- Hermina Balikpapan<\/a><\/li>
- 19 June 2023<\/li><\/ul><\/div>
Recognizing the Early Signs of Coronary Heart Disease and How to Treat it Initially ?<\/a><\/h3>
Cardiovascular disease is the main cause of death in Indonesia, with a mortality rate of 37% in 2013. It is estimated that, until 2030, this disease will remain the main cause of death in the world with an estimated 23.3 million people affected. Countries with low incomes, including Indonesia, have the largest contribution to this mortality rate, which is around 80%. WHO data in 2015 showed that 70% of deaths worldwide were caused by Non-Communicable Diseases, with 45% of them caused by heart and blood vessel disease, or around 17.7 million of 39.5 million deaths. The prevalence of Coronary Heart Disease (CHD) in Indonesia based on the 2013 Riskesdas was 1.5%. BPJS data shows that in 2014, CHD medical expenses reached 4.4 trillion Rupiah, which then increased to 7.4 trillion Rupiah in 2016, an increase of 68.2%. Cardiovascular prevention or prevention aims to reduce the risk of future heart disease by stabilizing, slowing, or even reversing the progression of cardiovascular disease. \n\n Coronary heart disease (CHD) occurs due to a lack of blood supply to the heart muscle due to blockage or narrowing of the coronary arteries caused by damage to the lining of the blood vessels (atherosclerosis). Acute coronary syndrome is a heart attack that occurs due to blockage of the arteries that supply blood to the heart. This is a cardiac emergency condition caused by the death of a portion of the heart muscle. More than 90% of acute coronary syndromes are caused by the rupture of atherosclerotic plaques and the formation of blood clots in the coronary arteries. \n\n \n\n Symptoms of Acute Coronary Syndrome include: \n\n 1. Pain or discomfort in the chest, usually felt in the substernal area, left chest, or epigastrium, can radiate to the neck, left shoulder, left hand, and back. \n\n 2. Sensations such as pressure, squeezing, burning, or pricking. \n\n 3. May be accompanied by cold sweat, nausea, vomiting, weakness, dizziness, or even fainting. \n\n 4. Symptoms usually appear suddenly and vary in intensity. \n\n \n\n Location of chest pain \n\n \n\n \n\n First Measures in Heart Attack \n\n 1. Stopping activities will reduce the heart's workload and can relieve symptoms that appear. \n\n 2. If you start to experience symptoms, even if they are mild, call emergency medical services immediately on 119. Do not take your symptoms lightly or try to contain them yourself. \n\n 3. It is better to always be ready and call an ambulance when your condition is not too severe than to wait until the condition becomes critical. \n\n \n\n Treatment of Acute Coronary Syndrome (Hospital Treatment) \n\n 1. Use of pain relievers (eg morphine). \n\n 2. Provision of oxygen supplements. \n\n 3. Anti-ischemic therapy (eg nitrates, beta blockers, CCB) to reduce the shortage of blood and oxygen supply to the heart. \n\n 4. Administration of antiplatelet drugs (such as aspirin, clopidogrel, ticagrelor) and anticoagulants (heparin or low molecular weight heparin) to prevent further blood clots. \n\n 5. Fibrinolytic action (for myocardial infarction with ST segment elevation onset less than 12 hours). \n\n 6. Percutaneous coronary intervention (PCI) as primary action. \n\n \n\n CHD prevention \n\n To prevent coronary heart disease, healthy lifestyle changes are needed with the "CERDIK" principle: \n\n - Routine health checks, including checking blood pressure, cholesterol levels, blood sugar, and measuring weight and height to get a Body Mass Index (BMI) value. \n\n - Avoid exposure to secondhand smoke by quitting smoking and staying away from smoking environments. \n\n - Diligent physical activity at least 30 minutes every day. Start by warming up and stretching before physical activity. \n\n - Implement a healthy and balanced diet in accordance with daily calorie needs. Limit consumption of salt, sugar and fat. \n\n - Make sure you get enough rest by sleeping at least 7 hours every night. \n\n - Manage stress and always think positively in facing daily challenges. \n\n \n\n By following the steps above, you can recognize early symptoms of coronary heart disease and take appropriate initial treatment steps. In addition, prevention through healthy lifestyle changes can help reduce the risk of developing coronary heart disease in the future. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Independent RS UBAYA Managed by Hermina<\/a><\/li>
- 16 June 2023<\/li><\/ul><\/div>
How to Prevent Sudden Cardiac Death During Exercise<\/a><\/h3>
