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All Journal Indonesian Journal of Cardiology Cermin Dunia Kedokteran Bali Medical and Wellness Journal
Pratama, Vireza
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Early Diagnosis and Prompt Treatment of Severe Stenosis in The Proximal Left Anterior Descending Coronary Artery (Wellens’ Syndrome) Singh Dhilion, Har Rawishwar; -, Haikal; Pratama, Vireza; Harsoyo, Agus; Pamungkas, Bambang
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (867.475 KB) | DOI: 10.55175/cdk.v46i1.540

Abstract

The electrocardiography misinterpretation occurs in 20-40% of misdiagnosed myocardial infarction cases. Wellens' syndrome is a typical T-wave finding that shows severe stenosis in the proximal of left anterior descending (LAD) artery, leading to extensive anterior myocardial infarction within days. Cardiac stress tests should not be performed in this condition. Prognosis is fair when identified early and proper coronary intervention was immediately performed.Kesalahan interpretasi elektrokardiografi terjadi pada 20-40% kasus infark miokard yang salah terdiagnosis. Sindrom Wellens merupakan temuan gelombang-T khas yang menunjukkan stenosis berat di arteri turun anterior kiri (LAD) proksimal, dapat menyebabkan infark miokard anterior luas dalam beberapa hari. Tes stres jantung tidak boleh dilakukan dalam kondisi ini. Kebanyakan pasien dapat membaik jika teridentifikasi dini dan intervensi koroner yang tepat segera dilakukan.
Physical Fitness Levels Based on the 12-Minute Running Test in Medical Undergraduate Cadets at the Republic of Indonesia Defense University, Cohort 4 of the Year 2023 Ardiansyah, Trevicko Mahottama; Handandari, Syahnadira Puspita; Suwarno, Adinda Ratulia; Azka, Salsabila; Mozart, Mozart; Pratama, Vireza; Nugraha, Deity; Fitriani, Elies
Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/bmwj.v1i1.16

Abstract

Objective: Physical fitness plays a critical role in maintaining the health and performance of medical undergraduate students, particularly at the Republic of Indonesia Defense University (RIDU), where academic studies intersect with military training. This study aims to describe the physical fitness levels of medical undergraduate cadets based on the results of the 12-minute running test (Cooper Test) and their self-reported physical activity levels using the Global Physical Activity Questionnaire (GPAQ). Methods: We employed a descriptive survey research method. The study included 72 respondents from the 2023 cohort 4 student population. Results: Physical Activity Levels: The majority of respondents reported a heavy level of physical activity (87.5%). Physical Fitness Levels: Overall, respondents demonstrated a sufficient level of physical fitness (73.6%). Gender and Age: No significant differences were observed in the distribution of physical fitness levels based on gender or age. Conclusion: Most cadets enrolled in undergraduate medical study programs at RIDU exhibit an adequate level of physical fitness.
Management of Decongestion in Acute Heart Failure: Time for a New Approach? Pramudyo, Miftah; Putra, Iwan Cahyo Santosa; Zulkarnain, Edrian; Danny, Siska Suridanda; Bagaswoto, Hendry Purnasidha; Anjarwani, Setyasih; Mazwar, Irmaliyas; Juzar, Dafsah Arifa; Pratama, Vireza; Habib, Faisal; Ispar, Akhtar Fajar Muzakkir Ali; Widyantoro, Bambang
Jurnal Kardiologi Indonesia Vol 43 No 2 (2022): Indonesian Journal of Cardiology: April - June 2022
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1381

Abstract

As the primary cause of hospitalization in acute heart failure (AHF) patients, congestion was responsible for a higher risk of mortality, rehospitalization, and renal dysfunction in AHF patients. Although loop diuretic was routinely used as the mainstay of AHF therapy, it is still ineffective to obtain the euvolemic state in most hospitalized AHF patients. Therefore, a higher loop diuretic dose was often required to increase the decongestion effect. However, consequently, it can cause several detrimental complications, including renal dysfunction, neurohormonal activation, hyponatremia, hypokalaemia, and reduced blood pressure, which eventually result in poor prognosis. Hence, the new approach may be proposed to optimize decongestion in acute phase, including the use of arginine vasopressin V2 receptor antagonist – Tolvaptan. As an additive therapy to loop diuretic in AHF patients, it can be considered due to its several beneficial effects, including greater decongestion effect, lowered worsening renal function incidence, counteract neurohormonal activation, neutralized hyponatraemic state, no alteration of potassium metabolism, stabilize the blood pressure, and reduced requirement of a higher dose of loop diuretic to achieve an equal or even greater decongestion effect compared to a high dose of loop diuretic alone. Tolvaptan provided favourable outcomes in several specific populations and was considered safe with several mild adverse effects. Several guidelines across countries have approved the use of Tolvaptan in AHF patients with or without hyponatremia. The initial dose of Tolvaptan was 7.5 to 15 mg and can be titrated up to 30 mg. However, further studies were still required to determine the timing dose and optimal dose of Tolvaptan in general and elderly populations with AHF, respectively.This article has a related Erratum.
Management of Decongestion in Acute Heart Failure: Time for a New Approach? Pramudyo, Miftah; Putra, Iwan Cahyo Santosa; Zulkarnain, Edrian; Danny, Siska Suridanda; Danny, Hendry Purnasidha; Anjarwani, Setyasih; Mazwar, Irmaliyas; Juzar, Dafsah Arifa; Pratama, Vireza; Habib, Faisal; Ispar, Akhtar Fajar Muzakkir Ali; Widyantoro, Bambang
Jurnal Kardiologi Indonesia Vol 46 No 4 (2025): October - December, 2025
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.2036

Abstract

In “Management of Decongestion in Acute Heart Failure: Time for a New Approach?” (Indonesian Journal of Cardiology, 43(2), 77-89. https://doi.org/10.30701/ijc.1381), there is an error noted. An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1381. The error occurs only in the PDF; the DOI listed in the article metadata is already correct. The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.1381
Co-Authors -, Haikal Anjarwani, Setyasih Ardiansyah, Trevicko Mahottama Azka, Salsabila Bambang Pamungkas Bambang Widyantoro Danny, Hendry Purnasidha Fitriani, Elies Habib, Faisal Handandari, Syahnadira Puspita Harsoyo, Agus Hendry Purnasidha Bagaswoto Ispar, Akhtar Fajar Muzakkir Ali Juzar, Dafsah Arifa Mazwar, Irmaliyas Mozart, Mozart Nugraha, Deity Pramudyo, Miftah Putra, Iwan Cahyo Santosa Singh Dhilion, Har Rawishwar Siska Suridanda Danny Suwarno, Adinda Ratulia Zulkarnain, Edrian