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Junctional Bradycardia dengan Sindrom Kardiorenal Kabanga, Yehiel Flavius; Haryana, Iman; Jolanda, Denny; Patandean, Alvionita
Cermin Dunia Kedokteran Vol 51 No 9 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i9.1079

Abstract

Junctional bradycardia occurs when electrical activity at the SA node is disrupted, or there is a conduction block originating from the SA node, or its automaticity is less than the AV node or HIS bundle. A 46-year-old female was referred because of shortness of breath and swollen limbs. The patient has a long history of diabetes and hypertension. She was diagnosed with acute pulmonary edema, junctional bradycardia, stage 4 CKD, CHF, hypoalbuminemia, anemia, and T2DM. The patient was admitted to the ICCU for 7 days before being discharged. Cardiorenal syndrome can induce sinus node dysfunction or AV node dysfunction, leading to junctional bradycardia. Subsequently, the junctional bradycardia exacerbates concomitant heart failure and renal failure.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Tutukembong, Tanimbar Jekris Ens Luturmas; Haryana, Iman; Josepina Mainase; Elpira Asmin; Irwan, Irwan
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5488

Abstract

Hypertension is one of the most common diseases among adults and a leading cause of morbidity. This condition makes hypertension a significant health challenge in various countries, including Indonesia. Medication adherence is crucial for hypertensive patients in controlling their blood pressure. Research suggests that medication adherence can be influenced by a person's knowledge. This study aims to determine the relationship between the level of knowledge of hypertension patients and compliance in taking medication in hypertension patients at the Tutukembong Community Health Center, Tanimbar Islands Regency. This research is an analytical observational study using quantitative methods with a cross-sectional approach. The sample in this study consisted of 97 individuals (hypertension patients), selected using a purposive sampling technique. Test Chi-Square generate valuep0.036, while the contingency coefficient showed a figure of 0.253. These findings indicate a significant relationship with low strength between the level of knowledge and compliance in taking medication in hypertension patients at the Tutukembong Community Health Center, Tanimbar Islands Regency. There is a significant but weak relationship between the level of knowledge of hypertension patients and compliance with taking medication in hypertension patients at the Tutukembong Community Health Center, Tanimbar Islands Regency. These results indicate that increasing knowledge alone is not enough; other approaches such as motivation, family support, regular monitoring, and other factors are needed to improve compliance in hypertensive patients.