Prof. Dr. dr. Idris Idham, SpJP (K),

FIHA, FACC, FESC, FASCC, FSCAI

SR Negeri Tabing, Padang, Tahun 1957

SMPN Kuranji, Padang, Tahun 1960

SMAN I Padang, Tahun 1963

Dokter Umum Fakultas Kedokteran Universitas Gadjah Mada; (S1) Tahun 1972

Dokter Spesialis Jantung dan Pembuluh Darah FK UI; (S2) Tahun1983

Post Graduate Course on Invasive Cardiology, Nuclear Cardiology Austin Hospital Melbourne, Australia, 1992

Post Graduate Course on Non-Invasive Cardiology Pacemaker Implantation, Royal Melbourne Hospital, Australia, 1993

Pendidikan Dokter Universitas Airlangga; (S3) Tahun 2000

Guru Besar tetap Universitas Indonesia; Tahun 2004

Education

Prof. Dr. dr. Idris Idham, SpJP (K),

FIHA, FACC, FESC, FASCC, FSCAI

Staf senior, Dept. Kardiologi & Kedokteran Vaskular FKUI &

Pusat Jantung Nasional Harapan Kita

Chief cardiologist, RS Medika BSD

Sekretaris Kolegium Pengurus Pusat Perhimpunan Dokter

Spesialis Kardiovaskular (PP PERKI) 2008-sekarang

Fellow of Indonesian Heart Association (FIHA)

Fellow of American College of Cardiology (FACC)

Fellow of European Society of Cardiology (FESC)

Fellow of ASEAN Federation of Cardiology (FAsCC)

Fellow of Society of Cardiovascular Angiography and

Intervention (FSCAI)

Head of Cardiovascular Devision Medika BSD Hospital

Cardiovascular Emergency : Focus On Acute Coronary Syndromes

Roles of Primary Physicians

Idris Idham

RS MEDIKA BSD

Spectrum of CV Emergency

Congenital Heart Diseases

Acute Coronary Syndrome : UAP, NSTEMI, STEMI

Acute Lung Edema

Acute Aortic Dissection

Acute Limb Ischemia

Deep Veins Thrombosis

Hypertensive Crisis : emergency, urgency

Arrhythmia : AFRVR, SVT, VT, VF, TAVB

Cardiomyopathy : PPCM, HCM, DCM.

CARDIOVASCULAR SPECIALIST COMPETENCY

FRONTLINE DOCTORS

FROM PALPITATION TO CVD

Front-line medical practitioners

Play very important role in fighting cardiovascular diseases (CVD), the no.1 killer in Indonesia1

Front liners are doctors who first encounter the patient, including family physicians

Patients will benefit from early diagnosis and prompt treatment

Competent of recognizing important signs & symptoms of CVD, e.g. chest pain

1Dept. of Health, RI. 2002.

Chest Pain

One of the most challenging symptoms1

Diagnosis ranges from benign esophageal reflux to fatal MCI

Failure to manage fatal conditions lead to complications including death

Over management of low risk conditions causes unnecessary burden

Acute or escalating chronic chest discomfort is most challenging.

1Harrisons principles of internal medicine: McGraw-Hill, 2005.

Evaluation Aim

To assess the general clinical condition of patient

To determine the working diagnosis

To initiate immediate management plan

Should be performed rapidly yet accurately

General Clinical Assessment

Stratify patient : stable vs unstable condition; based on level of consciousness & vital signs.

Stabilize the patient first! Secure ABC (airway, breathing, circulation)

Determining Working Diagnosis

Largely a clinical work, accurate anamnesis is the key.

Characteristics of chest pain should be thoroughly explored:

Quality, duration, location, precipitating & relieving factors, other associated features.

Based on characteristics, determine the organ(s) or system(s) causing the pain.

Determining Working Diagnosis

Consider anatomical structure of thorax & adjacent abdominal organs ; each organ has typical characteristics

Important : features may not always present ; several features may occur simultaneously

Anatomy of Thoracic Cavity

I.I. - [lW