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All Journal Buletin Farmatera Indonesian Journal of Cardiology Sumatera Medical Journal SCRIPTA SCORE Scientific Medical Journal Heart Science Journal Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED)
Lubis, Anggia Chairuddin
Departemen Kardiologi Dan Kedokteran Vaskular Fakultas Kedokteran Universitas Sumatera Utara/RS Haji Adam Malik Medan
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : The Journal of Society Medicine (JSOCMED)

 1 
Measurement of Thoracic Aortic Diameter Using Contrast-Enhanced CT Chest Based on Age, Gender, and Hypertension Irma, Ade; Daulay, Elvita Rahmi; Lubis, Anggia Chairuddin
Journal of Society Medicine Vol. 2 No. 3 (2023): March
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i3.39

Abstract

Introduction: CT is widely used to evaluate patients with aneurysm or aortic dissection. Therefore, it is very important to assess accurate aortic size in detecting aneurysm and dissection. The thoracic aortic diameter varies depending on the measurement level. Several demographic factors affect the thoracic aorta diameter such as age and gender. Risk factors for cardiovascular disease such as hypertension also have a relationship with the diameter of the thoracic aorta. To determine the difference of thoracic aorta diameter based on age, sex, and history of hypertension in patients with contrast-enhanced CT chest. Method: A case-control study in 140 patients with contrast-enhanced CT chest without signs or symptoms of car¬diovascular diseases. Thoracic aortic diameters were measured at seven predetermined levels on CT images. Analysis of data was performed with regard to age, sex, and hypertension. Results: The mean diameters of the thoracic aorta at the level of the aortic valve sinus is 3.06 ± 0.39 cm, ascending aorta 2.90 ± 0.39 cm, proximal to innominate artery 2.73 ± 0.39 cm, transverse aortic arch 2.53 ± 0.38, distal transverse aortic arch 2.37 ± 0.35, aortic isthmus 2.17 ± 0.33, and descending aorta at the level of diaphragm 1.91 ± 0.33 cm. There is a significant difference in all thoracic aortic diameters based on age and gender on statistical analysis (p<0.001). There is a significant difference in all thoracic aortic diameters between subjects with history of hypertension and without history of hypertension, except at the level of transverse aortic arch (p<0.051). Conclusion: There is a difference in the mean thoracic aortic diameter at each level of measurement based on age, sex, and history of hypertension in patients with contrast-enhanced CT chest.
Correlation of P Wave Dispersion and Quality of Life of Heart Failure Due to Coronary Heart Disease Patient in Haji Adam Malik General Hospital Hillary, Lastri; Nasution, Ali Nafiah; Lubis, Anggia Chairuddin
Journal of Society Medicine Vol. 3 No. 4 (2024): April
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i4.138

Abstract

Introduction: P wave dispersion is a more sensitive cardiovascular marker which obtained by the ECG to elaborate structural and electrophysiological abnormalities in patients. This study aims to elucidate P wave dispersion prevalence in heart failure due to coronary heart disease patients and the correlation with their quality of life. Method: This analytical cross-sectional study is done in RSUP Haji Adam Malik in 133 patients with heart failure from May to June 2023. Patients had undergone clinical evaluation, physical examination, 12-lead electrocardiography (ECG), and then were given the MLFHQ to assess the quality of their lives. Data were analyzed using fischer-exact test, with p value less than 0.05 considered to be significant. Results: From the total of 133 sample of patients, there were 55 (43.2%) patients with positive p wave dispersion, among them 2 had low quality of life, 25 had moderate quality of life, and 28 had good quality of life. With mean of PWD is 27.9±15.1 ms. The group of patient with negative p wave dispersion 78 had moderate and good quality of life. P value is less than 0.01. It’s concluded that there was a positive correlation between p wave dispersion and quality of life of heart failure patients in Haji Adam Malik general hospital Conclusion: There is positive correlation between p wave dispersion and quality of life of heart failure due to coronary heart disease patients in Haji Adam Malik general hospital.
Predictors of Success of Ablation Procedures in Patients with Non-Structural Premature Ventricular Contraction at Adam Malik Hospital Asepty, M. Rizky Priyanka; Lubis, Anggia Chairuddin; Mukhtar, Zulfikli
Journal of Society Medicine Vol. 3 No. 9 (2024): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i9.176

