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All Journal e-CliniC JURNAL BIOMEDIK Syntax Literate: Jurnal Ilmiah Indonesia Medical Scope Journal (MSJ)
Edmond L. Jim
Universitas Sam Ratulangi Manado
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Nursing Public Health Social Sciences Other

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HUBUNGAN ANTARA JARAK TEMPUH TES JALAN 6 MENIT DAN FRAKSI EJEKSI PADA PASIEN GAGAL JANTUNG KRONIK TERHADAP KEJADIAN KARDIOVASKULAR Harikatang, Agung D.; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.10963

Abstract

Abstract: Obesity is a condition that exceeds the relative weight of a person as a result of the accumulation of nutrients, especially carbohydrates, fats, and proteins. Hypertension is defined as systolic and diastolic blood pressures above than 95th percentile according to sex, age, and height. This study aimed to determine the relationship between body weight and blood pressure among junior high school students in Kecamatan Pineleng. This was an analytical study using a cross sectional approach. Population was junior high school students grades 7 and 8 aged 12-14 years of 3 Junior High Schools located in Kecamatan Pineleng. There were 75 samples obtained by using simple random sampling technique. The Chi-Square test showed a p value of 0.001 (<0.005). Conclusion: There was a significant relationship between weight and blood pressure among junior high school students in Kecamatan Pineleng.Keywords: weight, blood pressure. Abstrak: Obesitas adalah suatu keadaan yang melebihi dari berat badan relatif seseorang, sebagai akibat penumpukan zat gizi terutama karbohidrat, lemak dan protein. Hipertensi adalah tekanan darah sistolik dan diastolik yang melebihi persentil 95 menurut jenis kelamin, usia, dan tinggi badan. Penelitian ini bertujuan untuk mengetahui hubungan antara berat badan dengan tekanan darah pada siswa SMP di Kecamatan Pineleng. Penelitian ini menggunakan metode analitik dengan desain potong lintang. Populasi yang diambil ialah siswa SMP kelas 7 dan 8 yang berusia 12 – 14 tahun di 3 SMP yang berada di Kecamatan Pineleng. Jumlah sampel 75 siswa diperoleh dengan teknik simple random sampling. Hasil analisis dengan uji Chi-Square menyatakan nilai signifikansi 0,001 (< 0,005). Simpulan: Terdapat hubungan bermakna antara berat badan dengan tekanan darah pada siswa SMP di Kecamatan Pineleng.Kata kunci: berat badan, tekanan darah.
GAMBARAN PENYAKIT JANTUNG KORONER PADA PASIEN GAGAL JANTUNG YANG MENJALANI RAWAT INAP DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE SEPTEMBER-NOVEMBER 2016 Niluh, Cecilia E.; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14557

