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"The textbook will describe the relationship between human cardiopulmonary system and exercise in a format that is related to the mode of exercise, health status and aging. It will include data regarding exercise training principles and the adaptations of the cardiopulmonary following, anaerobic, resistance and aerobic training. A more in-depth presentation of the cardiopulmonary system adaptations in pressing environments such as: warm, cold and altitude. Therefore, students will experience a depth and extent of content balanced with unique and effective learning features: It will help students find the way by both the text and subject matter. Knowing cardiopulmonary exercise function in health and disease will allow understand new research and findings relevant to cardiovascular status as assessed by cardiopulmonary exercise indices. It will bring together investigational exercise physiologists, cardiologists and scientists who share a wealth of experience needed to judge the cardiovascular status and function, and the impairments of patients with a variety of cardiac dysfunction. This book will provide a comprehensive, updated presentation of the information of the cardiovascular system as a whole, and its individual components."

"Penelitian ini bertujuan untuk mengetahui efektivitas latihan aerobik rehabilitasi jantung fase dua berbasis rumah dibandingkan berbasis rumah sakit pada pasien penyakit jantung koroner pascaintervensi koroner perkutan. Jumlah subjek penelitian sebesar 32 subjek, dengan masing-masing 15 subjek pada tiap kelompok yang dapat dianalisis. Subjek rata-rata berusia 57,97±11,59 tahun dan didominasi oleh laki-laki (80%). Kedua kelompok menunjukkan peningkatan bermakna uji jalan enam menit setelah 6 minggu intervensi dibandingkan sebelum (berbasis rumah sakit 397±78-450±73 m; berbasis rumah 350±106-454±67 m) nilai p<0,05. Peningkatan uji jalan enam menit tidak berbeda bermakna secara statistik pada kelompok berbasis rumah sakit (62 m) dibandingkan kelompok berbasis rumah (61 m) nilai p>0,05. Kesimpulan penelitian ini adalah latihan aerobik rehabilitasi jantung fase dua selama 6 minggu secara signifikan meningkatkan jarak tempuh uji jalan enam menit dan peningkatan tidak berbeda bermakna berbasis rumah sakit dibandingkan berbasis rumah pada pasien pasien penyakit jantung koroner pascaintervensi koroner perkutan.

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This study aims to determine the effectiveness of home-based phase II cardiac rehabilitation aerobic exercise compared to hospital-based in patients with coronary heart disease after percutaneous coronary intervention. Total subjects were 32 subjects, with 15 subjects in each group that could be analyzed. The average subject’s age was 57.97±11.59 years old and dominated by men (80%). Both groups showed a significant increase in the six-minute walk test after 6 weeks of intervention compared to baseline (hospital-based 397±78-450±73 m; home-based 350±106-454±67 m) with p value<0.05. The increase in the six-minute walk test was not statistically significantly different in the hospital-based group (62 m) compared to the home-based group (61 m) with p value>0.05. The conclusion of this study is Cardiac rehabilitation aerobic exercise in phase two for 6 weeks significantly increased the distance traveled on the six-minute walk test and the increase was not significantly different from hospital-based compared to home-based in patients with coronary heart disease after percutaneous coronary intervention."

