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"Objektif: Penelitian ini bertujuan untuk mengetahui karakteristik subjek penelitian dan pengaruh latihan aerobik selama delapan minggu terhadap perbaikan kualitas hidup menggunakan kuesioner Minnesota Living with Heart Failure (MLHF). Metode: Penelitian ini adalah studi pre dan post latihan aerobik pada pasien gagal jantung kronik stabil. Subjek penelitian melakukan latihan berjalan tiga kali seminggu dengan intensitas sesuai Rating of Perceived Exertion 12-13, durasi latihan dimulai selama 10 menit dengan penambahan jarak 100-200 meter per sesi latihan berdasarkan toleransi subjek selama delapan minggu dan penilaian kualitas hidup menggunakan kuesioner Minnesota Living with Heart Failure dan uji jalan enam menit sebelum dan sesudah latihan aerobik selama delapan minggu. Hasil: Jumlah subjek penelitian sebesar 20 subjek (15 laki-laki dan 5 perempuan). Subjek penelitian didominasi oleh lanjut usia (10 orang), sudah menikah (16 orang), riwayat pendidikan DIII/S1 (10 orang), status bekerja (11 orang), obesitas tingkat I (7 orang), kelas fungsional NYHA II (19 orang), kondisi penyerta berupa hipertensi (16 orang) dan gaya hidup sedenter (18 orang). Perbandingan skor kuesioner MLHF sebelum dan sesudah latihan aerobik mengalami perbaikan bermakna secara statistik (p < 0.001), dimana skor domain fisik dan domain emosional mengalami perbaikan yang bermakna secara statistik (p < 0,001). Perbandingan delta domain fisik dengan delta domain emosional didapatkan bermakna secara statistik (p < 0,001). Perbandingan uji jalan enam menit sebelum dan sesudah latihan aerobik bermakna secara statistik (p< 0,001). Didapatkan hubungan bermakna secara statistik antara usia (p= 0,009) dan status pernikahan (p= 0,037) terhadap skor MLHF. Kesimpulan: Terdapat perbaikan kualitas hidup pada gagal jantung kronik stabil setelah latihan aerobik fase II selama delapan minggu. Terdapat hubungan pada usia dan status pernikahan terhadap skor MLHF.

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Objective: This study aims to determine the characteristics of study subjects and the impact of aerobic exercise over eight weeks on the improvement of quality of life using the Minnesota Living with Heart Failure (MLHF) questionnaire. Method: This is a pre and post-aerobic exercise study on stable chronic heart failure patients. Study subjects engaged in walking exercises three times a week with an intensity based on the Rating of Perceived Exertion of 12-13. Exercise duration started at 10 minutes with an addition of 100-200 meters per exercise session based on the subject's tolerance over eight weeks. Assessment of quality of life was conducted using the Minnesota Living with Heart Failure questionnaire and six-minute walking test before and after aerobic exercise for eight weeks. Result: The total number of study subjects was 20 (15 males and 5 females). Study subjects were predominantly elderly (10 individuals), married (16 individuals), with a Diploma/Bachelor education background (10 individuals), employed (11 individuals), categorized as class I obesity (7 individuals), NYHA functional class II (19 individuals), having hypertension comorbidity (16 individuals), and leading a sedentary lifestyle (18 individuals). Comparison of MLHF questionnaire scores before and after aerobic exercise showed a statistically significant improvement (p < 0.001), with significant improvements in both physical and emotional domains (p < 0.001). Comparison of the delta in the physical domain and the emotional domain was also statistically significant (p < 0.001). Comparison of the six-minute walking test before and after aerobic exercise was statistically significant (p < 0.001). There was a statistically significant association between age (p= 0.009) and marital status (p= 0.037) with MLHF scores. Conclusion: There was an improvement of quality of life in stable chronic heart failure patients after aerobic exercise in phase II for eight weeks. There was a significant association between age and marital status with MLHF scores."

