Professional Documents
Culture Documents
Our vision is to improve patient care by advancing knowledge and skill in prevention,
diagnosis and treatment of cardiovascular disease.
The workshop and scientific programme offers not only a comprehensive, but also more
indepth about cardiovascular disease with case interactive,to ensure all the participants
can implement the presented lecture in their daily practice.
We look forward to welcome you in Surabaya on October 26-30, 2017. We hope that
you will have enjoyable time with our programme and might stimulate a creative exchange
of ideas that will be personally rewarding.
Regards,
Chairman of 8th SCU
08.00 08.20 Lifestyle Management Update in Cardiovascular Dyana Sarvasti, MD, FIHA
08.20 08.40 Comparison of Lipid Guideline ACC vs ESC Hotmauli Siahaan, MD, FIHA, FICA
08.40 09.00 Recent Hypertension Guideline, Whats New from JNC 8 and Others Consensus Prof. Rochmad Romdoni, MD,PhD, FIHA, FasCC
09.00 09.20 Executive Summary of Perioperative Management Jetty R.H. Sedyawan, MD, FIHA, FAsCC
09.45 10.00 Latest Pharmacotheraphy in Acute Coronary Syndrome BY PT ASTRA ZENECA Nurwahyudi, MD, FIHA
10.00 10.15 NSTEMI, What Can We Learn from GRACE Risk and TIMI Risk Suryono, MD, FIHA
10.15 10.30 Reperfusion Treatment in STEMI, When Time is Muscle, Learn from Good Networking Evit Ruspiono, MD, FIHA
10.30 10.45 The Role of Ticagrelor As the Prefered Treatment is ACS Patients Based on Richardus Rukma Juslim, MD, FIHA
Guideline Recommendation (STEMI and NSTEMI) BY PT ASTRA ZENECA
10.45 11.00 Discussion
11:00 11:30 OPENING CEREMONY - Welcome Speech
Chairman SCU : Achmad Le, MD, FIHA
Chairman PERKI Branch Surabaya & President of The Indonesian Heart Association:
Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI & Ismoyo Sunu, MD, PhD, FIHA, FAsCC
Guest Speaker : Dr (HC) Ir. Tri Rismaharini, M.T Major of Surabaya
11.30 11.45 Medical Ethic Lecture Prof. Dr. dr. H.R. Eddy Rahardjo, SpAn-KIC. KAO
Symposium 3 BY PT OTSUKA
Pre Lunch Chairman : Johanes Nugroho Eko Putranto, MD, PhD, FIHA, FAsCC, FICA, FESC
Symposium Panelist : Ariadi Nugroho, MD, FIHA & Lakshmi Pramushinta, MD, FIHA
11.45 12.00 The Risk of High Dose Diuretic Prof. R. Mohammad Yogiarto, MD, PhD, FIHA, FAsCC
12:00 12:15 Heart Failure & Hyponatremia: Focus on Aquaretic Tolvaptan Jeffrey Daniel Adipranoto, MD, FIHA, FESC, FSCAI
13:00 13:15 The Role of Neprilysin Inhibitor in Heart Failure Management Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI
13:15 13:30 ARNI : The New Paradigm in Heart Failure Management Rarsari S.Pratikto, MD, FIHA
SYMPOSIA SCHEDULE
FIRST DAY - SATURDAY, OCTOBER 28TH, 2017
TIME TOPICS SPEAKER
13.30 13.40 Discussion
Symposium 4 HOW TO MANAGE AF AND HYPERTENSION FOR A BETTER LIFE BY PT BAYER INDONESIA
