Temuan Gambaran CT Napkin Ring Sign Pada Pasien Asimtomatik
Abstract
KasusSeorang laki-laki usia 56 tahun datang ke poliklinik rawat jalan untuk memeriksakan kesehatannya saat dalam keadaan tanpa keluhan atau asimtomatik. Keluhan selama ini tidak ada yang memiliki karakteristik angina atau sesak napas. Pasien memiliki riwayat penyakit jantung koroner dikeluarganya, yaitu dua orang kakak kandungnya (laki-laki) yang telah menjalani operasi jantung dan dipasang ring.
Pasien pernah memeriksakan faktor risiko kardiovaskular dengan hasil terdapat peningkatan kadar kolesterol dalam darah yaitu LDL setinggi 150 mg/dL. Selain itu pasien juga dengan hipertensi grade 1 tekanan darah sistolik berkisar 140-150mmHg. Hasil EKG menunjukkan kesimpulan normal sinus ritme, tidak ditemukan kelainan pada setiap gelombang PQRST maupun setiap segmen PR dan ST.
Karena gambaran EKG masih normal, dengan faktor risiko usia jenis kelamin dan riwayat keluarga serta dislipidemia, maka kami menganjurkan deteksi aterosklerosis kepada pasien dengan metode CT coronary angiography (CTCA).
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References
1. Maurovich-Horvat P, Schlett CL, Alkadhi H, Nakano M, Otsuka F, Stolzmann P, et al. The napkin-ring sign indicates advanced atherosclerotic lesions in coronary CT angiography. JACC Cardiovascular imaging. 2012 Dec;5(12):1243-52.
2. Otsuka K, Fukuda S, Tanaka A, Nakanishi K, Taguchi H, Yoshikawa J, et al. Napkin-ring sign on coronary CT angiography for the prediction of acute coronary syndrome. JACC Cardiovascular imaging. 2013 Apr;6(4):448-57.
3. Task Force M, Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. European heart journal. 2013 Oct;34(38):2949-3003.
2. Otsuka K, Fukuda S, Tanaka A, Nakanishi K, Taguchi H, Yoshikawa J, et al. Napkin-ring sign on coronary CT angiography for the prediction of acute coronary syndrome. JACC Cardiovascular imaging. 2013 Apr;6(4):448-57.
3. Task Force M, Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. European heart journal. 2013 Oct;34(38):2949-3003.
Published
2015-11-21
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How to Cite
Wicaksono, S. (2015). Temuan Gambaran CT Napkin Ring Sign Pada Pasien Asimtomatik. Indonesian Journal of Cardiology, 35(3), 159-61. https://doi.org/10.30701/ijc.v35i3.429
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Forum Pencitraan
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