Prevention of SCD during Sports \nInitially, sufferers are often asymptomatic with excellent physical performance and SCD is the first clinical manifestation. EKG screening can be useful in uncovering underlying cardiac abnormalities. The EKG is a simple, concise, easily accessible, inexpensive, and in many cases sufficient to provide clues to the presence of cardiac disease or channelopathy that puts the risk of SCD during exercise. ECG examination is recommended for anyone who does sports, even just as a hobby. \n\n Amateur sporting activities are no less risky than competitive sports. It is believed that most SCD occurs during amateur sports, which are often performed outdoors and even in secluded and isolated settings. Therefore, automatic external defibrillators (AEDs) must be available in centers or areas used for sports activities such as squares, schools, public offices, and in private buildings (both business and residential), and when there are competitions. . Increasing efforts to procure AEDs and cardiopulmonary resuscitation (CPR) training in all populations should be an achievable target to reduce SCD during sports. To increase the number of survivors or sufferers who survive SCD (currently very few), it is necessary to increase the number of potential rescuers who are able to recognize an attack or cardiac arrest, then at least start performing CPR and apply AEDs as soon as possible. In addition, socialization of AEDs is essential for this purpose, as well as promotion of their use beyond only trained persons. Therefore, it is highly recommended to allow volunteers who have not received basic life support (BLS) training to use AEDs and also triple the safety rate in SCD occurring outside the hospital. The AED must be equipped with the necessary instructions for proper use and provide rescue personnel with an opportunity to interact with emergency responders by phone or video call to receive assistance as soon as possible. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Independent RS UBAYA Managed by Hermina<\/a><\/li>
- 16 June 2023<\/li><\/ul><\/div>
Causes of Sudden Cardiac Death During Exercise<\/a><\/h3>
Sport is a double-edged sword. On the one hand, the benefits of exercise for cardiovascular health are well known, but on the other hand, exercise can increase the risk of sudden cardiac death (SCD) in individuals with known or undiagnosed cardiovascular disease. SCD is rare but still a troubling issue. There are many examples that some famous professional athletes have experienced, but these only show the surface of the true phenomenon, which is quite broad to include amateur athletes. \n\n \n\n SCD during exercise is defined as death that occurs during or within one hour after stopping exercise. There are 92% of cases occur during sports activities, 7.4% within 30 minutes after stopping sports, and only a few within 30-60 minutes after stopping sports. \n\n \n\n Comparison of Athletes and Non-athletes \nAthletes have a 2.8 times higher risk of experiencing SCD compared to non-athletes, most of which are caused by undetected cardiovascular disease. However, it should be noted that exercise is not the sole cause of a higher risk of SCD, but rather a combination of intense physical activity in athletes with underlying cardiovascular disease, which can cause arrhythmias or disturbances in the rhythm of the heartbeat, causing cardiac arrest. \n\n \n\n Causes of SCD in Athletes <35 years \nAnnually, SCD occurs in 1–3/100,000 competitive athletes <35 years of age worldwide. In athletes aged <35 years, the main causes include hypertrophic cardiomyopathy or thickening of the heart muscle, and right-sided arrhythmogenic heart disease. \n\n \n\n Other causes of SCD during exercise include: congenital abnormalities in the anatomy or shape of the coronary arteries; commotio cordis caused by a blunt blow to the chest, for example being hit by a ball; infection or inflammation of the heart muscle or myocarditis; abnormal heart pump function in diastolic cardiomyopathy; leaky or blocked heart valves such as mitral valve prolapse and aortic stenosis; rupture of the great vessels in aortic rupture, etc. \n\n \n\n Causes of SCD in Athletes >35 years \nWhile the main cause of sudden cardiac death in athletes aged> 35 years is coronary heart disease. The frequency of sudden cardiac death in this population ranges from 1/15,000 to 1/50,000, mainly in males. In most cases, the sufferer previously showed symptoms. In contrast, in athletes <35 years, only 30% reported prior symptoms. There is a 40-60% reduction in the number of deaths or deaths in cases caused by cardiovascular disease with moderate-intensity exercise three or more times a week. It should also be noted that the benefits of regular exercise outweigh the risks of SCD in the elderly. \n\n \n\n Pathophysiology of SCD \nFrom a pathophysiological point of view, sudden cardiac death can occur mechanically or electrically (arrhythmic). Mechanically it can be in the form of decreased heart function due to acute blockage of blood circulation or cardiac tamponade, namely the presence of excess water in the lining of the heart, shock due to massive bleeding such as rupture or rupture of the extrapericardial aorta, gastrointestinal or gastrointestinal bleeding, or due to adrenal septic apoplexy. However, in more than 90% of cases, the mechanism is electrical (arrhythmic), with acute cardiac pump failure caused by asystole (no electrical activity on the electrocardiogram or EKG) or ventricular fibrillation (rapid, irregular heartbeat). \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Independent RS UBAYA Managed by Hermina<\/a><\/li>
