PT Intiland Development Tbk · IDX:DILD
PT Intiland Development Tbk — Intiland Webinar (September 2020)
36 slides from PT Intiland Development Tbk's conference presentation, September 2020
Slide 1: Gramercy Heart and Vascular Centre
© GRAMERCY HEART AND VASCULAR CENTRE
Slide 2: Slide 2
Slide 3: Dr. Nikolas Wanahita
Dr. Nikolas Wanahita MD, MHA, FACC, FSCAI Internist, General and Interventional Cardiologist Medical Director – Gramercy Heart and Vascular Centre Mount Elizabeth Novena Hospital
Slide 4: Jantung Sehat & Covid-19
Jantung Sehat & Covid-19
Slide 5: 1. Covid Statistics
1. Covid 19 Statistics
Slide 6: Cases Worldwide
Cases Worldwide Deaths Confirmed Recovered 22..6 million 15.3 million 790 K The number of cases worldwide has surpassed 22 millions on August 20, with death toll of more than 791,000. It took almost 6 months for the first 10 million cases, but only 43 days to double to 20 million. 6
Slide 7: 2. Severe Symptoms vs No symptoms
2. Severe Symptoms vs No symptoms
Slide 8: Immune system
Immune system 8
Slide 9: Another Factor?
Another Factor? Why immune system is not the only reason for symptoms
Slide 10: Young, healthy people dying from Covid
Young, healthy people dying from Covid Around the world, we see young and healthy doctors and frontliners dying from COVID-19 despite having no comorbidities. These people have no previous health issues and were young and healthy. This suggests another factor other than immune systems. 10
Slide 11: Viral Load or Inoculum
Viral Load or Inoculum The quantitative amount of viral particles that enters our body at the time of infection/exposure 11
Slide 12: 3. The Virus
3. The Virus
Slide 13: Virus Exposure
Virus Exposure INNATE ADAPTIVE RESPONSE RESPONSE
Slide 14: Concept of Viral Load
Concept of Viral Load Theory The theory that exposure to lower inoculum or dose of any virus can make illness less severe has been introduced in 1938 (dose-mortality curve). 14
Slide 15: 4. Why do masks work?
4. Why do masks work?
Slide 16: Why Universal Masking Works
Why Universal Masking Works Protect Others When you are infected you avoid spreading the virus. Protect Yourself Beyond decreasing the chance of touching your face, wearing your mask does much more. 16
Slide 17: Countries with Mandatory Mask Use
Countries with Mandatory Mask Use What do Japan, Hong Kong, Taiwan, Thailand, South Korea and Singapore have in common? 17
Slide 18: Viral Load Testing for COVID
Viral Load Testing for COVID It is unethical to do human experiments with SARS- COV 2 (virus of Covid-19). However, there have been studies with hamsters that proved with masks, the viral load is less and symptoms become less severe. 18
Slide 19: Rate of Infection in Closed Settings
Rate of Infection in Closed Rate of Infection in Closed Settings Settings Without Mask: 80% of people with symptoms With Mask: 20% of people have symptoms 19
Slide 20: Asymptomatic Infection
Asymptomatic Infection The exposure to the COVID-19 virus while wearing masks can lead to greater community-level immunity and slow down spread of virus as we wait for effective vaccine. Wear Masks when you go out and meet people – this approach coupled with social distancing has been shown to be mo
Slide 21: COVID-19 and Our Heart
COVID-19 and Our Heart 21
Slide 22: Cardiac Manifestation of COVID
Cardiac Manifestation of COVID 19 •Heart Failure •Arrhythmia •Myocardial Injury – Myocarditis and Myocardial Infarction (Heart Attack) •Cardiogenic Shock •Other cardiovascular manifestations: Cerebrovascular Accident (Stroke) and Pulmonary Embolism 22
Slide 23: Who is at Risk?
Who is at Risk? •Hypertension •Pre-existing condition: Cardiovascular/Coronary Artery Disease •Diabetes mellitus 23
Slide 24: Why this Virus Affect the Heart
Why this Virus Affect the Heart •Severe immune system over-reaction (likely due to exposure to high inoculum/viral load) resulting in cytokine storm leading to increased level of Angiotensin II causing inflammation, hypertension, and thrombosis. •Inflammation and hypertension will lead to heart fail
Slide 25: Other Potential Cardiovascular Harms from COVID-19
Other Potential Cardiovascular Harms from COVID-19 •Increased risk of blood clot in the lung (Pulmonary Embolism) and blood clot in the brain artery (Stroke). •D-Dimer level on blood test may help to detect who is at risk for thrombotic complications and may need to be placed on anti-coagulation (bl
Slide 26: What Can We Do to Keep our Heart Healthy During This Pandemic?
What Can We Do to Keep our Heart Healthy During This Pandemic?
Slide 27: For Hypertension and Diabetes
For Hypertension and Diabetes Make sure numbers are well controlled. Ideal BP is 110-140/60-90 mmHg. Good fasting sugar level is < 108 g/dL. HbA1c (a 3-month average) for someone with diabetes, the goal is < 7%. 27
Slide 28: Pre Existing Cardiovascular Disease - See your Cardiologist
Pre Existing Cardiovascular Disease - See your Cardiologist to make sure your heart condition is optimal Dr. Nikolas Wanahita Gramercy Heart and Vascular Centre Mount Elizabeth Novena Specialist Centre 38 Irrawaddy Road #05-45 (S, 329563). Tel/WA : +65 6250-2662 Email : manager@gramercyheart.com.sg
Slide 29: Maintain Strong Immune System
Maintain Strong Immune System Aerobic Exercise Sleep Vitamin D3 Eating well Manage Stress 29
Slide 30: Other Vaccinations
Other Vaccinations •Studies showed Previous Vaccinations might help to build stronger immunity response toward COVID-19. •Pneumococcal Vaccines •Influenza Vaccines (Elderly, children and those at high risk) 30
Slide 31: What NOT to do
What NOT to do •Trying out unproven medications or supplements •Intentionally exposing ourselves to COVID-19 Virus. •Excessive worries and anxiety •Do not stop any high blood pressure, diabetic or heart medications without consulting your doctor •Do not trust everything that we read on the internet
Slide 32: What NOT to do
What NOT to do Do not be afraid to go to your physician or nearest hospital, if you have an urgent medical conditions, such as shortness of breath, chest pain, lightheadedness/passing out, or weakness in one side of the body. The chance of dying from cardiovascular cause is still much higher than fr
Slide 33: Conclusion
Conclusion Wash Hands Don’t Be Afraid to Visit Hospitals Use Sanitizer Don’t Spread Avoid Large Mask Up Fake News Gatherings 33
Slide 34: COVID-19 is here to stay with us for at least another half a year
▸ COVID-19 is here to stay with us for at least another half a year. We have to learn to live with it. ▸ Universal Masking with good personal hygiene and social distancing is the most effective way to decrease fatalities. ▸ Masking is possibly more effective than more stringent lockdown strategy. 34
Slide 35: It was a mistake to deny COVID
“ “It was a mistake to deny COVID. It was a mistake to say it was just the flu. The truth is COVID is serious. It is deadly serious. It is deadly serious for all of us.” NY State Governor Andrew Cuomo 35
Slide 36: Thank you
66 Thank you 36
PT Intiland Development — Intiland Webinar (September 2020) on 6ix