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All Journal Indonesian Journal of Cardiology Cermin Dunia Kedokteran
Wibawa, Kevin
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Health Professions Medicine & Pharmacology Public Health

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Asthma of Cardiac Origin in a 66-year old Male Wibawa, Kevin
Cermin Dunia Kedokteran Vol 48, No 6 (2021): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.482 KB) | DOI: 10.55175/cdk.v48i6.1435

Abstract

Heart failure is a disease with high morbidity and mortality. Wheezing, suggesting cardiac asthma, is one of the sign of heart failure. Treatment of cardiac asthma is different from bronchial asthma. Accurate history and physical examination may lead to appropriate diagnosis and treatment.Gagal jantung adalah penyakit dengan morbiditas dan mortalitas tinggi. Mengi, yang menandakan asma kardial, adalah salah satu tanda gagal jantung. Tatalaksana asma kardial berbeda dari asma bronkial. Anamnesis dan pemeriksaan fisik yang tepat, didukung pemeriksaan penunjang, dapat membimbing klinisi untuk diagnosis dan tatalaksana yang tepat.
Comparison of Left Ventricular Function after His Bundle Pacing vs Left Bundle Branch Area Pacing Implantation Prakoso, Kurniawan; Wibawa, Kevin; Karwiky, Giky; Akbar, Mohammad Rizki; Martha, Januar Wibawa; Iqbal, Mohammad
Jurnal Kardiologi Indonesia Vol 45 No 2 (2024): April - June, 2024
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1708

Abstract

Background: Right ventricular pacing may lead to deterioration of left ventricular (LV) function. Recent guideline suggests the use of conduction system pacing (CSP) with either his bundle pacing (HBP) or left bundle branch area pacing (LBBAP). This study aimed to investigate the difference of LV function between HBP and LBBAP. Methods: This is a prospective cohort study enrolling patients age >18 years requiring CSP implantation from June 2020 to January 2024 in Hasan Sadikin General Hospital, Bandung. Data regarding QRS duration and several echocardiography parameters were obtained at baseline and during follow up within 1 year after CSP implantation. Results: From 66 patients, 35 were included in the HBP group. There was no difference in QRS duration at baseline between both groups with higher left ventricular ejection fraction (LVEF) in HBP group (51.2 ± 13.9% vs 45.6 ± 11.1%, p=0.078). During follow up, HBP group showed narrower QRS duration (113.40 ± 17.06ms vs 120.81 ± 12.12ms, p=0.029). LV function was preserved in HBP group while there was a trend of LV function improvement in LBBAP group (53.1 ± 11.7% in LBBAP vs 53.9 ± 11.5% in HBP group, p=0.536). Further analysis in 33 patients with LV dysfunction showed a trend of LVEF improvement in both groups (35.3 ± 7.9% to 44.6 ± 11.28% in HBP and 38.7 ± 6.9% to 51.4 ± 13.1% in LBBAP group). Conclusion: HBP resulted in narrower QRS complex. However, both HBP and LBBAP showed a trend of LV function improvement in patients with LV dysfunction.
Co-Authors Akbar, Mohammad Rizki Daniel Happy Putra Henrina, Joshua Januar Wibawa Martha Jenny Hidayat Jessica, Giovanni Juliawati, Dwi Jani Karwiky, Giky Leonardo Paskah Suciadi Prakoso, Kurniawan Ridjab, Denio Adrianus