"Latar Belakang: Transfusi darah dan kelasi besi merupakan terapi utama thalasemia khususnya pada thalassemia beta mayor yang bergantung transfusi. Harapan hidup dan prognosis pada pasien pasien tersebut telah bertambah baik dalam beberapa dekade terakhir. Namun demikian gangguan pada jantung masih merupakan penyebab mortalitas utama pada pasien thalassemia beta mayor bergantung transfusi. Toksisitas besi pada jantung merupakan penyebab utama kelainan jantung pada pasien-pasien tersebut. Modalitas utama untuk deteksi toksisitas besi pada jantung adalah dengan MRIT2 yang kesediaannya terbatas.Tujuan: Penelitian ini bertujuan mendapatkan profil toksisitas besi pada jantung penderita thalassemia beta bergantung transfusi. Penelitian ini juga bertujuan melihat korelasi antara toksisitas besi dengan fungsi sistolik jantung, fungsi diastolik jantung dan kadar NTproBNP. Selain itu penelitian ini bertujuan untuk melihat korelasi muatan besi dengan toksisitas besi pada jantung, fungsi sistolik jantung, fungsi diastolik jantung dan kadar NTproBNP.Metode: Penelitian potong lintang pada penderita dewasa dengan thalassemia beta mayor yang bergantung transfusi di Poliklinik Thalasemia Dewasa RSCM Jakarta pada bulan Desember 2017. Data sekunder diperoleh dari rekam medik pasien berupa riwayat medis, hasil lab, hasil pemerikssan MRI T2 dan ekokardiografi. Dilakukan pemeriksaan fisik dan pengambilan darah untuk pemeriksaan NTproBNP. Analisis data berupa data deskriptif dan uji korelasi dengan uji Pearson dan Spearman.Hasil: Sebanyak 62 orang pasien dilibatkan dalam studi. Median untuk T2 jantung adalah 24,96 ms. Terdapat 27,4 pasien dengan hemosiderosis jantung yang ringan-sedang dan 11,3 dengan hemosiderosis jantung yang berat. Tidak terdapat korelasi antara toksisitas besi pada jantung dengan fraksi ejeksi, ratio E/A maupun kadar NTproBNP. Terdapat korelasi lemah antara ferritin serum dan toksisitas besi pada jantung r=-0,312, p=0,007. Terdapat korelasi lemah antara ferritin serum dan fraksi ejeksi r=-0,281, p=0,013.Simpulan: Toksisitas besi pada jantung ditemukan pada 38,7 penderita dewasa dengan thalassemia beta bergantung transfusi. Tidak terdapat korelasi antara toksisitas besi pada jantung dengan fungsi sistolik, fungsi diastolik mauapun kadar NTproBNP pada penderita dewasa dengan thalssemia beta bergantung transfusi. Terdapat korelasi lemah antara ferritin serum dengan toksisitas besi pada jantung dan fungsi sitolik jantung. Tidak terdapat korelasi antara muatan besi dengan NTproBNP.

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Background Regular blood transfusions and chelation are the mainstay of treatment in TDT patients. This has improved the survival and prognosis of the patients. Cardiac complications still remain to be the main cause of mortality. Cardiac iron toxicity is the main cause of complications leading to cardiac failure. MRI T2 is the gold standard for diagnosing cardiac iron toxicity, however this facility is limited in Indonesia.Objective.This study aimed to get a profile of the cardiac iron toxicity in adult TDT beta major patients to obtain a correlation of cardiac iron toxicity with cardiac function and NTproBNP levels and to evaluate if there is any correlation between iron overload with cardiac iron toxicity, cardiac function and NTproBNP levels.Methods Cross sectional study was done which included thalassemia beta major transfusion dependent patients from the adult thalassemia policlinic of RSCM hospital during desember 2017. Data was obtained from the medical records including history, laboratory results and results of MRIT2 and echocardiography. Physical examination was done and blood drawn for NTproBNP estimation. Data was analysed for descriptive data and correlation tests using pearsons or spearman rsquo s test.Results 62 patients were included in the study. Median cardiac T2 was 24.96 ms. 27.4 patients had mild moderate cardiac hemosiderosis and 11.3 had severe cardiac siderosis. There was no correlation between cardiac iron toxicity and ejection fraction, E A ratio and NTproBNP levels. There was a weak correlation between ferritin levels and cardiac toxicity r 0,312, p 0,007 as well as with ejection fraction r 0,281, p 0,013. There was no correlation between ferritin levels and E A or NTproBNP. There was no correlation between transferrin saturation levels with cardiac iron toxicity, ejection fraction, E A ratio as well as NTproBNPConclusion Cardiac iron toxicity was seen in 38,7 of TDT patients in this study. There was no correlation between cardiac toxicity and cardiac functions as well as NTproBNP levels. There was a weak correaltion between ferritin levels with cardiac toxicity and systolic function but no correlation with diastolic function. There was no correlation between transferrin saturation levels with cardiac toxicity, systolic function, diatolic function as well NtproBNP levels."

"Summary:This comprehensive text explains how to interpret chest radiographs and how to report that information in day-to-day practice using case examples, over 400 radiographs, drawings and specimen photographs, straightforward explanations of findings, and the collective experience of its expert authors"

"[Stress proof the heart presents a general picture of behavioral cardiology while focusing in depth on critical specifics. Leading experts in the field explore the psychological aspects of living with arrhythmia, intracardiac device, heart failure, and heart transplant, relating them to psychological characteristics such as pessimism and the feeling of overcommitment. Mainstream treatments, such as stress management and smoking cessation, and emerging interventions, such as computer-based therapies and personality-based techniques., Stress proof the heart presents a general picture of behavioral cardiology while focusing in depth on critical specifics. Leading experts in the field explore the psychological aspects of living with arrhythmia, intracardiac device, heart failure, and heart transplant, relating them to psychological characteristics such as pessimism and the feeling of overcommitment. Mainstream treatments, such as stress management and smoking cessation, and emerging interventions, such as computer-based therapies and personality-based techniques.]"

