management of chronic ischemic heart disease · pdf filemanagement of chronic ischemic heart...
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Management Of Chronic Ischemic Heart Disease
dr.Hasril Hadis, SpJP(K) Interventional Cardiologist RSUP Dr.M.Djamil Padang
Coronary Blood Suply
Micro Circulation
Atherosclerosis
Normal
vessel
Minimal
CAD
Severe
CAD
Moderate
CAD
Canadian Cardiovascular Society Grading Scale
(CCS)
Stable Angina
Typical Angina (definite)
1. Substernal Chest discomfort
2. Provoked by exertion or emotion stress
3. Relieved by rest or NTG
Atypical angina (Propable)
• 2 of the above characteristics
Noncardian chest pain
• 1 or 0
Unstable Angina ( Acute Coronary Syndrome)
• Prolonged (.20 min) anginal pain at rest
• New onset (de nuvo) angina (Class II or III of CCS)
• Recent destabilization of previously stable angina (Cresendo angina)
• Post MI Angina
Stable Angina vs Unstable Angina
Acute or Chronic ?
ABCDE
A B C D E
A (Aspirin and Anti Angina)
B (Beta Blocker and Blood Pressure)
C (Cholesterol and Ciggarate)
D (Diet and Diabetes)
E (Education and Exercixe)
TERIMA KASIH
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