Post on 25-Feb-2018
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Islam Perspectives onIslam Perspectives on
Coronary Heart DiseaseCoronary Heart Disease
Prof.Dr.dr. H. Rusdi LamsudinProf.Dr.dr. H. Rusdi Lamsudin
SpS(K), .ed.SCSpS(K), .ed.SC
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•Is a muscle about the size of your fist•Weighs approximately one pound•Is located behind and slightly to the left of the breastbone•Pumps about 5 quarts (4. liters! of blood e"ery minute
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The function of the heart is to circulate blood
throughout the body by:
•Pumping blood through the lungs remo"es carbon dioxide
and refreshes the blood #ith oxygen•$he oxygenated blood is pumped to the body to pro"ide
oxygen and nutrients and to remo"e #aste products.
•$he coronary arteries are the blood "essels that supply blood
and oxygen to the heart muscle.
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2 coronary arteries branchfrom the main aorta justabove the aortic valve. “Nolarger than drinking straws,they divide and encircle theheart to cover its surfacewith a lacy network thatreminded physicians of aslightly crooked crown
(coronary comes from theatin coronarius, belongingto a crown or wreath!. "heycarry out about #$% gallonsof blood through the heart
muscle daily.& ('lark, ##!
)lood *upply "o "he +eart
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Coronary !rtery DiseaseCoronary !rtery Disease
Coronary artery disease is one of t"e most commonCoronary artery disease is one of t"e most common
and serious effects of a#in#. $atty deposits %uild up inand serious effects of a#in#. $atty deposits %uild up in%lood vessel &alls and narro& t"e passa#e&ay for%lood vessel &alls and narro& t"e passa#e&ay fort"e movement of %lood. '"e resultin# condition,t"e movement of %lood. '"e resultin# condition,called at"erosclerosis often leads to eventualcalled at"erosclerosis often leads to eventual%loca#e of t"e coronary arteries and a "eart attac*.%loca#e of t"e coronary arteries and a "eart attac*.
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%&ardio"ascular disease claimed '.4 percent of all
deaths or ) of e"ery *.5 deaths in the +nited ,tates in
*---. &/ #as about 0- percent of %total mention
mortality.1 $his means that of o"er *24--2--- deaths
from all causes2 &/ #as listed as a primary orcontributing cause on about )24)52--- death certificates.1
(3merican eart /isease!
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•,ince )--2 &/ has been the o. ) 6iller in the +nited ,tates
e"ery year but ))7.
• early *20-- 3mericans die of &/ each day2 an a"erage of )
death e"ery '' seconds.
•&/ claims more li"es each year than the next 5 leading causes of
death combined2 #hich are cancer2 chronic lo#er respiratory
diseases2 accidents2 diabetes mellitus2 influenza and pneumonia.
•3lmost )5-2--- 3mericans 6illed by &/ each year are under age
05.
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Si#ns and SymptomsSi#ns and SymptomsNone: This is referred to as silentNone: This is referred to as silent
ischemia. Blood to your heart may beischemia. Blood to your heart may be
restricted due to CAD, but you don’trestricted due to CAD, but you don’tfeel any effects.feel any effects.
Chest pain: If your coronary arteriesChest pain: If your coronary arteries
can’t supply enough blood to meet thecan’t supply enough blood to meet the
oygen demands of your heart, theoygen demands of your heart, the
result may be chest pain called angina.result may be chest pain called angina.
!hortness of breath: !ome people may!hortness of breath: !ome people may
not be a"are they ha#e CAD until theynot be a"are they ha#e CAD until they
de#elop symptoms of congesti#e heartde#elop symptoms of congesti#e heart
failure$ etreme fatigue "ith eertion,failure$ etreme fatigue "ith eertion,
shortness of breath and s"elling inshortness of breath and s"elling in
their feet and an%les.their feet and an%les.
&eart attac%: 'esults "hen an artery to&eart attac%: 'esults "hen an artery to
your heart muscle becomes completelyyour heart muscle becomes completelybloc%ed and the party of your heartbloc%ed and the party of your heart
muscles fed by that artery dies.muscles fed by that artery dies.
