21
www.asmiha.org FIRST ANNOUNCEMENT 27 th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific Program: Workshops, Symposiums, Joint Sessions, Working Group Track, Free Papers, Young Investigators Award, IHA for General Practitioners Joint Sessions: American College of Cardiology European Society of Cardiology Asian Pacific Society of Cardiology Asean Federation of Cardiology Cardiac Society of Australia & New Zealand Japanese Circulation Society ACCEPTED ABSTRACTS WILL BE PUBLISHED AT EUROPEAN HEART JOURNAL

27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

www.asmiha.org

FIRST ANNOUNCEMENT

27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association

April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta

Scientific Program: Workshops, Symposiums, Joint Sessions, Working Group Track, Free Papers, Young

Investigators Award, IHA for General Practitioners

Joint Sessions:

American College of Cardiology

European Society of Cardiology

Asian Pacific Society of Cardiology

Asean Federation of Cardiology

Cardiac Society of Australia & New Zealand

Japanese Circulation Society

ACCEPTED ABSTRACTS WILL BE PUBLISHED AT

EUROPEAN HEART JOURNAL

Page 2: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

Ismoyo Sunu, MD, PhD, FIHA

President Indonesian Heart Association

Amiliana M Soesanto, MD, PhD, FIHA

Chairman Organizing Committee The 27th ASMIHA

Dafsah A Juzar, MD, FIHA

Chairman Scientific Committee The 27th ASMIHA

FOTO

Page 3: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

WELCOME MESSAGE Dear Friends and Colleagues, On Behalf of the Indonesian Heart Association (IHA), we are pleased to inform you that the 27th Annual Scientific Meeting of Indonesian Heart Association (27th ASMIHA) will take place in Jakarta, from 19 - 22 April, 2018. The Meeting will be conducted in collaboration with Asian Pacific Society of Cardiology (APSC), American College of Cardiology (ACC), European Society of Cardiology (ESC), ASEAN Federation of Cardiology (AFC), Cardiac Society of Australia and New Zealand (CSANZ), and the Japanese Circulation Society (JCS). The scientific program will include workshops, lectures, debates, case presentations, late breaking studies, young investigator award, free paper, poster presentation as well as industry symposia. During the four days of scientific sessions, attendees will experience more interactive sessions, featuring the latest updates on acute cardiac practice, heart failure, prevention, hypertension, cardio-metabolic syndrome, surgery, echocardiography, electrophysiology and pacing, vascular disease, cardiovascular imaging, intervention, pediatric cardiology and interact with colleagues from around the world. ASMIHA is designed to meet the specific educational needs of medical professional involved in the management and treatment of cardiovascular diseases as they are encountered by general physicians, cardiologist, cardiovascular surgeons, pediatricians, internist, nurses and allied-health professionals. This scientific meeting would also be beneficial for those in education and training, such as fellows, residents, medical students and nursing or allied-health professional students. We believe that the meeting will stimulate creative exchange of ideas and provide you with the opportunity to renew old friendship We look forward to your active participation in the 27th ASMIHA and see you soon in Jakarta on April 2018.

Yours Sincerely,

Ismoyo Sunu, MD, PhD, FIHA Amiliana M Soesanto, MD, PhD, FIHA Dafsah A Juzar, MD, FIHA

President of IHA Chairman Organizing Committee Chairman Scientific Committee The 27th ASMIHA The 27th ASMIHA

Page 4: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

TABLE OF CONTENTS

WELCOME MESSAGE .................................................................................................... 3

TABLE OF CONTENTS .................................................................................................... 4

ORGANIZING COMMITTEE ............................................................................................ 5

SPECIAL FEATURES........................................................................................................ 7

Meeting Spotlight: Multidisciplinary Approach to Cardiovascular Disease in All

Levels of Care .................................................................................................................7

How to Sessions for General Practitioners .....................................................................7

Joint Symposiums ...........................................................................................................7

Debate Session ...............................................................................................................7