Lunch Chairman : Prof. Djoko Soemantri, MD, PhD, FIHA, FAsCC & Tony E. Parengkuan, MD, FIHA
Simposium Panelist : Hari Wahyono, MD, FIHA & Abraham Ahmad Ali Firdaus, MD, FIHA
13.40 13.55 Not all CCB are Equal, Not all Nifedipine are The Same : Focus Nifedipine GITS Prof. Raden Mohammad Yogiarto, MD, PhD, FIHA, FAsCC
13.55 14.10 Real World Evidence Rivaroxaban in SPAF (New Data in Asia Population) Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI
14:20 14:40 PCI in Difcult Case Prof. Li Cheng Xiang, MD, PhD
14:40 15.00 Stem Cell in Acute Coronary Syndrome Daniel P. L Tobing, MD, FIHA, FICA, FAPSC, FAPSIC, FESC
15.00 15:20 The Latest Device and Technique of PCI in the Specic Population Prof. Li Cheng Xiang, MD, PhD
15:20 15:40 Stem Cell in CAD and PAD Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI
15:40 16.00 PCI Strategy in Cardiogenic Shock Daniel P. L Tobing, MD, FIHA, FICA, FAPSC, FAPSIC, FESC
16.00 16:20 How to Deal with Bifurcation Stenosis Triadhy Nugraha, MD, FIHA
07.30 07.45 Statin Role in High Risk Primary Prevention Patients : Whats New ? Hotmauli Siahaan, MD, FIHA, FICA
07.45 08.00 Aggresive LDL-C Lowering to Reduce Atherosclerotic Plaque Burden: Any Outcomes Benet ? Richardus Rukma Juslim, MD, FIHA
08.00 08.10 Discussion
08:10 08.25 How to Manage Pulmonary Hypertension in Non Valvular Heart Failure Liliek Murtiningsih, MD, FIHA
08.25 08.40 Recent Update of Heart Failure Management Siti Elkana Nauli, MD, FIHA
08.40 08:55 Latest Device in Heart Failure Prof. Bambang Budi Siswanto, MD, PhD,
FIHA, FASCC, FAPSC, FACC, FSCAI
08.55 09:10 Non Ischemic Cardiomyopathy BY PT AXCELOR INDONESIA Rosi Amrilla, MD, FIHA
09.10 09.20 Discussion
09.35 09.50 PT. ASTRA ZENECA : High Intensity Statin in ACS Patient, Why and How? Budi Baktijasa Dharmadjati, MD, FIHA, FAsCC
Moderator : Feranti Meuthia, MD, FIHA
09.50 10.05 Uncovers the Challenge of Treating Dyslipidemia in Diabetes Patient, Role of Potent Statin PT. Astra Zeneca
10.05 10.15 Discussion
Symposium 8 THE ROLE OF ANTICOAGULANT IN THE MANAGEMENT OF ACS AND DVT BY PT
Pre Lunch TANABE INDONESIA
Simposium Chairman : Agus Subagjo, MD, FIHA, FAsCC
Panelist : Michael Sebastian Kawilarang, MD,FIHA & Rachta Chandra G. D., MD, FIHA
10.15 10.30 Fondaparinux in the Management of Acute Coronary Syndrome for Non STEMI and STEMI Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI
10:30 10.45 Fondaparinux in the Management of DVT J. Nugroho Eko Putranto, MD, PhD, FIHA, FasCC, FICA, FESC
10.55 11.10 Efcacy, Safety, and Security : Yudi Her Oktaviono, MD, PhD, FIHA, FICA, FAsCC, FSCAI
A New data for Dabigatran. Etexilate in Primary SPAF Anticoagulant Care
11.10 11.25 r-tPA and Thrombolysis in STEMI Pros and Cons Budi Baktijasa Dharmadjati, MD, FIHA, FAsCC