!igns (
!ymptoms
NoneChest
)ain
!hortness
*f Breath&eart
Attac%
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can, anddoes, occur in almost any artery in thebody. But in the heart it’s eects can be
crucial. “The body depends on a strongpumping heart to circulate life-givingblood, and this includes to the heartmuscle itself. If the coronary arteriesbecome blocked, the cardiac musclebegins to fail, and so the blood circulationdecreases, hich includes the circulationto the heart muscle itself.! "Thibodeau,#$#%
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Hi#" %lood c"olesterolHi#" %lood c"olesterol
Hi#" %lood pressureHi#" %lood pressure
Smoin#Smoin#
+%esity+%esity
Lac of p"ysical activityLac of p"ysical activity
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'is% +actors'is% +actors
ncontrolla%lencontrolla%le
*e-
+ereditary
ace
/ge
'ontrollable
+igh bloodpressure
+igh bloodcholesterol
*moking
0hysical activity
1besity
iabetes
*tress and anger
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Screenin# and Dia#nosisScreenin# and Dia#nosis
!tress!tress
TestTest
m e a s u r e s
m e a s u r e s
b l o o
d
b l o o
d
s u p p l y
s u p p l y
t o h e a r t
t o h e a r t
CoronaryCoronary
AngiographyAngiography
s p e
c i f i c
s p e
c i f i c
s h o " s s h o " s
c o r o n a r i e s
c o r o n a r i e s
N a r ro " i n
g i n N a r ro " i
ng i n
! i t e
s o f
! i t e
s o f
lectro$lectro$
cardiogramcardiogram
m e a s u r e s
m e a s u r e s
e l
e c
t r
i c a
l
e l e
c t
r i
c a
l
i m
p u l s e
s
i m p
u l s e s
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)lood tests: used to evaluate kidney andthyroid function as well as to checkcholesterol levels and the presence of
anemia.'hest 34ray: shows the si5e of your heart andwhether there is 6uid build up around theheart and lungs.
7chocardiogram: shows a graphic outline ofthe heart8s movement
7jection fraction (79!: determines how wellyour heart pumps with each beat.
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any people are a%le to mana#eany people are a%le to mana#e
coronary artery disease &it" lifestylecoronary artery disease &it" lifestyle
c"an#es and medications.c"an#es and medications.
+t"er people &it" severe coronary+t"er people &it" severe coronary
artery disease may need an#ioplasty orartery disease may need an#ioplasty or
sur#ery.sur#ery.
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Treatment "continued%
#! *tenting
• a stent is introduced into a blood "essel on a balloon
catheter and ad"anced into the bloc6ed area of the artery
• the balloon is then inflated and causes the stent to expand
until it fits the inner #all of the "essel2 conforming to
contours as needed
• the balloon is then deflated and dra#n bac6
•$he stent stays in place permanently2 holding the "esselopen and impro"ing the flo# of blood.
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Treatment"continued%
2! /ngioplasty• a balloon catheter is passed through the guiding catheter to the
area near the narro#ing. 3 guide #ire inside the balloon catheter is
then ad"anced through the artery until the tip is beyond the
narro#ing.
• the angioplasty catheter is mo"ed o"er the guide #ire until the
balloon is #ithin the narro#ed segment.
• balloon is inflated2 compressing the plaque against the artery #all
• once plaque has been compressed and the artery has been
sufficiently opened2 the balloon catheter #ill be deflated and
remo"ed.
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Treatment "continued%
'! 8ypass surgery
• healthy blood "essel is remo"ed from leg2 arm or chest
• blood "essel is used to create ne# blood flo# path in your heart
• the %bypass graft1 enables blood to reach your heart by flo#ingaround (bypassing!
the bloc6ed portion
of the diseased
artery. $he increased
blood flo# reducesangina and the ris6
of heart attac6.
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•Get regular medical checkups.
•Control your blood pressure.
•Check your cholesterol.
•Don’t smoke.
•Exercise regularly.
•Maintain a healthy weight.
•Eat a heart-healthy diet.
