Documente Academic
Documente Profesional
Documente Cultură
Nyeri dada
Anamnesis
Pria
Usia >70tahun
Terdapat riwayat kencing manis
Nyeri dada > 15’ dan < 12 jam
Rasa dada pegal/diremas/ditimpa
Nyeri menjalar ke lengan kiri dan leher
Terdapat riwayat sakit jantung
Ya Tidak
PF: Sesak
Hipotensi Batuk
Bradi/takikardia Jenis dahak
Regurgitasi mitral Demam
Murmur Sifat nyeri dada saat bernapas
S3 gallop Riwayat OAT
Ronki baru/memburuk Riwayat sakit paru
Evaluasi saturasi O2
Pasang IV line
EKG 12 lead PF lengkap
Deviasi segmen ST >0,5mm
Troponin T meningkat
CK-MB meningkat Buat diagnosis sementara
Foto toraks <30’ (portabel, jika
memungkinkan)
Terapi sementara
STEMI
New LBBB Rencanakan pemeriksaan lanjutan
ACS
dll
Evaluasi
Differential Diagnosis of Chest Pain
Aortic Dissection
b. Non Ischemic in Origin
Pericarditis
Mitral Valve Prolapse
Esophageal Spasm
3. Gastrointestinal
Esophageal Reflux
Esophageal Rupture
Peptic Ulcer Disease
Anxiety
4. Psychogenic Depression
Cardiac Psychosis
Self Gain
Pulmonary Embolus/Infarction
Pneumothorax
6. Pulmonary
Pneumonia with pleural involvement
7. Pleurisy
Sources, Types, and Most Common Causes of Chest Pain
Cardiovascular disorders
Musculoskeletal disorders
Costochondral pain
Herpes zoster infection
Disorders of the spine
Neuritis-radiculitis
Pleuropulmonary disorders
Gastrointestinal disorders
Reflux esophagitis
Esophageal pain Motility disorders
Cholecystitis
Peptic ulcer disease
Epigastric-substernal pain Acute pancreatitis
Disorders of intestinal motility
Other
Mediastinal emphysema
Substernal pain
Rujukan
Handbook of emergency cardiovascular care 2005
http://www.doctorslounge.com/
http://www.nlhep.org