COMMUNITY EMPOWERMENT IN HEALTH (CEH) ISSN 0000-0000 Volume 1 Number 1, January to June, 2023 http://ceh.poltekkesdepkes-sby.ac.id 1 Publisher: Pusat Unggulan IPTEK (PUI) Pemberdayaan Masyarakat Poltekkes Kemenkes Surabaya. Center of excellence in science and technology for community empowerment of Poltekkes Kemenkes Surabaya DOI: http://dx.doi.org/10.33846/ceh1101 Empowerment of Health Cadres in Efforts to Prevent Cardiac Emergency in the Community Loetfia Dwi Rahariyani 1 , Siti Maimuna 1 , Tanti Wulandari 1 , Kusmini Suprihatin 1 , Krisnawati 1 , Suprianto 1 , Hotmaida Siagian 1 , Yessy Dessy Arna 1 , Luluk Widarti 1 , Moch. Bahrudin 1 , Dony Sulistiono 1 , Muh. Afif Hilmi 1 , Alfi Maziyah 1 1 Sidoarjo Nursing Study Program, Nursing Department, Poltekkes Kemenkes Surabaya Correspondent: Loetfia Dwi Rahariyani; rahariyani@yahoo.com ABSTRACT Urban communities are prone to suffering from coronary heart disease, due to working hard and spending a lot of time outside the home. Many people die suddenly at work, while driving, exercising or staying at home; suspected of having a heart attack. The active role of the community to overcome this problem is very much needed, and community empowerment is a good strategy, especially for health cadres. In this case, it is necessary to carry out training, then identify an increase in the knowledge of health cadres about the prevention of cardiac emergencies. The results of the study show that the role of health cadres is indispensable in efforts to prevent cardiac emergencies in the community. Keywords: empowerment; cadre; cardiac emergency INTRODUCTION Non-communicable diseases have increased every year. In general, non-communicable diseases are the number one cause of death is cardiovascular disease (1). Cardiovascular disease is a disease related to abnormalities of the heart and blood vessels. Because the heart is a vital organ, if there is a problem with the heart it can cause bad conditions for the body. There are many types of cardiovascular disease, but the most common and most well-known is Coronary Heart Disease (CHD). An unhealthy lifestyle triggers coronary heart disease, especially ASHD (Arterio Sclerotic Heart Disease). The most common causes of CHD cases are hypertension, hypercholesterolemia, and diabetes (2) . ASHD disease is a fatal disease and often causes sudden death (3) . This condition shows that coronary heart disease is a health threat to the people of Indonesia, especially the people of East Java. Therefore it is necessary to make strategic efforts so that people do not suffer from coronary heart disease and avoid heart emergency conditions that might occur. Urban communities are prone to suffer from Coronary Heart Disease, because of the relatively high rhythm of life, and the strict demands of life, forcing city dwellers to work hard and spend a lot of time outside the home. This condition will affect the health of urban communities, high and prolonged stress levels, unhealthy lifestyle changes, overeating habits, too much activity, lots of smoking and lack of rest are triggers for coronary heart disease. There is a two-way relationship between coronary heart disease and mental disorders, especially depression (4) . In several incidents, many people died suddenly, whether during work activities, on the road while driving, while exercising or while at home, and it was alleged that the individual died from a heart attack. Coronary heart disease patients tend to experience repeated attacks (5). If this situation is not treated immediately, the patient can fall into a worse condition or die. Cardiac arrest is the sudden cessation of the heart rate and blood circulation in a person, which is the most serious emergency, which is better known as cardiac arrest , this condition is usually followed by the cessation of respiratory function and loss of consciousness and reflex. Therefore, the public must know the factors that cause coronary heart disease, how to prevent and how to handle basic cardiac emergencies. Individuals who are detected to be suffering from or at risk for CHD must always be vigilant, because at any time they can experience a cardiac emergency due to blockage of the coronary arteries, which results in reduced blood supply to the heart. When an emergency heart attack occurs, the patient must immediately get help, whether it's from himself or someone else. Cardiac emergencies can happen anywhere, and at any time, sometimes when a person is alone. Therefore, since individuals are diagnosed or at risk of CHD, they must be treated thoroughly,