"Background:Cardiac rehabilitation in patients with Coronary Artery Bypass Surgery (CABG) is an effective way in reducing mortality in patients with coronary heart disease (CHD). The presence of impaired cardiac autonomic function is increase the risk of arrhythmias and sudden death. Exercise training as one component of cardiac rehabilitation can improve autonomic function that can be measured indirectly with Heart Rate Recovery (HRR). The aim of this study is to assess the effect of the frequency of physical exercise on improved of HRR.Metod:The data used for this analysis include 100 patients who underwent second phase of cardiac rehabilitation after CABG at Pusat Jantung Nasional Harapan Kita, Jakarta between July and October 2013. Patients were categorized into group I (exercise 3 times a week) : 40 people and group II (5 times a week exercise) : 60 people. Heart rate recovery was measured with a 6 minute walk test (6MWT). Measurements were performed 2 times, in the early phase and the evaluation phase after 12 times. Increased HRR from both groups were analyzed by linear regression analysis.Result :In our study, age, gender, diabetes mellitus, psychological, smoking, coronary artery bypass surgery and the duration of aortic cross clamp did not affect the increase of HRR. Five times a week exercise training gives significant increase of HRR compare to 3 times a week exercise training after analyzed multivariate linear regression ( RR 2.9, 95% KI 1.53 to 4.40, p <0.001 ).Conclusion:Frequency of physical exercise 5 times a week give a better response to the increase in HRR than exercise 3 times a week.

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Latar Belakang:Rehabilitasi jantung pada pasien Bedah Pintas Arteri Koroner (BPAK) merupakan tindakan efektif dalam menurunkan mortalitas pada pasien dengan Penyakit Jantung Koroner (PJK). Adanya gangguan fungsi otonom jantung dikatakan meningkatkan risiko aritmia dan kematian mendadak. Latihan fisik sebagai salah satu komponen rehabilitasi jantung dapat meningkatkan fungsi otonom yang dapat diukur secara tidak langsung dengan Heart Rate Recovery (HRR). Penelitian ini bertujuan untuk menilai pengaruh frekuensi latihan fisik terhadap peningkatan HRR.Metode:Sebanyak 100 pasien pasca BPAK yang melakukan rehabilitasi jantung fase II dipilih secara konsekutif sejak 1 Juli ? 15 Oktober 2013 di Pusat Jantung nasional Harapan Kita, Jakarta. Pasien dikelompokkan menjadi kelompok I (3 kali latihan seminggu) sebanyak 40 orang dan kelompok II (5 kali latihan seminggu) sebanyak 60 orang. Heart rate recovery satu menit diukur dengan uji jalan 6 menit/6 minute walk test (6MWT). Pengukuran dilakukan 2 kali, pada fase awal dan fase evaluasi setelah 12 kali. Peningkatan HRR dari kedua kelompok dianalisa dengan analisa regresi linier.Hasil:Pada studi kami, usia, gender, diabetes melitus, psikologis, merokok, bedah pintas arteri koroner dan lamanya aortic cross clamp setelah dianalisa tidak mempengaruhi peningkatan HRR secara bermakna. Frekuensi latihan 5 kali seminggu memberikan peningkatan HRR yang bermakna secara statistik dibandingkan 3 kali seminggu setelah dianalisa dengan regresi linier multivariate (RR 2,9; 95 % IK 1,53-4,40, p<0,001)Kesimpulan: Frekuensi latihan fisik 5 kali seminggu memberikan respon yang lebih baik terhadap peningkatan HRR dibandingkan latihan 5 kali seminggu."

"Tesis ini disusun untuk mengetahui pengaruh pemberian edukasi terhadap kepatuhan pasien penyakit jantung koroner dalam menjalani rehabilitasi jantung fase II di rumah. Penelitian ini menggunakan desain kuasi-eksperimental. Sebanyak 46 subjek penelitian pasien penyakit jantung koroner (pasca infark miokard atau pasien yang telah menjalani PCI maupun CABG) yang mampu berjalan mandiri dan dinyatakan mampu menjalani latihan di rumah, dibagi menjadi dua kelompok, yaitu kelompok perlakuan dan kelompok kontrol dengan masing-masing berjumlah 23 orang. Pada kelompok perlakuan diberikan edukasi mengenai rehabilitasi jantung fase II melalui penayangan video edukasi di rawat inap, pemberian pesan pengingat selama melakukan latihan di rumah, dan leaflet. Kelompok perlakuan melakukan latihan di rumah dengan frekuensi 3 kali/minggu selama 8 minggu. Kelompok kontrol hanya mendapatkan edukasi melalui leaflet saat di rawat inap, dan tetap disarankan untuk melakukan latihan di rumah dengan frekuensi yang sama dengan kelompok perlakuan. Pemantauan latihan dan kepatuhan dilakukan dengan logbook. Penelitian ini menunjukkan bahwa pemberian intervensi berupa edukasi memiliki pengaruh pada tingkat kepatuhan pasien penyakit jantung koroner dalam menjalani rehabilitasi jantung fase II di rumah, yang tergambar dari sesi latihan yang lebih tinggi pada kelompok intervensi (p=0.001). Angka kepatuhan (menjalani minimal 20 dari 24 sesi latihan) pada kelompok intervensi adalah sebesar 91%, sedangkan pada kelompok kontrol hanya 30%, dengan proporsi kepatuhan berbeda bermakna (p=0.001, RR 3,000 (1,597 – 5,636)).