Abstract

Abstract: Heart failure is the main problem in cardiology which is caused by an increase of patients and the frequency of re-treatment, as well as death and defect. Coronary artery disease (CAD) is one of the commonest causes of heart failure to be found. CAD is defined as a myocardial damage due to imbalance of coronary blood flow and myocardial need, caused by a change in coronary circulation. This study was aimed to obtain the description of CAD in heart failure patients undergoing inpatient care at Prof. Dr. R. D. Kandou Hospital Manado from September to November 2016. This was a prospective descriptive study with an observational approach. There were 71 patients (59.2%) in this study. There were more males (77.5%) compared to females. Systolic heart failure was found the most (69%). Based on age, the patients were mostly in the age group of >60 years old (57.7%). The majority type of CAD was stable angina pectoris (42.3%). The risk factor that was mostly found was hypertension (76.1%). In the inpatient care, the mostly used medicine was ACEI/ARB (100%) which were also given to those discharged from the hospital (100%). Conclusion: In this study, males, age group >60 years old, and stable angina pectoris were the most.Keywords: CAD, heart failure Abstrak: Gagal jantung menjadi masalah utama dalam kardiologi yang disebabkan bertambah pesatnya jumlah penderita dan seringnya rawat ulang serta kematian dan kecacatan. Penyakit jantung koroner (PJK) merupakan salah satu penyebab gagal jantung dan paling sering ditemukan. PJK didefinisikan sebagai kerusakan miokard akibat ketidakseimbangan antara aliran darah koroner dan kebutuhan miokard karena perubahan sirkulasi koroner. Penelitian ini bertujuan untuk mengetahui gambaran PJK pada pasien gagal jantung yang menjalani rawat inap di RSUP. Prof. DR. R. D. Kandou Manado periode September-November 2016. Jenis penelitian ialah penelitian deskriptif prospektif dengan pendekatan observasional. Hasil penelitian mendapatkan 71 pasien (59,2%) yang masuk dalam penelitian ini. Jenis kelamin laki-laki (77,5%) lebih banyak dibandingkan perempuan. Gagal jantung sistolik lebih banyak ditemukan yaitu sebanyak 69%. Berdasarkan usia, terbanyak pada usia >60 tahun (57,7%). Jenis PJK yang paling banyak ialah angina pektoris stabil (42,3%). Faktor risiko terbanyak ialah hipertensi (76,1%). Selama menjalani perawatan di rumah sakit, pemberian obat terbanyak ialah penyekat EKA/ARB (100%). Sama halnya untuk pengobatan pulang terbanyak ialah penyekat EKA/ARB (100%). Simpulan: Gambaran PJK pada pasien gagal jantung ditemukan paling banyak jenis kelamin laki-laki, usia >60 tahun. Angina pektoris stabil merupakan PJK yang paling banyak ditemukan dalam penelitian ini. Kata kunci: penyakit jantung koroner, gagal jantung
Hubungan Framingham Risk Score dengan Derajat TIMI Risk Score pada Pasien Infark Miokard Akut dengan Elevasi Segmen ST di RSUP Prof. Dr. R. D. Kandou Periode Januari–September 2018 Alitu, Moh. A. R.; Jim, Edmond L.; Joseph, Victor F.
e-CliniC Vol 6, No 2 (2018): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v6i2.22127

Abstract

Abstract: Myocardial infarction (MI) is one of the main manifestations of coronary heart diseases. ST segment elevation myocardial infarction (STEMI) is a symptomatic clinical syndrome characterized by myocardial ischemia associated with persistent ST segment elevation. The Framingham risk score (FRS) is designed to predict the risk of death due to coronary heart disease and myocardial infarction meanwhile the TIMI risk score is used as a tool to determine the mortality risk of STEMI patients. This study was aimed to determine the relationship between the FRS and the degree of TIMI risk score in STEMI patients at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective analytical study. Samples were patients diagnosed as STEMI at Prof. Dr. R. D. Kandou Hospital Manado from January to September 2018. There were 93 patients obtained by using total sampling. The Pearson correlation test of the relationship between the FRS and the degree of TIMI risk score in STEMI patients obtained an r of 0.097 with the P value of 0.177. Conclusion: There was no relationship between the Framingham risk score and the TIMI risk score among IMA-EST patients.Keywords: myocardial infarction, Framingham risk score, TIMI risk score, STEMI Abstrak: Infark miokard adalah salah satu manifestasi utama penyakit jantung koroner (PJK). Infark miokard akut dengan elevasi segmen ST (IMA-EST) adalah sindrom klinis dengan gejala karakteristik iskemia miokard yang berhubungan dengan elevasi segmen ST persisten. Framingham risk score (FRS) dirancang untuk memrediksi risiko kematian karena PJK dan infark miokard. TIMI risk score digunakan sebagai alat untuk menentukan risiko mortalitas pasien IMA-EST. Penelitian ini bertujuan untuk mengetahui hubungan FRS dengan derajat TIMI risk score pada pasien IMA-EST di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah analitik retrospektif. Sampel penelitian ialah pasien IMA-EST di RSUP Prof. Dr. R. D. Kandou Manado periode Januari-September 2018 sebanyak 93 pasien diambil dengan total sampling. Hasil uji korelasi Pearson terhadap hubungan antara FRS dan TIMI risk score pada pasien IMA-EST mendapatkan r=0,097 dengan nilai P=0,177. Simpulan: Tidak terdapat hubungan antara Framingham risk score dan TIMI risk score pada pasien IMA-EST.Kata kunci: infark miokard, Framingham risk score, TIMI risk score, IMA-EST
Prevalensi Atrioventrikular Blok di RSUP Prof. Dr. R. D. Kandou Manado Periode 2013 – 2014 Wambrauw, Jery; Jim, Edmond L.; Joseph, Victor F. F.
e-CliniC Vol 5, No 1 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v5i1.14763

