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"Despite improvements in the outcome of patients with acute myocardial infarction during the last three decades, room for improvement exists in the elderly patients and in patients who are not candidates for throm-bolysis. Statistical analysis of randomized trials of magnesium in myocardial infarction reveals a gradient of response. When higher risk patients were enrolled, a greater benefit of magnesium was observed; progressively smaller benefits of magnesium occur as control group mortality approached 7%, at which point no benefit was detected. Although the ISIS-4 study enrolled more than 58,000 patients, no reduction in mortality was seen, probably as a result of low control group mortality and relatively late administration of magnesium. Because the potential benefits of magnesium in myocardial infarction remains an open question, additional trials are needed before this inexpensive and early-administered therapy is prematurely cast aside."

"Kejadian infark miokard akut pada pasien diabetes mellitus adalah masalah kesehatan utama yang disebabkan oleh penurunan laju filtrasi glomerulus. Penelitian ini bertujuan untuk mengetahui hubungan laju filtrasi glomerulus dengan kejadian infark miokard akut pada pasien diabetes mellitus. Penelitian ini menggunakan desain analitik korelasi dengan rancangan cross sectional. Jumlah sampel adalah 96 rekam medis pasien diabetes mellitus yang dirawat di RSPAD Gatot Subroto Ditkesad periode 2007-2011. Hasil analisis menggunakan Chi-Square menunjukkan bahwa ada hubungan laju filtrasi glomerulus dengan kejadian infark miokard akut (p= 0,012). Variabel perancu terhadap hubungan laju filtrasi glomerulus dengan kejadian infark miokard akut adalah lama menderita diabetes mellitus (p= 0,065). Berdasarkan hal tersebut, perawat perlu melakukan intervensi yang tepat untuk mencegah komplikasi terjadinya infark miokard akut pada pasien diabetes mellitus.

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Incidence of acute myocardial infarction in diabetes mellitus is a major health problem caused by a decrease in glomerular filtration rate. This study aimed to determine the correlation between glomerular filtration rate with the incidence of acute myocardial infarction in patients with diabetes mellitus. This study used an analytic design of a correlation with cross sectional design. The number of samples was 96 medical records of patients with diabetes mellitus who were treated at RSPAD Gatot Subroto Ditkesad between 2007 and 2011. The analysis using Chi-Square indicated that there is a correlation between glomerular filtration rate with the incidence of acute myocardial infarction (p=0.012). Confounding variable of correlation between glomerular filtration rate with the incidence of acute myocardial infarction is length of illness of diabetes mellitus (p= 0.065). Based on the findings, nurses need to make appropriate interventions to prevent complications of acute myocardial infarction in patients with diabetes mellitus."

"This reassuring and indispensable guide covers every aspect of a heart attack and its aftermath in understandable language. First, you will learn the warning signs to watch for and find out just what happens during a heart attack. Next, the American Heart Association takes you through every stage of treatment in the hospital, including which medications and other methods of treatment your doctor is likely to use"

"ABSTRAKPasien infarct myocard yang menjalani rawat inap beresiko untuk mengalamikonstipasi akibat dari bedrest. Tujuan dari penelitian ini mengetahui pengaruhminuman probiotik terhadap pencegahan konstipasi pada pasien infarct myocard.Penelitian ini menggunakan desain Quasi eksperimental post test only nonequivalent control group, yaitu membandingkan perbedaan pola eliminasidefekasi antara kelompok kontrol dan intervensi. Jumlah sampel 48 orang yangterbagi menjadi 2 kelompok, yaitu 24 responden pada kelompok kontrol dan 24responden pada kelompok intervensi. Hasil uji t- independen menunjukkan adaperbedaan yang signifikan skor defekasi antara kelompok kontrol dan intervensi,artinya ada pengaruh minuman probiotik terhadap pencegahan konstipasi padapasien infarct myocard (p value = 0,001; α = 0.05). Hasil penelitian ini dapatdigunakan sebagai sumber informasi dan bahan pertimbangan bagi perawat saatmemberikan asuhan keperawatan pada pasien khususnya pasien infarct myocardyang menjalani rawat inap untuk menjaga keteraturan pola eliminasi defekasi

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ABSTRACTInpatients of myocardial infarction are at risk for constipation as resulting frombed rest. The purpose of this research is to know the effect of probiotic drinks toprevent constipation toward patients with myocardial infarction at Gatot SubrotoArmy Hospital in Jakarta. This research uses quasi experimental posttest onlynon-equivalent control group design, which compares the differences ofelimination defecation patterns between control and intervention groups. Thenumber of sample is 48 people, divided into 2 groups, i.e. 24 respondents in thecontrol group and 24 respondents in the intervention group. Independent t-testresults showed significant difference defecation scores between the control andintervention groups, meaning that there is the effect of giving probiotic drink toprevent constipation in patients with myocardial infarction (p value = 0.001; α =0.05). The results of this research can be used as a source of information andconsideration for the nurses when providing nursing care in myocardial infarctionpatients, especially patients who undergo hospitalization to maintain regularity ofelimination defecation patterns."

"STEMI masih menjadi penyebab kasus kematian utama di Indonesia. Di Jakarta, angka kejadian STEMI meningkat setiap tahunnya. IKP primer merupakan tindakan utama untuk penanganan STEMI, namun tidak mengatasi penyebab terjadinya oklusi. Pengetahuan pencegahan sekunder diperlukan untuk mencegah terjadinya restenosis sehingga mampu meningkatkan kualitas hidup setelah IKP primer. Penelitian ini memiliki tujuan untuk mengetahui hubungan antara tingkat pengetahuan pencegahan sekunder dengan kualitas hidup pada pasien STEMI Pasca IKP Primer. Desain penelitian ini bersifat analitik dengan pendekatan potong lintang cross sectional. Responden terdiri dari 60 pasien STEMI pasca IKP Primer yang dipilih melalui teknik consequtive sampling. Instrumen yang digunakan Maugerl Cardiac Prevention Questionnare MICRO-Q dan Seattle Angina Questionaire-7 SAQ 7. Hasil penelitian menunjukkan hasil tidak ada hubungan yang bermakna antara tingkat pengetahuan pencegahan sekunder dengan kualitas hidup pada STEMI pasca IKP primer p=0,662; =0,05. Namun, pengetahuan pencegahan sekunder penting untuk tetap diperlukan sabagai salah satu komponen yang dapat meningkatkan kualitas hidup pada pasien STEMI pasca IKP primer.

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STEMI is one a leading cause of death cases in Indonesia. In Jakarta, the incidence of STEMI increases anually. Primary PCI is the main treatment eventhough it is not the causes of occlusion. Secondary prevention knowledge is needed to prevent the occurrence of restenosis so it can improve quality of life after primary PCI.

This research has purpose to know the relationship between knowledge level about secondary prevention and quality of life in STEMI patient after Primary PCI. This is analytic with cross sectional approach. Respondents consisted of 60 STEMI patients post Primary PCI selected through concequtive sampling technique. The instrument is the Maugerl Cardiac Prevention Questionnare MICRO Q and Seattle Angina Questionaire 7 SAQ 7.

The results showed no correlation between knowledge level and quality of life in STEMI after primary IKP p 0,662 0,05. However, secondary prevention knowledge is important to remain as one of the components that can improve quality of life in STEMI post primary IKP. "