Background Coronary artery ectasia is characterized by an abnormal dilatation of the coronary arteries. Coronary artery ectasia is observed in 3–8% of patients undergoing coronary angiography and sometimes leads to acute coronary syndrome regardless of the presence or absence of coronary stenosis or atrial fibrillation. Case presentation A 61-year-old Indonesian man presented with typical angina that began 1 week before admission and had worsened 3 hours prior to admission. Accompanying symptoms included dyspnea, nausea, and sweating. He was hemodynamically stable and had a history of tobacco smoking and dyslipidemia. An electrocardiogram showed ST-segment depression and T inversion. Laboratory results showed an international normalized ratio of 1.28. Dual antiplatelet therapy was administered along with fondaparinux, and symptoms were alleviated. Coronary angiography showed an ectatic and turbulent mid-distal right coronary artery and slow flow at the first presentation. There was a patent stent in the proximal-mid left anterior descending coronary artery. This patient had previously presented with recurrent acute coronary syndrome and received two coronary stents for the stenotic vessels. Discussion He had right coronary artery ectasia and experienced recurrent acute coronary syndrome. He received dual antiplatelet therapy along with warfarin after stenting of his left anterior descending coronary artery. However, he presented with unstable angina pectoris 7 months before the latest admission and at the latest admission despite a patent stent and no other significant obstructive lesion. The unstable angina pectoris might have been caused by slow flow, microvascular angina caused by small thrombi and/or vasospasm, or epicardial thrombosis at the ectatic coronary artery that dissolved after anticoagulation therapy prior to coronary angiography. Anticoagulant therapy may have a greater benefit than antiplatelet therapy in this patient due to the turbulence and stasis of blood in the ectatic vessel, although coexisting coronary conditions mandated antiplatelet therapy. His international normalized ratio was suboptimal and needed to be improved. Conclusion Coronary ectasia may play a role in recurrent acute coronary syndrome, and administration of an anticoagulant to prevent acute coronary syndrome in this patient was in accordance with the varying hemodynamic property of coronary artery ectasia.

Background: Basic life support (BLS) performed by general population improves outcomes in cardiorespiratory collapse. This community-based study aims to measure the general population's eagerness in learning BLS, knowledge regarding early recognition, and use an automated external defibrillator. Methods: This was a cross-sectional community-based study in Jakarta using questionnaire. Numerous questions asked through a questionnaire in order to evaluate the general population's eagerness and knowledge about basic life support. Results: There were 303 respondents in this study. Most respondents stated that knowledge about BLS is important and was eager to learn; however, only 39.6% of respondents have ever done BLS training. 59.4% of respondents have ever looked for information or read about BLS. 63.6% of respondents chose to call an ambulance for the first reaction, while 36,5% of respondents preferred to look for a pulse. Most of the respondents know to check the carotid pulse in the neck. 77.4% of respondents know that chest compression was done on mid-chest. 81.5% of respondents agreed that CPR was preferably done repeatedly in a specific rhythm, but giving one despite the method is better than none. Only 49.5% of respondents wanted to give mouth-to-mouth ventilation. Most respondents thought that they are not allowed to use AED, and only a small proportion had seen AED in public. Conclusion: Most of the respondents agreed that BLS is important. Respondents have satisfying knowledge about how to react while encountering an unconscious person. Most respondents have not seen AED and most likely didn't know how to use it.

Background: Hypertension remains one of the most common health issues in Indonesia. Slow deep breathing maneuver is a non-pharmacological therapy that achieves systolic and diastolic blood pressure lowering effect through sympathetic and parasymphathetic firing rate.Methods: This study was done using cross-sectional design, with consecutive sampling. Sample population was patients with hypertension stage 1 and 2, age range 40-55 years old, who came to Puskesmas Balaraja.Results: Systolic blood pressure lowered from 148.04+5.82 mmHg to 138.15+5.9 mmHg (p<0.05) and diastolic pressure lowered from 85+5.05 mmHg to 78.47+5.46 mmHg (p<0.05). This study showed that there is a relation between the manuever and lowering the systolic and diastolic blood pressure (p=0.000, on T-Test analytical study).Conclusion: Based on the data, the slow deep maneuver can be used as a non-pharmacological therapy for patients with hypertension. Because the effect is acute, it can be considered for hypertension crisis, but further studies are still needed.

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