Abstract

Abstract: AV Block conduction is an abnormality in which the impulse from the atrium has a delayed conduction or no conduction at all to the ventricle. This abnormality is classified as AV Block first degree, second degree, and third degree, depending on the severity of the abnormality. This was a descriptive retrospective study using second data as the reference. This study was aimed to obtain the prevalence of atrioventricular block at Cardiology Clinic Prof. Dr. R. D. Kandou Hospital Manado during 2013 – 2014. The results showed that of 40 patients, the highest percentage of cases had third degree AV block (21 patients; 53%), age group of 70-79 years (33%). Based on gender, there was the same number of cases of males and females, but the classification based on the degree of AV block showed that there were more male patients diagnosed as AV block first degree while there were more female patients diagnosed as third degree AV block. Hypertension was commonly found in the patients diagnosed as AV block as many as 18 patients (27%). Based on the chief complaint, most had difficulty of breathing (28%). However, each degree of the AV block had varied chief complaints and different kind of therapy. Based on the management, 77% of the patients had medical therapy with different kinds of medication.Keywords: AV block Abstrak: Blok konduksi AV merupakan kelainan yang mana impuls dari atrium dikonduksikan terlambat atau bahkan tidak dikonduksikan sama sekali ke ventrikel. Kelainan ini diklasifikasikan sebagai blok AV derajat satu, dua, dan tiga, tergantung pada keparahan abnormalitasnya. Penelitian dan bertujuan untuk mengetahui prevalensi blokade atrio-ventrikular di poli jantung RSUP Prof. Dr. R. D. Kandou Manado selama selang waktu 2013 – 2014. Jenis penelitian ialah deskriptif retrospektif menggunakan data sekunder sebagai acuan. Hasil penelitian mendapatkan dari 40 pasien, terbanyak ditemukan ialah AV blok derajat III (21 pasien; 53%); kelompok usia 70-79 tahun (33%). Berdasarkan jenis kelamin didapatkan jumlah yang sama antara pasien laki-laki dan perempuan, namun dalam pembagian berdasarkan derajat AV blok didapatkan pasien laki-laki lebih banyak dengan diagnosis AV blok derajat I sedangkan perempuan lebih banyak pada AV blok derajat III. Penyakit penyerta terbanyak ditemukan ialah hipertensi (18 pasien; 27%). Berdasarkan keluhan penyerta pada pasien AV blok terbanyak ditemukan ialah sesak nafas (28%) namun untuk masing-masing derajat AV blok keluhan yang paling sering dialami berbeda-beda, dan berdasarkan penatalaksanaan yang diberikan 77% pasien di terapi dengan obat-obatan.Kata kunci: AV blok
Hubungan antara Rasio Kadar Kolesterol Total terhadap High Density Lipoprotein (HDL) dengan Kejadian Sindrom Koroner Akut di RSUP Prof. Dr. R. D. Kandou Manado Wenas, Mercilia F.; Jim, Edmond L.; Panda, Agnes L.
e-CliniC Vol 5, No 2 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.5.2.2017.18459

