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Reperfusion Arrhythmia in Acute Myocardial Infarction Setiadi, Teguh; Taufik Indrajaya; Ali Ghanie; Ferry Usnizar; Erwin Sukandi; Syamsu Indra; Erwin Azmar; Rukiah Chodilawati; Imran Soleh; Yudhie Tanta
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 12 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i12.894

Abstract

Management of reperfusion in acute myocardial infarction is an important component of myocardial cell survival to minimize the area experiencing infarction and improve patient clinical outcomes. However, this reperfusion also contributes to myocardial injury which is preceded by the ischemic process. One of the injuries related to the ischemia-reperfusion process in the myocardium is reperfusion arrhythmia. Reperfusion arrhythmias from several studies can begin to occur in the first minutes after restoration of obstructed coronary flow. The features of reperfusion arrhythmia can include accelerated idioventricular rhythm, ventricular tachycardia, ventricular fibrillation, and other arrhythmias. The mechanism of reperfusion arrhythmia can be excess calcium in the cells, oxidative stress due to an increase reactive oxygen species, energy metabolism disorders, and neutrophil accumulation. Excessive intracellular calcium and other mechanisms cause a delay in the depolarization of previously ischemic cells. This reperfusion arrhythmia requires special attention because it can disrupt hemodynamics and patient outcomes after reperfusion procedures. Knowledge of the mechanisms of reperfusion arrhythmias will guide clinicians to provide better management during and after reperfusion procedures.
THE RELATIONSHIP BETWEEN AIR POLLUTION AND CORONARY ARTERY DISEASE: A SYSTEMATIC REVIEW Rioza, Balqis Ufairah; Yudhie Tanta; Zulissetiana, Eka Febri
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.381

Abstract

Several previous research studies have shown that air pollution has broad impacts on human health, particularly in the cardiovascular field. Exposure to air pollution entering the respiratory system can trigger inflammatory responses and increase the risk of cardiovascular diseases such as coronary artery disease. This systematic review aim to determine the relationship between air pollution and the occurrence of Coronary Artery Disease (CAD). Journal searches were conducted on five electronic databases, namely Pubmed, Science Direct, Europe PMC, Wiley Online Library, and Cochrane, following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) method. The search results get six original articles that meet the inclusion and exclusion criteria for analysis. Based on the results of the analysis shows that there is a significant relationship between air pollution in the form of gas components or particulate matter with the incidence of coronary artery disease. High levels of air pollution in an area can also increase the risk of CAD higher than areas with lower levels of air pollution.