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Lama Menderita Diabetes Melitus Tipe 2 terhadap jarak yang ditempuh selama Six Minute Walk Test Mayasari, Ni Made Elva; Tanzila, Raden Ayu; Anindhita, Woro Nurul sandra
Syifa'Medika Vol 9, No 2 (2019): Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v9i2.1659

Abstract

Pasien diabetes melitus sangat rentan terkena komplikasi akibat hiperglikemia yang dialami. Semakin lama pasien diabetes melitus mengalami hiperglikemia maka dapat menyebabkan berbagai macam komplikasi baik komplikasi mikrovaskular dan juga komplikasi makrovaskular seperti cardiovascular disease, coronary heart disease, heart failure dan lain-lain, meskipun komplikasi tersebut juga dipengaruhi faktor lain seperti diet dan juga pengobatan. Komplikasi makrovaskular pada diabetes melitus dapat menyebabkan penurunan kapasitas fungsional. Penurunan kapasitas fungsional tersebut salah satunya dapat diukur dengan menggunakan six minute walk test. Penelitian ini bertujuan untuk mengetahui hubungan antara lamanya menderita diabetes melitus terhadap jarak yang ditempuh selama six minute walk test. Penelitian ini bersifat analitik observasional dengan desain cross sectional study dengan besar sampel sebanyak 40 orang yang dipilih menggunakan nonprobability sampling dengan metode consecutive sampling. Hasil uji Chi-square didapatkan tidak terdapat hubungan antara lama menderita DM terhadap jarak yang ditempuh selama six minute walk test dengan nilai signifikannya adalah 0,69 (p>0,05).
Electrocardiogram abnormality and Distance Covered during Six Minute Walk Test on Diabetes Mellitus Type 2 Ni Made Elva Mayasari; Adhi Permana; Yudi Fadilah; Namira Amanda
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 2 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i2.3598

Abstract

AbstractDiabetes Mellitus (DM) is a metabolic disease that has the characteristics of hyperglycemia that occurs due to abnormalities of insulin secretion, insulin action, or both. Macrovascular complications are often also referred to as secondary atherosclerosis due to DM, which can cause cerebral vascular disease, coronary arterial disease, and peripheral atrial disease. Diagnostic tools are needed for early detection in cardiovascular diseases which is accurate, inexpensive, comfortable, and available in almost health center. One of the diagnostic tools for early detection of cardiovascular diseases is an electrocardiogram (ECG). Six Minute Walk Test (SMWT) is a simple, objective, inexpensive, and efficient test to assess functional capacity and prognosis. This study aims to [nmem1] see whether there is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients. This study was a cross-sectional study design from DM patients in the Polyclinic of the Muhammadiyah Hospital in Palembang. Forty patients with type 2 DM who fulfilled inclusion and exclusion criteria were selected using a consecutive sampling method. Twenty-seven patients have abnormal ECG, and only thirteen patients had distance covered during SMWT >300m. There is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients with a significance value p = 0.011.Keywords: Diabetes Mellitus type 2, Eelectrocardiogram, Six Minute WalkingCorrespondence author: elva.maya@yahoo.com  
RIWAYAT HIPERTENSI TERHADAP KEJADIAN ABNORMALITAS GAMBARAN ELEKTROKARDIOGRAM PADA PASIEN DIABETES MELITUS TIPE 2 Ni Made Elva Mayasari; Rifa Salsabilah
JURNAL KEDOKTERAN DAN KESEHATAN Vol 6, No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.907 KB) | DOI: 10.32539/JKK.V6I1.7558