Late Breaking Original Studies and Best Published Paper .............................................8

Bring Up Your Cases: Discuss with The Experts ..............................................................8

FOCUS : WORKING GROUP TRACKS ............................................................................... 9

FOCUS : WORKSHOPS ................................................................................................... 10

FOCUS : ABSTRACT BASED PROGRAMS ......................................................................... 12

Young Investigator Awards.............................................................................................12

Oral Presentation ...........................................................................................................12

Cardiovascular Research Forum .....................................................................................12

Moderated Poster Session .............................................................................................12

GUIDELINE FOR ABSTRACT ............................................................................................ 13

Abstract Submission Guidelines .....................................................................................13

PROGRAM AT GLANCE .................................................................................................. 16

REGISTRATION INFORMATION ...................................................................................... 19

HOTEL RESERVATION FORM ......................................................................................... 20

Page 5: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

ORGANIZING COMMITTEE

Steering Committee

Advisory Ismoyo Sunu, MD, PhD, FIHA

Anwar Santoso, MD, PhD, FIHA

Prof. Yoga Yuniadi, MD, PhD, FIHA

Chairman Amiliana M Soesanto, MD, PhD, FIHA

Secretary Organizing Committee Ade Meidian Ambari, MD, FIHA

Treasurer Oktavia Lilyasari, MD, FIHA

Vice Treasurer Rossana Barack, MD, FIHA

Scientific Committee

Chairman Dafsah A Juzar, MD, FIHA

Secretary Scientific Committee Siska S Danny, MD, FIHA

Members Sunarya Soerianata, MD, FIHA

Antonia Anna Lukito, MD, PhD, FIHA

Prof. Bambang Budi Siswanto, MD, PhD, FIHA

Daniel PL Tobing, MD, FIHA

Doni Firman, MD, FIHA

Renan Sukmawan, MD, PhD, FIHA

A Fauzi Yahya, MD, FIHA

Yudi Her Octaviono, MD, PhD, FIHA

Lucia Kris Dinart, MD, FIHA

Prof. Budi Yuli Setianto, MD, PhD, FIHA

Muhammad Yamin, MD, FIHA

Page 6: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

M. Yamin, MD, FIHA

Organizing Committee

Promotion, Publication & Website Sony H Wicaksono, MD, FIHA

Mefriyani, MD, FIHA

Registration Estu Rudiktyo, MD, FIHA

Rina Ariani, MD, FIHA

Accomodation Suci Indriyani, MD, FIHA

Exhibition Dian Zamroni, MD, FIHA

Roy Christian, MD, FIHA

Convocation Radityo Prakoso, MD, FIHA

Doni Yugo Hermanto, MD, FIHA

YIA, Free Paper & Poster Sunu Budhi Raharjo, MD, FIHA

Session Suko Adiarto, MD, PhD, FIHA

Sunanto Ng, MD, PhD, FIHA

CV Research Forum Bambang Widyantoro, MD, PhD, FIHA

M. Saifur Rohman, MD, PhD, FIHA

Ceremony & Evening Party Emanoel Oepangat, MD, FIHA

Vireza Pratama, MD, FIHA

Page 7: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

SPECIAL FEATURES

Meeting Spotlight: Multidisciplinary Approach to Cardiovascular Disease in All Levels of Care This year we are going to focus on comprehensive cardiovascular services in all levels of

healthcare institution.

How to Sessions for General Practitioners

This session is designed specifically for general practitioners who work in the primary

health care.

Joint Symposiums

These sessions will integrate national expert in cardiology with top international

experts from prestigious societies that study the field of cardiology from around the

world, such as: American College of Cardiology (ACC), European Society of Cardiology

(ESC), Asian Pacific Society of Cardiology (APSC), Asean Federation of Cardiology (AFC),

Cardiac Society of Australia & New Zealand (CSANZ), and Japanese Circulatory Society

(JCS).