13.10 13.35 Hemodynamic in Cardiovascular System Dafsah Arifa Juzar, MD, FIHA, FESC, FAPSIC
13.35 13.50 Management of Fluid Overload, Pharmcology to CRRT Moh. Yusuf Assegaff, MD, PhD, FIHA, FESC
13.50 14.05 Hemodynamic Monitoring in Shock : Blood pressure or Cardiac Output Yohanes W. H. George, MD, Anesthesiologist-KIC
14.20 14.35 Hemodynamic Management : Pharmacotheraphy, Vasopressor and Inotropic Agent Andrianto, MD, FIHA
14.35 14.50 Evidence Base of Fluid Rescucitation Rio Herdyanto, MD, FIHA
14.50 15.05 Method of Measuring Cardiac Output Dafsah Arifa Juzar, MD, FIHA, FESC, FAPSIC
15.05 15.20 The Physiology of Valume Resuscitation : Starling or Guyton Yohanes W. H. George, MD, Anesthesiologist-KIC
WORKSHOP FOR GENERAL PRACTITIONER & CARDIOLOGIST, FRIDAY - OCTOBER 27TH, 2017
TIME TOPICS SPEAKER
07:30 08:00 Registration
Session 1 Moderator & Panelist : Michael Sebastian Kawilarang, MD, FIHA
08.00 08.30 Current Guidelines in Hypertension J. Nugroho Eko Putranto, MD, PhD, FIHA, FasCC, FICA, FESC
08.30 09.00 Case Presentation 1 Trinandika Ardhana, MD, FIHA
09.00 09.30 Case Presentation 2 Ratih R. Pasah, MD, FIHA
09.30 09.45 Disscusion
09.45 10.00 COFFEE BREAK
Session 2 Moderator & Panelist : : Joko Hermawan, MD, FIHA
10.00 10.30 The Latest of Lipid Management for Coronary High Risk Patient Saskia D. Handari, MD, FIHA, FAsCC, FASE, FESC
10.30 11.00 Case Presentation 1 Meity Ardiana, MD, FIHA
11.00 11.30 Case Presentation 2 M. Zakky Kurniawan, MD, FIHA
11.30 11.45 Disscusion
11.45 12.45 FRIDAY PRAYER & LUNCH BREAK
Session 3 Moderator & Panelist : Isnaini Zulkarnain, MD, FIHA
12.45 13.15 Clinical Practice Insuline Treatment in Emergency and Non Emergency Patient Hermina Novida, MD, SpPD, KGH
13.15 13.45 Case Presentation 1 Mahendra Sukmana, MD, FIHA
13.45 14.00 Disscusion
Session 4 Moderator & Panelist : Amelia Ina Sadiati, MD, FIHA
14.00 14.30 Cardiorenal Syndrome in Critical Care Prof. Mochammad Thaha, MD, PhD, Sp. PD KGH, FINASIM, FACP, FASN
14.30 15.00 Case Presentation Steven Rudy Utomo, MD, FIHA
15.00 15.15 Disscusion
15.15 Closing Remarks
Course Director and Coordinator : Wenni Erwindia, MD, FIHA; Endang Herlianingsih, S.Kep. NS
WORKSHOP ON ACLS FOR NURSE
PLACE : GEDUNG PERTEMUAN LAB.PRODIA SURABAYA
FIRST DAY : WORKSHOP FOR NURSE, THURSDAY - OCTOBER 26TH, 2017
NO TIME TOPICS SPEAKER/INSTRUCTOR
1 07.00-07.30 Registrasi undangan dan peserta Panitia
Pembukaan MC
Teguh Santoso, S.Kep.Ns
2 07.30-08.00 a. Laporan Koordinator ACLS Nurse Endang Herlianingsih,S.Kep.Ns
b. Sambutan Ketua SCU dr Achmad Le, SpJP, FIHA
3 08.00-09.15 Filoso BLCS ACLS dan Praktek BHD : dr. Agus Subagjo,SpJP, FIHA
1. Pengertian Henti Jantung Co Ns : Toto Sujarwo, S.Kep
2. Pengenalan AED
