Penyakit Jantung Koroner

Kerusakan lapisan dinding

pembuluh darah

Penebalan dan kekakuan

pembuluh darah
(atherosklerosis)

Penyumbatan atau
penyempitan pembuluh darah
koroner
 ACUTE CORONARY
SYNDROME

WHO 60% penyebab kematian

(dunia)

SKRT  prevalensi
meningkat tiap tahun
INDONESI 2001  kematian 26,4%
A
RISKESDAS : 2007
hipertensi 31,7 %,
†: penyakit jantung 7,2%
40% dan stroke 8,3% per
1000 penduduk
 Arteri
koroner

LMCA RCA

LAD LCX
 Modifiable

Non-
modifiable

Faktor
risiko
Patofisiologi
SYMPTO
MS
 Penatalaksanaan

 Farmakologi
 Operatif

PTCA

CABG
Invasive Vs Conservative
Strategy Pada NSTEMI / UAP

ACC/AHA, 2007
PTCA
Angioplasty Type
a. Ballon angioplasty
b. Stent implantation
c. Atherectomy
d. Rotational
atherectomy
e. Laser angioplasty
During an angioplasty, a catheter is moved into the coronary
artery
A guide wire and balloon are placed in the coronary artery
The balloon is inflated
The balloon, guide wire, and catheter are removed
Normal blood flow returns
Arteries before and after an angioplasty