Abstract

Abstract: From year to year, heart disease cases show an increase as the leading cause of death in the world. Acute coronary syndrome (ACS) is a set of manifestations or symptoms caused by a disturbance in the coronary artery. Blood cholesterol level is one of the major risk factors underlying ACS. High total cholesterol and low high density lipoprotein (HDL) levels will increase the ratio of both and are directly related to increased coronary heart disease. The ratio can be obtained by dividing total cholesterol level with HDL level. This study was aimed to obtain the correlation between ratio of total cholesterol to (HDL) with the incidence of ACS at Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive analytical study with a retrospective cross sectional design using medical record data. Data were analyzed by using the chi-square test. There were 117 patients obtained by using total sampling technique. The chi-square test showed a P value of 0.026 (P <0,05). Conclusion: There was a significant correlation between the ratio of total cholesterol to HDL and the incidence of ACS.Keywords: acute coronary syndrome, ratio of total cholesterol to HDL. Abstrak: Kasus penyakit jantung dari tahun ke tahun menunjukkan adanya peningkatan sebagai penyebab kematian tertinggi di dunia. Sindrom koroner akut (SKA) merupakan sekumpulan manifestasi atau gejala akibat gangguan pada arteri koronaria. Kadar kolesterol darah merupakan faktor risiko utama proses aterosklerosis yang mendasari terjadinya sindrom koroner akut. Kadar kolesterol total yang tinggi dan HDL yang rendah akan meningkatkan rasio dari keduanya dan berhubungan langsung dengan peningkatan risiko penyakit jantung koroner. Rasio dapat diperoleh dengan cara membagi kadar kolesterol total dengan HDL. Penelitian ini bertujuan untuk mengetahui hubungan antara rasio kadar kolestrol total terhadap high density lipoprotein (HDL) dengan kejadian SKA di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang dan retrospektif menggunakan data rekam medis pasien. Data dianalisis dengan uji chi-square. Jumlah sampel penelitian sebanyak 117 pasien diperoleh dengan teknik total sampling. Hasil uji chi-square menunjukkan nilai P=0,026 (P <0,05). Simpulan: Terdapat hubungan bermakna antara rasio kadar kolesterol total terhadap HDL dengan kejadian SKA.Kata kunci: rasio kadar kolesterol total terhadap HDL, sindrom koroner akut
Gambaran aritmia pada pasien penyakit jantung koroner di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2015 – 31 Desember 2015 Kalangi, Cathleen S.; Jim, Edmond L.; Joseph, Victor F.F.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14556

Abstract

Abstract: Arrhythmia is an abnormal heart rhythm which refer to every disturbance in frequency, regularity, original location or electrical impulses conduction of the heart. Ischemic myocardium characterized by ionic and biochemical alterations creates an unstable electrical substrate capable of initiating and sustaining arrhythmias, meanwhile infarction creates areas of electrical inactivity and blocks conduction, which also promotes arrhythmogenesis. This study was aimed to obtain the description of arrhythmias in coronary artery disease patients at Prof. Dr. R. D. Kandou Hospital Manado from 1 January 2015 to 31 December 2015. This was a descriptive retrospective study. There were 101 data of patients with Coronary Artery Disease (CAD) associated with arrhythmia, as follows: 57 cases (56%) of Stable Angina Pectoris (SAP), 6 cases (6%) of Old Myocardial Infarction (OMI), 16 cases (16%) of Unstable Angina Pectoris (UAP), 20 cases (20%) of Non ST Segment Elevation Myocardial Infarction (NSTEMI), and 2 cases (2%) of ST Segment Elevation Myocardial Infarction (STEMI). The majority of cases were males (66%) and aged 51-60 years old (35%). There were 62 cases (41%) of CAD patients associated with arrhythmia that had hypertension as the highest risk factor and 19 cases (12%) for smoker as the lowest risk factor. The highest number of patients was Angina Pectoris Stabil (APS), and the dominant arrhythmia was Premature Ventricular Contraction (PVC).Keywords: description, arrhythmia, coronary artery disease Abstrak: Aritmia merupakan gangguan irama jantung yang merujuk kepada setiap gangguan frekuensi, regularitas, lokasi asal atau konduksi impuls listrik jantung. Iskemik miokardium ditandai dengan perubahan ion dan biokimiawi, mengakibatkan aktivitas listrik yang tidak stabil yang memicu dan mempertahankan aritmia, dan infark menciptakan daerah aktif dan blok konduksi listrik, yang juga memromosikan aritmogenesis. Penelitian ini bertujuan untuk mengetahui gambaran aritmia pada pasien penyakit jantung koroner (PJK) di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2015-31 Desember 2015. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan 101 data pasien PJK yang mengalami aritmia, diantaranya Angina Pektoris Stabil (APS) 57 kasus (56%), Old Myocardial Infarction (OMI) 6 kasus (6%), Unstable Angina Pectoris (UAP) 16 kasus (16%), Non ST Segment Elevation Myocardial Infarction (NSTEMI) 20 kasus (20%), dan ST Segment Elevation Myocardial Infarction (STEMI) 2 kasus (2%). Mayoritas kasus ialah jenis kelamin laki-laki (66%), usia 51-60 tahun (35%). Faktor risiko tertinggi pada pasien PJK dengan aritmia ialah hipertensi (41%) dan terendah ialah merokok (12%). Kasus tertinggi ialah APS, dengan aritmia terbanyak ialah Premature Ventricular Contraction (PVC), Kata kunci: gambaran, aritmia, penyakit jantung koroner
Gambaran pasien gagal jantung akut yang menjalani rawat inap di RSUP Prof Dr. R. D. Kandou periode September-November 2016 Haris, Devina E.; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14471