•Manage stress and anger
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'itations
). Insel2 Paul &ore &oncepts in ealth 9c:ra#;ill &ompanies2 *--*
*. &lar62 <ohn 3 isual :uide to the uman 8ody 8arnes = oble 8oo6s2 *--)
'. $hibodeau2 :ary2 Ph./. 3natomy = Physiology 9osby 8oo6s2 *---
4. 9arieb2 >laine ?..2 Ph./. >ssentials of uman 3natomy = Physiology
Pearson >ducation2 *--'
5. 3merican eart 3ssociation2 eart /isease and ,tro6e ,tatistics2 *--' +pdate
0. ###.:uidant.com
. ###.Webmd.com
7. ###.,potlighthealth.com
. 9ayoclinic.com
)-. 3mericanheart.org
)). 3zheart.com
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KARAKTERISTIK & POLA HIDUP KARAKTERISTIK & POLA HIDUP
)asti)asti- eroo- eroo
- inum alo"ol- inum alo"ol
- Kecanduan o%at %ius- Kecanduan o%at %ius
- mur - mur
-ung%in-ung%in- Pil K- Pil K
- Diet 'in##i lema- Diet 'in##i lema- +%esitas- +%esitas
- 'ipe Kepri%adian !- 'ipe Kepri%adian !
- Kuran# atifitas fisi (ola"ra#a)- Kuran# atifitas fisi (ola"ra#a)
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PENYAKIT PENYAKIT
)asti)asti &ipertensi &ipertensi
&-T // &-T //
Diabetes -ellitus Diabetes -ellitus 0adar +ibrinogen // 0adar +ibrinogen //
&iper%holesterolemia &iper%holesterolemia
-ung%in-ung%in Asam 1rat // Asam 1rat //
&ypothyroidisme &ypothyroidisme
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HIPERTENSI DI INDONESIAHIPERTENSI DI INDONESIA
Tida% tahu bah"a menderita hipertensiTida% tahu bah"a menderita hipertensi
Tahu menderita, tapi tida% diobatiTahu menderita, tapi tida% diobati
Tahu menderita, diobati, tapi tida% teratur, danTahu menderita, diobati, tapi tida% teratur, dan
tensi tida% ter%endalitensi tida% ter%endali
Tahu menderita, diobati, teratur, dan tensiTahu menderita, diobati, teratur, dan tensiter%endali 2345ter%endali 2345
)re#alensi 674$634 2usia /83 tahun5)re#alensi 674$634 2usia /83 tahun5
9ang berpotensi untu% mendapat%an serangan 9ang berpotensi untu% mendapat%an seranganstro%estro%e
;34 674 6<3 =uta 2usia /83 tahun5 >;34 674 6<3 =uta 2usia /83 tahun5 >
66.?@3.777 orang66.?@3.777 orang
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APA YANG HARUS DIKERJAKAN DAN APA YANG HARUS DIKERJAKAN DAN
BAGAIMANA MENGERJAKANNYABAGAIMANA MENGERJAKANNYA
Se%elum ter/adi seran#an /antun# oroner Se%elum ter/adi seran#an /antun# oroner
setela" ter/adi seran#an /antun# oroner setela" ter/adi seran#an /antun# oroner
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APA YANG HARUS DIKERJAKAN DAN APA YANG HARUS DIKERJAKAN DAN
BAGAIMANA MENGERJAKAN? BAGAIMANA MENGERJAKAN?