"ABSTRAK Tujuan: mendapatkan kuesioner Minnesota Living with Heart Failure MLHFQ versi bahasa Indonesia yang sahih dan handal untuk digunakan di Indonesia. Metode: studi ini merupakan studi potong lintang dengan 85 subyek rerata usia 58 11, pria 55 pasien gagal jantung kronik di poli kardiologi Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo Jakarta. Kesahihan diuji dengan menilai kesahihan konstuksi multitrait multimethod analysis dan kesahian eksternal dengan membandingkan dengan kuesioner SF-36. Keandalan dinilai dengan menggunakan cronbach ?, dan intraclass coefficient correlation ICC . Hasil: MLHFQ bahasa Indonesia memiliki korelasi sedang-kuat antara domain dan item pertanyaan r 0,571-0,748, ABSTRACT Aim to obtain a valid and reliable Indonesian version of MLHFQ for Indonesian application. Methods This cross sectional study enroled 85 patients mean age 58 11, male 55 with chronic heart failure of of cardiology clinic Ciptomangunkusumo Central Hospital Jakarta. Validity of MLHFQ was evaluated by measuring construct validity using multitrait multimethod analysis and by compairing MLHFQ with SF 36. Reliability of MLHFQ was evaluated by calculating Intraclass Correlation Coefficient ICC and by calculating cronbach to determine internal consistency Results Indonesian version of MLHFQ has moderated strong correlation item to domain correlation r 0,571 0,748, p"

"Background: Minnesota Living with Heart Failure Questionnaire (MLHFQ) is the most commonly used questionnaire and it has a good EMPRO (Evaluating the Measurement of Patient-Reported Outcomes) score. The MLHFQ has been adapted and used by various countries worldwide. However, to be utilized in Indonesia, it needs validity and reliability studies. This study aimed to obtain a valid and reliable Indonesian version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ) so that it can be used in Indonesia.Methods: the present study was a cross sectional study with 85 subjects (mean age 58 (SD 11) years; 55% subjects were male) who had chronic heart failure and was treated at the outpatient clinic of cardiology in Dr. Cipto Mangunkusumo Hospital, Jakarta. Validity of the MLHFQ was assessed by evaluating the construct validity using multitrait-multimethod analysis and external validity was evaluated by compairing the MLHFQ with the SF-36 questionnaire. Reliability was assessed using Cronbachs and intraclass correlation coefficients (ICC).Results: the Indonesian version of the MLHFQ had moderate-to-strong correlation between domains and items in questionnaire (r: 0.571-0.748; p<0.01) and it had moderate negative correlation with SF-36 questionnaire (r -0.595; p<0.001). The Cronbach α of Indonesian version of MLHFQ was 0.887; while the ICCs was 0.918.Conclusion: the Indonesian version of MLHFQ has good validity and reliability to asses the quality of life of patients with chronic heart failure in Indonesia.

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Latar belakang: Minnesota Living with Heart Failure Questionnaire (MLHFQ) adalah kuesioner yang paling umum digunakan dan memiliki skor EMPRO (Mengevaluasi Pengukuran Hasil Pasien) yang baik. MLHFQ telah diadaptasi dan digunakan oleh berbagai negara di seluruh dunia; Namun, untuk digunakan di Indonesia, diperlukan studi validitas dan reliabilitas. Penelitian ini bertujuan untuk mendapatkan Kuisioner Gagal Jantung Jantung (MLHFQ) versi Indonesia yang valid dan andal sehingga dapat digunakan di Indonesia.

Metode: penelitian ini adalah penelitian cross sectional dengan 85 subjek (usia rerata 58 (SB 11) tahun; 55% subjek adalah laki-laki) yang mengalami gagal jantung kronis dan dirawat di klinik rawat jalan kardiologi di Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta. Validitas MLHFQ dinilai dengan mengevaluasi validitas konstruk menggunakan analisis multitrait-multimethod dan validitas eksternal dievaluasi dengan membandingkan MLHFQ dengan kuesioner SF-36. Keandalan dinilai menggunakan Cronbach’s α dan koefisien korelasi intraclass (ICC).

Hasil: versi bahasa Indonesia dari MLHFQ memiliki korelasi sedang hingga kuat antara domain dan item dalam kuesioner (r: 0,571-0,748; p<0,01) dan memiliki korelasi negatif sedang dengan kuesioner SF-36 (r -0,595; p<0,001). Cronbach α dari MLHFQ versi Indonesia adalah 0,887; sedangkan ICCs adalah 0,918.

Kesimpulan: MLHFQ versi Indonesia memiliki validitas dan reliabilitas yang baik untuk menilai kualitas hidup pasien dengan gagal jantung kronis di Indonesia."