Abstract

Abstract: Acute Heart Failure is marked by a fast/rapid attack or sudden changes in symptoms or signs of Heart Failure. Heart failure has become a main issue in cardiology, because of an increasing number of Heart Failure patients and frequent re-hospitalization and death and disability. The most common cause of heart failure is coronary artery disease and hypertension. Patients with heart failure have typical symptoms, such as shortness of breath at rest or activity, easily tired, leg edema, and also tachycardia, tachypnea, pulmonary ronkhi, pleural effusion, increased jugular venous pressure, peripheral edema, hepatomegaly, and structural abnormalities or functional heart symptoms at rest, such as cardiomegaly, third heart sound, and increased levels of natriuretic peptides.Keywords: acute heart failure, inpatients care Abstrak: Gagal jantung akut adalah serangan yang cepat/rapid onset atau terjadinya perubahan mendadak dari gejala atau tanda gagal jantung. Gagal jantung telah menjadi masalah yang utama pada bidang kardiologi, karena bertambahnya jumlah penderita gagal jantung dan seringnya terjadi rawat ulang serta kematian dan kecacatan. Penyebab tersering gagal jantung di adalah penyakit arteri koroner dan hipertensi. Pasien yang mengalami gagal jantung memiliki gejala yang khas yaitu sesak napas saat istirahat atau aktifitas, mudah lelah, edema tungkai, dan terdapat juga tanda-tanda khas yaitu takikardi, takipnea, ronkhi paru, efusi pleura, peningkatan tekanan vena jugularis, edema perifer, hepatomegali, dan terdapat kelainan struktural atau fungsional jantung saat pasien istirahat yaitu kardiomegali, suara jantung ketiga, meningkatnya kadar peptida natriuretik. Kata kunci: gagal jantung akut, rawat inap
PREVALENSI SINDROM KORONER AKUT DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE 1 JANUARI 2014 - 31 DESEMBER 2014 Tumade, Biancha; Jim, Edmond L.; Joseph, Victor F. F.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.1.2016.10959

