io,sness

-enera#s4a4us :

?ood 'ress,re: 180=100 mmg

',lse Rate : @8 (&m Res&iratory Rate: !8 (&m -em&erat,re : #6.5 0$

Vi4a#si5n

Ph6si7a# Eamina4ion


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E6e: $on>,n*ti+a anemi* 2"="3/ s*lerai*teri* 2"="3

,ip : $yanosis 2"3 Ne79 : ' : R " ! *m!=i+

;a)adyn syr

?en7odia7e&ine

Al&ra7olam 0.5 mg 0"0"1


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"ISCUSSION

ACU.E CORONARY SYN"RO$E'S. SE-$EN. E#e;a4ion

$6o7ardia# Inar74ion)


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INTRO!CTION

An a*,te myo*ardial inar*tion is

*a,sed (y ne*rosis 2irre+ersi(le3 o

myo*ardial tiss,e d,e to is*%emia/

,s,ally d,e to (lo*age o a

*oronary artery (y a t%rom(,s.


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A7u4e 7oronar6 s6ndrome

A*,te *oronary syndrome 2A$3

reers to a s&e*tr,m o *lini*al

&resentations ranging rom t%ose

or: -"segment ele+ation myo*ardial

inar*tion 2-JMI3

nonC-"segment ele+ation myo*ardialinar*tion 2N-JMI3

,nsta(le angina


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PA.+OP+YSIO,O-Y


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RIS" FACTORS

#odi$iable%

Hy!ertensin

ia-etes .ellitus

ysli!i$emia Smin

-esity

Non&modi$iable%

2en$er: male

"e 34( years l$

Persnal histry +)rnary "rtery isease

5amily histry +

)rnary "rtery isease


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B

cardio (stemi) andrew

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