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Novel Insights into the Pathophysiology of Coronary Slow Flow Phenomenon: The Role of Triglycerides-Glucose Index and Electrocardiogram Risk Score in Subclinical Atherosclerosis Kusuma, Singgih; Erwin Sukandi; Taufik Indrajaya; Ferry Usnizar; Irfannuddin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1228

Abstract

Background: Coronary slow flow phenomenon (CSFP) is characterized by delayed distal coronary vessel opacification without significant epicardial coronary stenosis. The underlying mechanisms of CSFP remain unclear, but subclinical atherosclerosis is a likely contributor. This study investigated the relationship between the Triglycerides-Glucose Index (TyG), Electrocardiogram Risk Score (ERS), and carotid intima-media thickness (CIMT) in CSFP patients. Methods: This cross-sectional study involved 31 patients diagnosed with CSFP at Dr. Mohammad Hoesin General Hospital Palembang. CSFP was determined based on coronary blood flow slowdown on angiography. Data collection included anamnesis, physical examination, laboratory tests, echocardiography, and CIMT measurement. Statistical analysis was performed using SPSS 27. Results: The majority of CSFP patients were male (51.6%) with a mean age of 50.87 ± 13.94 years. Dyslipidemia was the most prevalent risk factor (77.4%), followed by hypertension (35.5%), smoking (22.6%), and diabetes mellitus (6.5%). Statistical analysis revealed significant positive correlations between TyG index and CIMT (r = 0.445, p = 0.012), and between ERS and CIMT (r = 0.476, p = 0.007). Conclusion: TyG and ERS indices are positively correlated with CIMT in CSFP patients. These indices may be useful tools for cardiovascular risk evaluation and early identification of high-risk patients for subclinical atherosclerosis and potential CSFP.
Peningkatan Keterampilan Orang Tua dalam Perawatan Luka Anak Pasca Operasi melalui Pendekatan Home Care Fitri Afdhal; Indri Yani Oktasari; Sefti Loren; Selvi Selvi; Septiana Septiana; Sismayanti Sismayanti; Suci Yuliawaty; Miki Marisa; Widya Putri; Vira Sintha Patari; Nabilla Tri Agustiani; Utari Ramadani; Welly Yansyah; Sindi Yuliarti; Pebi Oktapiani; Made Dwi Wiratama; Taufik Indrajaya
JURNAL PENGABDIAN KADER BANGSA Vol 2 No 1 (2026): Jurnal Pengabdian Kader Bangsa
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Kader Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54816/jpkb.v2i1.913

Abstract

Postoperative wound care in children is a crucial aspect of the healing process and infection prevention. Lack of parental knowledge and skillsin wound care can increase the risk of surgical site infection (SSI) and delay recovery. Therefore, this community service program aims toimprove parental skills in caring for postoperative wounds in children through a home care approach. The method used in this program includes counseling, training, and mentoring conducted in Betung Induk, Abab District, Pali Regency. Evaluation was carried out by comparing participants' pre-test and post-test results and observing practical skills. The evaluation results showed an increase in participants' understanding from 42.8% in the pre-test to 85.7% in the post-test, as well as an improvement in wound care skills up to 78.6%. Although there were limitations in training time and the number of medical assistants, this program successfully enhanced parents' skills in postoperative wound care. In the future, this program can be developed through digital-based education and online mentoring to expand its reach and increase the effectiveness of health education.