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This thesis was aimed to know the impact of educational intervention to compliance of coronary artery disease patients in doing home-based cardiac rehabilitation phase II. The study design was quasi-experimental. A total of 46 coronary artery disease patients who were able to walk independently and suitable in doing home-based exercise were divided into 2 groups, each consisted of 23 subjects. Subjects in intervention group were given educational intervention through video, short-text reminder messaging while doing home exercise, and leaflet. They were stated to do home exercise for 3 times/week for 8 weeks.

Subjects in control group only get educational leaflet, and stated to do the same home exercise regimen. Monitoring of exercise and adherence was done through logbook. This study showed that educational intervention could improve compliance in home-based exercise. The intervention group showed higher number 24(5-24) of exercise sessions (p=0.001). The compliance rate (defined as attending minimum 20 out of 24 sessions) in intervention group was 91%, while in control group 30%, with statistically significant difference."

"Disfagia sangat berhubungan dengan peningkatan risiko pneumonia aspirasi yang sering mengakibatkan kematian pada stroke. Oleh karena itu, manajemen yang efektif dan efisien menjadi penting. Terapi perilaku rehabilitasi menelan yang berdasarkan prinsip neuroplastisitas seperti latihan penguatan dan latihan pergerakan orofaring menjadi alternatif yang cukup sering digunakan. Penelitian ini bertujuan untuk menilai perubahan fungsi menelan pada penderita stroke iskemik dengan disfagia neurogenik setelah dilakukan latihan penguatan faring, latihan pergerakan hiolaring dan praktik menelan. Fungsi menelan dinilai dengan menggunakan Penetration Aspiration Scale (PAS) dan Functional Oral Intake Scale (FOIS) berdasarkan pemeriksaan Flexible Endoscopic Evaluation of Swallowing (FEES) sebelum dan setelah intervensi. Intervensi diberikan setiap hari dengan durasi 30-45 menit selama 4 minggu. Terdapat 6 subjek yang menyelesaikan penelitian. Nilai PAS sebelum intervensi adalah 6±1.79 dan setelah intervensi adalah 1.67±0.82 (p=0.003). Sementara itu, nilai FOIS sebelum intervensi adalah 3 (1-5) dan setelah intervensi adalah 5±2.10 (p=0.041). Terdapat perbaikan nilai PAS dan FOIS setelah intervensi. Oleh karena itu, intervensi ini bisa disarankan sebagai salah satu tatalaksana dalam meningkatkan fungsi menelan pada penderita stroke iskemik dengan disfagia neurogenik.

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Dysphagia is associated with an increased risk of aspiration pneumonia which often results in death in stroke patients. Therefore, effective and efficient management is important. Behavioral therapy for swallowing rehabilitation based on the principles of neuroplasticity such as oropharyngeal strengthening and range of motion exercises are the alternative ones that often be used. This study aimed to assess the changes in swallowing function in ischemic stroke patients with neurogenic dysphagia after pharyngeal strengthening exercise, hyolaryngeal complex range of motion exercise and swallowing practice. Swallowing function was assessed using Penetration Aspiration Scale (PAS) and Functional oral Intake Scale (FOIS) based on Flexible Endoscopic Evaluation of Swallowing (FEES) before and after interventions. The interventions were given every day with a duration of 30-45 minutes for 4 weeks. There were 6 subjects who completed the study. The PAS before the interventions was 6±1.79 and after the interventions was 1.67±0.82 (p=0.003). Meanwhile, the FOIS score before the interventions was 3 (1-5) and after the interventions was 5±2.10 (p=0.041). There was an improvement of PAS and FOIS after the interventions. Therefore, the interventions can be suggested to be used as one of the treatments to improve swallowing function in ischemic stroke patients with neurogenic dysphagia."