Debate Session

This session will discuss in depth a topic related to management of cardiovascular

diseases that still have different way to apply in the real world. A special topic will be

chosen and different experts will present her/his view on the topic from different angle.

This session will also provide some insights on how to make interpretations to the

evidences available on that specific topic. Finally, it will be up to the audiences to

internalize the facts and evidences to translate them in daily clinical practice.

Page 8: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

Late Breaking Original Studies and Best Published Paper

New original paper or studies are the core of any scientific meeting worldwide. These

evidences come from a well designed studies to answer problem or hypothesis arise in

our daily practice. This session will feature results of high impact studies conducted in

Indonesia. The new findings or newly published paper from Indonesian scholar will be

presented.

Bring Up Your Cases: Discuss with The Experts

In accordance with the theme to empower health professionals in all levels of care, we

invite colleagues to bring up their unique or difficult cases on the field of cardiology and

vascular medicine in daily practice to the session. A panel of cardiovascular experts with

different subspecialties in cardiovascular medicine will join the interactive discussion

with the audiences.

Page 9: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

FOCUS: WORKING GROUP TRACKS

• Echocardiography

• Acute Cardiovascular Care

• Nuclear Cardiology and Cardiac Imaging

• Interventional Cardiology

• Woman Cardiology

• Atherosclerosis, Thrombosis, Lipidology & Regeneration Therapy

• Vascular Disease

• Heart Failure

• Prevention & Rehabilitation

• Hypertension

• Pediatric Cardiology

• Electrophysiology & Pacing

Page 10: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

FOCUS: WORKSHOPS

07.30 – 16.00

WORKSHOP ON HYPERTENSION

07.30 – 16.00

WORKSHOP ON CARDIAC AUSCULTATION & PHYSICAL

EXAMINATION

07.30 – 16.00

WORKSHOP ON ACUTE CARDIOVASCULAR CARE

07.30 – 16.00

WORKSHOP ON PEDIATRIC CARDIOLOGY

07.30 – 16.00

WORKSHOP ON ECHOCARDIOGRAPHY

07.30 – 16.00

WORKSHOP ON HEART FAILURE

07.30 – 16.00

WORKSHOP ON STABLE ANGINA PECTORIS

07.30 – 16.00

WORKSHOP ON ARRHYTMIA

07.30 – 16.00

WORKSHOP ON VASCULAR DISEASE

07.30 – 16.00

WORKSHOP ON CARDIOVASCULAR IMAGING

Page 11: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

07.30 – 16.00

07.30 – 16.00

WORKSHOP ON PERI OPERATIVE

ASSESMENT IN NON CARDIAC SURGERY

07.30 – 16.00

WORKSHOP ON CARDIAC INTERVENTION

WORKSHOP ON EXERCISE STRESS

TESTING

Page 12: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

FOCUS: ABSTRACT BASED PROGRAMS

Young Investigator Awards

This competition is eligible for those below 40 years old (as January 2018) who are

residences of cardiology and cardiologist with interest in cardiovascular research. Eight

finalists will present their research in English. The judges are the presidents or

representatives from Cardiovascular Societies member of ASEAN Federation of

Cardiology.

Oral Presentation

Participants of this session will have a chance to present their research. It will be a good

opportunity to share and learn more. It is opened for residents in cardiology,

cardiologist, other medical specialist and general physicians with interest in

cardiovascular field.

Cardiovascular Research Forum

Selected papers will be presented in an open session and will be discussed in depth

with the leading national cardiology researchers.

Moderated Poster Session

Participants will present their research or case presentation with visual display.

The posters will be moderated by two experts in the respective field, ensuring

high quality interaction feedback.

Page 13: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

GUIDELINES FOR ABSTRACT

The 27th ASMIHA Committee invites you to submit abstract of original investigations for

consideration to be published at European Heart Journal. Abstract should constitute of

original research (epidemiological studies, clinical studies, basic studies and animal studies

are equally encouraged) in the cardiovascular fields. The content may include portions of

prior abstracts and/or manuscripts submitted or presented elsewhere. Submission of an

abstract constitutes a commitment by the author(s) to present, if accepted. Failure to

present may jeopardize future acceptance of abstracts.

