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