Abstract

Angka penderita Diabetes Melitus (DM) masih tercatat tinggi di dunia maupun di Indonesia dan diperkirakan pada tahun 2035 akan meningkat sebesar 55%. Hipertensi merupakan faktro risiko pernyakit kardiovaskular dan bersamaDM bertanggung jawab atas separuh dari mortalitas penyakit kardiovaskular (PKV).Salah satu alat diagnosis dini untuk komplikasi PKV pada DM tipe 2 adalah Elektrokardiogram (EKG). Tujuan dari penelitian ini adalah untuk mengetahui hubunganriwayat hipertensi terhadapkejadian abnormalitas gambaran EKG pada pasienDM tipe 2. Penelitian ini berupa analitik observasional dengan desain cross sectional study. Sampel yang diambil adalah dataprimerEKG pasien rawat inap dan rawat jalan dengan DM tipe 2 di Rumah Sakit Muhammadiyah Palembang. Interpretasi EKG dilakukan olehsatu orang ahli, selamabulanoktobertahun 2018 secara total sampling.Hasil penelitian didapatkan 104 sampel dengan usia terbanyak 50-59 tahun (39,4%) dan berjenis kelamin perempuan (68,3%). Jumlah pasien yang mengalami hipertensi adalah sebanyak 29 orang dan jumlah gambaran EKG abnormal adalah sebanyak 62 EKG (60,6%). Berdasarkan hasil uji chi square antara riwayat hipertensi dan gambaran EKG abnormal didapatkan nilai p=0.001 (p<0.005).Terdapat hubungan riwayat hipertensi dengan kejadian abnormalitas gambaran EKG dengan nilai signifikansi p = 0,001 (p<0,05). 
Vascular and Cardiorespiratory Factors are Associated with Functional Capacity in Patient with Type 2 Diabetes Mellitus Ni Made Elva Mayasari; Raden Ayu Tanzila; Namira Amanda; Woro Nurul Sandra Anindhita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 2 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.204

Abstract

A B S T R A C TIntroduction Diabetes mellitus is a degenerative disease that has globally increasedprevalence annually 1 . Impaired functional capacity due to poor blood sugar controland presence of cardiovascular autonomic dysfunction. Six minute walk test is amethod that is widely used in the assessment of functional capacity in patients withType 2 Diabetes Mellitus.ObjectiveTo evaluate factors that are associated withfunctional capacity in Type 2 Diabetes Mellitus.Methods This is an analyticobservational study with a cross sectional design. Fourty patients who had beendiagnosed with diabetes mellitus was assessed by six minute walk test. Chi squareand logistic regression analysis was perform by using SPSS 25. Results Six minutewalk test correlated significantly with Ancle Brachial Index scores (p = 0.016) andBody Mass Index (p = 0.03) Conclusion Ancle Brachial Index Score and Body MassIndex are factors associated with functional capacity in Type 2 Diabetes Mellitus
Nilai Diagnostik Duke Treadmill Score untuk Mendeteksi Keparahan Lesi Koroner pada Pasien yang Terduga Penyakit Jantung Koroner Stabil Ni Made Elva Mayasari; Irsad Andi Arso; Erika Maharani
Jurnal Kardiologi Indonesia Vol. 37, No. 2 April - Juni 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i2.565

Abstract

Background: Duke Treadmill Score (DTS) is a well known score to stratify prognosis with good diagnostic value in predicting number of diseased coronary arteries in ischemic heart disease patient. DTS has also been shown to have a strong correlation with the severity of coronary lesion based on the Syntax score. However, the diagnostic value of DTS in predicting the coronary lesions severity based on Syntax score has not been well established.Methods: Cross-sectional study was performed in Dr. Sardjito General Hospital based on data from 1st January 2012. Patients with positive exercise test results and already had coronary angiography were included in the study. DTS was calculated based on the assessment of the exercise test result and Syntax score I was measured from the coronary angiography result.Results: There were 76 patients with average age of 56.64±7.41 year old consisting of 53 male subjects (70%) and 23 female subjects (30%). Hypertension was found to be the most common risk factors in 57 subjects (75%), dyslipidaemia in 33 subjects (43.3%), Diabetes Mellitus in 27 subjects (35.5%), smoking in 24 subjects (31.6%) and family history in 1 subject (1.3%). Subjects with high Syntax score and the low Syntax score were found in 30 subjects (39.5%) and 46 subjects (60.5%) respectively. In this study, the DTS diagnostic value in predicting high Syntax score was determined by the value of area under the curve based on the the Receiver Operating Characteristic (ROC) curve analysis was 92% (95% CI: 86%-97%, p<0.0001). Moreover, DTS with value -8.5had 83% sensitivity, 82% specificity, 75% positive predictive value, 88% negative predictive value, and 83% accuracy to predict high Syntax score.Conclusion: DTS has a good diagnostic value in predicting coronary lesions severity, particularly in patients with suspected stable coronary artery diseases. DTS value of -8.5 has shown to have the best cut point in this study.
The Incidence of Mitral Valve Prolapse and Mitral Valve Regurgitation in Patient with Secundum Atrial Septal Defect Ni Made Elva Mayasari; Dyah Wulan Anggrahini; Hasanah Mumpuni; Lucia Krisdinarti
ACI (Acta Cardiologia Indonesiana) Vol 1, No 1 (2015)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.17790