Abstract

Introduction: According to previous research, catheter ablation reduces premature ventricular contractions and improves heart function more than pharmaceutical treatment. Gender, age, LVEF, and premature ventricular contraction origin are utilized to predict ablation success. This study aims to determine the predictors of success of the ablation procedure in patients with non-structural premature ventricular contractions. Method: This study is an observational analytical study with a retrospective cohort design to assess predictors of success of the ablation procedure in patients with non-structural premature ventricular contractions at H Adam Malik General Hospital, Medan. Results: There were 55 research subjects and the majority of patients were female, 37 people (67.3%) with an average age of 47.2 ± 12.39 years. There was a significant relationship between premature ventricular contractions originating from the RVOT and the success of the ablation procedure (p < 0.001), but there were no significant differences in ablation therapy based on gender, age and LVEF (p > 0.05). Conclusion: The origin of premature ventricular contraction from the RVOT is a predictor of the success of the ablation procedure in patients with non-structural premature ventricular contact.
Relationship Between Neutrophil-Lymphocyte Ratio Value And Severity of Mitral Stenosis Due to Rheumatic Heart Disease in Outpatients at H. Adam Malik General Hospital Medan Achmad, Aziz; Safri, Zainal; Haykal, Teuku Bob; Siregar, Abdullah Afif; Akbar, Nizam Zikri; Ardini, Tengku Winda; Andra, Cut Aryfa; Lubis, Anggia Chairuddin
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v3i12.183

Abstract

Introduction: Mitral stenosis (MS) is a heart valve disease characterized by narrowing of the mitral valve, commonly caused by rheumatic heart disease. Accurate evaluation of MS severity is crucial for management, with echocardiography being the gold standard. The Neutrophil-Lymphocyte Ratio (NLR), reflecting inflammation, may correlate with MS severity. This study aims to assess the relationship between NLR values and MS severity due to rheumatic heart disease. Method: This cross-sectional study was conducted at H. Adam Malik General Hospital Medan from January 2023 until the required sample size was achieved. Patients diagnosed with MS by echocardiography based on the American Society of Echocardiography (ASE) criteria were included. Echocardiographic parameters such as mitral valve area (MVA) and mean pressure gradient (MV mean PG), along with blood NLR values, were analyzed for associations. Statistical significance was set at P < 0.05. Results: Significant differences in NLR values were observed between mild-to-moderate MS (1.93; 0.82–10.64) and severe MS (3.56; 1.81–13.08) (P = 0.0001, Mann-Whitney test). An NLR threshold of 2.91 predicted severe MS with 82% sensitivity and 81.8% specificity (P = 0.0001; AUC 0.856; 95% CI 0.772–0.940). Conclusion: NLR strongly correlates with MS severity and serves as a reliable predictor for severe MS in patients with rheumatic heart disease. NLR offers a simple, cost-effective tool for assessing MS severity, complementing echocardiography in clinical practice.
Alteration of Right Ventricular-Pulmonary Arterial Coupling Before and After Decongestion in Non-Preserved Fraction Acute Heart Failure Patients at Adam Malik Hospital Medan Brahmana, Andrew Timanta; Ketaren, Andre Pasha; Andra, Cut Aryfa; Lubis, Anggia Chairuddin; Haykal, Teuku Bob; Siregar, Yasmine Fitrina; Lubis, Hilfan Ade Putra; Purba, Joy Wulansari; Akbar, Nizam Zikri
Journal of Society Medicine Vol. 4 No. 1 (2025): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i1.190

Abstract

Objective: To assess whether there is right ventricular-pulmonary artery (RV-PA coupling by tricuspid annular plane systolic excursion/pulmonary artery systolic pressure TAPSE/PASP) changes in determining the clinical results of decongestion in patients with acute heart failure (AHF) with non-preserved ejection fraction (non-HFpEF) before and after decongestive at Adam Malik Hospital Medan. Methods: This study is an observational study with a prospective approach and consecutively collected, in patients AHF with non-HFpEF at Adam Malik Hospital Medan in the period from September 2023 until November 2024d. The sample is an eligible population that meets the inclusion and exclusion criterias. Results: This study consisted total 44 subjects with majority of 37 men (75%), an average age of 61 years old. A total of 28 subjects (63.6%) had hypertension as comorbid. There were 33 people (75%) who had sinus rhythm. The most acute heart failure phenotype commonly found was acute decompensated heart failure (ADHF) with 21 subjects. The longest length of stay AHF was cardiogenic shock with a median of 9 days. A significant decrease in median heart (p 0.0001), tricpuspid valve gradient (TVG) examination showed a significant decrease in (p 0.0001), PASP examination had a significant decrease in the average (p 0.0001), RV-PA coupling showed a significant increment (p 0.0001). A significant relationship was found between RV-PA coupling changes and decongestion in all acute heart failure groups (p 0.005). No significant relationship between RV-PA coupling ratio with length of stay was found. Conclusion: There were differences found in RV-PA coupling as increment with significant value in complete and partial decongestion groups, with a RV-PA coupling cut-off value of 0.65 and sensitivity and specificity of 68.8% and 67.9%, respectively.
Determinants of Frailty Status in Elderly Patients with Permanent Pacemakers at Adam Malik Hospital, Medan Irawan, Raja Alfian; Ariestine, Dina Aprilia; Lubis, Anggia Chairuddin; Sungkar, Taufik; Nasution, Melati Silvanni
Journal of Society Medicine Vol. 4 No. 8 (2025): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i8.229

