Year: 2024 | Month: July-September | Volume: 9 | Issue: 3 | Pages: 505-510
DOI: https://doi.org/10.52403/ijshr.20240357
Treatment of Inferoposterior ST-Elevation Myocardial Infarction in Rural Area
Kadek Adi Sudarmika1, I Gede Bagus Gita Pranata Putra2
1General Practitioner, 2Cardiology and Vascular Medicine,
Sanjiwani General Hospital, Gianyar, Bali, Indonesia
Corresponding Author: Kadek Adi Sudarmika, MD
ABSTRACT
ST-elevation myocardial infarction (STEMI) is a life-threatening medical emergency characterized by complete occlusion of a coronary artery, leading to myocardial ischemia and subsequent tissue damage. A 51-year-old male with chest pain since two hours before admission, not relieved by rest. Electrocardiogram (ECG) showed ST elevation in leads II, III, avF, and ST elevation in lead V7-V9. Streptokinase 1,500,000 units was administered within 1 hour. ST waves in leads II, III and avF were decreased. The administration of fibrinolytic resulted in successful reperfusion of the occluded coronary artery, as evidenced by the resolution of ST-segment elevation on subsequent ECGs. Although primary PCI is considered the gold standard treatment for STEMI, fibrinolytic therapy remains a viable and potentially life-saving alternative, particularly in settings where immediate invasive interventions are not readily accessible. Fibrinolytic therapy should be started immediately for the best benefits.
Keywords: Fibrinolytic, Percutaneous Coronary Intervention, STEMI