- 12 June 2023<\/li><\/ul><\/div>
Benefits of Walking for Heart Health<\/a><\/h3>
Hello Ubaya friends! Do you still remember the monks from Thailand who walked to Borobudur Temple to welcome Vesak Day yesterday? It turns out that walking has many good benefits for our body's health! Walking is one of the easiest and cheapest sports. Besides being easy and inexpensive, walking has various health benefits, one of which is heart health. Various studies have shown that walking can reduce the risk of heart disease and is even known to reduce the risk of death. Walking plays a role in improving the strength and quality of the heart muscle and blood vessels. In addition, walking also helps stabilize systolic and diastolic blood pressure so that it can reduce stress and the burden on the heart muscle in pumping blood throughout the body. \n\n Several studies also state that in patients over 70 years of age, every 500 additional steps per day can reduce the risk of cardiovascular disease by around 14%. The movement of 10,000 steps in one day which is being viral recently aims to motivate people to keep exercising in the midst of their daily activities. However, this 10,000 step movement still has to adjust and pay attention to the conditions of each individual. In individuals with limitations such as the elderly, walking should not be excessive. Increasing steps are carried out gradually every day by adjusting the health conditions of each individual. \n\n The duration of walking required is a minimum of 30 minutes, 3 to 5 times a week. Walking 2.5 hours a week can reduce the risk of heart disease by about 30%. Individuals who take 4,500 steps per day can reduce their risk of heart disease by 77%. Very impressive right? This is based on research by the American Heart Association Epidemiology & Prevention Lifestyle and Cardiometabolic Health Scientific Sessions 2023. \n\n Well, it turns out that apart from being easy and cheap, walking is very beneficial for heart health! Let's take your time to walk every day. So what are you waiting for? Hurry up your daily walk! \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Pekanbaru<\/a><\/li>
- 26 May 2023<\/li><\/ul><\/div>
ALERT! Get to know how to prevent heart disease<\/a><\/h3>
Heart attack is a serious heart disease when there is no blood supply to the heart muscle. This condition affects the heart's ability to allow blood to flow throughout the body. Heart attacks can be fatal if not treated immediately. \n\n Heart attack, also known as myocardial infarction, occurs due to obstruction of blood flow to the heart muscle. The main cause of this condition is coronary heart disease. \n\n Symptom \n\n These symptoms can vary from person to person. A heart attack can begin with a vague, uncomfortable pain or a dull or tight feeling in the center of the chest. Sometimes a heart attack only causes mild symptoms, so it is often misinterpreted as an increase in stomach acid or even ignored altogether. \n\n Heart disease can be divided into 4 categories: \n\n \n Healthy can carry out work activities as usual \n You can work hard and when tired you do not should stop the activity, but just reduce the intensity/weight of the work and if you feel you are able to return within one or two minutes the intensity of work can be increased back and and so on. \n You can't do heavy work, but you can do light daily work, if you are tired, you should stop immediately and rest for a minute or two, it's okay to lie down, but if you are walking, you can rest standing shut up. \n The bad thing is, walking even a few meters is tiring, sometimes you need support. \n \n\n \nHow to Prevent Heart Disease \nBy knowing the various triggers for heart disease above, it is hoped that people can take preventive action by adopting healthy lifestyles, exercising regularly, avoiding excessive stress while at work or at home, and regularly consuming antioxidants which can be obtained by eating fruits and vegetables. \n\n Continue to apply Clean and Healthy Behavior (PHBS) and immediately carry out an examination at the nearest health facility if you experience symptoms of heart disease, so that you can immediately get treatment quickly and appropriately. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Mutiara Bunda Salatiga<\/a><\/li>
- 23 May 2023<\/li><\/ul><\/div>
Types, Symptoms, and Causes of Heart Disease<\/a><\/h3>
