KV 1

Question 1

dd nyeri dada, menjalar ke kiri

Answer 1

< 20 menit, istirahat membaik: APS

> 20 menit, tidak hilang: ACS

Question 2

pp enzim jantung

Answer 2

< 3 jam: mioglobin

> = 3 jam: troponin i/t (spesifik), CK-MB

Question 3

dd peningkatan enzim jantung

Answer 3

NSTEMI

STEMI

Question 4

tatalaksana APS

Answer 4

nibotin

1. Nitrat 5 mg (KI: hipotensi)
2. B bloker
3. Statin (high intensity: atro 40-80, rovus 20-40)
4. Aspirin 80mg

Question 5

tatalaksana ACS

Answer 5

1. oksigen (<90%)
2. Aspirin: 2 tab dikunyah
3. Clopidogrel: 4 tab
4. Nitrat: sublingual, bisa diulang 3x
5. Morfin: 2mg bolus iv + nacl, bisa diulang tiap 10-30min

Question 6

tx tepat STEMI

Answer 6

• Primary PCI

- fibrinolisis/streptokinase iv

Question 7

anatomi EKG

Answer 7

Septal: V1, v2
Anterior: v3, v4
Lateral: v5, v6, 1, aVL
Inferior: 2. 3, aVF

Question 8

pembuluh darah jantung

Answer 8

LCA
LAD: septal, anterior
LCx: Lateral

RCA: inferior