Keeping the Heart in Rhythm: Exploring Intervention, Arrhythmia, and Sudden Cardiac Death

Joint Symposium InaHRS- ISIC: Bleeding Less, Protecting More

The session was opened by moderators Muhammad Munawar, MD, PhD, and Faris Basalamah, MD, PhD. It began with a presentation on PCI strategies for patients on anticoagulants. Vireza Pratama, MD, PhD, emphasized the importance of appropriate anticoagulation regimen. “Prefer DOACs over VAs,” he said. It was followed by a discussion on “Antithrombotic Strategies in High-Risk Patients” by Prof. Antonia Anna Lukito, MD, PhD. The session concluded with a discussion on “Left Atrial Appendage Closure” by Muhammad Munawar, MD, PhD. He stated, “A numerical signal toward more ischemic stroke means LAAC is not a universal replacement for anticoagulation”.

Joint Symposium: InaHRS - Sports: Arrhythmia in Athletes

After break, the session continued with discussions on arrhythmias in athletes (moderated by Adhantoro Rahadyan, MD, and Benny Mulyanto Setiadi, MD). Presented first was Dwita Rian Desandri, MD, on sports-related sudden cardiac arrest. “According to data, extreme and long-term endurance training can be a risk factor for atherosclerosis. But don't be afraid to exercise,” she stated. The session continued with Muhammad Ikhwan Zein, MD, PhD on overtraining syndrome and emphasized the importance of the recovery pyramid. This session also included a presentation on “Inherited Arrhythmia Syndromes in Athletes” by Adhantoro Rahadyan, MD.

Syncope and Sudden Cardiac Death Risk 

The final topic presented before the lunch break was syncope and the risk of sudden cardiac death, moderated by Agus Harsoyo, MD, PhD, and I Made Putra Swi Antara, MD. The first presentation, on sudden death risk prediction, was given by Hauda El Rasyid, MD. She stated, “Risk stratification is critical for management as a starting point, not the endpoint.” The final presentation in this session, was delivered by Haikal, MD, and discussed the phenomena of syncope and Brugada syndrome, as well as their correlation with the need for an ICD.