Diagnosis dan Tatalaksana ACS STEMI: Dengan Kasus
Diagnosis dan Tatalaksana ACS STEMI: Dengan Kasus
Oct 2, 2018
caiherang.com
📌STEMI: Your Quick-Reference Guide for Every Cath Lab Scenario! 🚨 6 Critical STEMI Types 👉🏻 Must Know 🔹 Anterior | Inferior | Right Ventricular 🔹 Posterior | Septal | Lateral 💡✅ Artery Culprits: LAD = Anterior/Septal STEMI (⚠️ High risk of LV dysfunction, septal rupture). RCA = Inferior/RV STEMI (💧 Fluids > Nitrates). LCx = Posterior/Lateral STEMI (🔍 Always check for associated mitral regurgitation). ✅ ECG Life-Savers: V1–V4 → Anterior II, III, aVF → Inferior V7–V9 → Posterior V4R → Rig
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🚨 STEMI vs NSTEMI vs Unstable Angina — know this cold for Step 1 & 2! All three = Acute Coronary Syndromes (ACS) → caused by plaque rupture thrombus formation 🩸 ❤️ STEMI 🔹 Complete occlusion → transmural ischemia 🔹 ST elevation / new LBBB 🔹 ↑ Troponins CK-MB 🔹 Needs immediate reperfusion (PCI > fibrinolysis) 🩸 NSTEMI 🔹 Partial occlusion → subendocardial ischemia 🔹 ST depression / T-wave inversion 🔹 ↑ Troponins, but no ST elevation 🔹 Treat with antiplatelets anticoagulation → early PCI
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