Coronavirus disease 2019 (COVID-19) has emerged as a pandemic and public health crisis across the world. With its high infectivity and rapid spread, the severity of the disease is escalating in certain populations, especially in patients with pre-existing cardiovascular disease. In developing countries, infective endocarditis remains a problem in patients with rheumatic heart disease. We report the case of a patient with a diagnosis of infective endocarditis concomitant with COVID-19, including the diagnosis, management, and main outcomes.

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Although cardiovascular care has improved in the last decade in the low-and middleincome countries (LMICs) in South-East Asia Region; these countries, particularly Indonesia, are still encountering a number of challenges in providing standardized healthcare systems. This article aimed to highlight the current state of cardiology practices in primary and secondary care, including the novel cardiovascular risk factors, recommendations for improving the quality of care, and future directions of cardiovascular research in limited settings in South-East Asia. We also provided the most recent evidence by addressing our latest findings on cardiovascular research in Indonesia, a region where infrastructure, human, and financial resources are largely limited. Improving healthcare policies to reduce a nations' exposure to CVD risk factors, providing affordable and accessible cardiovascular care both at primary and secondary levels, and increasing capacity building for clinical research should be warranted in the LMICs in South-East Asia.

BackgroundPremature ventricular complex (PVC) is the etiology of cardiomyopathy known as PVC-induced cardiomyopathy. Various studies have shown certain characteristics that predispose to cardiomyopathy. Present study was the first community-based study conducted to determine the characteristics and prevalence of PVC in certain population, especially Makassar City.MethodsThis study used a cross-sectional study method conducted from June 2017 to May 2018 using data from Telemedicine Electrocardiogram (ECG) at Hasanuddin University Hospital. The characteristics of PVC were QRS PVC duration, coupling interval (CI), PVC morphology in lead V1.ResultsWe calculated 8,847 ECGs, and found 98 ECGs with PVC (1.1%). Incidence of PVC was higher in women than men (52%). Characteristics of PVC with QRS duration include < 140 ms (45.9%); 140 - 159 ms (31.6%); and > 160 ms (22.4%), respectively; and PVC with CI < 300 ms (2%), CI 300 - 599 ms (88%), and CI > 600 ms (10%). Left bundle branch block (LBBB) and right bundle branch block (RBBB) morphology were found in (76.5%) and (19.4%) subjects in turn. Statistically, QRS PVC duration and PVC morphology showed significant differences based on age group (sequentially, P = 0.012 and P = 0.014). While gender only showed a significant difference in QRS PVC duration (P = 0.030).ConclusionsThe prevalence of PVC in the population of Makassar City is similar to the prevalence in other general populations. There are differences in the distribution and prevalence of PVC based on their characteristics according to age group and gender.

This article review focuses on Kajang Ethnic, a local wisdom-based strategy, to study the practice of local wisdom to save the forest and its biodiversity. The perspective of the study is to discuss the object in a cultural-based analysis. All about the discussion is to see how to Kajang people to maintain their socio-environment that is Forest. For Kajang People, the forest is like a ‘mother’ must be respected and protected. The objectives of discussion are: 1) to explain the relationship between world view and the nature of community commitment to social norms, 2) to find out the Kajang people strategy to treat forests, and 3) to reveal the fundamental reasons for Kajang people in protecting their forest. The approach used in this study is a cultural-based study that relies on two sources, namely mythical and library sources (an anthropolinguistics studies). The results of the discussion show that Kajang people are very obedient to their social norms, and that one is part of the social norm is the problem of forest protection. The rules of forest management are contained in the Install Ri Kajang. The implication of this study is the growth of new awareness for readers to adopt relevant aspects that can be applied in their own environment, and readers’ understanding of the Ethnic Kajang’s perspective on forest management.