Abstract Submission Guidelines

Abstract Title

Abstract titles should be concise and should not contain abbreviations. Please use

correct Title Case and make sure to bold the entire title.

Example :

This is a Properly Formatted Title

Abstract Author

All individuals listed as authors should qualify for authorship and should have

participated sufficiently in the work to take public responsibility for appropriate

portions of the content. Authors included in the manuscript should meet all of the

following conditions: 1) substantial contributions to the conception and design,

acquisition of data, or analysis and interpretation of data; 2) drafting the article or

revising it critically for important intellectual content; and 3) final approval of the

version to be published. Any other contributors to the work who do not qualify for

authorship should be listed in an acknowledgement section.

The submitting author is automatically designed as the primary/presenting author.

List of author(s), institute(s), city, and country should be written immediately below

the title. Institute(s), city, and country should be written in Italic and Authors name

should be listed by initials followed by surname only. First author name should be

underlined.

Example:

Page 14: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

A. Prasetyawan1 , F. M. Marck2 1Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; 2National

Cardiovascular Heart Center Hospital, Jakarta, Indonesia

Abstract Text

• Abstract must be submitted in English.

• Use Times New Roman for the text font and Symbol for the Greek and special

characters.

• The numbers of words should not exceed 300 without titles, authors, and

organization.

• The abstract should be formatted with the following headings: (1) Aims or

Background, (2) Methods, (3) Results, (4) Conclusion, (5) Keywords. A

maximum of six keywords may be submitted.

• Supported file formats are MS Word and Word Document (.doc or .docx),

other file formats will not be processed.

• Figures and images must be uploaded separately. Supported file format is

JPG or JPEG. The maximum numbers figures and/or images submitted are 2

for each abstract.

• Use zeros before decimal points, use dot (.) for marking decimal points, use

lower case “p” values. Example p<0.05.

• Provide manufacturer name and location in parentheses for all brand or

trade names. For brand drugs, include generic names in parentheses.

• Do not include references, credits, or grant support.

Abstract Policies and Procedures

• There is no submission fee required to submit an abstract to 27th ASMIHA.

• Registration to the main symposium is a must for all accepted abstracts.

• Abstract must be submitted electronically through our website at

www.asmiha.org by 11.59 p.m WIB, on Wednesday, January 31, 2018. Other

method of submittance will not be accepted.

• Abstract submitters will get an email confirmation of notification.

• There is no limit to the number of abstracts a person may submit.

• The overall quality of language used should assure comprehension by the

reader.

• Incomplete submissions cannot be processed.

• All abstract submitted are disclosured to members of the Peer Review

Selection Committee.

• Abstract grading is blinded and abstracts are selected on the basis of merit.

• Submitters may revise information, correct typographical errors, tables

graphics, or withdraw an abstract any time before 11:59 p.m. WIB on

Page 15: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

January 31, 2018. Please contact [email protected] or

[email protected] to revise or withdraw an abstract.

• The 27th ASMIHA committee is unable to reimburse abstract submitters for

travel, hotel, and per diem expenses.

Recognition

• Accepted abstracts will be available at 27th ASMIHA Program Book.

• Accepted abstracts will be published at European Heart Journal.

