«

»

Nov 01

ANDA MENDERITA NYERI DADA KIRI MENDADAK? APAKAH ANDA TERKENA SINDROMA KORONER AKUT?

Pernahkah Anda mengalami nyeri dada tiba-tiba pada bagian kiri hingga Anda sulit beraktivitas?
Kemungkinan Anda bisa saja terkena sindroma koroner akut.

Apa itu Sindroma Koroner Akut (SKA)?
Sindrom koroner akut (SKA) adalah sebuah kondisi yang melibatkan ketidaknyamanan dada atau gejala lain yang disebabkan oleh kurangnya oksigen ke otot jantung (miokardium).

Penyakit ini hanya diderita oleh orang yang sudah tua. Apakah pernyataan tersebut benar?
Penyataan tersebut tidak benar karena didapatkan data dari Amerika Serikat menunjukkan bahwa sebelum umur 60 tahun didapatkan 1 dari 5 laki-laki dan 1 dari 17 perempuan menderita SKA. Ini berarti bahwa laki-laki mempunyai risiko 2-3 kali lebih besar dari perempuan. Namun demikian, usia sering dihubungkan sebagai faktor determinan terhadap hasil akhir pada kejadian SKA bahwa peningkatan usia dihubungkan dengan peningkatan yang bermakna terhadap hasil akhir klinis.

Apa yang meningkatkan faktor resiko bagi Anda menderita SKA?
Menurut European Societ of Cardiology, berikut ini adalah beberapa faktor resiko dari penyakit SKA:
1. Umur
2. Jenis Kelamin
3. Dislipidemia
4. Diabetes (kencing manis)
5. Merokok
6. Hipertensi
7. Overweight maupun obesitas
Apabila seseorang mempunyai empat faktor risiko tersebut maka kemungkinan besar akan menderita SKA.

Apa saja tanda dan gejala SKA?
Anda akan mengeluhkan nyeri dada yang tipikal (angina tipikal) atau atipikal (angina ekuivalen). Keluhan angina tipikal berupa rasa tertekan/berat daerah retrosternal, menjalar ke lengan kiri, leher, rahang, area interskapular, bahu, atau epigastrium. Keluhan ini dapat berlangsung intermiten/beberapa menit atau persisten (>20 menit). Keluhan angina tipikal sering disertai keluhan penyerta seperti diaphoresis, mual/muntah, nyeri abdominal, sesak napas, dan sinkop (pingsan).

Mengapa bisa terjadi SKA?
Hal ini dikarenakan adanya sumbatan pada pembuluh darah koroner. Untuk lebih jelasnya Anda dapat melihat video berikut ini:

Ada Berapa Jenis SKA? Bagaimana Anda membedakannya?
Jenis SKA ada 3 , yaitu STEMI (ST Elevation Myocard Infarct) , NSTE-ACS (Non ST Elevation- Acute Coronary Syndrome), dan UAP(Unstable Angina Pectoris), perbedaannya dapat kita lihat pada tabel berikut ini:
tabel-stemi

Bagaimana pengobatan untuk SKA?
Terapi awal untuk pasien SKA sebelum ada hasil pemeriksaan EKG maupun pemeriksaan enzim jantung adalah dengan Morfin, Oksigen, Nitrat, Aspirin.

Lalu apabila hasil EKG sudah keluar dan terdapat hasil ST Elevasi maka penatalaksanaannya data dilakukan seperti gambar berikut ini
algoritma-stemi

Apabila Anda mempunyai pertanyaan, silahkan menghubungi donoantonodokterperifer@gmail.com

Daftar Pustaka

1. Shiel WC, Stoppler MC. Dalam: Websterโ€™s new worldTM medical dictionary, 3rded. New Jersey: Wiley
Publishing; 2008.
2. https://www.outcomes-umassmed.org/grace/Files/AHJ_01_GraceInvest.pdf
3. Ceponiene I et all. Association of major cardiovascular risk factors with the development of acute coronary
syndrome in Lithuania. European Heart Journal Supplements (2014) 16 (Supplement A), A80โ€“A83.
4. O’gara et all. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of
the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J
Am Coll Cardiol, 61, e78-140.
5. American Heart Association. 2015. Guidelines 2015 CPR & ECC,p: 61.
6. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Pedoman Tatalaksana Sindrom Joroner Akut. 2015, p: 1-
88.
7. https://www.youtube.com/watch?v=VIYAAdkOOrk

12 comments

Lompat ke formulir komentar

  1. Timothykt

    Your home is valueble for me. Thanks!โ€ฆ http://hellowh985mm.com

    1. Donoantono

      thank you ๐Ÿ™‚

  2. jordan 4

    I in addition to my pals have been analyzing the good points located on your website and quickly came up with a horrible feeling I never thanked you for those techniques. The men had been joyful to see all of them and already have quite simply been tapping into these things. Many thanks for genuinely considerably kind and for making a decision on this form of perfect issues millions of individuals are really desperate to be aware of. Our own honest apologies for not saying thanks to earlier.

    1. Donoantono

      it’s okay dude , hope you always enjoyed my article ๐Ÿ™‚

  3. cheap jordans

    I have to get across my passion for your kindness supporting persons who actually need assistance with in this subject matter. Your personal dedication to getting the message all over ended up being exceedingly effective and have specifically enabled employees much like me to achieve their endeavors. Your personal warm and friendly hints and tips denotes a great deal a person like me and somewhat more to my mates. Best wishes; from each one of us.

    1. Donoantono

      thank you ๐Ÿ™‚

  4. jordan 13

    I definitely wanted to construct a quick note in order to express gratitude to you for the fantastic items you are giving out at this site. My particularly long internet look up has at the end been recognized with really good insight to go over with my friends and classmates. I would assume that we visitors actually are rather endowed to live in a fabulous website with so many wonderful individuals with interesting tactics. I feel truly grateful to have seen the web page and look forward to tons of more exciting times reading here. Thank you once again for a lot of things.

    1. Donoantono

      thank you, hope you’ll always enjoy it ๐Ÿ™‚

  5. cheap jordans

    I simply wanted to develop a brief message to appreciate you for all of the superb steps you are showing here. My time-consuming internet search has finally been rewarded with extremely good facts and techniques to talk about with my partners. I would claim that we website visitors are undeniably endowed to exist in a decent website with so many special individuals with useful concepts. I feel very privileged to have discovered the web site and look forward to plenty of more fun minutes reading here. Thanks once more for everything.

    1. Donoantono

      you’re welcome

  6. jordan 11

    I not to mention my pals came reading through the great items located on the website then then got a terrible suspicion I had not thanked the website owner for those strategies. The young men are already totally thrilled to read them and have now clearly been tapping into those things. Thanks for indeed being indeed helpful and for using variety of extraordinary ideas most people are really wanting to be aware of. Our own sincere regret for not saying thanks to you earlier.

    1. Donoantono

      thank you

Tinggalkan Balasan

Alamat surel Anda tidak akan dipublikasikan. Ruas yang wajib ditandai *

Anda dapat menggunakan tag dan atribut HTML berikut: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>