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Dharmawan, Melissa
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Health Professions Medicine & Pharmacology Public Health

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Profil Fibrilasi Atrium di RSUD Kabupaten Belitung Timur tahun 2014-2016 Dharmawan, Melissa; Mikhael, Rodry; Marthadinata, Felicity; Lustoyo, Lidya; Kawengian, Christian
Cermin Dunia Kedokteran Vol 44, No 9 (2017): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (864.601 KB) | DOI: 10.55175/cdk.v44i9.723

Abstract

Latar Belakang. Atrial Fibrilasi (AF) merupakan aritmia yang paling sering ditemukan. Data epidemiologis profil pasien AF di rumah sakit tipe D di Indonesia masih kurang. Tujuan. Menyediakan data epidemiologis pasien AF di RSUD Kab. Belitung Timur 2014-2016. Metode. Penelitian berbasis rekam medis pasien AF yang dirawat inap di RSUD Kab. Belitung Timur selama tahun 2014-2016. Variabel yang dihimpun meliputi karakteristik sosiodemografi, komorbid, elektrokardiogram, terapi antiaritmia, angka mortalitas. Hasil.Terdapat 69 kasus AF rawat inap dari tahun 2014-2016; 35 orang (50,7%) laki-laki dan 34 orang (49,3%) perempuan, mayoritas (36,2%) berumur 60-75 tahun. Keluhan utama yang paling sering adalah sesak napas (59,4%), penurunan kesadaran (13,9%), dan berdebar-debar (8,7%). Mayoritas (55,1%) menderita AF respon ventrikel cepat. Didapatkan juga hipertensi (76,8%), gagal jantung (73,9%), infeksi akut (42%), penyakit serebrovaskuler (11,6%), penyakit ginjal kronis (10,1%), anemia (8,7%), Diabetes Mellitus tipe 2 (7,2%), dan penyakit hipertiroid (2,9%). Obat yang paling sering digunakan (39,1%) adalah kombinasi bisoprolol dan digoxin. Angka kematian dalam rumah sakit akibat semua penyebab sebesar 15,9%.Background. Atrial Fibrillation (AF) is the most common arrhythmia encountered in clinical practice. There is lack of epidemiological data on AF patient profile in rural hospital in Indonesia. Purpose. To provide epidemiological data of hospitalized AF patient in RSUD Belitung Timur from 2014 to 2016. Methods. Review of medical records of AF patients in RSUD Belitung Timur from 2014-2016. Relevant variables such as demographic and clinical characteristics, electrocardiogram, antiarrhytmia therapy and mortality rate were documented. Results. Sixty nine cases of atrial fibrillation from 2014-2016 were analyzed. There were 35 (50.7%) male dan 34 (49.3%) female, majority (36.2%) were 60-75 years old. The most common main symptoms were dyspnea (59.4%), loss of consciousness (13.9%) and palpitation (8.7%). Most patients (55.1%) had Rapid Ventricular Response. They also had hypertension (76.8%), heart failure (73.9%), acute infections (42%), cerebrovascular disease (11.6%), chronic kidney disease (10.1%), anemia (8.7%), type 2 Diabetes Mellitus (7.2%) and Hyperthyroid disease (2.9%). The most common (39.1%) antiarrhytmic used was combination of bisoprolol and digoxin. In-hospital all-cause mortality rate was 15.9%.
Profil Infark Miokard Akut dengan Kenaikan Segmen-ST Di ICCU RSUD Prof W. Z. Johannes Kupang, Nusa Tenggara Timur, Januari-April 2018 Dharmawan, Melissa; Hidayat, Leonardus Wibowo; Tiluata, Leonora Johana
Cermin Dunia Kedokteran Vol 46, No 12 (2019): Kardiovaskular
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.977 KB) | DOI: 10.55175/cdk.v46i12.391

Abstract

Pendahuluan. Infark Miokard Akut dengan kenaikan Segmen-ST (STEMI) merupakan bentuk paling berat dari Sindrom Koroner Akut dengan berbagai komplikasinya. Tujuan. Mengetahui profil pasien STEMI di Intensive Cardiac Care Unit (ICCU) RSUD Prof. W.Z. Johannes selama Januari-April 2018. Metode. Studi kohort retrospektif menggunakan data sekunder sosiodemiografi, klinis, dan penunjang seluruh pasien yang terdiagnosis STEMI pada saat admisi. Durasi perawatan dan luaran dicatat. Hasil. Selama periode tersebut didapatkan 23 kasus STEMI. Proporsi pria sebesar 87% dengan rerata usia 56 tahun. Keluhan utama terbanyak adalah nyeri dada dengan onset kurang dari 12 jam. Antikoagulan diberikan pada semua subyek, 8 subyek mendapat terapi trombolitik. Komplikasi antara lain syok kardiogenik (13%) dan aritmia (8.7%). Kematian pada 13% subyek. Kematian dalam-rumah-sakit lebih besar pada pasien berusia kurang dari 60 tahun, laki-laki, dengan presentasi Killip Class IV dan lokasi infark di anterior. Simpulan. Pasien STEMI di RSUD Prof. W. Z. Johannes lebih banyak pria, rerata usia 56 tahun, keluhan utama nyeri dada onset kurang dari 12 jam, dengan komplikasi terbanyak syok kardiogenik.Background. Acute myocardial infarction with ST-segment elevation (STEMI) is the most severe form of Acute Coronary Syndrome with its various complications. Objective. Profile of STEMI patients in the Intensive Cardiac Care Unit (ICCU) of Prof. W.Z. Johannes General Hospital during January-April 2018. Method. A retrospective cohort study using secondary data. Data from all patients diagnosed with STEMI at admission were retrieved. Treatment duration and patient outcome was also recorded. Results. A total of 23 STEMI cases from January to April 2018 were analyzed. The proportion of male was 87% with an average age of 56 years. The main complaint is chest pain with an onset of less than 12 hours. Anticoagulants were given to all subjects, 8 subjects received thrombolytic therapy. Complications include cardiogenic shock (13%) and arrhythmias (8.7%). Death occurred in 13%. In-hospital mortality is greater in patients less than 60 years old, male, Killip Class IV and anterior infarction. Conclusion. Most STEMI patients at Prof. RSUD W. Z. Johannes General Hospital were male, average age of 56 years, the main complaint was chest pain with onset less than 12 hours, and the complication is mostly cardiogenic shock. 
Co-Authors Hidayat, Leonardus Wibowo Kawengian, Christian Lustoyo, Lidya Marthadinata, Felicity Mikhael, Rodry Tiluata, Leonora Johana