kata pengantar

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i KATA PENGANTAR Puji dan syukur ke hadirat Tuhan Yang Maha Esa, yang telah memberikan berkat dan karunia-Nya sehingga penulis dapat menyelesaikan laporan kasus ini dengan judul ST- Elevation Myocardial Infarction (STEMI) Inferior Onset 5 Jam Killip I TIMI Risk 3/14”. Penulisan laporan kasus ini adalah salah satu syarat untuk menyelesaikan Kepaniteraan Klinik Senior Program Pendidikan Profesi Dokter di Departemen Kardiologi, Fakultas Kedokteran Universitas Sumatera Utara. Pada kesempatan ini penulis mengucapkan terima kasih kepada dosen pembimbing, Prof. dr. Sutomo Kasiman, Sp. PD, Sp. JP (K) yang telah meluangkan waktunya dan memberikan banyak masukan dalam penyusunan laporan kasus ini sehingga penulis dapat menyelesaikan tepat pada waktunya. Penulis menyadari bahwa penulisan laporan kasus ini masih jauh dari kesempurnaan, baik isi maupun susunan bahasanya, untuk itu penulis mengharapkan saran dan kritik dari pembaca sebagai koreksi dalam penulisan laporan kasus selanjutnya. Semoga makalah laporan kasus ini bermanfaat, akhir kata penulis mengucapkan terima kasih.

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1KATA PENGANTARPuji dansyukur kehadirat TuhanYangMahaEsa, yangtelahmemberikanberkat dankarunia-Nyasehinggapenulis dapat menyelesaikanlaporankasus inidengan judulST- Elevation Myocardial Infarction (STEMI) Inferior Onset 5 JamKillip I TIMI Risk !"#.Penulisanlaporankasusini adalahsalahsatusyarat untukmenyelesaikanKepaniteraan Klinik Senior ProgramPendidikan Profesi okter di epartemenKardiologi, !akultas Kedokteran "ni#ersitas Sumatera "tara$ Pada kesempatan ini penulis mengu%apkan terima kasih kepada dosenpembimbing, Prof$ dr$ Sutomo Kasiman, Sp$ P, Sp$ &P 'K( yang telah meluangkan)aktunyadanmemberikanbanyakmasukandalampenyusunanlaporankasusinisehingga penulis dapat menyelesaikan tepat pada )aktunya$ Penulis menyadari bah)a penulisan laporan kasus ini masih jauh darikesempurnaan, baik isi maupun susunan bahasanya, untuk itu penulis mengharapkansaran dan kritik dari pemba%a sebagai koreksi dalampenulisan laporan kasusselanjutnya$ Semoga makalah laporan kasus ini bermanfaat, akhir kata penulismengu%apkan terima kasih$ Medan, *+ Maret *,-. PenulisDAFTAR ISI/alamanKATA PENGANTAR ..............................................................................................................................................................................................................iDAFTAR ISI ................................................................................................... iiBAB 1 PENDAHULUAN .............................................................................. 12-$-$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$0atar1elakang $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ --$*$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2umusan Masalah $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ *-$3$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$Tujuan0aporan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3-$4$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$Manfaat 0aporan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3BAB 2 TINJAUAN PUSATAKA ................................................................... 4*$-$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ efinisi$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 4$%$%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Etiologidan !aktor 2esiko $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ .$%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Patofisiologi $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 5$%#%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Manifestasi Klinis $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ -3$%5%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%iagnosa $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ -3$%&%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Penatalaksanaan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ *,$%'%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Komplikasi $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3-$%(%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Prognosis $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 34BAB 3 LAPORAN KASUS ........................................................................... 353$-$ 0aporan Kasus $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3.3$*$ 2ekam Medis $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3.3$3$ Pemeriksaan !isik $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 363$4$ EK7 $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 3+3$.$ !oto Thoraks $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 353$6$ /asil 0aboratorium $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 383$+$ iagnosa Kerja $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 383$5$ iferensial iagnosa $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 383$8$ Pengobatan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 383$-,$ 2en%ana Pemeriksaan 0anjutan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 4,3$--$ Kesimpulan $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 4,3DAFTAR PUSTAKA ...................................................................................... 41