Pemberian Agen Vasoaktif Berdasarkan Hemodinamik pada Syok Kardiogenik

Indonesian Journal of Cardiology

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Field Value
 
Title Pemberian Agen Vasoaktif Berdasarkan Hemodinamik pada Syok Kardiogenik
 
Creator Alsagaff, Muhammad Yusuf
Djihan, Laily
 
Description Cardiogenic shock is a life-threatening emergency that occurs frequently with acutemyocardial infarction (AMI) and the mortality remains over 50% in most studies. Despitesuccessful revascularization, cardiovascular failure leading to multiple organ failure mayoccur. Therapy with vasoactive agents should be initiated to restore adequate arterialpressure and organ perfusion in patients with shock. Recent analysis suggests that systemicinflammatory response syndrome (SIRS) is an important component of the hemodynamicinstability in cardiogenic shock. Inflammation through the nitric oxide (NO) pathway leadingto decrease in vascular resistance and these patients may necessitate supplementalvasopressor therapy. A subanalysis of a prospective randomized trial suggested that norepinephrine(NE) may be preferred over dopamine in patients with cardiogenic shock,while dobutamine is the inotrope of choice. We present a case of a shock cardiogenicand a review of a therapeutic scheme for the pharmacological treatment of patients incardiogenic shock.
 
Publisher The Indonesian Heart Association
 
Date 2017-06-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier http://ijconline.id/index.php/ijc/article/view/732
10.30701/ijc.v38i2.732
 
Source Jurnal Kardiologi Indonesia; Vol. 38, No. 2 April-June 2017; 89-98
Indonesian Journal of Cardiology; Vol. 38, No. 2 April-June 2017; 89-98
2620/4762
0126/3773
 
Language eng
 
Relation http://ijconline.id/index.php/ijc/article/view/732/448
 

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