IvanaPurnama Dewi1,2, Kristin Purnama Dewi1, Rizaldy Pinzon1, BagusAndi Pramono2
1Faculty of Medicine, Duta Wacana Christian University, Yogyakarta
2Cardiology and Vascular Division, PanembahanSenopati Hospital, Bantul

Abstract
Acute heart failure (AHF) defined as a sudden gradual onset of heart failure symptoms. Acute heart failure commonly occur after acute onset of ST-segment elevation myocardial infarction (STEMI). ST-segment Elevation Myocardial Infarction can lead to a sudden impairment in systolic and diastolic function, resulting in a decreased cardiac output, elevated filling pressures, and the development of cardiogenic pulmonary edema with rapid fluid accumulation in the lungs that potentially fatal cause of acute respiratory distress. ST-segment Elevation Myocardial Infarction-Acute Heart Failure patients require hospitalization and if possible cardiac catheterization and revascularization. The main treatment goals in the hospitalized patient are to restore euvolemia and to minimize adverse events. Here we report the clinical findings of anAHF case in post STEMI with thrombolytic therapy patient. This case has good prognosis after intensive pharmacology combination therapy.
Keywords: STEMI, Acute Heart Failure, Management