3. Gejala Henti Jantung
4. Identikasi henti jantung (cek respon negatif , nafas negatif /inadekuat)
5. Minta tolong/ aktifkan layanan GD/ ambil Debrilator
6. Cek nadi/kompresi adekuat (C)
7. Buka jalan nafas (A)
8. Beri nafas buatan (B)
9. Lakukan sampai deb datang
10. Deb datang cek irama
11. VT/VF Deb
12. Tunggu 2 menit evaluasi hasil CABD dengan stop kompresi untuk cek irama
13. Praktek BHD bayi
14. Praktek pertolongan benda asing
Diskusi
Moderator : Endang Herlianingsih, S.Kep.Ns
Notulen : Adi Cahyo Fajarianto, S. Kep. Ns
4 09.15 - 09.30 COFFEE BREAK
5 09.30 - 11.00 EKG Monitor dan Latihan : dr. Setyo Utomo, SpJP, FIHA
1. EKG monitor normal ( P+; diikuti QRS sempit 0,10; PR Co Ns : Netti Herawati, S.Kep.Ns
kurang 0,20; STnol, T+)
2. PAC - ada P abnormal menyela; QRS normal (sempit) PVC-
QRS lebar tanpa P
3. SVT - QRS sempit, cepat, teratur, P tak taampak
4. Fibrilasi atrial : QRS sempit/lebar; tak teratur; gel P amat cepat,
bermacam, tak teraturatau P tak tampak, hanya serupa getaran
hampir lurus
5. utter atrium: QRS tak teratur (kdg teratur); P-gigi gergaji sangat
teratur cepat
6. VT : QRS lebar (seragam); cepat, teratur; P tak tampak
7. VT polimor (torsade d pointess) QRS arah berubah bertahap
positif-negatif
8. VF : QRS bentuk amat tak teratur; amat cepat, amplitudo tinggi/
rendah/getaran
9. AV block : der1 : PR lbh 0,20 der2: ada gel P tak diikuti QRS atau
ada rasio P:QRSder3/total AVB : P tidak berhub QRS; PR tdk menentu,
P tersebar bs didlm QRST
FIRST DAY : WORKSHOP FOR NURSE, THURSDAY - OCTOBER 26TH, 2017
NO TIME TOPICS SPEAKER/INSTRUCTOR
6 11.00-11.30 Henti jantung ;VT/VF; PEA : dr. Hairudi Sugijo, SpJP, FIHA
1. Identikasi henti jantung: tidak sadar tidak bernafas Co Ns : Ratna Sjahfrida, S.kep.Ns
2. Panggil bantuan, minta deb
3. Cek nadi (-) kompresi adekwat
4. Head tilt &chin lift
5. Beri 2 nafas buatan pelan
6. Lakukan pertolongan smp deb mon datang
7. Deb datang cek irama stop kompresi, terbaca VT/VF lanjut kompresi
8. Siapkan deb, dosis, charge, siap tempel, stop kompresi, 3x awas,lihat
monitor sambil tekan 12,5 kg, tembak, lanjut kompresi
9. Lakukan 2 menit rangkaian resusitasi baru evaluasi hasilnya dg cek
irama
10. (7a) Bila monitor tampak QRS yg jelas, berarti PEA; bila monitor
tampak lurus artinya asystole; keduanya tidak perlu deb namun ABCD
2 menit
11. Evaluasi hasil cpr, cek irama; bila ada perubahan EKG ( sinus) segera
cek nadi adakah ROSC; bila tetap VT/VF segera lanjut kompresi siapkan
deb shock
12. Mulai survey sekunder dari A (airway buka jalan nafas) pasang alat (ett,
lma, combitube)
13. Pertahankan ventilasi, oksigenasi (B)
14. Compression adekwat dan Circulation buka akses vena pasanginfus
15. Drug epinefrin
Diskusi
Moderator : Toto Sudjarwo. S.Kep.
