islam perspective on heart disease

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Islam Perspectives on Islam Perspectives on Coronary Heart Disease Coronary Heart Disease Prof.Dr.dr. H. Rusdi Lamsudin Prof.Dr.dr. H. Rusdi Lamsudin SpS(K), .ed.SC SpS(K), .ed.SC

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7/25/2019 Islam Perspective on Heart Disease

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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 >

  [email protected] [email protected] 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