Ischemic Electrocardiogram Patterns among Population of Universitas Gadjah Mada Health and Demographic Surveillance System Sleman: The Community-Based Learning and Community Service by Cardiology and Vascular Medicine Residency Program at Universitas Gadjah Mada

Screening for coronary heart disease in the community can be performed by a simple method, namely an electrocardiography (ECG) examination. However, the ECG-based screening program has not been routinely performed in the Indonesian population, probably due to a scarcity of human resources e to interpret the ECG results. The ECG pattern recognition needs prolonged training, completed during Cardiology and Vascular Medicine Residency Program. Most Cardiology and Vascular Medicine Residency Program activities are performed in teaching hospitals. The involvement of cardiology and vascular medicine residents' involvement in interpreting ischemic ECG pattern during populational survey is necessary to fulfill their national standard competence and perform community service during the residency education program. Therefore, besides clinical services in teaching hospitals, community services in the population must be implemented during the residency program. The Universitas Gadjah Mada Health and Demographic Surveillance System (HDSS) Sleman is a longitudinal and community-based surveillance by the Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada in Sleman Regency, Yogyakarta since 2014 to obtain data regarding community health status, including cardiovascular diseases. The study aimed to investigate the ischemic ECG abnormal pattern and the feasibility of integrating community-based learning and community service by UGM HDSS Sleman, Yogyakarta, Indonesia residents. The results showed that among 787 subjects of the HDSS Sleman population, the prevalence of ischemic ECG pattern was only minority (n=48, 6%) and mostly among females (10.2%). The ischemic ECG pattern was associated with cardiovascular risk factors: hypertension (12.3% vs. 5.5%, p=0.035) and obesity (10.1% vs. 5.2%, p=0.035). By interpreting ECG patterns, residents can directly implement education and consultation to promote the community's cardiovascular disease prevention programs. This study highlights the feasibility of integrating community-based learning and community service performed by cardiology and vascular medicine residents during the residency education program embedded in the residency program curriculum.