Article Per Year (5 Year)
p-Index From 2021 - 2026
1.978
P-Index
This Author published in this journals
All Journal SCRIPTA SCORE Scientific Medical Journal Heart Science Journal Asian Australasian Neuro and Health Science Journal (AANHS-J) Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED)
Lubis, Hilfan Ade Putra
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 11 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 11 Documents
Search

 1   2 
Evaluating the MEDAN score: An alternative diagnostic instrument to acute myocardial infarction for resource-limited settings Napitupulu, Friendina; Lubis, Anggia Chairuddin; Teuku Bob Haykal; Lubis, Hilfan Ade Putra; Kamal Kharrazi Ilyas; Harris Hasan
Heart Science Journal Vol. 7 No. 3 (2026): Predicting Restenosis in Coronary Artery Disease
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.03.7

Abstract

Background: Acute Myocardial Infarction (AMI) is one of the leading cause of death worldwide. Limited access to biomarker testing, especially troponin, poses a significant challenge for rapid and accurate diagnosis, particularly in resource-limited settings. We previously proposed Myocardial infarction Early DiAgnosis instrumeNt (MEDAN) score as a tool for predicting AMI. Objective: To conduct internal validation and assess the reproducibility of the MEDAN score in distinct patient cohorts. Methods: This study was conducted at Adam Malik Hospital in Medan, Sumatera Utara. A research form was used to gather data from electronic medical records. Data were collected retrospectively from January to December 2024 and prospectively since January 2025. Chi-square tests were applied to determine sensitivity values, specificities, negative predictive value (NPV), and positive predictive value (PPV). ROC analysis was used to compare MEDAN score to the HEART and GRACE scores. Result: This study included 685 patients: 417 with AMI and 268 without AMI. Patients with AMI had higher heart rate as well as HEART, GRACE, and MEDAN scores, but lower systolic blood pressure. The MEDAN score demonstrated a sensitivity of 78.2%, specificity of 60.7%, PPV of 71.2%, and NPV of 69%. The MEDAN score showed good diagnostic ability, outperforming the HEAR score and GRACE score without troponin point, but remained less effective than HEART and GRACE scores when troponin was included. Conclusion: The MEDAN score demonstrates good diagnostic ability for detecting AMI and may serve as practical alternative in healthcare facilities with limited access to biomarker testing.
Co-Authors Akbar, Nizam Zikri Albert Wijaya Andra, Cut Aryfa Arsyad, Abdurrahman Mousa Bastian Lubis Brahmana, Andrew Timanta Faisal Adam, Faisal Faisal Habib Habib, Faisal Harris Hasan Hasan, Harris Hashmi, T. Rifqi Haykal, T. Bob Kamal Kharrazi Ilyas Ketaren, Andre Pasha Lubis, Anggia Chairuddin Muhammad Azmi, Muhammad Mukhtar, Zulfikri Napitupulu, Friendina Nasution, Ali Nafiah Nasution, Umi Hazzar Nova Zairina Lubis Pase, Muhammad Aron Purba, Joy Wulansari Siregar, Abdullah Afif Siregar, Yasmine Sitepu , Andika Sitepu, Andika Tamba, Ratna Mariana Teuku Bob Haykal Vivienne Yasmine Fitrina Siregar