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"Latar Belakang. Bedah pintas koroner merupakan salah satu pengobatan dari PJK Rehabilitasi Kardiovaskular selalu dilakukan pada pasien pasca bedah pintas koroner untuk memulihkan penderita pada kesehatan yang optimal dan meningkatkan kualitas hidup. Mengukur kualitas hidup dengan menggunakan kuesioner. Salah satu kuesioner yang banyak dipakai adalah SF-36. Di Indonesia belum ada penelitian kualitas hidup pasien pasca bedah koroner yang melakukan rehabilitasi fase III.Metodologi. Penelitian dilakukan dengan disain potong lintang di divisi rehabilitasi PJNHK terhadap pasien pasca bedah pintas koroner yang melakukan rehabilitasi fase III tahun 2004 -2005 diambil secara consecutive sampling. Kuesioner SF-36 diberikan secara langsung atau melalui pos sµrat. Sebelumnya dilakukan uji kesahihan dan keandalan dari kuesioner SF-36 bahasa Indonesia.Hasil. Didapatkan 112 pasien, 34 rehabilitasi di rumah sakit dan 78 pasien rehabilitasi di rumah. Karakteristik kedua kelompok sama. Uji kesahihan memakai r product moment dari Pearson setiap butir pertanyaan kuesioner SF-36 bahasa Indonesia r = 0,53-0.83 > 0,51 (r tabel) dan Cronbach a 0,855. Skor SF-36 tidak berbeda bermakna baik antara kedua kelompok ( rehabiltasi di rumah sakit vs di rumah) maupun dengan kelompok kontrol (sehat).Kesimpulan. Kualitas hidup pasien yang melakukan rehabiltiasi fase III baik di rumah sakit maupun di rumah sama baiknya dan kuesioner SF-36 terjemahan bahasa Indonesia sahih dan andal untuk menilai kualitas hidup di Indonesia.

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Background. Coronary artery bypass graft surgery (CABG) is one of the management for coronary artery disease. Cardiovascular rehabilitation usually conducted for recovery and improved quality of life. Questionnaire was used to evaluate quality of life. One of the quality of life instrument most commonly used is Questionnaire SF-36. So far there isn't any study to evaluate quality of life in patients post CABG who wishes to follow rehab program phase III in Indonesia.

Methodology. This is a cross sectional study conducted in Cardiovascular Rehabilitation Division in NCCHK to patients post CABG in phase III rehab program during 2004-2005. Subject was taken in consecutive sampling manner. Questionnaire SF-36 was handed directly or via mail. Validity and reliability test was done for the questionnaire form in Indonesia language.

Result. There were 112 patients, 34 patients did rehab program in hospital and 78 were home-based. The characteristics between two groups were similar. Validity test using r product moment from Pearson to every questions in SF-36 showed r = 0,53-0.83 > 0,51 (r table) and Cronbach a= 0,855. SF-36 scoring was not significantly different among two group (in hospital rehab vs home-based rehab) and also control group (healthy).

Conclusion. There were no difference of quality of life in patients who had done rehabilitation program phase III in hospital and home-based and questionnaire SF-36 form in Indonesia language valid and reliable."

