Percutaneous Transluminal Coronary Angio�Raphy (PTCA) Primer Pada Infark Miokard Akut Dengan Komplikasi Syok Kardiogenik, AV Blok Total, Dan Edema Paru Akut

• Main Author: Perpustakaan UGM, i-lib
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2006
• Subjects: Jurnal i-lib UGM
• Online Access: https://repository.ugm.ac.id/26420/; http://i-lib.ugm.ac.id/jurnal/download.php?dataId=9441
• Institution: Universitas Gadjah Mada

Budi Yulianto, Aris SIOben() � Primary percutdm0Oaa transluminal coronary engiography (PTCA) on acute myocardial infarction complicated with cardiogenic shock, total AV block and pulmonary edema A 59 year old man suffered from acute anteroseptal myocardial infarction with acute pulmonary edema, complete AV block, cardiogenic shock was successfully reparfuseil with primary PTCA therapy, Pulmonary edema and complete AV block were caused by extension of the infarct. After reperfusion and blood stream returned to normal, the complication of myocardial infarction improved, and the patient was discharged on 9:I day. Myocardial infarction develops li there is a total occlusion of coronary artery. Severe acute myocardial ischemia can generate 1055 of diastolic and systolic function resulting in decreased cardiac output that leads further to pulmonary edema, Cardiogenic shock will devalop due to extenison of the infarct. Necrosis of septa' myocardiurn entangling bundle branch block produces AV block. Further developing bundle branch block or hemiblock showed a wide anterior infarction and suggests installation of preventive temporary pacemaker because it can round into complete AV block and heart pump failure. Raperfusion was aimed to save rnyocard from the risk of necrosis, Myocardial tissue re.perfusion can be conducted by thrombolysis, percutaneous transluminal angioplasty