I was born

July 25th 1949

Semarang, Central Java, Indonesia

I am basically

A Cardiologist

I am also

A Researcher
A Professor

Studied in

Faculty of Medicine, Airlangga University

Surabaya, East Java, Indonesia

..
IRM Fellow in Cardiology
Philippine Heart Center for Asia, Manila

PhD in Health Science

Airlangga University, Surabaya

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)

Member of
Indonesian Medical Association
The Indonesian Society of Internal Medicine
Indonesian Heart Association

Asia Pacific Society of Cardiology

Asean Federation of Cardiology

Scientific Publication & Research

Writer
145 Papers

Co-Writer
100 Papers

Nice to meet you ..

Lets begin ..

Prof.DR.dr.Djoko Soemantri,SpJP, (K) FIHA,FASCC

Faculty of Medicine, Airlangga University /
Dr. Soetomo General Hospital
Surabaya Indonesia

Rationalist

Empirist

Pragmatist

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 combination.
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 physicians judgement remains paramount.

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 )

How to make an appropriate decision?

External Evidence

Clinical
Expertise

Cardiovascular
Pathophysiology

What is Evidence Based Cardiology?

Conscientious, explicit and judicious use of

current best evidence in making decisions
about the care of individual patients
with cardiac problems.

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

The Practice of Evidence Based

Cardiology

Individual
clinical
expertise

Best Available
External
Clinical
Evidence

Users guides
Are The Study Results Valid ?

What are the study result ?

How will the study results help me care for my
patients ?

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.

Excelent External Evidence May Be

Inapplicable To or Inappropiate for
an Individual Patient

Allan ritchnic, David Sacket, salim Yusuf.

Evidence Based Cardiology, 1999.

How to Manage
the Patient

Institution :
1. Evident Base
2. Guideline

Physician :
1. Way of Thinking
2. Rationale

Proper Treatment

Patient :
1. Individual
2. Wholistic

Thank You