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Acute ThrombosisAcute Thrombosis in LIMA Intervention
Doni FirmanHarapan Kita National Cardiovascular Center /
Department of Cardiology and Vascular Medicine Faculty of Medicine University of Indonesiay y
History• 68 yo lady• Stable angina CCS III• Stable angina CCS III• CRF : Hypertension ,DM II• EKG : NSR• EKG : NSR• Echo : apicoseptal hypokinetic, EF 56%• CABG 1998 :CABG 1998 :
SVG to PDASVG to PLSVG to OM2LIMA to LAD
THERAPY
• ISDN 10 MG td• Lisinopril 10 mg od• Adalat oros 30 mg odg• Aspirin 80 mg• Plavix 75 mg od• Plavix 75 mg od• Simvastatin 20 mg • Lantus 14 Unit• Gludepatic 500 mg odp g
• Stop procedureStop procedure• CCU• Eptifibatide IV 2 days• UFHUFH• Asprin 320 mg od• Plavix 75 mg bd• Chest pain reduced• Chest pain reduced• No ECG changes• No elevation cardiac enzyme
• NTG I C 300 mcg• NTG I.C 300 mcg• Verapamil IC 2.5 mg• Adenosine IC 40 mcg• Chest pain : reduced• Chest pain : reduced• Angio : not change