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"A concise summary of the most important medical and scientific topics concerning cardiovascular medicine in the primary care environment, this new edition of Cardiology in family practice has been updated with cutting-edge information and useful tips. Written in an easy-to-read format (background, diagnosis and disease management) and emphasizing practical techniques for evaluation and treatment, the authors explain the basic mechanisms underlying cardiovascular disease states and the treatment strategies that arise from them. Topics include stable angina, acute coronary syndromes, arrythmias, hypertension, pericardial and valvular diseases, and hyperlipidemia. New figures have been added to each chapter in this edition. "

"In this book we thought of a different approach, mainly aimed at reaching the majority of professionals in cardiology. With this book we want to address chiefly young cardiologists, cardiology residents in training, general practi- tioners, and cardiologists that wish to maintain and improve their clinical mission. Each chapter is devoted to a specific topic of cardiac diseases and is constructed starting from a clinical case, that is thoroughly discussed, then the description of the current referred knowledge and the guidelines in use."

"Studi dilakukan pada 20 pasien intervensi jantung: 12 coronary angiography (CA) dan 8 percutaneous transluminal coronary angioplasty (PTCA). Dosis permukaan diukur menggunakan DAP (dose-area product) dan gafChromic XR-RV3 yang ditempelkan pada permukaan kulit. Distribusi dosis permukaan dapat digambarkan pada film gafChromic. Selain itu, diukur pula dosis hambur pada tiroid, gonad dan mata. Citra dianalisis menggunakan algoritma In-house pada channel merah RGB standar. Korelasi antara dosis maksimum permukaan (MESD) dan DAP untuk kedua prosedur diinvestigasi. Ditemukan korelasi cukup signifikan (R2 = 0.86) antara DAP and MESD (R2 = 0.96 for CA and R2 = 0.82 for PTCA) sehingga pengukuran DAP tidak bisa dijadikan satu-satunya indicator untuk merepresentasikan dosis kulit pasien.Hasil pengukuran film gafChromic menunjukkan bahwa dosis radiasi kulit pada prosedur PTCA lebih besar dibanding CA.Korelasi yang rendah antara MESD dan waktu fluoroskopi total (R2 = 0.44 dengan R2 = 0.26 untuk CA dan R2 = 0.29 untuk PTCA). Untuk dosis hamburan balik pada organ kritis, tiroid mendapat dosis tertinggi (1.45 cGy) diikuti oleh gonad (1.05 cGy) dan mata (0.61 cGy).

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Twenty patients cardiac intervention procedures were studied : 12 coronary angiography (CA) dan 8 percutaneous transluminal coronary angioplasty (PTCA). The entrance skin dose were measure using DAP (dose-area product) and gafChromic XR-RV3 radiochromic film attached to the skin. gafChromic film measurement will be obtain the skin dose distribution on the back area of the coronary area. In addition, we also measure scattered dose on the tiroid, gonad and eyes. Image analysis was performed using red channel component of standart RGB (red, green and blue) color space image. The correlation between maximum entrance surface dose and dose area product for two interventional procedures was investigated. We found a significant correlation R2 = 0.86 of DAP (dose-area product) and MESD (R2 = 0.96 for CA and R2 = 0.82 for PTCA) so that DAP measurement cannot only be the one indicator to represent patient skin dose.The gafChromic film results that the radiation dose to the skin for PTCA procedure greater than CA. In this study, we found a poor correlation of maximum entrance surface dose and total fluoroscopy time (R2 = 0.44 which were R2 = 0.26 for CA and R2 = 0.29 for PTCA). The result of gafChromic measurement shows that entrance surface dose for PTCA procedure greater than CA. For backscattering entrance dose, thyroid get the highest dose (1.45 cGy) followed by gonadal (1.05 cGy) and eyes (0.61 cGy)."