SEBELUM TERJADI SERANGAN JANTUNGSEBELUM TERJADI SERANGAN JANTUNG
KORONER KORONER
-engendali%an fa%tor risi%o-engendali%an fa%tor risi%o
2yang dapat di%endali%an52yang dapat di%endali%an5
+ %t+a%tor'i'isii%%o
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+a%tor +a%tor 'is'isii%%oo
( )( )re#ensi primer darire#ensi primer dari seranganserangan
=antung %oroner =antung %oroner Tida% bisa dicegahTida% bisa dicegah
1mur 1mur
enis %elamin ela%ienis %elamin ela%i 2/2/
<745<745
'i"ayat 0eluarga'i"ayat 0eluarga
Bisa dicegahBisa dicegah
&&ipertensiipertensi 2$352$35
+ibrilasi atrial+ibrilasi atrial 23$63523$635
-ero%o%-ero%o% 2<$852<$85
Diabetes 2<$85Diabetes 2<$85
&ypercholesterolemia 2<5&ypercholesterolemia 2<5
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sa"a pence#a"an primersa"a pence#a"an primer
seran#an /antun# oroner seran#an /antun# oroner !pa%ila menderita "ipertensi, ontrol teratur, !pa%ila menderita "ipertensi, ontrol teratur,endalian "ipertensiendalian "ipertensi
!pa%ila meroo, stop meroo !pa%ila meroo, stop meroo
!pa%ila menderita dia%etes, ontrol teratur, !pa%ila menderita dia%etes, ontrol teratur,endalian dia%etesendalian dia%etes
+la"ra#a teratur +la"ra#a teratur
Kesim%an#an dietKesim%an#an diet
Informasian epada eluar#a yan# mempunyaiInformasian epada eluar#a yan# mempunyaifator resio untu men#iuti usa"a pence#a"anfator resio untu men#iuti usa"a pence#a"anprimer sprimer seran#an /antun# oroner eran#an /antun# oroner
Kendalian stress dan mara"Kendalian stress dan mara"
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Sehat Serangan jantung
koroner Outcome
Sembuh
Cacat
Mati
Tauhid (iman, taqwa, ikhlas)
Psikologis, sosial, ekonomi
F !
P! "!
#ndonesia
Patho$isiologi
Pre%ensi
&rimer
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Tauhid
#man
Taqwa
#khlas
Pasrah &d 'llah
Menjalankan
segala &erin
tah dan meng hentikan se
gala
larangan 'llah ST
#nnaddina *inda llahi *lislam
('l *#mron, +)
-ualitas &ribadi mukmin
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"iabetes mellitus
.i&erkholesterolemia
.i&ertensi
-egemukan
-adar as/urat 000
Makan 1ang berlebihan
Surat 'l '2raa$, a1at 3+
.adits +, .adits 4,
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Merokok
Merusak -esehatan Pemborosan
.aram 5 Makruh
+/ Maklumat aja #bnu Sa2ud (43!6!+47)4/ 'l #sraa2, 47
3/ 8ani #srail, 4749
6/ 'l 8aqarah, +:
Fatwa M;# 5
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Pengendalian .i&ertensi
Makan secuku&n1a
Olahraga
Puasa, <ikrullah
-ontrol teratur
'l '2raa$, 3+
'l 'n$aal, 7=
'l 8aqarah, +>3+>6, 'r a2d, 4>, .adits
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Al Israa’, ayat 8 Al Israa’, ayat 8
Da! "a#$ t%r%!"a! ar$ AlDa! "a#$ t%r%!"a! ar$ Al
'%r’a! s(s%at% ya!)'%r’a! s(s%at% ya!)
#(!*a$ +(!y(#%- a!#(!*a$ +(!y(#%- a!
ra-#at a)$ .ra!)/.ra!)ra-#at a)$ .ra!)/.ra!)ya#) (r$#a!ya#) (r$#a!
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'untunan Se"at Rasullulla"'untunan Se"at Rasullulla"
Selama "idup 0 ali saitSelama "idup 0 ali sait 1 2atu menerima &a"yu pertama2atu menerima &a"yu pertama 1 2atu aan menin##al2atu aan menin##al
S"alat su%u" tepat &atuS"alat su%u" tepat &atu
'idur teratur 'idur teratur
aan yan# "alal dan t"oyi%aan yan# "alal dan t"oyi%ersi" diri dan men/a#a ese"atan lin#un#anersi" diri dan men/a#a ese"atan lin#un#an
3oso 3i#i teratur 3oso 3i#i teratur
Puasa Ramad"an dan puasa Sunna"Puasa Ramad"an dan puasa Sunna"
'ida mara"'ida mara"
I"las dan sa%ar I"las dan sa%ar
dapat men#atasi stressdapat men#atasi stress'ida iri "ati dan den#i'ida iri "ati dan den#i
+la"ra#a+la"ra#a 1 !/arila" anamu ola"ra#a (HR Dailami) !/arila" anamu ola"ra#a (HR Dailami) 1 Hidup ese"arian /alan aiHidup ese"arian /alan ai