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Abstract

Inferior myocardial infarction is frequently accompanied by right ventricular infarction. This report presents two cases of right ventricular infarction accompanied by hemodynamic disorder and atrioventricular block complications. These patients were diagnosed with right ventricular infarction based on history, clinical presentations, and electrocardiography findings. The management approach for these patients involved optimizing volume and fluid status, using temporary pacemakers, and urgent percutaneous coronary intervention. This report highlights the need to promptly identify right ventricular involvement in inferior myocardial infarction, as the treatment strategies for right ventricular infarction are different from left ventricular infarction.

Bahasa Abstract

Infark miokard inferior sering terjadi bersamaan dengan infark ventrikel kanan. Laporan kasus ini membahas dua kasus infark ventrikel kanan yang disertai dengan komplikasi gangguan hemodinamik dan blok atrioventrikular. Diagnosis infark ventrikel kanan ditegakkan berdasarkan anamnesis, presentasi klinis, dan temuan elektrokardiografi. Prinsip tata laksana pasien meliputi optimalisasi status volume dan cairan, pemasangan pacu jantung sementara, serta tindakan intervensi koroner perkutan segera. Laporan ini menegaskan pentingnya identifikasi keterlibatan ventrikel kanan sejak awal pada infark miokard inferior karena strategi tata laksana infark ventrikel kanan berbeda dengan infark ventrikel kiri.

Kata Kunci: Blok atrioventrikular, infark miokard inferior, infark ventrikel kanan

Persetujuan Jurnal Penyakit Dalam Indonesia copy.pdf (336 kB)
Persetujuan urutan nama penulis

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