"Tujuan: menilai prevalensi katarak terinduksi radiasi, serta menghubungkannya dengan dosis paparan radiasi dan penggunaan perlengkapan proteksi radiasi.Metode: Studi potong lintang dan studi kasus-kontrol. Seratus delapan puluh subyekberpartisipasi dalam penelitian. Prevalensi katarak terinduksi radiasi dinilai menggunakan analisis Scheimpflug pada alat Pentacam® Oculus. Dosis paparan radiasi kumulatif dan penggunaan perlengkapan proteksi radiasi pada subyek diidentifikasi melalui kuesioner dan personal dosimeter"

"Tujuan: menilai prevalensi katarak terinduksi radiasi, serta menghubungkannyadengan dosis paparan radiasi dan penggunaan perlengkapan proteksi radiasi.Metode: Studi potong lintang dan studi kasus-kontrol. Seratus delapan puluh subyekberpartisipasi dalam penelitian. Prevalensi katarak terinduksi radiasi dinilaimenggunakan analisis Scheimpflug pada alat Pentacam®-Oculus. Dosis paparanradiasi kumulatif dan penggunaan perlengkapan proteksi radiasi pada subyekdiidentifikasi melalui kuesioner dan personal dosimeter.Hasil: Prevalensi katarak terinduksi radiasi sebanyak 16.7%. Median dosis radiasikumulatif berdasarkan kuesioner menunjukkan median 0,8 (0.1- 35.6) Gy. Hubungankorelasi positif didapatkan antara dosis radiasi kumulatif dengan densitas lensa (RSpearman= 0.64). Sebanyak 83.9% subyek menggunakan tabir pada 71-100% masakerjanya, tetapi mayoritas subyek penelitian (40.6%), tidak menggunakan kacamatapelindung. Peningkatan risiko katarak terinduksi radiasi meningkat secara bermaknaseiring dengan kepatuhan penggunaan proteksi radiasi yang kurang. Subyek denganproteksi tabir radiasi 31-50% dari masa kerjanya meningkatkan risiko katarak 10.80kali lipat (IK 95% 1.05-111.49, p=0.044). Sementara itu, kelompok proteksi tabirradiasi 51-70% meningkatkan risiko katarak 8.64 kali lipat (p=0.001). Subyek yangtidak memakai kacamata pelindung memiliki OR 164.3 (IK 95% 19.81-1363)dibandingkan dengan kelompok pengguna kacamata pelindung.Kesimpulan: Katarak terinduksi radiasi pada pekerja radiasi bidang kardiologiintervensi tergantung pada dosis paparan radiasi dan penggunaan proteksi radiasi.Oleh karena itu, kepatuhan pekerja radiasi perlu ditingkatkan sesuai ketentuanproteksi radiasi.

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Objectives: to determine the prevalence of radiation-induced cataract and correlatewith radiation exposure dose and radiation protection use among radiation workers ofinterventional cardiology.Methods: A cross-sectional and retrospective case-control study. One hundred andeighty subjects were included. Prevalence of radiation-induced cataract was assessedusing Scheimpflug analysis on the Pentacam®-Oculus. Individual cumulativeradiation exposure dose and radiation protection use of subjects were identified fromquestionnaire and personal dosimeter.Results: The prevalence of radiation-induced cataract was 16.7%. Median cumulativeradiation dose was 0.8 (0.1-35.6) Gy. A positive correlation was found betweencumulative radiation dose and lens density (RSpearman=0.64). This study showed that83.9% of subjects used ceiling-suspended shield in 71-100% of their working period,however the majority of subjects (40.6%) did not wear protective eyewear.Statistically significant increasing risk of cataract was found along with unresponsiveuse of radiation protection. The subjects using ceiling-suspended shield in 31-50% oftheir working period were increasing their cataract risk by 10.80 times (95% CI 1.05-111.49, p=0.044). Meanwhile, the subjects using protective eyewear in 51-70% oftheir working period were increasing their cataract risk by 8.64 times (p=0.001).Subjects who did not wear protective eyewear had an OR 164.3 (95% CI 19.81-1363)compared to those who wore protective eyewear.Conclusion: Radiation-induced cataract among radiation workers of interventionalcardiology was depend on radiation exposure dose and radiation protection.Therefore, the compliance of radiation safety recommendation should be improved."