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All Journal Indonesian Journal of Cardiology Cermin Dunia Kedokteran
Halim, Rolando Agustian
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Health Professions Medicine & Pharmacology Public Health

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Frequent Ventricular Extrasystoles Halim, Rolando Agustian; Felani, M. Rizky
Cermin Dunia Kedokteran Vol 45, No 10 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1736.484 KB) | DOI: 10.55175/cdk.v45i10.586

Abstract

Latar Belakang: Frequent Ventricular extrasystoles merupakan aritmia ventrikel dengan ciri khas kompleks QRS lebar dan muncul prematur, total frekuensi >7% total keseluruhan denyut jantung dalam satu hari. Kasus: Seorang perempuan 51 tahun dengan keluhan berdebar-debar. Pemeriksaan EKG dan holter monitoring, mendapatkan hasil VES 32.5%. Dilakukan tindakan studi elektrofisiologi dan ablasi fokus denyut ektopik abnormal di RVOT. Simpulan: Frequent VES harus dipertimbangkan pada keluhan berdebar-debar. Pemeriksaan penunjang dan tatalaksana yang tepat merupakan upaya pencegahan tachycardiomyopathy yang diinduksi VES.Background: Frequent Ventricular extrasystoles is a ventricular arrhythmia characterized by wide QRS complexes and premature occurrence, with a total frequency > 7% of the total heart rate in a single day. Case: A 51-year-old woman with palpitation. ECG and Holter showed 32.4% VES complexes. Electrophysiological study and ablation on the abnormal ectopic focus at RVOT were done. Conclusion: Frequent VES should be considered in palpitation. Appropriate investigation and proper management are vital to prevent the occurrence of VES-induced tachycardiomyopathy.
Perbandingan dua aplikasi penapis fibrilasi atrium berbasis ponsel cerdas pada populasi Indonesia Tondas, Alexander Edo; Halim, Rolando Agustian; Felani, Muhammad Rizki; Caesarani, Fianirazha Primesa; Puspita, Indah; Toruan, Mangiring Lumban
Jurnal Kardiologi Indonesia Vol 42 No 1 (2021): Indonesian Journal of Cardiology: January - March 2021
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1066

Abstract

Background: Due to its adverse outcomes and thromboembolic complications, early detection of atrial fibrillation (AF) is advisable in the general population. This study aims to compare the diagnostic ability of two distinct method in smartphone application format, namely : AliveCor KardiaMobile and FibriCheck. Methods: This study was conducted in Mohammad Hospital General Hospital Palembang with convenience sampling of 170 participants aged 18 years or older. The subjects underwent Fibricheck and KardiaMobile recordings followed by 12 lead electrocardiogram read by board-certified cardiologist as the diagnostic standard. Results: After the exclusion of previous pacemaker implantation (n=7), 163 patients were included in the study. The mean age was 51±15 years with gender distribution of 74.8% men and 25.2% women. Most of the subjects were asymptomatic (87.1%) with mean blood pressure of 130/80 mmHg. The Fibricheck readings showed sensitivity of 73% and specificity of 93%, meanwhile Kardiamobile was able to detect AF with sensitivity of 77% and specificity of 98%. Conclusion: In our study, KardiaMobile demonstrated overall greater sensitivity and specificity when compared to FibriCheck. However, KardiaMobile requires an external metal sensor that must be puchased separately. To the best of our knowledge, this is the first study to directly compare both methods in the Indonesian population.
Co-Authors Alexander Edo Tondas Caesarani, Fianirazha Primesa Felani, M. Rizky Felani, Muhammad Rizki Indah Puspita, Indah Toruan, Mangiring Lumban