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All Journal Majalah Kedokteran Bandung JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Majalah Biomorfologi (Biomorphology Journal) Jurnal Layanan Masyarakat (Journal of Public Service) Cardiovascular and Cardiometabolic Journal (CCJ) Essential: Essence of Scientific Medical Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Warta LPM Folia Medica Indonesiana
Sundari Indah Wiyasihati
Department Of Physiology And Biochemistry, Faculty Of Medicine, Universitas Airlangga.
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Clinical Patterns of Pharmacotherapy Administration in Acute Heart Failure at a Tertiary Hospital in Indonesia Rohmah, Nadhifa Ainur; Andrianto, Andrianto; Wiyasihati, Sundari Indah; Ratri, Anudya Kartika
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.70-75

Abstract

Highlights: Diuretics were the most commonly administered therapy for AHF patients. Pharmacotherapy administration adhered to the existing European Society of Cardiology (ESC) and the Indonesian Heart Association (PERKI) guidelines.   Abstract Introduction: Acute heart failure (AHF) has long been the leading cause of hospitalizations among the elderly. In Indonesia, AHF poses a significant challenge due to its high rates of hospitalization and mortality, with the number of cases continuing to rise annually. This study aimed to characterize the clinical pharmacotherapy patterns of AHF patients during hospitalization at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, providing valuable insights into therapeutic approaches in this tertiary care setting. Methods: This retrospective descriptive study utilized secondary data from medical records of AHF patients admitted to Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, between January and December 2023. This study included 52 patients aged 18 years and older with complete medical records. All statistical procedures were performed using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) to support systematic and reproducible evaluation of the dataset. Results: This study categorized AHF treatment based on clinical manifestations, etiology, and ejection fraction. Diuretics were the most commonly used medication across all categories. Patients with acute decompensated heart failure (ADHF) and acute pulmonary oedema primarily received diuretics and vasodilators, while inotropes were administered for isolated left ventricular failure. Patients with cardiogenic shock were treated with vasopressors and inotropes. Treatment patterns highlighted the tailored use of additional therapies, including vasodilators and vasopressors, according to specific clinical presentations and ejection fraction profiles. Conclusion: All medications administered to AHF patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2023 adhered to existing guidelines.
Co-Authors Andrianto Andrianto Atika Atika Azmy, Ulul Bella Patricia Simanjorang Deshinta Fitrianti Syahida Dharmawati, Ira Fenska Seipalla Florentina Sustini HERAWATI, LILIK Imam Susilo Inna Maya Sufiyah Irwadi, Irfiansyah Muhammad Fachriyan Romadhona Nisrina, Vira Dwi Raden Argarini Ratri, Anudya Kartika Rejeki, Purwo Sri Rohmah, Nadhifa Ainur Rosi Amrilla Fagi Semedi, Bambang Pujo Setiawan, Hayuris Kinandita Sulistiawati Sulistiawati Widati Fatmaningrum Wigati, Kristanti Wanito Yudi Her Oktaviono, Yudi Her