"Penelitian ini bertujuan membuktikan korelasi antara mobilitas dan kualitas hidup pada pasien gagal jantung kronik stabil. Penelitian potong lintang ini dilakukan menggunakan instrumen Timed Up and Go Test dan SF 36 pada 50 subyek gagal jantung kronik yang menjalani rawat jalan. Hasil penelitian ini adalah nilai korelasi antara waktu tempuh Timed Up and Go Test dan nilai total SF 36 serta subskalanya. Penelitian ini mendapatkan rerata waktu tempuh Timed Up and Go Test adalah 10,68 detik dan rerata nilai total SF 36 66 (+16,49). Pada masing masing subskala SF 36 didapatkan nilai tengah pada skala fungsi fisik adalah 77,5 (15-100), skala nyeri 67,5 (22-100), skala kesehatan umum 70 (40-90), skala kesehatan jiwa 84 (40-96), skala peranan fisik 0 (0-100), skala peranan emosional 100 (0-100), skala energi 67,5 (20-90), dan skala fungsi sosial 87,5 (37,5-100). Pada skor total terdapat korelasi negatif rendah ( r = -0.280 ) dengan tingkat mobilitas. Pada skala SF 36, mobilitas memiliki korelasi negatif dengan skala fungsi fisik ( r = -0.464 ) dan energi ( r = -339 ). Temuan ini menunjukkan bahwa semakin singkat waktu tempuh TUGT, semakin baik kualitas hidup, terutama fungsi fisik dan energi pada subyek. Pada skala lain, tidak didapatkan korelasi bermakna.

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This study aims to prove a correlation between mobility and quality of life in patients with stable chronic heart failure. This cross-sectional study was conducted using the Timed Up and Go Test and SF 36 instruments on 50 subjects with chronic heart failure. The results of this study were correlation values ​​between the travel time of Timed Up and Go Test and the total value of SF 36 and their subscale. This study found that the average travel time of the Timed Up and Go Test was 10.68 seconds and the mean total value of SF 36 is 66 (+16.49). In each SF 36 subscale, the median score on the scale of physical function was 77.5 (15-100), pain scale 67.5 (22-100), general health scale 70 (40-90), mental health scale 84 (40 -96), physical role scale 0 (0-100), emotional role scale 100 (0-100), energy scale 67.5 (20-90), and social function scale 87.5 (37,5-100). In the total score there is a low negative correlation (r = -0.280) with the level of mobility. Mobility has a moderate negative correlation with physical function scale (r = -0.464) and energy (r = -339). This finding shows that the shorter the TUGT travel time, the better the quality of life, especially physical and energy functions in the subject. On other scales, no significant correlation was found."

"Latar Belakang : Pasien gagal jantung mengalami penurunan kapasitas fungsional akibat timbulnya sesak dan kelelahan saat aktifitas. Kondisi ini juga memberikan dampak psikologis berupa depresi dan kecemasan. Masalah fisik dan mental tersebut dapat menurunkan kualitas hidup. Short Form-36 merupakan instrumen yang dapat digunakan untuk menilai kualitas hidup dari aspek fisik dan mental dan bersifat generik. Tujuan: Mengetahui hubungan kapasitas fungsional melalui uji jalan 6 menit dengan kualitas hidup yang dinilai dengan SF-36. Metode : Responden penelitian adalah pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III. Setiap responden dianamnesis,dan dilakukan pemeriksaan fisik, kemudian mengisi kuesioner SF-36. Untuk menilai kapasitas fungsional, responden melakukan uji jalan 6 menit pada lintasan sepanjang 30 m. Hasil : Responden pada penelitian ini berjumlah 36 orang. Nilai tengah jarak tempuh pasien gagal jantung klasifikasi NYHA fungsional kelas II dan III masing-masing 333.65m, dan 123.72 m. Jarak tempuh uji jalan 6 menit memiliki hubungan dengan kualitas hidup yang dinilai dengan SF-36 pada domain Fungsi Fisik (r=0.527), Peran Fisik (r=0.459) dan Peran Emosi (r = 0.35). Kesimpulan : Terdapat korelasi sedang antara kapasitas fungsional pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III dengan kualitas hidup pada domain Fungsi Fisik, Peran Fisik dan Peran Emosi.

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Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.

Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36.

Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.

Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35).

Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional."