"Penyakit jantung dan pembuluh darah masih menjadi penyebab kematian nomer satu di dunia saat ini, sehingga memerlukan tindakan yang tepat dan komprehensif untuk meningkatkan harapan hidupnya. Tindakan mengatasi masalah penyakit jantung koroner salah satunya dengan pembedahan. Bedah jantung pada pasien dapat menimbulkan  respon pasien secara fisik dan  psikologis pada tahapan pra, intra, dan pasca-operasi yang masing masing berbeda intervensinya. Model intervensi keperawatan perioperatif DOE EXHIS diharapkan mampu mengatasi masalah nyeri, kecemasan dan imobilisasi pada tahapan bedah jantung. Penelitian ini bertujuan menciptakan model intervensi keperawatan perioperatif berbasis smartphone yang mampu menurunkan nyeri, kecemasan, dan meningkatkan mobilisasi dini pasien bedah jantung. Penelitian ini terdiri dari 3 tahap. Desain penelitian tahap pertama research and development, tahap kedua true eksperiment design dan tahap ketiga cross sectional. Besar sampel 86 responden, 43 kelompok perlakuan, 43 kelompok kontrol. Intervensi model intervensi berupa terapi doa, edukasi, exercise therapy, hipnosis dan musik diberikan pada kelompok perlakuan, sedangkan kelompok kontrol diberikan gold standard intervensi sesuai clinical pathway di rumah sakit. Hasil penelitian sebagian besar responden berusia dewasa, berjenis kelamin laki-laki, tingkat pendidikan menengah pada kelompok intervensi dan S1 pada kelompok kontrol, Suku Jawa, jenis operasi CABG, ada riwayat nyeri, ada dukungan keluarga, ada penyebab stress, penghasilan diatas UMK, tingkat pengetahuan sedang, maturasi emosional matur, dan seluruh responden tidak ada riwayat trauma. Model intervensi keperawatan perioperatif DOE EXHIS berbasis smartphone berpengaruh secara signifikan dalam menurunkan skor nyeri, kecemasan dan meningkatkan mobilisasi dini (p<0,05). Model intervensi keperawatan perioperatif DOE EXHIS berbasis smartphone berpengaruh secara langsung terhadap nyeri dan kecemasan, tetapi tidak berpengaruh langsung terhadap mobilisasi dini. Model intervensi keperawatan perioperatif DOE EXHIS berbasis smartphone berpengaruh tidak langsung terhadap mobilisasi dini yang di mediasi oleh kecemasan. Model intervensi keperawatan perioperatif DOE EXHIS berbasis smartphone dapat digunakan oleh perawat untuk menurunkan nyeri nyeri, kecemasan dan meningkatkan mobilisasi dini pasien bedah jantung.

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The heart and blood vessel disease is still the number one cause of death in the world today, so it requires appropriate and comprehensive intervention to increase life expectancy. One of the measures to overcome coronary heart disease is surgery. Cardiac surgery in patients can cause the patient's physical and psychological responses in the pre, intra, and postoperative stages, each of which has different interventions. The DOE EXHIS perioperative nursing intervention model is expected to be able to overcome the problems of pain, anxiety and immobilization at the cardiac surgery stage. This study aims to create a smartphone-based perioperative nursing intervention model that is able to reduce pain, anxiety, and increase early mobilization of cardiac surgery patients. This research consisted of 3 stages. The first stage of the research design is research and development, the second stage is true experimental design and the third stage is cross sectional. The sample size was 86 respondents, 43 treatment groups, 43 control groups. Intervention model interventions in the form of prayer therapy, education, exercise therapy, hypnosis and music were given to the treatment group, while the control group was given the gold standard of intervention according to the clinical pathway in the hospital. The results of the study most of the respondents were adult, male, secondary education level in the intervention group and S1 in the control group, Javanese, type of CABG operation, there was a history of pain, there was family support, there were causes of stress, income was above the minimum wage, level of moderate knowledge, mature emotional maturation, and all respondents had no history of trauma. The smartphone-based DOE EXHIS perioperative nursing intervention model significantly reduced pain scores, anxiety and increased early mobilization (p <0.05). The smartphone-based DOE EXHIS perioperative nursing intervention model directly affects pain and anxiety, but does not directly affect early mobilization. The smartphone-based DOE EXHIS perioperative nursing intervention model has an indirect effect on anxiety-mediated early mobilization. The smartphone-based DOE EXHIS perioperative nursing intervention model can be used by nurses to reduce pain, anxiety and increase early mobilization of cardiac surgery patients."

"Describes all aspects of the management of cardiopulmonary arrest in adults and children. The management of life-threatening cardiac emergencies, including myocardial infarction and various arrhythmias is also described in detail"