Page 16: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

PROGRAM AT GLANCE

Friday, 20th April 2018

Time Ballroom 1 Ballroom 2 Mutiara Ballroom

07.00-08.30 REGISTRATION

08.30-09.30

PLENARY SESSION 1

PLENARY SESSION 2

SYMPOSIUM 1 WORKING GROUP TRACK- Nuclear

Cardiology & Cardiac Imaging

09.30-10.30 SYMPOSIUM 2 SYMPOSIUM 3

SYMPOSIUM 4 WORKING GROUP TRACK -

Atherosclerosis,Thrombosis, Lipidology & Regenaration Therapy

10.30-11.30 LUNCH SYMPOSIUM 1 LUNCH SYMPOSIUM 2 LUNCH SYMPOSIUM 3

11.30-13.00 FRIDAY PRAYING AND LUNCH

13.00-14.00 OPENING CEREMONY

14.00-15.20 SYMPOSIUM 5

SYMPOSIUM 6 SYMPOSIUM 7 WORKING GROUP TRACK -

Echocardiography

YOUNG

INVESTIGATOR AWARD

ORAL PRESENTATION

JOINT SYMPOSIUM IHA-APSC (Asian Pasific Society of

Cardiology)

15.20-16.30 SYMPOSIUM 8

HOW TO SESSIONS FOR GENERAL PRACTITIONERS

SYMPOSIUM 9 SYMPOSIUM 10

WORKING GROUP TRACK – Electrophysiology and Pacing

JOINT SYMPOSIUM IHA - CSANZ (Cardiac Society of Australia &

New Zealand)

16.30-17.00 Door prize

18.00- DONE Convocation & Gala Dinner

Saturday, 21th April 2018

Page 17: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

Time Ballroom 1 Ballroom 2 Mutiara Ballroom

07.00-08.00 BREAKFAST

08.00-09.00 BREAKFAST SYMPOSIUM 1 BREAKFAST SYMPOSIUM 2 BREAKFAST SYMPOSIUM 3

09.00-10.30 PLENARY SESSION 3 PLENARY SESSION 4

SYMPOSIUM 11 WORKING GROUP TRACK -

Indonesian Society of Interventional Cardiology (ISIC)

10.30-10.40 COFFEE BREAK

10.40-12.00 SYMPOSIUM 12

SYMPOSIUM 13 JOINT SYMPOSIUM IHA-ACC

(American College of Cardiology)

SYMPOSIUM 14 WORKING GROUP TRACK –

Vascular Disease ORAL PRESENTATION

12.00-13.00 LUNCH SYMPOSIUM 4 LUNCH SYMPOSIUM 5 LUNCH SYMPOSIUM 6 CARDIOVASCULAR RESEARCH FORUM

13.00-14.00 LUNCH

14.00-15.20 SYMPOSIUM 15

SYMPOSIUM 16 JOINT SYMPOSIUM IHA - ESC

(European Society of Cardiology)

SYMPOSIUM 17 WORKING GROUP TRACK –

Cardiology in Woman

15.20-16.40 SYMPOSIUM 18

HOW TO SESSIONS FOR GENERAL PRACTITIONERS

SYMPOSIUM 19 LATE BREAKING ORIGINIAL

STUDIES AND BEST PUBLIHSED PAPER

SYMPOSIUM 20 WORKING GROUP TRACK –

Heart Failure

16.40-17.00 Doorprize

Sunday, 22th April 2018

Page 18: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

Time Ballroom 1 Ballroom 2 Mutiara Ballroom

07.00-08.00 BREAKFAST

08.00-09.00 BREAKFAST SYMPOSIUM 4 BREAKFAST SYMPOSIUM 5 SYMPOSIUM 21

WORKING GROUP TRACK - Prevention & Rehabilitation

09.00-10.30 PLENARY SESSION 5 SYMPOSIUM 22

JOINT SYMPOSIUM IHA – JCS (Japanese Circulatory Society)

SYMPOSIUM 23 WORKING GROUP TRACK -

Pediatric Cardiology

ORAL PRESENTATION CVD Prevention Topic

10.30-10.40 COFFEE BREAK

10.40-11.40 LUNCH SYMPOSIUM 7 LUNCH SYMPOSIUM 8 LUNCH SYMPOSIUM 9

11.40-13.00 SYMPOSIUM 24

BRING UP YOUR CASES: DISCUSS WITH THE EXPERTS

SYMPOSIUM 25 JOINT SYMPOSIUM IHA - AFC

(Asean Federation of Cardiology)

SYMPOSIUM 26 WORKING GROUP TRACK - ACC

13.00-13.20 Grand Door prize and Closing Ceremony

13.20-14.30 LUNCH

Page 19: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

REGISTRATION INFORMATION

The registration form will be available at the website www.asmiha.org.

