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COMPLICATIONS SURVEY OF PERCUTANEOUS CORONARY INTERVENTION: A CROSS-SECTIONAL STUDY Laksono, Sidhi; Kusharsamita, Hillary
Biomedika Vol 17, No 2 (2025): Biomedika August 2025
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v17i2.3327

Abstract

The purpose of this research is to examine the perspectives of interventional cardiologists, and the annual incidence of each PCI complications. This study is based on a cross-sectional analysis conducted using the Google Forms. The technique for determining the research subject used in this study was non-random sampling with purposive sampling technique. The anonymity and confidentiality of the information collected is highly prioritized. Annual PCI incidence rates are as follows: 100 (13%) 100–199 (13%), 200–299 (35%) 300 and above (38%). With a mean score of 5.56 on a scale from 0 to 10, participants are very concerned about the possibility of PCI complications. Coronary perforation is the most concerning complication of PCI (83%). Annually, coronary artery dissection occurred between once and five times (73%), coronary perforation occurred between once and five times (50%), and hemodynamic collapse was occurred at one to five times (60.9%). Further, 78.3% of participants never used covered stents, while 32% of participants used balloon tamponade at least one to five times each year. Participating interventional cardiologists in our research have concerns about possible PCI complications. Perforations, dissections, hemodynamic collapse, no-reflow, and entrapment equipment are complications that operators must be ready to identify and control.
Building Bridges in Cardio-Oncology: The Role of Clinics in Multidisciplinary Care and Patient Outcomes Laksono, Sidhi
Indonesian Journal of Cancer Vol 19, No 3 (2025): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i3.1299

Abstract

Cardio-oncology is a specialized field within cardiology that focuses on the relationship between cancer, its therapies, and cardiovascular health. This multidisciplinary domain, involving cardiology, hematology, and oncology, addresses the significant cardiovascular risks associated with cancer treatments, particularly chemotherapy, which can lead to conditions such as heart failure, coronary artery disease, myocarditis, and pericardial effusion. Developing robust clinical pathways is essential to mitigate these risks and ensure timely diagnosis and management of therapy-induced cardiac dysfunction. Cardio-oncology clinics play a pivotal role in integrating multidisciplinary expertise, providing consultation and heart evaluation services, and fostering research to improve patient outcomes. Strengthening collaboration across disciplines and raising awareness among patients are critical goals in advancing the effectiveness of cardio-oncology clinics.
Intervensi Transkateter Katup Aorta Menggunakan Edwards Sapien 3 Pada Perempuan 70 Tahun Dengan Stenosis Aorta Berat: Laporan Kasus Laksono, Sidhi; Widyani, Wella
Jurnal Medika Malahayati Vol 9, No 3 (2025): Volume 9 Nomor 3
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v9i3.17536

Abstract

Implantasi transkateter katup aorta (TAVI) merupakan pilihan terapi selain bedah pada pasien stenosis aorta (AS) berat dengan risiko bedah yang sedang-tinggi. Tindakan TAVI ini efektif aman dikerjakan pada pasien usia tua dengan AS berat. Kasus perempuan 70 tahun dengan keluhan cepat lelah ketika berenang yang dirasakan sejak 3 bulan yang lalu, pasien ini dengan gangguan katup AS berat serta memiliki faktor risiko hipertensi dan diabetes melitus tipe 2. Dari hasil pemeriksaan echo dan CT aorta disarankan untuk tindakan penggantian katup baik secara bedah atau transkateter, pasien memilih untuk tindakan transkateter. Dilakukanlah pemasangan TAVI Edward Sapien 3 ukuran 20mm dengan hasil baik.  Seperti yang ditunjukkan oleh kasus klinis ini, TAVI telah terbukti menjadi pengobatan yang efektif pada pasien dengan stenosis aorta dan risiko bedah menengah.
Distinguish Between Perforation or Coronary Cameral Fistula: A Rare Findings during Percutaneous Coronary Intervention Laksono, Sidhi; Angkasa, Irwan Surya; Zheng, Tonni; Hosana, Cliffian; Nurbaeti, Putri; Nokik Stujanna, Endin
The Avicenna Medical Journal Vol. 6 No. 1 (2025): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v6i1.45801

Abstract

Introduction: Coronary cameral fistula (CCFs) is a connection between the coronary arteries and a chamber of the heart. Most of it is accidentally found on coronary angiography. This case report discusses a patient with symptoms in whom CCF was incidentally found on CAG. Case presentation: A 49-year-old male patient came to our hospital to undergo an elective standby coronary angiogram. No plaque was found in the LM and LCx; however, a chronic total occlusion (CTO) in the medial LAD was found, as well as 60% tubular stenosis in the proximal and 75% tubular stenosis in the distal RCA. Drug eluting stent was placed up to 20 atm in mid-distal LAD. However, we found contrast-dye extravasation that emptied directly into the heart chamber from the distal LAD. There’s no any signs of pericardial effusion from the bedside echo thus reinforcing the diagnosis of CCFs. Discussion: CCFs represent rare cardiovascular anomalies characterized by abnormal connections between coronary arteries and cardiac chambers or major vessels. Conclussion: Bedside echocardiography is a rapid modality to differentiate perforation from CCFs and can be performed intra-PCI. Management such as transcatheter closure or surgical ligation, can be performed with their own indications.
Artificial Intelligence dan Kardiologi: A Mini Review Laksono, Sidhi; Candra, Wincent
Health and Medical Journal Vol 4, No 2 (2022): HEME May 2022
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.619 KB) | DOI: 10.33854/heme.v4i2.964

