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All Journal International Journal of Integrated Health Sciences Althea Medical Journal Indonesian Journal of Kidney and Hypertension
Sukesi, Lilik
Department Of Internal Medicine Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Significant Relationship between Overweight and Hypertension in the Elderly Suwanda Wahyudin; Rudolf Andean; Lilik Sukesi
Althea Medical Journal Vol 7, No 1 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n1.1727

Abstract

Background: Hypertension is one of the degenerative diseases that commonly occurs in the elderly, however, the etiology is still unclear. One of the risk factors is overweight. This study aimed to investigate the relationship between overweight and hypertension in the elderly living in Hegarmanah village.Methods: A cross-sectional analytic study was conducted from September to November 2013, including 100 elderly in Hegarmanah village Jatinangor, Sumedang, using a cluster sample technique. The data of body weight, height, and blood pressure were obtained after informed consent.Results: In total, 58 females and 42 males were included. The nutritional status was underweight (9%), normal (45%), overweight (31%), and obese (15%).  Hypertension among the elderly was normal (4%), prehypertension stage 1 (18%), hypertension stage II (24%), and hypertension stage III (54%). The hypertension was occurred in 43.6% non-overweight group and 56.4% in the overweight group, resulting in a significant relationship between overweight and hypertension in the elderly (p=0.001).Conclusions: The high prevalence of hypertension among the elderly who were overweight suggests a better promotion in lifestyle control, a particularly nutritional program for the elderly to manage hypertension and its complication. 
Association between Malnutrition Inflammation Score and Latent Tuberculosis among Chronic Hemodialysis Patients Ria Bandiara; Lilik Sukesi; Astried Indrasari; Alif Bagus Rakhimullah; Afiatin Afiatin; Prayudi Santoso
International Journal of Integrated Health Sciences Vol 9, No 1 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v9n1.2370

Abstract

Objective: To investigate the association of malnutrition with latent tuberculosis (TB) among chronic kidney disease (CKD) patients on hemodialysis (HD).Methods: This was a cross-sectional study conducted at the Hemodiaylisis Unit of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Subjects were patients aged >18 years who had undergone HD twice a week for at least three months. Patients suspected of active tuberculosis (TB), malignancy, or immunocompromised were excluded. Latent TB was diagnosed using the interferon-gamma release assays (IGRA). Malnutrition was defined by a malnutrition inflammation score (MIS) of less than 5. All data including age, sex, CKD etiologies, and laboratory findings were obtained and recorded in a case report form.Results: A total of 120 subjects were involved in this study. Subjects with positive, negative, and indeterminate IGRA results were 39.2%, 56.7%, and 4.2%, respectively. There was no significant differences in subjects characteristics between positive and negative IGRA subjects.  The MIS>5 was shown to have no statistically significant association with positive IGRA subjects (OR=3.47, 95%CI 0.93–12.93).Conclusion: Malnutrition based on an MIS score of less than 5 is not statically associated, but clinically associated, with latent TB. Further causal inference study to investigate these associations is needed.
Profile of Anemia and the Relationship between Hemoglobin Levels and Quality of Life in End-Stage Chronic Kidney Disease Patients undergoing Chronic Hemodialysis at Hasan Sadikin Hospital 2021-2022 Hasibuan, Siti Fatimah; Makmum, Afiatin; Sukesi, Lilik
Indonesian Journal of Kidney and Hypertension Vol 1 No 1 (2024): Volume 1 No. 1, April 2024
Publisher : PERNEFRI (PERHIMPUNAN NEFROLOGI INDONESIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32867/inakidney.v1i1.120

Abstract

Background: Anemia is a common complication of Chronic Kidney Disease (CKD). The severity of anemia has implications for patients' quality of life. Objective: This study aims to determine the profile of Anemia and the relationship between Hemoglobin (Hb) levels and the quality of life of end-stage CKD patients undergoing chronic Hemodialysis. Methods: This study is analytical observational research with a cross-sectional design approach to explore the correlation between Hb levels and the quality of life of routine Hemodialysis patients at Hasan Sadikin Hospital, Bandung, throughout 2021-2022. Hb levels were continuous data. The quality of life of CKD patients was measured using the Indonesian version of the KDQOL questionnaire based on eight components. The obtained data were statistically analyzed using Spearman's Rank correlation. Results: This study had 150 subjects, 75 male (50.0%) and an average age of 45. The most common etiology of CKD was hypertensive nephrosclerosis (52.7%). The average Hb level was 9 g/dL. The highest quality of life score was 68, and the lowest was 41.28, with a median of 50.99. The correlation analysis results showed an r of -0.157 and p of 0.057, indicating a very weak negative correlation that is not statistically significant. Conclusion: The study's conclusion indicates no relationship between Hb levels and the quality of life of end-stage CKD patients undergoing chronic Hemodialysis.
Ruptured Renal Artery Aneurysm in a Young Man with Uncontrolled Hypertension Sekarini, Ajeng Ayu; Sukesi, Lilik; Supriyadi, Rudi
Indonesian Journal of Kidney and Hypertension Vol 3 No 1 (2026): Vol 3 No 1 (2026): Volume 3 No. 1, April 2026
Publisher : PERNEFRI (PERHIMPUNAN NEFROLOGI INDONESIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32867/inakidney.v3i1.230

Abstract

Renal artery aneurysm (RAA) is a rare renovascular condition that may represent both a consequence of long-standing hypertension and an underrecognized cause of secondary hypertension, particularly in young patients. A 23-year-old man with a four-year history of poorly controlled hypertension (peak blood pressure 170/100 mmHg) presented with acute left flank pain. On admission, blood pressure was 154/110 mmHg with severe anemia (hemoglobin 6.3 g/dL), preserved renal function (creatinine 1.18 mg/dL), and mild proteinuria (1+) without hematuria. Contrast-enhanced CT angiography demonstrated a 2.54-cm saccular RAA (Rundback type I) arising from the left renal artery, accompanied by a large perirenal hematoma measuring 8.3 × 6.7 × 14.2 cm, consistent with rupture. The patient had been taking intermittent captopril 12.5 mg once daily prior to admission. Selective endovascular coil embolization using a 3.3-mm VortX coil via right femoral access was successfully performed, achieving complete aneurysm exclusion with preserved renal perfusion. This case highlights the bidirectional relationship between hypertension and RAA. Chronic hypertension likely contributed to aneurysm formation, while intrarenal hemodynamic disturbances may have activated the renin-angiotensin-aldosterone system (RAAS), leading to secondary hypertension. The marked improvement in blood pressure following intervention supports a reversible renovascular mechanism. RAA should be considered in young patients with uncontrolled or resistant hypertension. Early vascular imaging and timely endovascular management are essential to prevent life-threatening complications and address reversible renovascular hypertension.
Co-Authors Afiatin Afiatin Alif Bagus Rakhimullah Astried Indrasari Hasibuan, Siti Fatimah Makmum, Afiatin Prayudi Santoso Ria Bandiara Rudi Supriyadi Rudolf Andean Sekarini, Ajeng Ayu Suwanda Wahyudin