The heart is a vital organ that functions as a blood pump to meet the needs of oxygen and nutrients throughout the body. If the heart is disturbed, blood circulation in the body can be disrupted so maintaining heart health is very important to avoid various types of heart disease. \nTypes of Heart Disease \n\n Currently, heart disease is still one of the leading causes of death in Indonesia and the world, for both men and women at all ages. There are several types of heart disease, including: \n\n 1. Coronary Heart Disease \n\n Coronary heart disease is caused by a blockage in the arteries by a buildup of plaque or chemicals from food and drink. This makes blood clots in the arteries so that blood flow is disrupted. \n\n 2. Heart Rhythm Abnormalities \n\n Abnormal heart rhythm or arrhythmia is a condition in which the heart rate is abnormal. The pace can feel too fast, too slow, or the rhythm is irregular. In general, heart rhythm abnormalities are classified as harmless, can cause severe symptoms and complications if the disease occurs due to a weak or damaged heart condition. \n\n 3. Congenital Heart Disease \n\n Congenital heart disease is mostly caused by abnormalities in the structure and function of the heart since the baby is in the womb. ASD (Atrial Septal Defect) and VSD (Ventricular Septal Defect) or better known as a leaky heart are common congenital heart diseases. Congenital heart disease can occur due to genetic inheritance from one or both parents. \n\n 4. Abnormalities of heart valves or valves \n\n Heart valve disorders are diseases that occur when the heart valves don't work as they should. Heart valves that don't work properly can cause blood to lead back and have difficulty getting out of the heart. This condition can also cause a small hole to form in the heart septum, which is called a leaky heart. \n\n 5. Heart Failure \n\n Heart failure is a condition in which the heart cannot pump blood optimally so that the blood that is pumped does not carry enough oxygen and nutrients and it becomes difficult for the body to get what it needs. \nFactors Causing Heart Disease Risk \n\n Then what are the factors that can lead to the risk of heart disease? In general, there are two risk factors, namely risk factors that cannot be changed and can be changed. Risk factors that cannot be changed include age, gender, and genetics or heredity. Meanwhile, modifiable risk factors are hypertension, high cholesterol, obesity, diabetes, lack of physical activity, and excessive alcohol consumption. \nSymptoms of Heart Disease \n\n Heart disease that can occur in both adults and children makes it important to detect the symptoms of heart disease in order to avoid the risk of severe heart disease. Symptoms that can appear include chest pain, shortness of breath, palpitations, and fatigue quickly. As for the accompanying atypical symptoms such as nausea, vomiting, and it is not uncommon to find patients with asymptomatic heart disease. This is because the patient suffers from diabetic neuropathy or nerve disorders due to diabetes. \n\n If you experience these symptoms, visit the hospital immediately to get proper treatment and examination so that treatment can be carried out quickly and minimize the worst risks. To diagnose heart disease, the doctor will carry out a series of examinations such as anamnesis, physical examination, to supporting examinations such as an EKG or also known as a heart record, echocardiography (heart ultrasound) and a treadmill test if needed. \n\n In preventing and maintaining heart health, changes in a healthy lifestyle are needed with "CERDIK" behavior, namely routine health checks, get rid of cigarette smoke, be diligent in physical activity for at least 30 minutes a day, have a healthy and balanced diet, get enough rest for at least 7 to 8 hours per day, and Manage stress. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Grand Wisata<\/a><\/li>
- 22 May 2023<\/li><\/ul><\/div>
Learn the Heart Attack Symptoms to Watch Out for<\/a><\/h3>
Did you know that heart attacks don't look at age? There are many cases of heart attacks that happen to those who are still young. \n\n The accumulation of fat in the arteries or also called atherosclerosis can cause damage to blood vessels and heart organs. Excessive plaque can cause narrowing or blockage of blood vessels which leads to heart attack, chest pain or angina, and stroke. \n\n Sudden cardiac arrest does not come without warning. The symptoms that are the first signs of a heart attack exist, but the symptoms are often no different from the symptoms of other diseases and maybe that's why many of us ignore them. What are the symptoms of a heart attack that should not be ignored? Here are some of them. \n\n Shortness of breath \nThe heart has an important role in carrying oxygen throughout the body as well as removing carbon dioxide from the tissues so if blood flow to the heart organ is obstructed, it will affect breathing. When you suddenly feel breathless and short of breath even though you are just doing normal activities, this could be one of the signs of a heart attack. If you feel short of breath after waking up it could also