7 11.30-12.15 PRAYER AND LUNCH BREAK Peserta
8 12.15-12.45 SKA : dr. Agus Subagjo, SpJP, FIHA
1. Plak tidak stabil dan rapuh, terjadi perlukaan, timbul kaskade trombus Co Ns : Endang Herlianingsih, S.Kep.Ns
berupa adesi trombosit, agregasi; didampingi aktitas trombin
menyebabkan brinogen menjadi brin dan membungkus agregat
trombosit menjadi trombus
2. Terjadi insusiensi aliran koroner & hipoksia miokard menimbulkan
nyeri dada (Unstable AP), EKG iskemi
3. Trombus bisa pecah kecil dan mengalir kedistal menyumbat total
mikrovaskuler, terjadi nekrose kecil tersebar, terjadi infark, ensim
kardiak positif, EKG tetap iskemi (NSTEMI)
4. Trombus pertama langsung membesar dan menyumbat total cabang
koroner, terjadi nekrose segmen, ensim positif, EKG ST elevasi
segmental (STEMI)
5. Terapi utama anti agregasi platelet dobel, kurangi beban jantung diastol
dg venodilator (nitrat n morn), O2
6. Lini2 anti trombin/antikoagulan; reperfusi bila STEMI (intervensi
koroner/brinolitik)
9 12.45-13.30 Taki - bradi aritmi : dr. Setyo Utomo, SpJP, FIHA
1. Tentukan simptomatis atau tidak Co Ns : Ratna Sjahfrida, S.Kep.Ns
2. Simptom : gangguan otak (bliyur, sinkop); gangguan jantung (nyeri
dada, sesak) sistemik (hipotensi/syok, akral dingin lembab, ginjal :
oligouri/anuri
FIRST DAY : WORKSHOP FOR NURSE, THURSDAY - OCTOBER 26TH, 2017
NO TIME TOPICS SPEAKER/INSTRUCTOR
3. Takiaritmi dg simptom - kardioversi sinkronais (kecuali VT polimor
asinkronais)
4. Takikardi teratur (QRS sempit atau lebar) vagal manuver atau adenosin
5. QRS lebar : amiodaron, betabloker, lidokain, MgSO4
6. QRS sempit :
7. QRS tidak teratur : CCB, betabloker, amiodaron
8. Bradikardia sinus dg simptom : atropin sulfat
9. AV blok total dg simptom : Transcutan pacemaker
10 13.30-14.00 ALO, Syok/hipotensi : dr. Hairudi Sugijo, SpJP, FIHA
1. ALO : bendungan paru sesak mendadak; umumnya akibat penyakit Co Ns : Toto Sudjarwo, S.Kep.Ns
koroner dan hipertensi
2. Manipulasi sirkulasi darah, kurangi jumlah darah paru dg mengurangi
darah balik ke jantung kanan dg memberi venodilator ( morn, nitrat,
loop diuretik furosemid)
3. lainnya tergantung penyebabnya ( PJK?HT?)
4. SYOK/hipotensi lihat problem (utama) : volume? Aritmi (braditaki)?,
pompaDobu/Dopa ( T 70/ ) ; Nor-Epinefrin ( T <70/..mmHg )
14.00-15.00 Debrilasi kardioversi : dr. Liliek Murtiningsih, Sp.JP, FIHA
1. Debrilator mono-bifasik Co Ns : Netti Herawati, S.Kep.Ns
2. Deb asinkronais; paddle diberi jeli, putar dosis energi, charge, siap,
tempelkan, stop kompresi; 3x awas, tekan 12,5kg, lihat monitor,
tombol tekan,perhatikan tanda syok listrik di monitor, segera angkat
paddle lanjut kompresi dan resusitasi
3. Kardioversi sinkronaise: siapkan pasen (sedasi), alat resusitasi,
keluarga (inform conc) tekan tombol sinkronaise, perhatikan penanda
sinkronais dengan gel QRS, tentukan dosis, charge, siap tempelkan,
3x awas, tekan 12,5 kg, lihat monitor, tombol tekan, perhatikan
tandadelivery shock, tetap lihat monitor menunjukkan garis asistol,
tunggu 10 detik, bila irama sinusraba pulsasi; bila tetap asistol,
lakukan resusitasi, bila masih takiaritmiaulangi dg dosis ditingkatkan
Diskusi
Moderator : Arief Rohman Efendi, S.Kep, Ns
Notulen : Aang Kunai, M. Kep.
15.00-16.00 COFFEE BREAK & ASHAR PRAYER
15.30-16.15 Terapi Oksigen dan penatalaksanaan jalan nafas non-ETT : Teuku Aswin Husain, SpAN
1. Dasar terapi Oksigen Co Ns : Endang Herlianingsih, S.kep.Ns
2. Alat bantu nafas dasar
3. Alat bantu nafas lanjut (non ETT)
16.15-17.30 MEGACODE GRUP (TIM) Dr. Agus Subagjo, SpJP(K)
Berlatih Beberapa Kasus per grup Co Ns :
Endang Herlianingsih, S.kep.Ns
Toto Sujarwo, S.Kep.
Netti Herawati, S.Kep.s
Ratna Sjahfrida, S.Kep.Ns