Abstract

Dalam diagnosis dan terapi pasien dengan gangguan jantung masih terdapat keterbatasan-keterbatasan tertentu. Teknologi medis berbasis artificial intelligence berkembang dengan pesat sebagai solusi yang dapat diterapkan untuk praktik klinis. Artificial intelligence sendiri merupakan istilah yang digunakan dalam pemanfaatan teknologi dan komputer untuk mensimulasikan perilaku cerdas dan pemikiran kritis yang sebanding dengan manusia. Saat ini, hanya pengaturan tertentu dalam praktik klinis yang mendapat manfaat dari penerapan artificial intelligence. Artificial intelligence menawarkan solusi akan beberapa permasalahan pada kardiologi. Artificial intelligence berpotensi meningkatkan kualitas pelayanan kedokteran pada bidang kardiologi. Perlu adanya standar tertentu dalam manajemen kedokteran berbasis artificial intelligence.
Tatalaksana Angina Pektoris Stabil pada Pasien Dewasa Tua : Literature Review Laksono, Sidhi; Surya Angkasa, Irwan
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 4 No. 5 (2025): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Oktober 20
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v4i5.17876

Abstract

Prevalensi penyakit jantung di Indonesia berdasarkan data Riskesdas 2018 masih cukup tinggi sebesar 1.5% atau sekitar 2.784.064 individu. Dimana 4 dari 5 kematian akibat penyakit jantung disebabkan oleh stroke dan penyakit jantung koroner. Morbiditas dan mortalias cenderung meningkat pada pasien berusia lanjut karena biasanya pasien lanjut usia disertai dengan penyakit komorbid seperti hipertensi, dan diabetes. Beberapa obat anti-angina juga dapat memberikan efek yang tidak diinginkan. Penentuan terapi baik dengan obat maupun intervensi yang tepat sangat membantu dokter untuk mendapatkan hasil terapi terbaik bagi pasien lanjut usia. Penulisan ini bertujuan untuk merangkum penelitian-penelitian serta guideline pilihan terapi bagi pasien usia lanjut yang mengalami angina pektoris stabil.
CARDIORENAL SYNDROME: NARRATIVE REVIEW Laksono, Sidhi; Nugraha, Dhiki
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 6 No. 2 (2023): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v6i2.9732

Abstract

Cardiorenal syndrome is a disorder that involves the heart and kidneys, acute or chronic dysfunction of one organ can induce acute or chronic dysfunction of other organs. Renal dysfunction associated with acute heart failure, and vice versa, causes considerable morbidity and mortality. Until recently, there has been no consistent and effective strategy in the management of patients with cardiorenal syndrome. Generally, only done by reducing the volume of fluid so as not to worsen kidney function. Early identification leads to more effective treatment and shorter hospitalization. A multidisciplinary approach involving cardiologists and renal specialists is essential.
ARRHYTHMIA MANAGEMENT IN CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU): A LITERATURE REVIEW LAKSONO, SIDHI; PUTRA, RAMI PRATAMA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 7 No. 2 (2024): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v7i2.13541

Abstract

Arrhythmia is a disease that can be life-threatening. There are two categories of arrhythmias, namely tachyarrhythmias and bradyarrhythmias. Both can be found in the emergency department (ER), general ward, intensive care unit (ICU), or cardiovascular intensive care unit (CVICU). The prevalence of arrhythmia is around 1.5% - 5% in the world population and what is often found is atrial fibrillation. Arrhythmia cases can be a challenge for doctors or health workers, especially in critical condition patients, so they require a comprehensive management approach in therapy for the causes and comorbidities that the patient has. In this literature review, existing arrhythmia management approaches in CVICUs will be described
Gambaran Disfungsi Diastolik pada Pasien Hipertrofi Ventrikel Kiri (LVH) Menggunakan Ekokardiografi Laksono, Sidhi; Sartika, Divina Rana
Viva Medika Vol 16 No 1 (2022)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i1.750

Abstract

In cardiac patients with prolonged hypertension, it can increase the occurrence of diastolic dysfunction or systolic dysfunction which ultimately causes heart failure. LVH is an increase in left ventricular mass caused by thickening of the left ventricular wall, an increase in left ventricular volume or both. The purpose of this study was to determine the description of diastolic dysfunction in LVH patients using echocardiography at Hasna Medika Hospital Cirebon. The author used a descriptive method on 60 LVH patients as research subjects with the majority of women as many as 40 (67%). The time of the study was carried out in May-June 2021. Based on the results of the study, it was found that concentric LVH was the most common with 56 people (93%), remodeling concentric LVH with 2 people (3%), and eccentric with 2 people (3 %). In subjects with decreased diastolic dysfunction can be seen from the E/A. Of the 60 subjects in this study, 39 people had decreased LV function. There were 39 people with grade 1 diastolic dysfunction, 2 people with grade 2 diastolic dysfunction, and no grade 3 diastolic dysfunction found. The conclusion was that concentric LVH was found in 93% of the total sample, remodeling concentric in 3%, and eccentric in 3%
Manajemen Mutu di Laboratorium Kateterisasi Jantung Laksono, Sidhi
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 1 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i1.3636

Abstract

Tindakan intervensi jantung pada laboratorium kateterisasi (cathlab) merupakan tindakan yang dapat mengurangi morbiditas dan mortalitas. Dengan meningkatnya jumlah tindakan dan tingginya biaya prosedur dan komplikasi, diperlukan manajemen mutu layanan di laboratorium kateterisasi. Mutu layanan tersebut berguna untuk memberikan standar tinggi pada keselamatan pasien dengan mengembangkan proses dan system yang mengoptimalkan interaksi pasien dengan tim cathlab. Penjaminan mutu (Quality Assurance, QA) dan peningkatan mutu (Quality Improvement, QI) merupakan program dalam mempertahankan mutu layanan di RS. Artikel tinjauan ini akan membahas secara singkat mengenai QA dan QI di cathlab dalam rangka mencapai keselamatan pasien.