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All Journal Jambura Medical and Health Science Journal
Vickry Wahidji
Prof. Dr. H. Aloei Saboe General Hospital
Medicine & Pharmacology

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Anticipation and Management of Coronary Heart Disease for Hajj Pilgrims Vickry Wahidji
Jambura Medical and Health Science Journal Vol 1, No 1 (2022): Jambura Medical and Health Science Journal
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jmhsj.v1i1.13612

Abstract

Background: The increasing number of Indonesian pilgrims yearly makes Indonesia the most significant country that sends pilgrims worldwide. But unfortunately, this is not accompanied by optimal health quality. One of the reasons is that most of these pilgrims are elderly and sometimes have suffered from degenerative diseases since they were in Indonesia.Contents: Coronary heart disease is the leading cause of death in developed and developing countries. The pathophysiology of coronary heart disease is closely related to lifestyle and a combination of risk factors such as hypertension, dyslipidemia, smoking, diabetes mellitus, age and family history.Conclusion: Early intervention on coronary heart disease's causes and precipitating factors can reduce morbidity and mortality, especially for pilgrims. For this reason, it is necessary to carry out good, and continuous collaboration between health workers and the pilgrims not only during the implementation of the pilgrimage in the holy land but has started when the pilgrims register as prospective pilgrims.
Percutaneous Coronary Intervention in Single Coronary Ostium Presented with STEMI: A Case Report Jefri Jefri; Vickry Wahidji
Jambura Medical and Health Science Journal Vol 1, No 1 (2022): Jambura Medical and Health Science Journal
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jmhsj.v1i1.13613

Abstract

Introduction: Coronary artery anomalies presenting with ST-segment elevation myocardial infarction (STEMI) are uncommon and often are challenging to manage. We report a case of a successful percutaneous coronary intervention (PCI) of the right coronary artery (RCA) in a patient who presented with inferior STEMI and an anomaly of the left and right coronary arteries with a single coronary ostium in the right sinus of Valsalva.Case: Male, 71 years old, was admitted to the emergency department with 8 hours onset of chest pain. The patient was diagnosed with STEMI Inferior 8 hours of onset Killip I TIMI score 5. The patient was given a dual loading antiplatelet, high-dose nitrate and statin, then we planned him for primary PCI. Primary PCI was performed on the right transradial through the single osteal coronary artery from the right sinus Valsalva. We got the TIMI flow 3 without other complications during the action.Discussion: It is frequently difficult to identify the culprit lesion during primary PCI. The course of the anomalous vessel and the culprit lesion are clear often; the revascularization procedure hides several pitfalls.Conclusion: Coronary artery anomalies presenting with STEMI are uncommon but often challenging. Percutaneous coronary intervention is considered the first choice in patients with coronary anomaly presented with STEMI.
Co-Authors Jefri Jefri