"Tesis ini disusun untuk menilai pengaruh latihan erobik intensitas sedang selama 8 minggu terhadap kapasitas fungsional pasien gagal jantung kronis stabil dengan metode evidence based case report (EBCR). Metode penelitian EBCR adalah metode pelaporan sebuah masalah klinis dengan pendekatan berbasis bukti. Pencarian literatur dilakukan pada pusat data Cochrane, Pubmed, Scopus dan Science Direct sesuai dengan pertanyaan klinis. Seleksi judul dan abstrak berdasarkan kriteria inklusi dan eksklusi, penyaringan ganda dan pembacaan jurnal secara menyeluruh menghasilkan satu buah artikel yang sesuai. Analisis dilakukan pada jurnal tersebut dengan menilai kualitasnya berdasarkan validitas, kepentingan dan aplikabilitasnya. Hasil analisis menyatakan bahwa latihan aerobik intensitas sedang pada pasien gagal jantung kronis stabil selama 8 minggu dapat meningkatkan kapasitas fungsional pasien sebesar 2% ambilan oksigen puncak (VO2Peak) dan 6% jarak uji jalan 6 menit (6mwt). Hal ini lebih rendah dibanding dengan latihan erobik intensitas tinggi secara interval selama 8 minggu yaitu 27% untuk VO2Peak dan 12% untuk jarak 6mwt. Hasil analisis subgroup didapatkan bahwa latihan erobik intensitas sedang selama 8 minggu dapat menurunkan skala kecemasan dan depresi yang dinilai menggunakan hospital anxiety and depression scale (HADS).Kesimpulan penelitian ini adalah latihan erobik intensitas sedang selama 8 minggu belum dapat meningkatkan kapasitas fungsional pasien gagal jantung kronis stabil secara signifikan.

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This thesis was designed to assess the effect of moderate-intensity aerobic exercise for 8 weeks on the functional capacity of stable chronic heart failure patients using the evidence-based case report (EBCR) method. The EBCR research method is a method of reporting a clinical problem with an evidence-based approach. Literature searches were performed in the Cochrane, Pubmed, Scopus and Science Direct database based on clinical questions. Selection of titles and abstracts based on inclusion and exclusion criteria, multiple screening and thorough reading of the journal resulted in one suitable article. The analysis was carried out on the journal by assessing its quality based on its validity, importance and applicability. The results of the analysis stated that moderate-intensity aerobic exercise in patients with stable chronic heart failure for 8 weeks could increase the patient's functional capacity by 2% peak oxygen uptake (VO2Peak) and 6% walking distance of 6 minutes (6mwt). This is lower than high-intensity interval exercise at intervals for 8 weeks, namely 27% for VO2Peak and 12% for a distance of 6mwt. The results of the subgroup analysis found that moderate intensity aerobic exercise for 8 weeks can reduce anxiety and depression scales assessed using the hospital anxiety and depression scale (HADS). The conclusion of this study is that moderate intensity aerobic exercise for 8 weeks has not been able to significantly increase the functional capacity of stable chronic heart failure patients."

"ABSTRAKPengaruh Deep Breathing Exercise terhadap Kualitas Tidur Pasien Gagal Jantung Gangguan tidur merupakan salah satu gejala pada pasien gagal jantung. Tidur yang buruk berimplikasi negatif pada kesehatan psikologis, fisiologis, kualitas hidup, pasien gagal jantung. Deep breathing exercise menjadi intervensi keperawatan yang dapat memperbaiki kualitas tidur. Penelitian bertujuan untuk mengidentifikasi pengaruh deep breathing exercise terhadap kualitas tidur pasien gagal jantung. Rancangan penelitian menggunakan quasy experiment pre-post with control group. Besar sampel sebanyak 34 subjek sebagai kelompok kontrol dan perlakuan. Terdapat perubahan yang signifikan pada kelompok perlakuan sebelum dan sesudah intervensi p=0,001 , dan tidak ada perubahan yang signifikan antara kelompok kontrol dan perlakuan setelah intervensi. Walaupun demikian terjadi perubahan nilai kualitas tidur yang lebih baik pada kelompok intervensi, sehingga teknik deep breathing exercise ini dapat diberikan pada pasien gagal jantung. Kata kunci: deep breathing exercise, gagal jantung, kualitas tidur.

