Penatalaksanaan Awal Takikardia Supraventrikular Paroksismal dengan Depresi Segmen ST pada Pengaturan Perawatan Primer
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v52i6.1327Kata Kunci:
Bisoprolol, takikardia supraventrikular, manuver ValsalvaAbstrak
Pendahuluan: Takikardia supraventrikuler (SVT) adalah keadaan darurat jantung yang dapat mengancam jiwa. Gejala SVT dapat termasuk jantung berdebar, nyeri dada, dan kesulitan bernapas. Kasus: Laki-laki berusia 50 tahun dengan keluhan jantung berdebar sejak satu jam, disertai nyeri dada dan sulit bernapas. Pada EKG 12-sadapan didapatkan ritme SVT dengan depresi segmen ST pada sadapan II, III, aVF, dan V2-V6. Setelah intervensi awal termasuk pijat karotis, manuver Valsalva, dan bisoprolol oral, ritme SVT menjadi ritme sinus dalam satu jam. Depresi segmen ST dapat terjadi selama SVT, yang memerlukan evaluasi etiologi iskemia. Simpulan: Laporan ini berfokus pada tata laksana awal SVT di layanan kesehatan primer dengan keterbatasan peralatan dan fasilitas rujukan. Penting untuk diperhatikan bahwa perubahan segmen ST pada SVT tidak selalu mengindikasikan infark miokard, dan pemeriksaan lebih lanjut diperlukan untuk memastikan diagnosis.
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Hak Cipta (c) 2025 Kevin Fernando Suhardi, Franky Kurniawan, Lusiani
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