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All Journal Indonesian Journal of Global Health research JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Inayasari, Syahwina
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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CASE REPORT: UNCONTROLLED HYPERTENSION CONTRIBUTES TO WORSENING OF PRESBYCUS SYMPTOMS IN THE ELDERLY Saputri, Faradila Budi; Firdha, Azizah Amimathul; Rahma, Safira; Alda, Rieza Rizqy; Inayasari, Syahwina; Purnami, Nyilo
Journal of Community Medicine and Public Health Research Vol. 1 No. 1 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.688 KB) | DOI: 10.20473/jcmphr.v1i1.20298

Abstract

Presbycusis is a disease that can befall the elderly, caused by a multifactorial process that should be allowed to disrupt communication and social life and cause mental disorders. According to WHO the proportion of the elderly population rises rapidly which is estimated in 2025, there are about 1,2 billion elderly people with a risk of presbycusis. Mr.S was 84 years old, married and had 2 children, complained of hearing loss since 10 years ago on the patient's left ear. The decline in hearing occurred gradually, giving the last 4 years after his wife's death. Patients was taken to Otorhinolaryngologist and expressed age-related hearing impairment and was advised to use hearing aids. Patients are not routinely using hearing aids. In addition, patients have hypertension and heart disease. Patients consumed Captopril 2x1 tablets, Fundifar 2x1, Furosemide 1x40 mg and Fargoxin 1x0.25 mg. Patients do not routinely consumed cardiac medicine and used hearing aids. From the results of heteroanamnesis, physical examination, and audiogram examination conducted in Mr.S patients, it can be concluded that Mr.S suffers from presbycusis with hypertensive and congestive heart failure. Mr.S was advised to routinely have their hearing check to Otorhinolaryngologist the as an evaluation and routine control to Cardiologist. 
A Deadly Electrocardiography Shark Fin Sign in ST Elevation Myocardial Infarction: A Case Report Inayasari, Syahwina; Pribadi, Luhur; Suwandi, Margono Gatot
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5676

Abstract

Shark fin ECG pattern, also known as 'giant R waves', or 'triangular QRS-ST-T waveform' is a high-risk ECG pattern associated with ST-elevation myocardial infarction (STEMI). Shark fin ECG is typically accompanied by occlusion of the left main coronary artery and the left anterior descending artery, and it is considered to be related to a high risk of death through cardiac arrest and cardiogenic shock. Objective: This case report aims to present a case study of a patient with acute coronary syndrome st-elevation myocardial infarction with a shark fin ECG pattern. Methods: The method used is a descriptive case report design conducted on one subject. Data were collected by conducting interviews, assessments, and therapy for one patient with a shark fin ECG sign in ST-Elevation myocardial infarction. Data analysis compared the results with the theory and previous study. Results: The result of this study indicated that Mr. X aged 44 years, was in cardiac arrest and unstable hemodynamic, and experienced a return of spontaneous circulation (ROSC) after he was given 45 minutes of cardiopulmonary resuscitation (CPR), and the electrocardiography result showed shark fin sign and extensive anterior st elevation, the patient then underwent primary percutaneous intervention and the coronary catheterization showed total occlusion in left anterior descending artery (LAD), proximal stenosis 20% in the left circumflex artery (LCx), and proximal stenosis 30% in the right coronary artery (RCA). The drug-eluting stent was finally placed in the LAD. Conclusions: Shark fin sign ECG pattern indicates total occlusion and a large area of transmural ischemia, and predicts high mortality, early recognition and prompt aggressive treatment can reduce the risk of more serious complications and mortality.
Co-Authors Alda, Rieza Rizqy Firdha, Azizah Amimathul Nyilo Purnami Pribadi, Luhur Rahma, Safira Saputri, Faradila Budi Suwandi, Margono Gatot