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Management Of Coronary Angiongraphy Examination In Congestive Heart Failure Cases Background : Fail heart congestive heart disease (CHF) is condition inability heart in pump blood consequence disease arteries coroner , who can cause narrowing or blockage arteries heart . Evaluation on CHF patients are very crucial Because can trigger condition fail heart . Coronary angiography, a procedure diagnostic use X- rays and substances contrast , role   in identify blockage arteries the coroner who became CHF trigger .Research methods This is literature review, where Exploration literature done in various databases with keywords _ such as Coronary Angiograhy ”, Cases of Congestive Heart Failure, etc. Source reference used _ in preparation This article This includes Google Schollar , as well article in journal scientific Language English nor speak Indonesian. Results: Coronary Angiography (CAG) examination in CHF patients was involved preparation patient , tool , team medical , procedures inspection , maintenance post-action , and results inspection . Preparation patient covers education , fasting , evaluation function kidney , adjustment medicine , preparation access vascular , and discussion about substance contrast . Preparation tool involve table catheterization , fluoroscopy , catheter , substance contrast , equipment resuscitation , medicine pre-procedure , and hemostasis equipment . The medical team involves an interventional cardiologist, radiological technologist, catheterization nurse, catheterization technician, and anesthesia and resuscitation team. The CAG procedure involves patient preparation, vascular access, catheter insertion, coronary artery evaluation, and completion of the procedure. Conclusion : Congestive heart failure (CHF) is caused by the heart's inability to pump blood, especially coronary artery disease. Coronary angiography uses X-rays and a contrast agent to visualize the coronary arteries. Although symptoms of CHF include shortness of breath and swelling, mortality rates remain high, especially over 40 years of age. The role of Coronary angiography in assessment and therapy planning involves medical specialists. The results support effective treatment planning to improve patient prognosis by addressing the causes of CHF.

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ​​and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.

Heart failure is a pathophysiological condition where the heart's function as a pump is no longer able to meet the need for blood throughout the body for tissue metabolism (Price, 2015). This situation causes a decrease in cardiac output which can cause comfort problems based on clinical manifestations such as tightness, pain, heart palpitations, a feeling of coldness in the peripheral area, even swelling, muscle stiffness, numbness, and other subjective feelings felt by the patient himself. is defined as a disturbance of comfort because it is difficult for someone to determine the feeling they are experiencing so that the use of the word comfort is more appropriate to describe the feelings experienced by the patient so it is appropriate that in this condition there is a disturbance of comfort in the patient (Potter & Perry, 2014). The aim of this study was to determine the effect of hydro-aromatherapy on comfort in Heart Failure patients. This research method is a quasi-experimental pre test and post test with two groups, namely the intervention and control groups. Research data collection was carried out during September 2023 at the Integrated Heart Center (PJT) RSUP.H. Adam Malik Medan. The number of respondents with a diagnosis of CHF that met the study inclusion and exclusion criteria was 32 patients. In the intervention group, they were given a warm water foot soak mixed with aromatherapy oil, while in the control group they only soaked their feet in warm water. Measurement of comfort level uses the "daisy comfort scale" or the numerical daisy comfort intensity scale (Kolcaba, 2000). The results of this study showed that there was a significant difference in effect on increasing comfort levels (p<0.005) in the intervention group by soaking feet in warm water mixed with aromatherapy oil (p=0.000). Conclusion: The results of this study indicate that soaking feet in warm water mixed with aromatherapy oils in heart failure patients can increase comfort.

Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

Hypertension is now a global problem because its prevalence continues to increase in line with lifestyle changes. Blood pressure that continues to increase causes the heart's workload to become excessive, triggering damage to blood vessels, heart failure, kidney failure, and blindness. Hypertension can be treated with non-pharmacological techniques, one of which is with morning walks. Purpose: to determine the effect of implementing morning walks on blood pressure in elderly people with hypertension in Bendungan Village, Sragen Regency. Method: This research method is a case study and descriptive research using pretest and posttest observation sheets. In this case study, the researcher used a tensimeter to measure the respondent's blood pressure, carried out for 30 minutes a week (frequency 4 times). Results: The results of the implementation showed that there was a different decrease in blood pressure between respondent 1 and respondent 2 after implementing morning walks for 30 minutes 4 times a week. Both respondents were categorized as grade 2 hypertension decreasing to degree 1 hypertension. Conclusion: The conclusion from the application results is that the rate of decrease in blood pressure in Mrs. M is greater, namely systolic pressure of 24 mmHg diastolic 1 mmHg while Ny. W decreased systolic pressure 15 mmHg diastolic 6 mmHg.

Hypertension is one of the issues challenging the medical community today. In Indonesia, the prevalence of hypertension is 34.1%, or 63,309,630 million individuals. Since hypertension is frequently referred to as the "silent killer," it needs to be treated right once in order to prevent problems like heart failure, stroke, and kidney failure as well as other disorders caused by hypertension. One of the treatments for hypertension is complementary therapy such as yoga therapy. Objective: This research aims to determine the changes in blood pressure as a result of the implementation of yoga exercises in hypertensive patients in Jebres Village, Surakarta City. Methods: This research used a descriptive case study  method by observing 2 female respondents aged 45-55 years who were given the implementation of yoga exercises for 4 meetings in 2 weeks with a time of ± 15-20 minutes. Results: Blood pressure dropped following the application of yoga exercises, and grade 1 patients were included. Conclusion: The application of yoga exercises can reduce blood pressure in patients with hypertension.

Pleural effusion is a condition in which fluid accumulates in the pleural space. Many diseases may underlie the occurrence of pleural effusion including tuberculosis, malignancy, pneumonia, thoracic empyema, congestive heart failure, and liver cirrhosis (1, 2). In western countries, pleural effusion is mainly caused by congestive heart disease, liver cirrhosis, malignancy, and bacterial pneumonia. While in developing countries like Indonesia it is common to be caused by tuberculosis infection.

Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

Hypertension is the main cause of death from cardiovascular diseases such as heart attacks, strokes and heart failure. The prevalence of hypertension is increasing rapidly in many countries, placing a large health burden on the health care system and increasing the risk of cardiovascular disorders in this population. The process of implementing community service to the community is carried out in several stages. Activities include checking blood pressure, health education and health consultations. Participants who took part in community service activities were mostly women (76%) with an age range between 45-60 years (68%), the highest education level was junior high school (42%), and people with hypertension level 1 (74%). Community knowledge about hypertension complementary therapy has increased significantly after being given counseling. Hypertension sufferers are advised to consume ginger and mint decoction and check themselves regularly at the nearest health facility.

Insomnia is one of the most common diseases in modern society, with its characteristics being difficulty sleeping at night or failure to maintain effective sleep after sleep. Conventional treatments for existing insomnia have undesirable effects when used for a long time. Treatment with acupuncture and herbs can be used as an alternative and complementary therapy in the treatment of insomnia. Research purposes to determine the effect of a combination of acupuncture and herbal therapy Bai Zi Yang Xin Tang  on client insomnia with heart and kidney disharmony syndrome at Yayasan Dharma Warga Surabaya. Research methods is one group pre-test and post-test design. Respondents in the study amounted to 14 people received acupuncture therapy at point (Feng Chi, An Mian, Bai Hui, Si Shen Cong, Shen Men, Nei Guan, Zu San Li, San Yin Jiao, Tai Xi, Tai Chong) and consumed Bai Zi Yang Xin Tang. The average length of sleep for respondents before therapy was 3.75 ± 0.47 hours and after therapy 6.0 ± 0.65 hours (p < 0.05). The combination of acupuncture and  Bai Zi Yang Xin Tang for insomnia with heart and kidney disharmony syndrome can increase the patient's sleep duration after therapy.

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.