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All Journal Indonesian Journal of Cardiology SCRIPTA SCORE Scientific Medical Journal Heart Science Journal Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED)
Ketaren, Andre Pasha
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Relationship between Coronary Artery Calcium Score (CACS) and Diastolic Dysfunction in Patients with Stable Coronary Heart Disease at Adam Malik General Hospital Medan Putra, Muhammad Hafiz Mahruzza; Hasan, Refli; Sitepu, Andika; Hasan, Harris; Ketaren, Andre Pasha; Andra, Cut Aryfa; Raynaldo, Abdul Halim; Ilyas, Kamal Kharrazi
Journal of Society Medicine Vol. 4 No. 6 (2025): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i6.221

Abstract

Introduction: Coronary artery calcium score (CACS) is a specific indicator of coronary atherosclerosis that plays a role in assessing the degree of calcification in atherosclerosis. Diastolic function is the first aspect of cardiac function to be impaired in ischemic heart disease. This study aims to determine the relationship between calcium scoring and diastolic dysfunction. Methods: This analytical observational study with cross-sectional design evaluated the relationship between coronary artery calcium score (CACS) and left ventricular diastolic function in patients with stable CAD. Data were collected retrospectively from medical records at RSUP H. Adam Malik Medan during Nov 2023-Nov 2024. CACS was assessed using coronary CT scan, while left ventricular diastolic function was measured by echocardiography. Data analysis used chi-square test, Mann-Whitney U test, and ROC curve analysis to evaluate CACS threshold in predicting diastolic dysfunction. Results: Among 158 analyzed samples, 113 patients had diastolic dysfunction. A calcium score ≥100 was found in 46.2% of patients, showing 1.318 times higher risk of diastolic dysfunction versus those with scores <100 (p = 0.006; 95% CI 1.083–1.605). ROC analysis showed CACS had moderate predictive ability for diastolic dysfunction with AUC of 0.647 (p = 0.004). A calcium score threshold of 45 had 65.5% sensitivity and 62.2% specificity in detecting diastolic dysfunction. Type 2 diabetes mellitus, urea, and creatinine levels were also significantly associated with diastolic dysfunction (p < 0.05). Conclusion: Calcium score shows a significant relationship with diastolic dysfunction in stable CAD patients and can predict diastolic dysfunction in patients undergoing coronary CT scan.
Gambaran Pengetahuan Ibu Hamil Tentang Hiperemesis Gravidarum pada Trimester I Kehamilan Marpaung, Ayesha Nazira; Rivany, Riza; Tobing, Tina Christina L.; Ketaren, Andre Pasha
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 2 (2024): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i2.14896

Abstract

Background: Nausea and vomit are problems that often occur in the first trimester of pregnancy, and this can cause problems for pregnant women. Many people still have the perception that this is a normal occurrence, leading pregnant women to avoid medical examinations, resulting in potential side effects. This relates to the knowledge. Pregnant women with poor knowledge can lead to complications during pregnancy, while those with good knowledge will prevent complications. Objective: To describe pregnant women’s knowledge about hyperemesis gravidarum in the first trimester of pregnancy based on age, gravida, and academic. Methods: This research is an observational descriptive study with a cross-sectional research design, employing consecutive sampling method. Data were collected using primary data sources derived from questionnaire responses. Results: Based on data from 100 respondents, 28 people (28%) have good knowledge. 27 people (27%) have moderate knowledge. 45 people (45%) have poor knowledge. Conclusion: Most of pregnant women in this research belonged to the age group of 19-34 years, with primigravida and majority have poor knowledge. Keyword: Hyperemesis gravidarum, knowledge, pregnant women   Latar Belakang: Mual dan muntah merupakan masalah yang sering terjadi pada trimester pertama kehamilan dan hal ini dapat menimbulkan masalah pada ibu hamil. Masih banyak masyarakat yang memiliki pandangan bahwa hal tersebut normal terjadi, sehingga ibu hamil tidak melakukan pemeriksaan dan akan menimbulkan efek samping. Hal ini berkaitan dengan pengetahuan yang dimiliki oleh ibu hamil. Ibu hamil yang memiliki pengetahuan yang kurang terhadap hiperemesis gravidarum menyebabkan terjadinya komplikasi pada ibu hamil, sedangkan ibu hamil dengan pengetahuan yang baik akan mencegah terjadinya komplikasi. Tujuan: Untuk mengetahui tingkat pengetahuan ibu hamil terhadap hiperemesis gravidarum pada trimester I kehamilan berdasarkan usia, pendidikan terakhir dan gravida. Metode: Penelitian ini adalah penelitian deskriptif observasional dengan desain penelitian cross sectional. Pengambilan sampel dengan consecutive sampling. Data yang diambil menggunakan sumber data primer yang berasal dari pengisian kuesioner. Hasil: Berdasarkan data yang diperoleh dari 100 responden terdapat 28 orang (28%) memiliki pengetahuan baik. 27 orang (27%) memiliki pengetahuan cukup. 45 orang (45%) memiliki pengetahuan kurang. Kesimpulan: Mayoritas ibu hamil pada penelitian ini merupakan kelompok usia 19-34 tahun, dengan primigravida, dan mayoritas memiliki pengetahuan yang kurang. Kata Kunci: Hiperemesis gravidarum, ibu hamil, pengetahuan
Co-Authors Abimanyu, Roni Akbar, Nizam Zikri Andra, Cut Aryfa Ardini, Tengku Winda Batubara, Gio Justisia Brahmana, Andrew Timanta Dewita, Auliya Hasan, Harris Hasan, Refli Haykal, T. Bob Ilyas, Kamal Kharazzi Ilyas, Kamal Kharrazi Indra, Ridho Kurnia Khaidirman, Sophia Khairina Lubis, Al-Ma’ Arij Akbar Lubis, Anggia Chairuddin Lubis, Hilfan Ade Putra Marpaung, Ayesha Nazira Mukhtar, Zulfikri Napitupulu, Bertha Gabriella Nasution, Ali Nafiah Pase, Muhammad Aron Purba, Joy Wulansari Putra, Hilfan Ade Putra, Muhammad Hafiz Mahruzza Raynaldo, Abdul Halim Rialdy, M. Isfan RIZA RIVANY, RIZA Ryanti, Dina Sarastri, Yuke Siregar, Abdullah Afif Sitepu, Andika Teuku Bob Haykal Tina Christina L. Tobing, Tina Christina L. Yasmine Fitrina Siregar Zebua, Juang Idaman