be a sign that something is wrong. Although shortness of breath may be a sign of a heart attack, it does not rule out the possibility that it is a sign or symptom of other diseases and one of them is asthma. \nPain in the chest, arms, and back \nPain in the chest, arms, and back can also be one of the symptoms of a heart attack. During a heart attack, the heart muscle cells begin to run out of oxygen, so the brain will send pain signals through the nervous system. The brain organ may be confused by signals coming from the arm (or shoulder, elbow, jaw, neck and upper back) due to the close proximity of the nervous system. \nThe pain from these heart attack symptoms most often lasts more than 20 minutes. The pain from heart attack symptoms may be relieved with medication or rest. However, the symptoms may reappear. \nIn addition, there are also other heart attack symptoms to look out for. For example: \n - Restlessness \n - Coughing. \n - Fainting. \n - Lightheadedness and dizziness. \n - Nausea and vomiting. \n - Palpitations (heart beating too fast or irregularly). \n - Shortness of breath. \n - Profuse sweating. \nSome people, especially middle-aged people (over 40), people with diabetes, and women, may experience little or no pain in their chest. \nIn some cases, they may experience unusual symptoms. For example, shortness of breath, fatigue and weakness. This condition can be considered a silent heart attack, aka an asymptomatic heart attack. \nWhat needs to be emphasized, immediately see a doctor or emergency telephone number when experiencing the above heart attack symptoms. Remember, don't wait until heart attack symptoms develop. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Kemayoran<\/a><\/li>
- 10 May 2023<\/li><\/ul><\/div>
What It Means When Your Heart Skips a Beat<\/a><\/h3>
Palpitations make you feel like your heart is beating too hard or too fast, skipping a beat, or fluttering. Palpitations can happen at any time, even if you’re resting or doing normal activities. Although they may be startling, palpitations usually aren’t serious or harmful. However, they can sometimes be related to an abnormal heart rhythm that needs medical attention. \n\n Palpitations can appear out of the blue and disappear just as suddenly. They can be linked with certain activities, events, or emotions. Some people notice their heart skipping a beat when they are drifting off to sleep; others, when they stand up after bending over. Palpitations can be triggered by: \n\n \n Stress, anxiety, or panic \n Dehydration \n Low potassium \n Low blood sugar \n Too much caffeine, chocolate, or alcohol \n Fever \n \n\n If you have unexplained palpitations, start with the simple things first: \n\n \n Don't smoke. \n Cut back on alcohol, or stop drinking it altogether. \n Make sure you eat regularly (low blood sugar can cause heart palpitations). \n Drink plenty of fluids. \n Get enough sleep. \n \n\n Stress and anxiety are two other key triggers of skipped beats. A two-step approach can help here. To keep palpitations away, try meditation, the relaxation response, exercise, yoga, tai chi, or another stress-busting activity. If palpitations do appear, breathing exercises or tensing and relaxing individual muscle groups in your body can help. \n\n Deep breathing. Sit quietly and close your eyes. Place one hand on your abdomen. Breathe in slowly and deeply through your nose. Feel your abdomen move outward. Exhale through your nose or mouth, whichever feels more comfortable. Repeat. \n\n Valsalva maneuver. Pinch your nose closed with the fingers of one hand. Close your mouth. Try to breathe out forcibly through your nose. \n\n Bear down. Clench your stomach muscles and your anal sphincter. Then bear down as if you are having a bowel movement. (This is another way to do the Valsalva maneuver.) \n\n Cold water. Splash cold water on your face, or immerse your face in a sink or large bowl filled with cold water. \n\n The Valsalva maneuver, bearing down, and cold water stimulate the vagus nerve, which helps control the heart rate. Deep breathing helps relax you and ease the stress and anxiety that can come with palpitations. \n\n Call your doctor if you have palpitations with shortness of breath, dizziness, chest pain, or fainting, have someone drive you to an emergency department or call your local emergency number right away. These may be signs of a serious heart problem. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina OPI Jakabaring<\/a><\/li>
- 27 April 2023<\/li><\/ul><\/div>
Many Artists Die Young, Avoid Underestimating These Heart Attack Symptoms<\/a><\/h3>
