Date post: | 07-Jul-2018 |
Category: | Documents |
View: | 227 times |
Download: | 0 times |
8/18/2019 Prof Djoko plenary.pdf
1/23
8/18/2019 Prof Djoko plenary.pdf
2/23
I was born …
July 25th 1949
Semarang, Central Java, Indonesia
8/18/2019 Prof Djoko plenary.pdf
3/23
I am basically …
A Cardiologist
8/18/2019 Prof Djoko plenary.pdf
4/23
8/18/2019 Prof Djoko plenary.pdf
5/23
Studied in …
Faculty of Medicine, Airlangga University
Surabaya, East Java, Indonesia
8/18/2019 Prof Djoko plenary.pdf
6/23
…..
IRM Fellow in Cardiology
Philippine Heart Center for Asia, Manila
PhD in Health Science
Airlangga University, Surabaya
8/18/2019 Prof Djoko plenary.pdf
7/23
Resident of Cardiology and Vascular Medicine, Faculty of Medicine,
Airlangga University, Surabaya, Indonesia(1976 – 1980)
Head of Cardiology & Vascular Medicine Outpatient Clinic, Dr. Soetomo General Hospital - Airlangga University, Surabaya, Indonesia
(1981 – present)
Head of Exercise Stress Test Division of Dr. Soetomo General Hospital - Airlangga University, Surabaya, Indonesia
(1983 – present)
Staff of Cardiology & Vascular Medicine Department, Faculty of
Medicine, Airlangga University, Surabaya, Indonesia (1976 – present)
Members of Surabaya Heart Center, Dr. Soetomo General Hospital – Airlangga University, Surabaya, Indonesia
(1979 – present)
8/18/2019 Prof Djoko plenary.pdf
8/23
Member of
Indonesian Medical Association
The Indonesian Society of Internal Medicine
Indonesian Heart Association
Asia Pacific Society of Cardiology
Asean Federation of Cardiology
8/18/2019 Prof Djoko plenary.pdf
9/23
Scientific Publication & Research
…
Writer
145 Papers
• Co-Writer – 100 Papers
8/18/2019 Prof Djoko plenary.pdf
10/23
Nice to meet you …
Let’s begin …
8/18/2019 Prof Djoko plenary.pdf
11/23
Prof.DR.dr.Djoko Soemantri,SpJP, (K) FIHA,FASCCFaculty of Medicine, Airlangga University / Dr. Soetomo General Hospital
Surabaya Indonesia
8/18/2019 Prof Djoko plenary.pdf
12/23
Rationalist
Empirist Pragmatist
8/18/2019 Prof Djoko plenary.pdf
13/23
The JNC 7 Key Messages 1. In persons > 50 years SBP of > 140 mmHg is a much
more important CVD risk factor than DBP. 2. CVD risk, beginning at 115/75 mmHg, doubles with 20/10 mmHg. Normotensive at 55 years have 90% risk for HPN.
3. SBP of 120-139 mmHg or DBP of 80-89mmHg require life style modifications to prevent CVD.
4. Thiazides should be used, either alone or in combina- tion.
5. Goad BP < 140/90 mmHg, < 130/80 mmHg for DM or
chronic Kidney disease. 6. Initiating Tx with 2 agents should be considered
7. The responsible physician’s judgement remains para- mount.
8/18/2019 Prof Djoko plenary.pdf
14/23
Preface
“… if a man declares to you that he has found
facts that he has observed and confirmed
with his own experience, be cauotius in
accepting what he says. Rather , investigate and weigh this opinion or hypothesis
according to requirements of pure logic,
without paying attention to this contention
that affirms empirically.” ( Moses Maimonides, 1195 )
8/18/2019 Prof Djoko plenary.pdf
15/23
How to make an appropriate decision?
External Evidence
Clinical
Expertise
Cardiovascular
Pathophysiology
8/18/2019 Prof Djoko plenary.pdf
16/23
8/18/2019 Prof Djoko plenary.pdf
17/23
And What Is Not?
External clinical Evidence can inform but
can never replace, individual clinical
expertise
EB cardiology is not restricted to randomized clinical trials and meta-analyses
8/18/2019 Prof Djoko plenary.pdf
18/23
The Practice of Evidence Based
Cardiology
Individual
clinical
expertise
Best Available External
Clinical
Evidence
8/18/2019 Prof Djoko plenary.pdf
19/23
User’s guides
“ Are The Study Results Valid ?”
“What are the study result ?”
“ How will the study results help me care for my patients ?”
8/18/2019 Prof Djoko plenary.pdf
20/23
Good Doctors Use both Individual Clinical Expertise and The Best
Available External Evidence, and
Neither Alone is Enough
Allan ritchnic, David Sacket, salim Yusuf.
Evidence Based Cardiology, 1999.
8/18/2019 Prof Djoko plenary.pdf
21/23
Excelent External Evidence May Be
Inapplicable To or Inappropiate for
an Individual Patient
Allan ritchnic, David Sacket, salim Yusuf.
Evidence Based Cardiology, 1999.
8/18/2019 Prof Djoko plenary.pdf
22/23
How to Manage
the Patient
Institution : Physician : Patient :
1. Evident Base 1. Way of Thinking 1. Individual
2. Guideline 2. Rationale 2. Wholistic
Proper Treatment
8/18/2019 Prof Djoko plenary.pdf
23/23
Thank You
of 23