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All Journal Jurnal Kedokteran Syiah Kuala Jurnal Ilmiah Mahasiswa Kedokteran Medisia
Yopie Afriandi Habibie
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Health Professions Medicine & Pharmacology

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LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT Yopie Afriandi Habibie; Ign Wuryantoro
Jurnal Kedokteran Syiah Kuala Vol 18, No 2 (2018): Volume 18 Nomor 2 Agustus 2018
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v18i2.17999

Abstract

Abstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture ofleft subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture
Hubungan Fungsi Sistolik Ventrikel Kiri dengan Kapasitas Fusngsional Pasien Gagal Jantung Kongestif di Poliklinik Jantung RSUDZA Sheilla Natasha; Yopie Afriandi Habibie; Marisa Marisa
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 2, No 3: Agustus 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.213 KB)

Abstract

Gagal jantung kongestif adalah kumpulan gejala yang kompleks yaitu napas pendek yang tipikal saat istirahat atau saat melakukan aktivitas disertai/tidak kelelahan, tanda retensi cairan berupa edema pulmoner atau edema perifer, dan adanya bukti dari gangguan struktural maupun fungsional jantung. Pasien gagal jantung kongestif mengalami penurunan fungsi sistolik berdasarkan fraksi ejeksi  dan penurunan kapasitas fungsional. Tujuan dari penelitian ini untuk mengetahui hubungan antara fungsi sistolik ventrikel kiri dengan kapasitas fungsional pasien gagal jantung kongestif di poliklinik jantung RSUDZA. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional dan telah dilakukan pada 14 September-31 Oktober 2016 dengan jumlah responden 44 orang yang diambil dengan teknik consecutive sampling. Hasil analisis bivariat dengan uji Chi-Square menunjukkan terdapat hubungan yang signifikan antara fungsi sistolik ventrikel kiri dengan kapasitas fungsional (p0,001) pasien gagal jantung kongestif  di Poliklinik Jantung RSUDZA.                                  Congestive heart failure is a complex collection of symptoms that typically are short of breath at rest or while doing activities with / no fatigue, fluid retention pins in the form of pulmonary edema or peripheral edema, and no evidence of structural or functional cardiac disorder. Congestive heart failure patients experienced a decrease in systolic function by ejection fraction and decreased functional capacity. The purpose of this study was to determine the relationship between left ventricular systolic function with the functional capacity of patients with congestive heart failure in cardiac clinic RSUDZA. This research is an observational analytic research with cross-sectional and was carried out on 14 September – 31 October 2016, with the number of respondents 44 people who were taken with consecutive sampling technique. The results of the bivariate analysis with Chi-square test showed a significant relationship between left ventricular systolic function with functional capacity (p 0.001) in patients with congestive heart failure Heart Clinic RSUDZA.
Co-Authors Marisa Marisa Sheilla Natasha Wuryantoro, Ign