STEMI Inferior dengan Infark Ventrikel Kanan dan Posterior

Penulis

  • Andy Kurnia PTT RSUD Kepulauan Meranti, Riau, Indonesia

DOI:

https://doi.org/10.55175/cdk.v48i11.147

Kata Kunci:

ST elevation myocardial infarction (STEMI) inferior, sindrom koroner akut, Infark ventrikel kanan dan posterior

Abstrak

Infark miokard dengan elevasi segmen ST atau ST elevation myocardial infarction (STEMI) inferior merupakan salah satu jenis sindrom koroner akut (SKA) dengan prognosis dan luaran cukup baik. Namun, bila didapatkan infark ventrikel kanan dan posterior, prognosis dan luaran akan menjadi lebih buruk. Oleh karena itu, gambaran EKG STEMI inferior dengan keterlibatan infark ventrikel kanan dan posterior perlu dikenali guna tata laksana yang tepat dan akurat.

Inferior ST elevation myocardial infarction is a subset of acute coronary syndrome (ACS) with better prognosis and outcome. However, if right ventricular (RV) and posterior infarction are involved, the prognosis and outcome may be worse. Recognizing the ECG pattern of inferior wall myocardial infarction with RV and posterior involvement is important to provide precise and accurate management.

Unduhan

Data unduhan belum tersedia.

Referensi

Warner MJ, Tivakaran VS. Inferior myocardial infarction. StatPearls [Internet]. August 2020 [cited 2020 Sept 01]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470572/

Niaki MK, Marzbali NA, Salehiomran M. Clinical manifestations of right ventricle involvement in inferior myocardial infarction. Caspian J Intern Med. 2014;5(1):13-6.

European Society of Cardiology. Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Oxford (UK): Eur Heart J. 2017;39:119-77.

Shahoud JS, Meredith A, Tivakaran VS. Cardiac dominance. StatPearls [Internet]. August 2020 [cited 2020 Sept 01]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537207/

Sakhuja R, Gandhi S. Diagnostic coronary angiography. PanVascular Medicine [Internet]. 2014 [cited 2020 Sept 01];1-72.. Available from: https://link.springer.com/referenceworkentry/10.1007%2F978-3-642-37393-0_40-1#citeas

Lizzo JM, Chowdhury YS. Posterior myocardial infarction. StatPearls [Internet]. August 2020 [cited 2020 Sept 02]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553168/

Jeffers JL, Parks LJ. Right ventricular myocardial infarction. StatPearls [Internet]. 2019 [cited 2020 Aug 30]. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK431048/

Ondrus T, Kanovsky J, Novotny T, Andrsova I, Spinar J, Kala P. Right ventricular myocardial infarction: from pathophysiology to prognosis. Exp Clin Cardiol [Internet].2013 [cited 2020 Aug 31];18(1):27-30. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716484/

Van Gorselen EOF, Verheugt FWA, Meursing BTJ, Ophius AJMO. Posterior myocardial infarction: The dark side of the moon. Neth Heart J [Internet]. 2007 Jan [cited 2020 Aug 31];15(1):16-21. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847720/

Perhimpunan Dokter Spesialis Kardiovaskuler Indonesia. Pedoman tatalaksana sindrom koroner akut. 4th Ed. Jakarta: J Kardiol Indo; 2018.

Fidiaji RHS, Nasution SA. Pendekatan diagnosis dan tatalaksana infark ventrikel kanan. J Penyakit Dalam Indo. 2016;2(4):240-8.

Meuthia F. Efek pemberian statin terhadap proliferasi endothelial progenitor cell (epc) pada darah tepi penderita penyakit jantung koroner stabil [Thesis]. Surabaya: Fakultas Kedokteran Universitas Airlangga; 2017.

Turphie AGG. Fondaparinux in the management of patients with ST-elevation acute myocardial infarction. Vasc Health Risk Manag [Internet]. 2006 [cited 2020 Sept 03];2(4):371-8. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC1994017/

Diterbitkan

2021-11-01

Cara Mengutip

Kurnia, A. (2021). STEMI Inferior dengan Infark Ventrikel Kanan dan Posterior. Cermin Dunia Kedokteran, 48(11), 349–352. https://doi.org/10.55175/cdk.v48i11.147