Registration Fees BEFORE

Januari 29, 2018

FROM

February 1, 2018

Specialist Rp. 2,500,000.00 Rp. 3,000,000.00

IHA Members (SpJP) Rp. 2,000,000.00 Rp. 2,500,000.00

General Practitioners Rp. 1,700,000.00 Rp. 2,000,000.00

Nurse / Medical Technicians

Medical Student

International Participants

Rp. 1,500,000.00

Rp.1,200,000.00

USD 300

Rp. 1,700,000.00

Rp.1,500,000.000

USD 300

WORKSHOPS Rp. 2,500,000.00 Rp. 2,500,000.00

Terms & Condition

a. Registration must be completed prior to payment or transfer

b. Payment should be made by bank transfer to

Acc Name : ASMIHA

Acc Number : 117 – 00 – 0666566 – 5

Bank : Mandiri KCP Harapan Kita

c. Open www.asmiha.org then click confirm payment, and upload the copy bank

transfer receipt.

d. After receiving both valid registration and payment form, a registration confirmation

will be sent back to participants. Please show this confirmation to the registration

desk when you come for Re-Registration.

e. Fees apply only upon receipt of registration and payment before the given deadline

(Fees apply according to the date of payment or transfer).

f. Changing or substitution of the participant’s name will only be accepted until March

19, 2018.

g. There will be no refund.

h. Those who have not registered in advance may register at the On-site Registration

Desk.

i. Main Symposium registration is a prerequisite for all workshop participants.

j. Online registration will be closed at 00.00 on April 9, 2018.

k. Onsite Registration will be available April 19, 2018 at Ritz Carlton Hotel Mega

Kuningan.

Page 20: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific

HOTEL RESERVATION FORM

Please type print in BLOCK LETTER and tick (√) where applicable

( ) Prof. ( ) Dr. ( ) Mr. ( ) Mrs. ( ) Ms.

First Name: Surname:

Institution:

Address :

City/ZIP Code: Phone: Fax: E-mail:

Sponsor: Contact Person: Phone:

Hotel Room Rate Check In Check Out Total Night

The Ritz Carlton

( ) Grand ( ) Grand Club ( ) Mayfair Suite

Rp. 1,900,000 Rp. 2,700,000 Rp. 4,500,000

JW Marriott

( ) Deluxe Rp. 1,800,000

Signature : Amount:

Payment should be made

by Bank Transfer to:

Acc. Name : ASMIHA

Account No. : 117 – 00 – 0666566 - 5

Bank : Mandiri KCP Harapan Kita

CANCELLATION AND REFUND POLICY

• Written Cancellation of reservation must be

notified to the 27th ASMIHA Secretariat

before Januari 31, 2018, a 50% refund will be

returned after congress ends. No refund will

be allowed thereafter.

• For name replacement, change of room type

and notifying check in/out date prior to

March 19, 2018, please contact the 27th

ASMIHA secretariat.

GROUP HOTEL BOOKING

Group bookings (from 10 rooms) are

handled separately and proposals are made

upon request. Please contact us by email at

[email protected]

Or Fax: 021-5684220

INDIVIDUAL BOOKING PROCEDURE

The individual hotel booking form can be

downloaded from the ASMIHA website or is

available upon request. Telephone request

cannot be accepted.

*This form is copyable

Page 21: 27th ASMIHA 2018 - idsMED... FIRST ANNOUNCEMENT 27th ASMIHA 2018 Annual Scientific Meeting of Indonesian Heart Association April 19-22, 2018 – Ritz-Carlton Hotel, Jakarta Scientific