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ABSTRACTThe Effect of Deep Breathing Exercise for Sleep Quality in Heart Failure Patient THE EFFECT OF DEEP BREATHING EXERCISE FOR SLEEP QUALITY IN HEART FAILURE PATIENT Sleep disorder is one of the symptom among heart failure patients. The Poor sleep quality has negative impact for the psychological, physiological, quality of life in heart failure patients. Deep breathing exercise is a nursing intervention to improve sleep quality. This study aim to identify the effect of deep breathing exercise among heart failure patients. This study used quasy experiment pre post test with control group design. This study recruited 34 subjects as control and treatment group. The result of the study showed that quality of sleep was improved significantly after deep breathing exercise was implemented in treatment group p 0,001 , but there was no significant difference between control and treatment group after deep breathing exercise. However deep breathing exercise is recommended as nursing intervention to improve the quality of sleep among heart failure patient because the change of sleep quality in treatment group is better than control group Keywords deep breathing exercise, heart failure, quality of sleep"

"Penurunan toleransi latihan dan sesak nafas merupakan manifestasi klinis utama gagal jantung. Kondisi ini menyebabkan pasien tidak dapat melakukan aktivitas sehari-hari yang berakibat pada penurunan kapasitas fungsional dan kualitas hidup. Tujuan dari penelitian ini adalah mengidentifikasi dampak HBET terhadap kapasitas fungsional dan kualitas hidup pasien gagal jantung. Desain penelitian ini adalah quasi experiment, pre-post with control group. Teknik sampling yang digunakan purposive sampling, didapatkan 23 responden yang terbagi menjadi 11 responden kelompok kontrol dan 12 responden kelompok intervensi. Pengumpulan data kapasitas fungsional dilakukan dengan 6MWT dan kualitas hidup menggunakan MLHFQ. Hasil pengukuran didapatkan perbedaan yang signifikan kapasitas fungsional dan kualitas hidup sebelum dan setelah perlakuan pada kedua kelompok. Hasil analisis kapasitas fungsional dan kualitas hidup setelah perlakuan antara kelompok kontrol dan intervensi tidak didapatkan perbedaan yang signifikan, walaupun kelompok intervensi mempunyai mean kapasitas fungsional dan kualitas hidup yang lebih baik. Berdasarkan hasil penelitian tersebut, HBET dapat digunakan sebagai modalitas keperawatan bagi pasien gagal jantung. HBET hendaknya dijadikan bagian integral dari management gagal jantung setelah keluar dari rumah sakit.

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A reduced exercise tolerance and shortness of breathing are the main clinical manifestations in patient with heart failure. These conditions cause patient's inability to do their daily activities and lead to reduce functional capacity and quality of life. The aim of this study was to identify the impact of the home based exercise training to functional capacity and quality of life of heart failure patient. It used quasy experimental study design pre-post with control group, recruited 23 respondents with purposive sampling technique. They were divided into two groups, 11 respondents as control group and 12 respondents as experimental group. Functional capacity was obtain through observation of six minute walk test, quality of life data were collected by Minessota Living with Heart Failure Questionaire.

The result showed that there was a significant difference of functional capacity and quality of life before and after intervention in both groups. Statistically, the result of functional capacity and quality of life data analysis after intervention showed that there wasn't significant difference in both groups, although the experimental group has a higher mean data of functional capacity and quality of life. Based on this study, HBET could be used as nursing modality for patient with heart failure. HBET should be integrated with heart failure management after discharging from hospital."

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Gagal jantung merupakan pandemik global yang menyebabkan tingginya biaya perawatan, angka mortalitas, dan tingkat rehospitalisasi. Perilaku self-care merupakan salah satu upaya untuk mengurangi permasalahan tersebut sekaligus memperbaiki kualitas hidup pasien gagal jantung. Penelitian ini bertujuan untuk mengetahui hubungan perilaku self-care terhadap kualitas hidup pasien gagal jantung. Penelitian ini menggunakan desain deskriptif-korelasional dengan pendekatan cross-sectional pada 103 responden dengan teknik pengambilan sampel purposive sampling. Perilaku self-care diukur menggunakan tiga skala dimensi yang terdiri dari self-care maintenance, self-care management, dan self-care confidence dengan Self-care Heart Failure Index versi 6.2 dan kualitas hidup diukur dengan The Minnesota Living with Heart Failure Questionnaire. Data dianalisis dengan korelasi Pearson dan korelasi Spearman-rho. Hasil penelitian ini menemukan bahwa terdapat hubungan signifikan self-care maintenance (r=0,305, p=0,001), self-care management (r=0,330, p=0,001), dan self-care confidence (r=0,335, p=0,001) terhadap kualitas hidup. Mayoritas responden memiliki dari self-care maintenance, self-care management, dan self-care confidence yang tidak adekuat (skor < 70) serta kualitas hidup dengan rerata skor 72,07 dari 105 yang tergolong buruk. Penelitian ini dapat dijadikan sebagai sumber informasi untuk mendorong promosi kesehatan terkait perilaku self-care pada pasien gagal jantung sehingga dapat meningkatkan kualitas hidupnya.