Abstract

Background: Association between secundum atrial septal defect (ASD) and mitral valve disease has been recognized for many years. Noninvasive studies indicate a high incidence of mitral valve prolapse (37-70 percent) in these patients. Change of left ventricular geometry in atrial septal defect had been showed were associated with degree of mitral valve prolapse. This study delineates the incidence of mitral valve prolaps and mitral regurgitation in adult patients with secundum atrial septal defect and association with age at onset and size defect. Method: This study was a substudy from ASD registry in Dr. Sardjito General Hospital. The records of 103 adult patients ranged in age from 17 to 76 years old, with an average of 36 years old, and consisted of 16 men and 87 women who had secundum atrial septal defects demonstrated by crosssectional echocardiography between july 2012 until july 2013. Echocardiographic examinations were performed with the patient in the supine position. The echocardiograph was a Vivid 7. The mitral valve apparatus and mitral regurgitation was examined with long axis images, short axis image and apical four chamber view. Result: Mitral valve prolapse was observed in 76% patients with secundum atrial septal defect. Prolaps of anterior mitral leafl et (AML) in age group younger than 35 years and older than 36 years are 38,6% and 61,4% respectively. The incidence of mitral regurgitation was 43%. Severity varianceof mitral regurgitation were 31,7% mild, 7,7% moderate and 2,9% severe. Mitral regurgitation in patient with prolapse AML was 56.4%. None of the patients without mitral valve prolapse had mitral regurgitation.In patient with size defect more than 2 cm, the proportion of prolapse of AML and mitral regurgitation was higher as compared with patient with size defect less than 2 cm. Conclusion: Incidence of mitral valve prolaps and mitral regurgitation are high in patient with atrial septal defect and increase with onset of age. Patients with larger size defect had a greater likelihood of mitral prolapse and mitral regurgitation. Onset of age and size defect might be associated with magnitude of the shunt and abnormal ventricular geometry.Keywords: secundum atrial septal defect, mitral valve prolaps, mitral regurgitation
Vascular and Cardiorespiratory Factors are Associated with Functional Capacity in Patient with Type 2 Diabetes Mellitus Ni Made Elva Mayasari; Raden Ayu Tanzila; Namira Amanda; Woro Nurul Sandra Anindhita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 2 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.204

Abstract

A B S T R A C TIntroduction Diabetes mellitus is a degenerative disease that has globally increasedprevalence annually 1 . Impaired functional capacity due to poor blood sugar controland presence of cardiovascular autonomic dysfunction. Six minute walk test is amethod that is widely used in the assessment of functional capacity in patients withType 2 Diabetes Mellitus.ObjectiveTo evaluate factors that are associated withfunctional capacity in Type 2 Diabetes Mellitus.Methods This is an analyticobservational study with a cross sectional design. Fourty patients who had beendiagnosed with diabetes mellitus was assessed by six minute walk test. Chi squareand logistic regression analysis was perform by using SPSS 25. Results Six minutewalk test correlated significantly with Ancle Brachial Index scores (p = 0.016) andBody Mass Index (p = 0.03) Conclusion Ancle Brachial Index Score and Body MassIndex are factors associated with functional capacity in Type 2 Diabetes Mellitus
THE EFFECT OF MEDIUM INTENSITY PHYSICAL ACTIVITY ON BLOOD GLUCOSE LEVELS IN DIABETES MELLITUS R.A. Tanzila; Ni Made Elva Mayasari; Dita Azzahra Maso
International Journal of Islamic and Complementary Medicine Vol. 1 No. 1 (2020): International Journal Islamic Medicine
Publisher : International Islamic Medicine Forum