Abstract

Introduction: Frailty is highly prevalent among elderly patients following permanent pacemaker implantation, with rates exceeding 70%. The Comprehensive Geriatric Assessment (CGA) evaluates frailty through domains such as nutrition (Mini Nutritional Assessment, MNA), comorbidities (Charlson Comorbidity Index, CCI), functional status (Barthel Index), cognition (Mini Mental State Examination, MMSE), mood (Geriatric Depression Scale, GDS), quality of life, polypharmacy, and pacemaker implantation duration, alongside sociodemographic factors like age and sex. Identifying factors influencing frailty is essential for optimizing outcomes and quality of life in this population. Methods: This cross-sectional study included patients aged ≥60 years with permanent pacemakers attending the Arrhythmia Clinic at Adam Malik Hospital, Medan, from October to December 2024. Frailty was assessed using the CGA. Bivariate analyses employed Fisher’s exact test and chi-square tests to evaluate associations between frailty scores and variables including MNA, CCI, Barthel Index, MMSE, GDS, quality of life, polypharmacy, implantation duration, age, and sex. Multivariate logistic regression was used to identify significant predictors of frailty. Results: Of 62 participants, 62.9% were aged 60–74 years. Bivariate analysis revealed that 58.1% of malnourished patients (per MNA) were frail (p<0.008), and 94.1% of those on polypharmacy regimens were frail (p<0.001). Multivariate analysis identified polypharmacy as the only significant predictor of frailty (OR 14.0; 95% CI 2.186–89.675). Conclusion: Nutritional status and polypharmacy are associated with frailty in elderly pacemaker patients, with polypharmacy showing a significant independent effect. Targeted interventions addressing polypharmacy may improve frailty outcomes in this population.
Co-Authors Abdul Halim Raynaldo Abdullah Afif Siregar Abdullah Afif Siregar Achmad, Aziz Ade Irma Ahmad Handayani Akbar, Nizam Zikri Ali Nafiah Nasution Ali Nafiah Nasution Andra, Cut Aryfa Andra, Cut Aryfa andrico tobing Ardini, Tengku Winda Ariestine, Dina Aprilia Asepty, M. Rizky Priyanka Batubara, Gio Justisia Brahmana, Andrew Timanta Cut Aryfa Andra Daulay, Elvita Rahmi Dewita, Auliya Edison Bun Ferhat, Muhammad Hana Fauziyah Harris Hasan Harris Hasan Hasan, Harris Hasan, Harris Hasan, Refli Hillary, Lastri Ilyas, Kamal Kharazzi Irawan, Raja Alfian Jaya Suganti Karo, Kartika br Ketaren, Andre Pasha Ketaren, Andre Pasha Khairunnisah, Dina Lubis, Ahmad Feriansyah Lubis, Hilfan Ade Putra Mukhtar, Zulfikli Mukhtar, Zulfikri Nadiah Masyab Napitupulu, Bertha Gabriella Nasution, Ali Nafiah Nasution, Melati Silvanni Nizam Zikri Akbar Purba, Joy Wulansari Raynaldo, Abdul Halim Refli Hasan Ryanti, Dina Safri, Zainal Sarastri, Yuke Siregar, Abdullah Afif Sitepu, Andika Surbakti, Trifena Aurelya Rimna Sutomo Kasiman Taufik Sungkar, Taufik Teuku Bob Haykal Yasmine Fitrina Siregar Yuke Sarastri