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Multazam
Randy
Maya
Fidya
Henry
Wia
Wiwi
1st Patient
Name : Tn. AB
Date of Birth : 27-09-1978 (40 y.o)
Address : Soppeng
Date of Admission : August 11th, 2018
DPJP : IM
From referral hospital patient already given : Aspilet 160mg, Clopidogrel 300mg,
Nytroglycerin 10mcg/min/sypump
Physical Examination
Ventricular escape rhythm, atrial rate ~ 65 bpm, ventricular rate ~ 46 bpm, axis 7 degree, A-V
dissociation, ST Elevation V2-V4
Conclusion : Ventricular escape rhythm, normoaxis, acute anterior wall MCI, Total AV
Block
ECG at Cardiac Center
11/8/2018
(15.30)
Sinus Rhythm, HR 93 bpm, axis 0°, P wave 0,04 s, QRS 0,16s, ST Elevation in V2-V4, wide
slurred S wave V5-V6, T inversion V1-V3
Conclusion : Sinus Rythm, normoaxis, acute anterior wall MCI, CRBBB
ECG at Cardiac Center
11/78/2018
(20.30)
ECG at Cardiac Center
11/8/2018
(23.00) post TAVB
Sinus Rhythm, HR 92 bpm, axis 0°, P wave 0,04 s, QRS 0,16s, ST Elevation in V2-V4, wide
slurred S wave V5-V6, T inversion V1-V3
Conclusion : Sinus Rythm, normoaxis, acute anterior wall MCI, CRBBB
GAMBAR INI KEPOTONG V1 NYA
Laboratory Findings
11/08/2018
• Total AV Block
• Transfer to CVCU
• Routine primary PCI strategy
• Temporary pacemaker
2nd Patient
Name : Tn. ARL
Date of Birth : 30-05-1956 (62 y.o)
Address : Makassar
Date of Admission : August 11th, 2018
DPJP : ZD
History Taking
Chief Complaint : Shortness of breath
A 62 y.o man was admitted with complaint shortness of breath. There was
history of shortness of breath intermittenly since 1 months ago, worsening since
1 week ago, induced by mild activity. He has to sleep with 3 pillows. There was
history of fever and cough since 3 days ago. There was no history of chest pain.
There was history of heart disease since 10 years ago not regularly take
medication
There was history hypertension and diabetes mellitus since 10 years ago not
regularly take medication
Sinus Rhythm, HR 100 bpm, axis-5◦, P wave duration 0,08s, PR interval 0.16s, QRS duration
0,04s, poor R wave in V1-V3, S in V1+ R in V5 > 35 mm
Conclusion : Sinus rhythm, normoaxis, Anteroseptal ischaemic, LVH
Laboratory Findings
11/08/2018
WBC 13,8 103/mm3 4-10 x 103/mm3
N/L/M/E/B 75,0/17,0/5,5/2,1/0,4
MCV/MCH/MCHC 89/33/37
HCT 41 % 37,0-48,0
INR 0,97 - -
Cl 98 Mmol/L 97-111
Chest Xray
11/08/2018
Conclusion
• Decreased Systolic Function of left ventricle with EF 37,2 % (Biplane)
• LA and LV dialted
• Eccentric Left Ventricle Hypertrophy
• Segmental hypokinetic
• Mild to moderate Mitral Regurgitation
• Mild Tricuspid Regurgitation
• Left Ventricle Diastolic Disfunction grade 2
Assessment
• Transfer to ward
• GDP, GD2PP, HbA1c, lipid profile examination
• Consult to Endocrine Metabolic Department
THANK YOU