Stroke Iskemik Pasca Terapi Fibrinolitik
Abstract
Reperfusi dini dengan fibrinolitik merupakan kemajuan besar dalam menurunkan morbilitas dan mortalitas pasien infark miokard akut (IMA) dengan elevasi seg-men ST (ST Elevation Myocardial Infarction/STEMI). Selain secara signifikan menurunkan angka mortalitas jangka pendek dan jangka panjang, juga terbukti menin-gkatkan kualitas hidup.Namun, terapi fibrinolitik juga dapat meningkatkan risiko stroke, dilaporkan angka kejadiannya mencapai 0,5-1%. Bila stroke terjadi, angka mortalitasnya sangat tinggi tinggi, yakni 45-75%.3.
Di Pusat Jantung Nasional Harapan Kita (PJN-HK), pada tahun 2004 tercatat 3 kasus stroke setelah terapi fibrinolitik dan salah satunya meninggal, se-dangkan pada tahun 2006 ditemukan satu kasus lagi.
Oleh karenanya, penting untuk difahami faktor risiko, penyebab serta upaya-upaya yang dapat dilakukan untuk menghindari terjadinya komplikasi tersebut. Tujuan dari presentasi kasus ini adalah untuk mendiskusikan kejadian stroke iskemik pasca terapi fibrinolitik.
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References
Kalim H, Idham I, Irmalita, Karo-karo S, Soerianata S, Tobing DPL, Tatalaksana Koroner Akut : Perki 2004
MoeserDK, Kimble LP, Albert MJ, Allonzo A, Janet B, Dracup K, : Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke. Circulation 2006:14:168-82
Gore JM, Sloam M, Price TR, Randall Amy, Bovill F Collen D dkk; Stroke after Trombolisis: Mortality and fuctional outcomes in the Gusto I Trail, Circulation. 1995:92:28:2811-8.
Fuster V, Fayad ZA, Budiman; Acute Coronary Sindrome : Biology Lancet. 1999:353:5-9.
Styall J, Kons R, Walker JM, Hardman S, Harison MJG, New-man SP: Cerebral Microembolism detected by transcranial Doppler : Stroke 2000:31:2508-10.
Misbah J, Tobing SML, Ranakusuma T, Suryamiharja A, Harris S, Bustamim : Stroke 2004. PERDOSSI 2004.
Bruno A, Biller J, Adam HP : Acute Blood Glucode level and outcome from iskemic stroke neurology. 1999:52:280-4.
Adam HP, Adam PJ, Broh T, Del Zoppo, Furlan A, Goldstein LB.etc all. Guidelines for the early management of patient with iskemic stroke. 2003:34:1056-83.
NN, Stroke : Wikipedia.org/wiki/stroke
Adam HP, Chair, Del zoppo, Alberts, Marks J, Deepakl : Guide-lines for the early management of adults with stroke iskemic stroke: Stroke 2007:38:1655-1711.
Albers GW, Easton D, Sallo RL, Teal Philip : Antitrombolitic and Thrombolitic therapy for ischemic stroke: Chest 2001:119:300-20.
Coull BM, Williams, Goldstein, Meschia, Heitzman, Chaturvedi S. Anticoagulants and anti platelet in acute ischemic stroke: Stroke : 2002:33:1934-42.
Paciaroni M, Agnelli G, Micheli S, Caso V. Efficacy and safety of anticoagulant treatment in acute cardiac emboli Stroke : Stroke 2007:38:423.
Frenberg W: Anticoagulation for prevention of stroke : Neurol-ogy 1998:51-20-2.
Worp BVW, Gijn JV : Acute ischemic stroke ; N Eng J Med 2007:357:572-9
ClarkWM, Williams, Selzer KA, Zweifler, Saboujian RN, Gam-mens : A Randomized efficacy trial of citicoline in patients with acute ischemic stroke : stroke 1999:30:2192-7.
MoeserDK, Kimble LP, Albert MJ, Allonzo A, Janet B, Dracup K, : Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke. Circulation 2006:14:168-82
Gore JM, Sloam M, Price TR, Randall Amy, Bovill F Collen D dkk; Stroke after Trombolisis: Mortality and fuctional outcomes in the Gusto I Trail, Circulation. 1995:92:28:2811-8.
Fuster V, Fayad ZA, Budiman; Acute Coronary Sindrome : Biology Lancet. 1999:353:5-9.
Styall J, Kons R, Walker JM, Hardman S, Harison MJG, New-man SP: Cerebral Microembolism detected by transcranial Doppler : Stroke 2000:31:2508-10.
Misbah J, Tobing SML, Ranakusuma T, Suryamiharja A, Harris S, Bustamim : Stroke 2004. PERDOSSI 2004.
Bruno A, Biller J, Adam HP : Acute Blood Glucode level and outcome from iskemic stroke neurology. 1999:52:280-4.
Adam HP, Adam PJ, Broh T, Del Zoppo, Furlan A, Goldstein LB.etc all. Guidelines for the early management of patient with iskemic stroke. 2003:34:1056-83.
NN, Stroke : Wikipedia.org/wiki/stroke
Adam HP, Chair, Del zoppo, Alberts, Marks J, Deepakl : Guide-lines for the early management of adults with stroke iskemic stroke: Stroke 2007:38:1655-1711.
Albers GW, Easton D, Sallo RL, Teal Philip : Antitrombolitic and Thrombolitic therapy for ischemic stroke: Chest 2001:119:300-20.
Coull BM, Williams, Goldstein, Meschia, Heitzman, Chaturvedi S. Anticoagulants and anti platelet in acute ischemic stroke: Stroke : 2002:33:1934-42.
Paciaroni M, Agnelli G, Micheli S, Caso V. Efficacy and safety of anticoagulant treatment in acute cardiac emboli Stroke : Stroke 2007:38:423.
Frenberg W: Anticoagulation for prevention of stroke : Neurol-ogy 1998:51-20-2.
Worp BVW, Gijn JV : Acute ischemic stroke ; N Eng J Med 2007:357:572-9
ClarkWM, Williams, Selzer KA, Zweifler, Saboujian RN, Gam-mens : A Randomized efficacy trial of citicoline in patients with acute ischemic stroke : stroke 1999:30:2192-7.
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How to Cite
Zulkarnaini, Z. (1). Stroke Iskemik Pasca Terapi Fibrinolitik. Indonesian Journal of Cardiology, 29(1), 32-9. https://doi.org/10.30701/ijc.v29i1.200
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