JOMBANG, KabarJombang.com – Coronary heart disease (CHD) is known as one of the highest causes of death in Indonesia.
According to the Institute of Health Metrics and Evaluation, CHD ranks 2nd after Stroke as the biggest contributor to death in Indonesia.
Meanwhile, the 2013 and 2018 Basic Health Research (Riskesdas) data show an increasing trend of heart disease, namely 0.5 percent in 2013 to 1.5 percent in 2018.
Now, sufferers are not limited to old men and women.
But also suffered from productive age around the age of 30 years.
CHD occurs when there is a blockage in the inner walls of the arteries by plaque formed by fat or cholesterol.
There are two procedures for treating coronary heart disease.
The first is the installation of stents or what is often known as the heart ring and the second is heart bypass surgery.
For too many blood vessel blockages, doctors do not recommend placing stents.
The doctor will suggest bypass surgery.
Stent placement is often chosen because it has the impression of being easier to live with.
However, there are people with complaints of heart disease who are reluctant to have stents inserted.
Chairman of PERKI DKI Jakarta (Perki Jaya) dr. Vireza Pratama, SpJP(K), FIHA, FAsCC , FSCAI, said there was no need to worry about stent placement.
Stent placement is not a major operation.
“We need to provide education to the community. Cardiac stenting is a minimally invasive operation. So the action is only through a small tube catheter system which access is through the hand vessels and leg vessels,” he said when met in Jakarta, some time ago.
He said, stenting is an act of opening coronary blood vessels that is very minimally invasive and carries a risk of bleeding.
“So it’s only injected and then a very small incision is made to insert a tube or catheter into the arm vein or it could also be the leg or thigh vein,” explained Dr. Vireza.
In addition, the risk of infection in the installation of stents is also very minimal. This makes recovery faster.
As technology develops, handling coronary heart disease also becomes easier. For example the use of intravascular ultrasound or IVUS.
This technology is able to see the size, length, degree, and type of blockage more accurately.
The goal is that patients get the best service during treatment.
“The IVUS action really helps the operator to determine the right technique, sizing the stent, making it more precise,” he said.
Doctor Vireza explained, if the installation is not optimal then it is very possible for the blockage to occur again.
“Finally, the financing for heart disease increases. The benefits of IVUS for the world of cardiac intervention are enormous,” he added.
Through the ULTIMATE clinical trial, PCI (Percutaneous Coronary Intervention) using IVUS has been shown to reduce the re-closure rate compared to PCI which is performed only by angiography. ULTIMATE is a randomized clinical trial comparing the use of IVUS and angiography in 1,448 patients undergoing PCI in 2018.
IVUS technology has even become a guide for heart care issued by professional organizations such as PERKI (Indonesian Association of Cardiovascular Doctors) and PIKI (Indonesian Association of Cardiovascular Interventions).
“The previous installation technique was also safe. But now that IVUS has made it safer and more effective,” he added.
He also reminded that after stent placement, patients are strongly advised to maintain a healthy lifestyle, including continuing to take the drugs given and controlling the risk factors for the appearance of blockages.