Penghambat GPIIb/IIIa pada Intervensi Koroner Perkutan Primer: Kapan dan Dimana?
Abstract
Prosedur Intervensi Koroner Perkutan Primer (IKPP) merupakan prosedur pilihan pada pasien STEMI dengan awitan kurang dari 12 jam. Tetapi banyak hal yang masih belum terjawab di antaranya pada pasien dengan awitan dini (2 atau 3 jam) apakah pihannya langsung dirujuk ke RS dengan fasilitas IKPP tetapi dengan konsekuensi adanya keterlambatan atau langsung diberikan trombolitik. Masalah kedua adalah jenis terapi yang diberikan saat transportasi ke rumah sakit rujukan apakah antitrombin heparin, bivalirudin, penghambat GP IIb/IIIa atau trombolitik? Masalah ketiga adalah IKPP tidak selalu berhasil memberi reperfusi. Masalah lain adalah keberhasilan angiografis yang tidak disertai bukti reperfusi yang diharapkan pada pemeriksaan dengan modalitas imajing.Downloads
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References
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Ellis SG, Tendera M, deBelder MA, vanBoven AJ, Widimsky P, Janssens L, et al. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008;358:2205-17.
Valgimigli M, Campo G, Malagutti P, Anselmi M, Bolognese L, Ribichini F, et al. Persistent coronary no flow after wire insertion is an early and readily available mortality risk factor despite successful mechanical intervention in acute myocardial infarction. A pooled analysis from the STRATEGY (Single High-Dose Bolus Tirofiban and Sirolimus-Eluting Stent Versus Abciximab and Bare-Metal Stent in Acute Myocardial Infarction) and MULTISTRATEGY (Multicenter Evalua-tion of Single High-Dose Bolus Tirofiban Versus Abciximab With Sirolimus-Eluting Stent or Bare-Metal Stent in Acute Myocardial Infarction Study) Trials. J Am Coll Cardiol Interv. 2011;4:51-62.S
Kushner FG, Hand M, Smith SC, King SB, Anderson JL, Antman ME, et al. 2009 Focused Updates: STEMI and PCI Guidelines. Catheter Cardiovasc Interv. 2009;00:E2-44.
Hakim A, Yuniadi Y, Hanafy DA, Firman D, Soerianata S. Hubungan waktu pemberian ebtifibatide dengan TIMI flow infarct related artery pada intervensi koroner perkutan primer. J Kardiol Indones. 2011; 33:...
Ellis SG, Tendera M, deBelder MA, vanBoven AJ, Widimsky P, Janssens L, et al. Facilitated PCI in patients with ST-elevation myocardial infarction. N Engl J Med. 2008;358:2205-17.
Valgimigli M, Campo G, Malagutti P, Anselmi M, Bolognese L, Ribichini F, et al. Persistent coronary no flow after wire insertion is an early and readily available mortality risk factor despite successful mechanical intervention in acute myocardial infarction. A pooled analysis from the STRATEGY (Single High-Dose Bolus Tirofiban and Sirolimus-Eluting Stent Versus Abciximab and Bare-Metal Stent in Acute Myocardial Infarction) and MULTISTRATEGY (Multicenter Evalua-tion of Single High-Dose Bolus Tirofiban Versus Abciximab With Sirolimus-Eluting Stent or Bare-Metal Stent in Acute Myocardial Infarction Study) Trials. J Am Coll Cardiol Interv. 2011;4:51-62.S
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How to Cite
Firman, D. (1). Penghambat GPIIb/IIIa pada Intervensi Koroner Perkutan Primer: Kapan dan Dimana?. Indonesian Journal of Cardiology, 32(1), 34-35. https://doi.org/10.30701/ijc.v32i1.119
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