"Latar Belakang : Remodelling otot jantung terkait latihan fisik merupakan mekanisme adaptasi fisiologis tubuh terhadap beban jantung yang meningkat. Tipe/karakteristik, intensitas, dan durasi latihan menentukan besarnya beban jantung dan berpengaruh terhadap pola dan tingkat remodelling otot jantung. Didapatkan pola remodelling yang berbeda antara tentara dengan atlet atau orang biasa. Pada tentara, intensitas latihan fisik yang diterima lebih berat dibandingkan atlet maupun orang biasa, dengan durasi kumulatif yang lebih lama, serta beban volume dan pressure overload yang diterima lebih besar. Selain itu, tentara juga menghadapi stresor psikis yang tinggi, serta waktu istirahat/recovery pasca latihan yang berbeda dibandingkan dengan atlet maupun orang biasa.Tujuan : Untuk melihat pengaruh latihan fisik Para Komando dengan terjadinya remodelling ventrikel kiri baik fisiologis maupun patologis pada populasi Pasukan Khusus TNI Angkatan Udara dibandingkan latihan fisik regulerMetode : Studi ini merupakan studi observasional potong lintang. Remodelling otot jantung pasukan khusus TNI Angkatan Udara yang menjalani latihan fisik Para Komando dibandingkan dengan anggota militer yang menjalanin latihan fisik reguler. Parameter remodelling otot jantung yang dinilai antara lain Left Ventricular Mass Index (LVMI), fungsi ventrikel kiri (Left Ventricular Ejection Fraction/LVEF Biplane dan Global Longitudinal Strain/GLS), dan Myocardial Work (Global Constructive Work, Global Waste Work, Global Work Index, Global Work Efficiency).Hasil : Terdapat 43 orang pasukan khusus yang menjalani latihan fisik Para Komando dan 43 orang anggota militer yang menjalani latihan fisik reguler. Kelompok pasukan khusus yang menjalani latihan fisik Para Komando memiliki usia yang lebih tua dibandingkan dengan anggota militer yang menjalani latihan fisik reguler, 27 (23-30) vs 20 (20-26) tahun p < 0.001. Setelah dilakukan analisis multivariat dengan memperhitungkan faktor usia, pada kelompok latihan fisik para komando dibandingkan dengan latihan fisik reguler didapatkan hasil LVMI 79,67 ± 18,5 vs 79,64 ± 13,1 g/m2, p = 0.993; LV GLS -21 (-16 s.d -25) vs -19 (-15 s.d -22)%, p = 0.003; LV GWI 1843,8 ± 239,7 vs 1800,5 ± 258,6 mmHg%, p = 0.464; LV GCW 2140,4 ± 257,4 vs 2111,1 ± 273,8 mmHg%, p = 0.619; LV GWW 41 (12-152) vs 52 (18-117) mmHg%, p = 0.009; LV GWE 97 (94-99) vs 97 (93-99)%, p = 0.002.

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.Background: Cardiac muscle remodelling related to physical exercise is a physiological adaptation mechanism as a respons to cardiac load. Type, characteristic, intensity, and duration of exercise determine the magnitude of the cardiac load and affect the pattern and rate of remodelling of the heart muscle. Different remodelling patterns were found between soldiers and athletes or ordinary people. In soldiers, the intensity of physical exercise is heavier than that the athletes or ordinary people, with a longer cumulative duration, greater volume and pressure load. In addition, soldiers also faced with high psychological stressors, as well as different recovery times after training compared with athletes and ordinary people

Objective: To observe the effect of the Commandos' physical training on the occurrence of physiological or pathological left ventricular remodelling in Airforce Elite Soldiers compared to regular physical exercise.

Methods: This study is a cross sectional observational study. Cardiac remodelling of elite soldiers who underwent Commandos’ physical training compared to regular troops who underwent regular training. The heart muscle remodelling parameters being assessed include Left ventricular Mass Index (LVMI), Left Ventricular Ejection Fraction/LVEF Biplane, Global Longitudinal Strain/GLS, and Myocardial Work (Global Constructive Work, Global Waste Work, Global Work Index, Global Work Efficiency).

Results: There were 43 elite soldiers who underwent Commandos’ physical training and 43 regular troops who underwent regular training. The elite soldiers group had an older age compared with regular troops, 27 (23-30) vs 20 (20-26) years p < 0.001. After doing a multivariate analysis taking into account the age factor, in the group of Commandos' physical training compared to regular physical exercise, the LVMI results are 79,67 ± 18,5 vs 79,64 ± 13,1 g/m2, p = 0.993; LV GLS -21 (-16 s.d -25) vs -19 (-15 s.d -22)%, p = 0.003; LV GWI 1843,8 ± 239,7 vs 1800,5 ± 258,6 mmHg%, p = 0.464; LV GCW 2140,4 ± 257,4 vs 2111,1 ± 273,8 mmHg%, p = 0.619; LV GWW 41 (12-152) vs 52 (18-117) mmHg%, p = 0.009; LV GWE 97 (94-99) vs 97 (93-99)%, p = 0.002.

Conclusions: The Commandos' physical training is associated with better echocardiographyc result compared to regular physical exercise, indicated by higher LVEF, LV GLS, GWE, and lower GWW value"