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    Algoritma Terapi IHD

    Uploaded by

    renybejo
    The document outlines an algorithm for treating ischemic heart disease (IHD) through education, risk factor modification, and pharmacological therapy. It begins with education and treating chest pain, then progresses through antianginal drug treatments, determining probability of coronary artery disease, and treating risk factors like smoking and high blood pressure/cholesterol. If initial treatments are not successful, it considers revascularization therapies or adding additional medications like clopidogrel. The goal is successful treatment of symptoms and risk factors through lifestyle and medical management.

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    Algoritma Terapi IHD

    Uploaded by

    renybejo
    430 views1 page
    The document outlines an algorithm for treating ischemic heart disease (IHD) through education, risk factor modification, and pharmacological therapy. It begins with education and treating chest pain, then progresses through antianginal drug treatments, determining probability of coronary artery disease, and treating risk factors like smoking and high blood pressure/cholesterol. If initial treatments are not successful, it considers revascularization therapies or adding additional medications like clopidogrel. The goal is successful treatment of symptoms and risk factors through lifestyle and medical management.

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    alogaritma

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    The document outlines an algorithm for treating ischemic heart disease (IHD) through education, risk factor modification, and pharmacological therapy. It begins with education and treating chest pain, then progresses through antianginal drug treatments, determining probability of coronary artery disease, and treating risk factors like smoking and high blood pressure/cholesterol. If initial treatments are not successful, it considers revascularization therapies or adding additional medications like clopidogrel. The goal is successful treatment of symptoms and risk factors through lifestyle and medical management.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    430 views1 page

    Algoritma Terapi IHD

    Uploaded by

    renybejo
    The document outlines an algorithm for treating ischemic heart disease (IHD) through education, risk factor modification, and pharmacological therapy. It begins with education and treating chest pain, then progresses through antianginal drug treatments, determining probability of coronary artery disease, and treating risk factors like smoking and high blood pressure/cholesterol. If initial treatments are not successful, it considers revascularization therapies or adding additional medications like clopidogrel. The goal is successful treatment of symptoms and risk factors through lifestyle and medical management.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Algoritma Terapi IHD

    Education

    Chest Pain

    Antianginal drug
    Tretment

    Intermadiate to high
    Probability Cf CAD High
    risk CAD

    Education and risk


    Factor modification

    Sublingual NTG
    No

    yes

    History suggests Vasospastic


    angina?
    (prinzmetal)

    Initiate education
    program

    CCB Long acting


    nitrate therapy

    No
    Medicator or condition that
    provoke or exacarbete
    angina?

    yes

    yes

    Treat
    appropriatel
    y

    Successful
    Treatment?

    Aspirin 81-325 mg QD if
    no contraindication

    yes

    Serious
    adverse
    effect Or
    Cl
    yes

    Cigaratte smoking?
    BB terapi if no
    contraindicatio
    n

    yes

    Ad or subtitle CCB if
    no contraindication

    No

    yes

    Routine follow-up
    Including: diet,
    Exercise program,
    Diabetes
    Managemen

    Successful
    Treatment?
    No

    Consider
    Revascularization
    therapi

    Serious contraindication

    Add long-acting Nitrat


    therapy if no
    contraindication

    yes

    Successful
    Treatment?

    Smoking cessation
    program

    yes

    Successful
    Treatment?

    Serious contraindication

    Clopidogrel

    No

    yes

    yes

    Cholestrol high

    See NCEP guidelines

    No

    Blood pressure high?


    No

    yes

    See JNC VII guidelines

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