The Indonesian music entertainment stage is now in mourning. Kahitna vocalist or often called Carlo Saba has breathed his last. \n\n The cause of Carlo Saba's death at the age of 54 is thought to be a heart attack. Previously Carlo was hospitalized due to collapse after his stage act. It should be noted that the majority of heart attacks are caused by coronary artery disease. this condition occurs when the arteries that supply blood and oxygen to the heart muscle are blocked by fatty substances. \n\n This can occur due to cholesterol-containing deposits called plaques. The plaque can block the arteries, resulting in reduced blood flow to the heart. When the plaque ruptures, it can cause blood clots in the heart. \n\n This blockage process is known as atherosclerosis. Atherosclerosis is most likely to occur at a young age and gets worse when a person is in their 50s. But blocked blood vessels are not the only cause of heart attacks. There are several other causes such as spontaneous coronary artery dissection (SCAD), coronary artery spasm, certain infections and risk factors. The risk factors for heart attack are: \n\n \n Age Factor \n Age is one of the factors that affect heart disease, especially in someone aged 45-55 years and above will be more at risk of heart attack than someone younger. \n Smoking \n The bad habit of smoking will increase the risk of having a heart attack by two or three times compared to someone who does not smoke. This habit will cause free radicals that cause blood vessel walls to be damaged. \n Hypertension \n As blood pressure increases, so does the risk of having a heart attack. Hypertension can damage the arteries leading to the heart. Hypertension accompanied by other diseases such as cholesterol will also further increase the risk of heart disease. \n High bad cholesterol \n High levels of low-density lipoprotein (LDL) cholesterol or bad cholesterol can cause narrowing of the heart arteries. LDL is known as the bad cholesterol because it adversely affects a person's health when it exceeds normal levels. \n Obesity \n Obesity can worsen the state of the body's organ systems. It causes the heart to work harder in someone who is overweight because blood volume and pressure increase. Obesity is also associated with several co-morbidities such as diabetes, cholesterol etc. \n Diabetes \n People with diabetes can develop heart disease at a relatively young age. If diabetes is coupled with high glucose levels, it can cause cholesterol. \n Blood sugar will rise if a person's body cannot produce insulin or cannot use it properly. So high blood sugar will increase the risk of heart attack. \n Family history of heart attack \n Genetic factors affect the response of body cells to external factors that accelerate plaque growth and narrowing of blood vessels. This risk will increase if there is someone in the family who has heart disease at a young age. The family includes siblings, mother and father. \n Lack of exercise \n \n Lack of exercise increases the risk of heart disease, as it causes fat to clog and weaken blood vessels. This will further exacerbate the risk when not balanced with an active lifestyle of moving, sitting or lying down a lot. \n Unhealthy diet \n If you eat unhealthy foods such as foods containing fat, high sugar, fast food, and salt will increase the risk of heart attack. Eat plenty of fruits, vegetables, fiber and healthy oils. \n \n\n Immediately consult your heart health problems with a heart specialist, a heart doctor can help patients detect heart disease early. Early detection of heart disease is much more important to prevent the patient's condition from getting worse due to heart problems. As we age, the heart's performance decreases and risk factors can accumulate. Schedule a consultation and check-up to know exactly the condition of your heart. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Manado<\/a><\/li>
- 21 April 2023<\/li><\/ul><\/div>
Coronary heart disease<\/a><\/h3>
Coronary Heart Disease is often known by various terms in society. Some call it "Seated wind", "Heart Attack", "Weak heart" and many other terms. Coronary heart disease or angina pectoris (a medical term) occurs when the blood vessels of the heart (coronary arteries) become narrowed. The heart's blood vessels have the function of flowing oxygen-rich blood to the heart muscle, so that the heart can pump blood properly. When the coronary arteries narrow, the intake/supply of oxygen to the heart will be disrupted, so that the heart cannot pump blood optimally. This is what causes complaints and we are familiar with coronary heart disease. \n\n Coronary heart disease is caused by the presence of plaque (narrowing of the arteries due to accumulation of cholesterol, free radicals, and calcification that occurs in the coronary arteries) which causes narrowing of the arteries so that blood is not enough to supply the heart muscle cells. There are several types of coronary heart disease, namely stable angina, unstable angina to myocardial infarction. Stable angina is pain due to physical activity, emotion or stress, the pain does not last more than 15 minutes, complaints will be reduced by rest or using drugs such as ISDN (a nitrate drug that is consumed under the tongue). Unstable angina occurs when pain is experienced when