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All Journal E-Jurnal Medika Udayana Indonesian Journal of Cardiology Jurnal Neuroanestesi Indonesia
Wiryawan, I Nyoman
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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GAMBARAN FAKTOR RISIKO HIPERTENSI PADA MASYARAKAT DI DESA UNGASAN, KECAMATAN KUTA SELATAN, KABUPATEN BADUNG Suryaningsih, Ni Putu Elsinthia; Wita, I Wayan; Wiryawan, I Nyoman; Yudha Dewangga, Made Satria
E-Jurnal Medika Udayana Vol 11 No 1 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.v11.i01.P14

Abstract

ABSTRAK Hipertensi sebagai penyakit degeneratif yang masih menjadi tantangan besar di dunia, begitu juga di Indonesia karena prevalensinya yang terus meningkat tiap tahunnya. Hipertensi bisa ditimbulkan akibat berbagai macam faktor. Komplikasi yang dapat ditimbulkan seperti stroke, gagal ginjal, kerusakan pada mata, ataupun coronary heart disease. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko pada penderita hipertensi di Desa Ungasan. Rancangan deskriptif sebagai metode yang digunakan dalam penelitian ini dengan studi potong lintang dan teknik consecutive sampling. Populasi dalam penelitian adalah masyarakat berusia ? 18 tahun dengan mengidap hipertensi yang berdomisili di Desa Ungasan, dan didapatkan jumlah sampel sebanyak 140 orang. Pengambilan data dilakukan dengan pemeriksaan tekanan darah dan wawancara menggunakan kuesioner terstruktur. Berdasarkan hasil penelitian berdasarkan derajat hipertensi didapatkan responden lebih banyak berada pada kelompok hipertensi derajat satu yaitu 104 responden (52%). Prevalensi hipertensi lebih banyak pada kelompok usia ? 40 tahun 112 responden (80%), berjenis kelamin perempuan 81 responden (57.9%), memiliki riwayat keluarga dengan hipertensi 104 responden (74.3%), sering mengkonsumsi garam 114 responden (81.4%), sering mengkonsumsi lemak 121 responden (86.4%), bukan perokok 102 responden (72.9%), dan sering beraktivitas fisik 95 responden (67.9%). Dapat dilakukan penelitian lanjutan dengan menggunakan hasil penelitian ini sebagai data acuan. Kata Kunci: Hipertensi, Faktor Risiko, Desa Ungasan
Evaluation of Cardiometabolic Factors Affecting Chronotropic Incompetence: A Cross-Sectional Retrospective Study in Sanglah General Hospital, Bali Prana Jagannatha, Gusti Ngurah; Yasmin, AA Ayu Dwi Adelia; Surya Pradnyana, I Wayan Agus; Kamardi, Stanly; Wiryawan, I Nyoman; Wita, I Wayan
Jurnal Kardiologi Indonesia Vol 43 No 1 (2022): Indonesian Journal of Cardiology: January - March 2022
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1189

Abstract

Background: Recent studies have identified that chronotropic incompetence is correlated with poor cardiometabolic health and systemic inflammation that results in exercise intolerance, impaired quality of life and death due to cardiovascular disease (CVD). Unfortunately, there’s still paucity of data regarding cardiometabolic factors associated with chronotropic incompetence. The purpose of this study was to identify the cardiometabolic factors associated with chronotropic incompetence. Methods: This study was a cross-sectional retrospective study using cardiac treadmill stress test data at Sanglah General Hospital from May 2018 - May 2020 and 136 patients were enrolled. Data analysis used SPSS version 21. Pearson chi-square test was used to compare categorical variables based on cardiometabolic risk factors in chronotropic incompetence. Results: Patients were divided based on the characteristics of age, gender, smoking status, body mass index, coronary artery disease, heart failure, hypertension, dyslipidemia, type 2 diabetes mellitus (T2DM), the levels of HbA1C, total cholesterol, LDL, HDL, and triglyceride. In this study, it was found that T2DM (PR 2.29; 95%CI 1.16–3.37), HbA1C (PR 3.13; 95%CI 2.31-4.22), dyslipidemia (PR 1.773; 95%CI 1.170–2.687), high total cholesterol (PR 2.396; 95%CI 1.650-3;481), and high LDL level (PR 1.853, 95%CI 1.229-2.794) were significantly associated with chronotropic incompetence (all p-value <0.05), while other factors were not significantly related. Conclusion: Chronotropic incompetence can impair quality of life and contribute to cardiovascular mortality. However, T2DM, high HbA1C, dyslipidemia, high total cholesterol and LDL levels were found to be associated with chronotropic incompetence. This may contribute to higher cardiovascular risk attributed to those factors.
Anesthetic Management of Mechanical Thrombectomy for Acute Ischemic Stroke with Severe Mitral Stenosis: A Case Report MD, Burhan; Suarjaya, I Putu Pramana; Ratu, Tiffani; Wiryawan, I Nyoman; MD, Patricia; Tini, Kumara
Jurnal Neuroanestesi Indonesia Vol 14, No 3 (2025)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v14i3.719

Abstract

Acute ischemic stroke from large vessel occlusion requires prompt reperfusion to preserve brain function. Mechanical thrombectomy is the treatment of choice in selected cases, especially cardioembolic strokes. Anesthetic management plays a critical role, particularly in patients with cardiac comorbidities. We report a 62-year-old woman presenting with left-sided weakness and reduced consciousness, six hours prior to admission. She had a history of rheumatic mitral stenosis and atrial fibrillation. CT angiography showed infarction in the right MCA territory with distal ICA occlusion. Intravenous thrombolysis was initiated but failed to show improvement. Mechanical thrombectomy was then performed under general anesthesia. Due to the patient’s decreased consciousness and aspiration risk, general anesthesia was preferred to secure the airway and allow precise hemodynamic control. The anesthetic strategy focused on maintaining systemic vascular resistance while avoiding increased pulmonary vascular resistance to prevent right heart overload in mitral stenosis, also oxygenation and ventilation were carefully managed to avoid hypoxia and hypercapnia. Full vessel recanalization (mTICI 3) was achieved without complication. This case highlights the importance of tailoring anesthesia to individual risk profiles, particularly in stroke patients with valvular heart disease, where general anesthesia may provide optimal safety and procedural success.
Co-Authors Anak Agung Ayu Dwi Adelia Yasmin I Wayan Wita Kamardi, Stanly MD, Burhan MD, Patricia Prana Jagannatha, Gusti Ngurah Putu Pramana Suarjaya Ratu, Tiffani Surya Pradnyana, I Wayan Agus Suryaningsih, Ni Putu Elsinthia Tini, Kumara Yudha Dewangga, Made Satria