Skema nstemi
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This document discusses acute coronary syndrome and its treatment. It mentions electrocardiogram findings of ST-elevation myocardial infarction (STEMI) versus non-ST-elevation (NSTEMI), and cardiac markers such as troponin I and T that are used for diagnosis. It also discusses atherosclerosis, thrombosis, antiplatelet drugs like aspirin, and anticoagulants such as heparin that are used to treat unstable angina and myocardial infarction. Vitamin K is mentioned for its role in blood coagulation.
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Skema nstemi
- 1. FAIZA ASTIANI 1100102/C Tissue factor- VIIa Acute Coronary Syndrome Electrocardiogram Non ST-elevation ST- elevation Chest Pain Cardiac Marker: Troponin I, Troponin T Unstable anginaMyocardial infarction Atherosclerosis Plak pada dinding pecah (Rupture) Thrombus Non stabil: Nyeri > 20 menit Stabil: Nyeri < 10 menit Erosion: Terkikis, erosi Va IXaIX Jalur Intrinsik Jalur Ekstrinsik XIaXI XIIaXII Vitamin K (Inaktif) Vitamin K (aktif) Vitamin yang membantu pembekuan darah PositifPositif NSTEMISTEMI Platelet Agregation Conformational activation of GPIIb/IIIa Eptifibatide, Abcisimab, Tirofiban (GP I) GPIIb/IIIainhibitor ADP Paling kuat Collagen Clopidogrel, Prasugrel,Ticagrelor P2Y12 inhibitor Heparin Tx A2 Aspirin Fondaparinux/Enoxaparin/Nadroparin (Fondaparinux plg disukai) Bivalirudin Warfarin Enoxaparin di rekomendasikan saat Fondaparinux tidak tersedia Thrombus Angina: CCB BB Nitrat