doing light activities or at rest and complaints of chest pain that were previously experienced become more severe, frequent, and longer than what happened before. Unstable angina usually does not improve with medication or rest and lasts longer than 15-20 minutes. If unstable angina occurs and is not treated immediately, it will result in myocardial infarction, namely the presence of damaged heart muscle cells. \n\n What are the signs of coronary heart disease? Coronary heart disease is characterized by chest pain that feels like pressure, feels heavy like being crushed by a heavy object (the heaviest can feel like a sensation of wanting to die), a burning feeling, or a feeling of choking. This pain is usually experienced in the left chest which can radiate to the neck, left shoulder, left arm, and back. There are also other symptoms such as shortness of breath, feeling like fainting, cold sweat, nausea, or vomiting. Unusual pain can also be experienced such as symptoms of an ulcer (pain or stabbing in the solar plexus area), especially in patients who have high blood sugar, elderly patients, and women. \n\n What to do when we meet people with symptoms that lead to coronary heart disease or chest discomfort? In this condition, the patient must be immediately taken to the nearest hospital to get medical assistance in the emergency room. Do not let the sufferer think that it is just an ordinary illness / cold or even continue strenuous activities. The sufferer is in a calm state, takes deep breaths and is unemotional. This must be done immediately and quickly, because the patient will be able to experience rapid and sudden deterioration without signs that can be recognized immediately. \n\n Who is at risk for coronary heart disease? Someone who is elderly, has a family history of coronary heart disease at a young age, has diseases such as high blood pressure (hypertension), cholesterol (dyslipidemia), high blood sugar (diabetes mellitus), active/passive smoking, obesity (overweight). )/metabolic syndrome, lack of exercise, and often occurs in the male sex (women have the same risk after menopause). So that people who are at risk, for example at the age of> 40 years, a person should often do regular check-ups/controls to monitor health conditions in order to prevent coronary heart disease. \n\n If you have coronary heart disease or have had a ring installed, what things need to be done? Things to pay attention to, especially taking medication regularly, routine control to the cardiologist, controlling blood pressure, blood sugar and blood cholesterol, reducing fatty / high cholesterol foods, stopping smoking, reducing carbohydrate consumption, intake of salt / salty foods and meat red, increase consumption of vegetables and fruits, maintain/lose weight, exercise regularly 5-7x a week for at least 30 minutes of moderate activity such as walking, cycling or swimming. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Medan<\/a><\/li>
- 21 April 2023<\/li><\/ul><\/div>
The Silent Killer's Heart Attack<\/a><\/h3>
A heart attack is a condition that occurs when blood flow to the heart is severely reduced or blocked. Blockage of blood flow to the heart can occur due to a buildup of fat, cholesterol, and other substances in the heart (coronary) arteries.These fatty deposits or buildup contain cholesterol which is called plaque. Meanwhile, the process of plaque buildup is called atherosclerosis. Sometimes, the plaque can break off and form a clot that blocks blood. The lack of blood flow can damage or destroy part of the heart muscle. \n\n Heart attacks are often also called "the silent killer" because they are often without complaints, so the sufferer does not know that he has hypertension, but then finds himself already having a complicating disease or complications from hypertension. \n\n Heart Attack Risk Factors \n\n There are several risk factors that can trigger a heart attack, including: \n\n \n Age factor \n \n\n Men aged 45 years and over and women aged over 55 years are more likely to have a heart attack, than men and women who are younger. \n\n \n Smoke \n \n\n The lifestyle of smokers and frequent exposure to cigarette smoke in the long term and often can also trigger heart attacks \n\n \n Hypertension \n \n\n Over time, high blood pressure or hypertension can damage the arteries leading to the heart. High blood pressure caused by other conditions, such as obesity, high cholesterol, or diabetes, increases the risk of heart attack even higher. \n\n \n Obesity \n \n\n Obesity or overweight related to high blood pressure, diabetes,high triglyceride and LDL cholesterol levels. All of these factors can increase the risk of heart attack. \n\n \n Family history. \n \n\n If you have a sibling, parent, or grandparent who has had a heart attack, you may be at increased risk too. \n\n \n Lack of exercise \n \n\n Rarely exercising or doing physical activity is also associated with a high risk of heart