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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kebijakan Kesehatan Indonesia MPI (Media Pharmaceutica Indonesiana) Universa Medicina Jurnal Kedokteran Anatomica (Anatomica Medical Journal) Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Journal of Islamic Medicine Alami Journal (Alauddin Islamic Medical) Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan Jurnal Medika Malahayati Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Kesmas dan Gizi (JKG) Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Health and Medical Journal Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia UMI Medical Journal Jurnal PORKES Nommensen Journal of Medicine AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Keluwih: Jurnal Kesehatan dan Kedokteran Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran JK Unila (Jurnal Kedokteran Universitas Lampung) International Islamic Medical Journal The Avicenna Medical Journal GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Indonesian Journal of Cancer Ahmad Dahlan Medical Journal Jurnal Kedokteran Ibnu Nafis Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Prominentia Medical Journal Healthcaring: Jurnal Ilmiah Kesehatan Medical and Health Journal Biomedika Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat
Laksono, Sidhi
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Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Universa Medicina

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Chronic limb ischemia manifestation in COVID-19 infection: awareness and treatment in primary care Laksono, Sidhi; Siregar, Reynaldo Halomoan; Kusharsamita, Hillary
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.166-175

Abstract

Chronic limb ischemia (CLI) is a type of peripheral arterial disease (PAD) that is still underdiagnosed and undertreated despite the increasing incidence, thus becoming a global health burden. And CLI reflects the local manifestations of a lethal systemic disease — atherosclerosis. If left untreated, chronic limb ischemia can result in major limb loss. In this pandemic era, limb ischemia has become one of several clinical manifestations that occur in patients with COVID-19 infection. Systemic inflammation in COVID-19 infection, direct viral infection, hypercoagulable state, and hyperinflammatory response are responsible for damage to the arterial system, causing endothelial dysfunction. Diagnosing PAD has become a challenge especially in the early stage and in the asymptomatic phase. The untreated condition could lead to the development of CLI. The primary physicians in the primary health facilities hold an important role in the early diagnosis and management of patients with CLI symptoms or with risk factors of CLI, especially in patients who have experienced COVID-19 infection. Due to the limitation of diagnostic testing modalities at primary health facilities, the physician can assess the ankle-brachial index (ABI) to determine the presence of CLI. Management of the disease is different for every patient and is customized based on the other comorbidities. Risk factors should be controlled in order to achieve a better outcome. A good management strategy will improve the quality of life of the patient. This review will discuss the occurrence of CLI in COVID-19 infection.
Co-Authors Afiyani, Nadia Angkasa, Irwan Surya Arga Putra Mangitung, Muhammad BESMAYA, BENAZIER MARCELLA Budhi Setianto Candra, Wincent Hertanto, Yoseph Jeffry Hosana, Cliffian Hosanna, Cliffian Hosea, Grace Trifena Jusuf, Axel Kusharsamita, Hillary Lasanudin, Hengkie Frankie Manuputty, Ferel Mohammad, Masmahathir Nokik Stujanna, Endin Nugraha, Dhiki Nurbaeti, Putri Nurusshofa, Zahra Oktaverina, Danisa Pertiwi Suhandoko, Lidya Prawara, Ananta Siddhi Puteri Nandifa, Veronica Nadya PUTRA, RAMI PRATAMA Putri Nurbaeti Sakura, Ayumi Syifa Sartika, Divina Rana Siregar, Reynaldo Halomoan Suhandoko, Lidya Pertiwi Surya Angkasa, Irwan Surya, Steven Philip Syahirah, A Tenri Syukran Widyani, Wella Zheng, Tonni