PENYAKIT ARTERI

KORONER

Agung Karyawinara
1220221123

Definisi
Penyakit yang diakibatkan akumulasi
plak berupa lemak, kolesterol,
kalsium yang terdapat di arteri
koroner yang mengalirkan darah ke
jantung jantung, penyakit ini juga
terkadang disebut sebagai penyakit
jantung koroner (Singh, 2006)

EPIDEMIOLOGI
Cardiovascular disease (CVD) is now the
most common cause of death worldwide.
Before 1900, infectious diseases and
malnutrition were the most common
causes and CVD was responsible for less
than 10% of all deaths. Today, CVD
accounts for approximately 30% of deaths
worldwide, including nearly 40% in highincome countries and about 28% in lowand middle-income countries.

Etiologi
Faktor risiko yang tidak
dapat dirubah

Faktor risiko yang masih

dapat dirubah

Usia
Jenis kelamin
Riwayat keluarga
(Price & Wilson, 2006)

Peningkatan kadar
lipid serum
Hipertensi
Merokok
Diabetes melitus
Gaya hidup yang tidak
aktif
Obesitas
(Price & Wilson, 2006)

(Tortora & Derrickson, 2006)

GEJALA
Beberapa gejala dari penyakit arteri
koroner adalah angina pektoris, dada
terasa sesak, palpitasi, dan lemas.
(Singh, 2006)

KLASIFIKASI
Penyakit jantung iskemik / Penyakit
arteri koroner angina stabil
ACS (acute coronary syndrome)
angina tidak stabil, NSTEMI, STEMI

 Based on available evidence, it is

now recommended that patients with
an unacceptable level of angina
despite optimal medical
management be considered for
coronary revascularization.

 Patients with single- or two-vessel

disease with normal LV function and
anatomically suitable lesions
ordinarily are advised to undergo PCI
(Chap. 246).

 Patients with three-vessel disease (or

two-vessel disease that includes the
proximal left descending coronary artery)
and impaired global LV function (LV
ejection fraction< 50%) or diabetes
mellitus and those with left main
coronary artery disease or other lesions
unsuitable for catheter-based procedures
should be considered for CABG as the
initial method of revascularization

 In light of the complexity of the decision

making, it is desirable to have a
multidisciplinary team, including a
cardiologist and a cardiac surgeon in
conjunction with the patient's primary
care physician, provide input in
conjunction with ascertaining the
patient's preferences before committing
to a particular revascularization option.