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.636 KB) | DOI: 10.55116/IJIM.V1I1.6

Abstract

Diabetes mellitus (DM) is a chronic disease that increased every year and caused many complications. There are four pillars in the management of DM, namely education, nutrition, pharmacology and physical training. According to PERKENI, physical exercise for people with DM can be done 3-4x/week with a duration of 30 minutes. This study aims to determine the effect of exercise moderate activities carried out by Diabetes Mellitus in Muhammadiyah Hospital Palembang on blood sugar levels at a time. This study uses a quasi-experimental method with a total sample of 30 people who were obtained by total sampling. The research data was taken by checking blood sugar before and after physical activity with aerobic type, which is done 1x/week for four weeks by using Easy Touch GCU. Wilcoxon test results found a p-value of 0.285 which means moderate exercise activities carried out by people with diabetes in Palembang Muhammadiyah Hospital which is carried out once a week for four weeks does not affect blood sugar levels at the time.
Electrocardiogram Characteristics of Chronic Obstructive Pulmonary Disease Patients are Associated with Severity and Disease Duration Ni Made Elva Mayasari; Kristinawati Kristinawati; Rara Krisdayanti; Lisa Permata Sari
Global Medical & Health Communication (GMHC) Vol 10, No 3 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v10i3.9512

Abstract

Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitations associated with an increase in chronic inflammatory responses to the airways and lungs. COPD patients are more likely to be hospitalized and die from cardiovascular disease. This study aims to determine the factors associated with the incidence of electrocardiogram (ECG) abnormalities in COPD patients. This a cross-sectional study with an analytical observational design. From October 30 to December 5, 2019, data was collected on 42 COPD patients, inpatients, and outpatients at Muhammadiyah Palembang Hospital who met the inclusion and exclusion criteria. A questionnaire was used to collect data, and spirometry and an electrocardiogram test were used to measure pulmonary function and detect ECG abnormalities. Research variables included age, sex, smoking habits, severity, and duration of COPD. Data analysis using the chi-square test and followed by a logistic regression test found a significant relationship between severe to very severe COPD and ≥5 years of suffering from COPD with the incidence of ECG abnormality (p<0.05). The severity and the length of time of suffering from COPD are significantly related to the incidence of ECG abnormalities in outpatients and inpatients.
Non-HDL-C in Conjunction to LDL-C is associated with Incidence of Chronic Coronary Syndrome in Clinical Settings Mayasari, Ni Made Elva; Rosita, Yanti; Olivia, Sindy
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 11, No 1 (2024): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.11.1.2024.53-59

Abstract

Background: The biggest cause of death and a major contributor to disability globally is coroner's artery disease (CAD).  Chronic coronary syndrome (CCS) is a term that can be used to describe a wide variety of CAD clinical manifestations in clinical settings. Non-HDL-C is advised as a routine component of lipid analysis for risk assessment in patients with elevated plasma TGs. Conflicting results have been yielded as Non-HDL-C is a better marker comparing LDL-C.Objective: The purpose of this study is to find out the relationship of Non-HDL-C levels with the incidence of CCS in conjunction with LDL-C testing in a clinical setting. Methods: Observational analytical research with a cross-sectional design was conducted in Muhammadiyah Palembang Hospital from October to December 2019. Simple random sampling techniques were used to select 89 patients who met the study's inclusion and exclusion criteria. Non-HDL-C and LDL-C calculations based on routine lipid testing. The Chi-Square test with a significant p-value <0,005 was used for bivariate analysis.Results: There is a statistically significant association between non-HDL-C levels and the incidence of CCS (p=0,001), as well as a significant association between LDL-C and CCS incidents (p=0,009).  Conclusion: Non-HDL-C provide additional benefits in identifying CAD risk factors in outpatients with CCS patient as well as LDL-C