STEMI Inferior dengan Bradikardi dan Hipotensi

Authors

  • Bagus Fitriadi Kurnia Putra RS Widodo Ngawi, Jawa Timur, Indonesia

DOI:

https://doi.org/10.55175/cdk.v45i1.839

Keywords:

Bradikardi, hipotensi, sindrom koroner akut

Abstract

Latar Belakang: Sindrom koroner akut (SKA) adalah penyakit kardiovaskular yang sering menyebabkan mortalitas. Laporan Kasus: Laki-laki 51 tahun dengan keluhan nyeri ulu hati, mual, dan keringat dingin sejak 1 jam sebelumnya. Didapatkan hipotensi dan bradikardi. Gambaran EKG berupa sinus bradikardi dan elevasi segmen ST di lead II, III, aVF. Simpulan: Kondisi bradikardi dan hipotensi sering menyertai kasus SKA, terutama pada kondisi infark inferoposterior dan ventrikel kanan. Kondisi ini akibat oklusi RCA, meningkatnya tonus vagal, berkurangnya kekuatan pompa ventrikel kanan, dan hipovolemi.

 

Background: Acute coronary syndrome (ACS) is the common cause of mortality of cardiovascular disease. Case report: A 51 year-old male with heartburn, nausea, cold sweat since 1 hour ago. Examination revealed hypotension and bradycardia. The ECG showed sinus bradycardia and ST segment elevation in leads II, III, aVF. Conclusion: Bradycardia and hypotension often accompany acute coronary syndrome, especially in inferoposterior and right ventricular infarction. These conditions are caused by RCA occlusion, increased vagal tone, reduced right ventricular pump, and hypovolemia.

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Published

02-01-2018

How to Cite

Kurnia Putra, B. F. (2018). STEMI Inferior dengan Bradikardi dan Hipotensi. Cermin Dunia Kedokteran, 45(1), 34–37. https://doi.org/10.55175/cdk.v45i1.839