attack. In fact, frequent regular exercise can improve heart health \n\n \n Unhealthy diet \n \n\n Eating foods that contain lots of sugar, animal fat, trans fat, and salt can increase the risk of heart attack. \n\n \n stress \n \n\n Emotional stress disorders, such as excessive anger, can increase the risk of heart attack. \n\n \n\n \n Use of illegal drugs \n \n\n Please note, cocaine and amphetamines are stimulants, which can trigger coronary artery spasms, causing heart attacks. \n\n \n\n \n\n \n Autoimmune conditions \n \n\n Having conditions such as rheumatoid arthritis or lupus can increase your risk of a heart attack. \n\n \n\n Heart Attack Symptoms \n\n Symptoms of a heart attack can occur differently for everyone, even for each attack. There are people who experience mild symptoms, there are also those who experience severe symptoms. There are even those who experience no symptoms at all. But the common symptoms that often occur in a heart attack are: \n\n \n Incredible chest pain, feels like pressure and tightness \n Pain or discomfort that radiates to the shoulder, arm, back, neck, jaw, teeth or sometimes the upper abdomen \n Cold sweat suddenly \n Fatigue \n Heartburn or indigestion \n Sudden lightheadedness or dizziness \n Nauseous \n Hard to breathe \n \n\n In women, symptoms may be atypical, such as a brief or sharp pain felt in the neck, arm, or back. Sometimes, the first symptom of a heart attack is sudden cardiac arrest. \n\n Heart attack prevention \n\n It's not too late, if you want to prevent a heart attack, here's how to prevent a heart attack: \n\n \n Live a healthy lifestyle \n Get regular exercise \n Conduct regular medical check-ups \n Consume healthy food \n Take medicine according to doctor's instructions \n Enough rest \n \n\n Heart attack treatment \n\n People who are having a heart attack should be immediately taken to the hospital to get the right and fast treatment, because if they are handled incorrectly, the lives that should be saved cannot be saved. RSU Hermina Medan has a cardiologist who is very competent and supported by tools that are capable of dealing with problems related to heart disease. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Arcamanik<\/a><\/li>
- 13 March 2023<\/li><\/ul><\/div>
Treatment to Overcome Metabolic Syndrome<\/a><\/h3>
The symptoms of the metabolic syndrome include hypertension (high blood pressure), decreased glucose tolerance, and dyslipidemia (a condition in which cholesterol levels, namely LDL, HDL, and triglycerides, are abnormal) (a condition that is not yet included in the diabetes category but blood glucose is higher than normal). above average), central obesity (fat accumulation centered in the abdomen). \n\n A major risk factor for cardiovascular disease and a good indicator of future diabetes mellitus is metabolic syndrome (disorders that affect the heart and blood vessels). \n\n Although the exact etiology of metabolic syndrome is unknown, insulin resistance, which occurs when the body's cells do not respond to insulin as it should, is thought to be the main contributor. Waist circumference measurements can be used to investigate the link between abdominal fat deposits and insulin resistance. \n\n In individuals who are not yet diabetic or hypertensive, treatment for the metabolic syndrome seeks to lower the risk of cardiac disease and type 2 diabetes mellitus. \n\n All patients with a diagnosis of metabolic syndrome ought to be encouraged to modify their eating and exercise routines. \n\n Exercise has been shown to lower fat levels and insulin resistance. Frequent exercise on at least three to four days each week can enhance \n\n A low-sodium diet can support a drop in blood pressure, which lowers the frequency of cardiovascular events and diabetes mellitus. \n\n Diet Reduce carbohydrate intake, swap it for meals containing unsaturated fats, or eat carbohydrates with a low glycemic index (foods that are processed by the body slowly, preventing blood sugar levels from rising) to lower triglyceride levels or raise HDL cholesterol levels with a low-fat diet. greatly enhanced). reducing intake of salt to lower blood pressure, reducing intake of carbohydrates with a high glycemic index to lower blood glucose and lipid levels, and reducing intake of saturated fat to improve insulin resistance. \n\n Those with metabolic syndrome benefit greatly from a diet high in fruits, vegetables, whole grains, unsaturated fats, and low-fat dairy products. \n\n To reduce blood pressure and dyslipidemia in patients with risk factors who cannot be managed only by lifestyle changes, pharmacological intervention is required. \n\n Those with at least several diseases, such as obesity, dyslipidemia, hypertension, and dyslipidemia, need to be understood and treated early in order to prevent cardiovascular events. \n<\/p><\/div><\/div><\/div>"); $('#div_next_link').html(" <\/a><\/span>");
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