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Heart failure is a global pandemic disease which resulting in the high percentage of treatment cost, mortality, and readmission rate. Self-care behaviors as one of treatment that can overcome those problems and it can affect the quality of life. The objective of this study was to describe the relationship between self-care behaviors and quality of life among heart failure patients. This study used correlational-descriptive design with cross-sectional study approach towards 103 participants using purposive sampling method. Self-care was measured using Self-care Heart Failure Index version 6.2 and quality of life was measured using The Minnesota Living with Heart Failure. Pearson correlations and Spearman-rho correlations were used in data analysis. There was significant relationship between self-care maintenance (r=0,305, p=0,001), self-care management (r=0,330, p=0,001), and self-care confidence (r=0,335, p=0,001) towards quality of life. Most participants have inadequate among self-care maintenance, self-care management, and self-care confidence (score < 70) while the score of the quality of life is categorized as poor. This study can be used as a reference to promote self-care among patients with heart failure so, it can help to enhance their quality of life.

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"Gagal jantung adalah sindrom progresif yang menyebabkan kualitas hidup yang buruk bagi pasien. Insidensi dan prevalensi gagal jantung terus meningkat. Saat ini, banyak bukti menunjukkan bahwa gagal jantung kronis dikarakteristikkan oleh aktivitas kompensasi neurohormonal yang berlebihan, termasuk overaktivitas simpatis yang kemudian menjadi landasan terapi. Diperlukan penatalaksanaan yang holistik dan komprehensif meliputi modifikasi gaya hidup, diet, serta intervensi farmakologi. Beberapa penelitian klinis menunjukkan bahwa akupunktur memiliki efek terapeutik dan modulatoris pada kondisi yang menjadi faktor risiko gagal jantung. Salah satu modalitas akupunktur adalah elektroakupunktur yang dapat menurunkan aktivitas simpatis dan menghambat respon reflek simpatoeksistoris kardiovaskuler. Penelitian ini merupakan uji klinis double blind randomized controlled trial (RCT), yang melibatkan 42 orang pasien gagal jantung dengan kriteria NYHA II-III, EF <40% terbagi dalam kelompok medikamentosa dan elektroakupunktur, medikamentosa dan elektroakupunktur sham, dan medikamentosa tanpa elektroakupunktur. Terapi dilakukan sebanyak 16 sesi selama 8 minggu. Pengukuran dilakukan pada awal terapi, pertengahan terapi, dan akhir terapi. Hasil menunjukkan pemberian elektroakupunktur pada terapi utama medikamentosa pada pasien gagal jantung mampu meningkatkan fraksi ejeksi, mean arterial pressure, dan menurunkan LVEDP lebih cepat, mempertahankan stabilitas dari heart rate variability, serta meningkatkan kualitas hidup yang diukur menggunakan uji jalan 6 menit secara signifikan.

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Heart failure is a progressive syndrome that causes poor quality of life for patients. The incidence and prevalence of heart failure continues to increase. At present, much evidence shows that chronic heart failure is characterized by excessive neurohormonal compensatory activity, including sympathetic overactivity which later became the basis of therapy. Holistic and comprehensive management is needed including lifestyle modification, diet, and pharmacological interventions. Some clinical studies show that acupuncture has a therapeutic and modulator effect on conditions that are risk factors for heart failure. This study is a double blind clinical trial randomized controlled trial (RCT), involving 42 people with heart failure patients with NYHA II-III criteria, EF <40% divided into medical and electroacupuncture, medical and electroacupuncture sham, and medical without electroacupuncture groups. Therapy was done 16 sessions for 8 weeks. Measurements of the variables were carried out at the beginning of therapy, mid-therapy, and end of therapy. The results of showed that electroacupuncture in the top of guidlines medical therapy in heart failure patients were able to increase ejection fraction, mean arterial pressure, and to decrease LVEDP faster, maintain stability of heart rate variability, and improve quality of life measured using the 6 minute road test significantly."