ANALYZING THE CASE

ACS has specific complaints, include: palpitations, pain, exertional dyspnea

that resolves with pain or rest, nausea, decreased exercise or activity
tolerance

Patient complaints that she felt breathless for about 10 hours, getting worse
with activity, and didn t decrease when she took a rest. Patient also
complaint nausea and vomitus. Patient has the risk factor of ACS which is
smoking. From the anamnese it indicated an ACS

Patient s ECG also support the conclusion of the anamnese, in the ECG we
found ST-segment elevation at V1 V5. The CK-MB and Troponin-I level
were increased it showed the myocardium infarction

Fluid therapy
The patient got RL infused 30cc/hours.

Arixtra
Antithrombotic agent; inhibits factor Xa,
which interrupts blood coagulation cascade
and inhibits thrombin formaiton and
thrombus development

Aspilet
Antiplatelet agent, inhibit platelet
aggregation

Clopidogrel
Inhibitor of ADP-induced pathway
for platelet aggregation.

ISDN
Vasodilating agent, also improves
coronary collateral circulation

Atorvastatin
Inhibitor cholesterol biosynthesis.