Abstract

Abstract: Acute Coronary Syndrome (ACS) is a syndrome that occurred due to pathological changes inside the coronary artery wall which cause myocardial ischemic, Unstable Angina Pectoris (UAP), and Acute Myocardial Infarct (AMI) such as Non ST Elevation Myocardial Infarct (NSTEMI) and ST Elevation Myocardial Infarct. The prevalence of coronary heart disease (CHD) in Indonesia is 0.5% from the total sample of non-communicable diseases and from the total sample diagnosed with CHD the highest is in Middle Sulawesi (0.8%) followed by North Sulawesi (0.7%). This study aimed to obtain the prevalence of ACS in Prof. Dr. R. D. Kandou Hospital from 1 January to 31 December 2014. This was a descriptive retrospective study. Data were obtained from the medical record and Cardiovascular and Brain Center (CVBC) of Prof. Dr. R. D. Kandou Hospital in Manado. The results showed that there were 126 cases of ACS, 72 cases (57.1%) of UAP, 35 cases (37.8%) of NSTEMI, and 19 cases (15.1%) of STEMI. From the 126 cases there were 90 males (71.4%) and 36 females (28.6%). Based on age there were 2 cases (1.6%) of 31-40 years old, 15 cases (11.9%) of 41-50 years old, 42 cases (33.3%) of 51-60 years old, 48 cases (38.1%) of 61-70 years old,  16 cases (12.7%) of 71-80 years old, and 3 cases (2.4%) of over 80 years old. Based on histories of ACS assisted diseases, there were 87 (69.0%) cases of hypertension, 32 cases (25.4%) of diabetes mellitus, 37 cases (29.4%) of dyslipidemia, 7 cases (5.6%) of obesity, 19 cases (15.1%) of smokers, and 122 cases (96.8%) of ACS patients had more than one risk factor. Conclusion: In this study, the most prevalence of ACS was UAP, males, aged 61-70 years, and had hypertension history. Keywords: acute coronary syndrome, prevalence   Abstrak: Sindrom Koroner Akut (SKA) merupakan keadaan terjadinya perubahan patologis dalam dinding arteri koroner, sehingga menyebabkan iskemik miokardium dan menimbulkan Unstable Angina Pectoris (UAP) serta Infark Miokard Akut (IMA) seperti Non ST Elevation Myocardial Infarct (NSTEMI) dan ST Elevation Myocardial Infarct (STEMI). Di Indonesia prevalensi penyakit jantung koroner (PJK) sebesar 0,5% dari total sampel penyakit tidak menular dan tertinggi di Sulawesi Tengah sebanyak 0,8% diikuti Sulawesi Utara 0,7% dari total pasien terdiagnosis PJK. Penelitian ini bertujuan untuk mengetahui prevalensi penderita SKA yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2014 sampai 31 Desember 2014. Penelitian ini merupakan studi deskriptif retrospektif dengan menggunakan data Bagian Rekam Medik dan Cardivascular and Brain Center (CVBC) RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan 126 kasus SKA, kasus UAP sebanyak 72 kasus (57,1%), NSTEMI 35 kasus (37,8%), dan STEMI 19 kasus (15,1%). Laki-laki sebanyak 90 kasus (71,4%) dan perempuan 36 kasus (28,6%). Kelompok umur 31-40 tahun sebanyak 2 kasus (1,6%), 41-50 tahun 15 kasus (11,9%), 51-60 tahun 42 kasus (33,3%), 61-70 tahun 48 kasus  (38,1%), 71-80 tahun 16 kasus (12,7%), dan >80 tahun 3 kasus (2,4%). Riwayat hipertensi sebanyak 87 kasus (69,0%), diabetes melitus 32 kasus (25,4%), dislipidemia 37 kasus (29,4%), obesitas 7 kasus (5,6%), dan merokok 19 kasus (15,1%). Simpulan: Prevalensi kasus SKA terbanyak adalah kasus UAP, berjenis kelamin laki-laki, berumur 61-70 tahun, serta memiliki riwayat hipertensi.Kata kunci: sindrom koroner akut, prevalensi
Diagnosis dan Tatalaksana Terkini Gagal Jantung Akut Saroinsong, Lifi; Jim, Edmond L.; Rampengan, Starry H.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.31857

Abstract

Abstract: Acute heart failure (AHF) is an emergency condition with rapid onset that requires immediate treatment. Many factors play a role in the incidence of AHF thus providing various of clinical manifestation. Prevalence and mortality of AHF is still a major health problem in Asia with the highest prevalence rate. This study intended to determine the tests needed to establish a diagnosis and recent treatment needed for AHF. This was a literature review study. The results showed the development of diagnosis and management of AHF based on the class of recommendation and levels of evidence updated by ESC 2016 and ACC/AHA/HFSA 2017. Furthermore, 4 journals discussed the development of troponin as biomarkers, multiple biomarkers, miRNA, and Lung Ultrasound (LUS). The development in AHF management was using tolvaptan, serelaxin, and neuromuscular electrical stimulation (NMES). In conclusion, diagnosis through anamnesis, physical examination, and supporting AHF can be done by understanding the causes of fluid retention and decreased cardiac output of the patient, therefore, it can provide pharmacological and non-pharmacological treatment appropriately.Keywords: diagnosis, treatment, acute heart failure Abstrak: Gagal jantung akut (GJA) merupakan kondisi darurat dengan tipe serangan yang cepat sehingga membutuhkan penanganan segera. Banyak faktor yang berperan dalam kejadian GJA sehingga memberikan gambaran klinis yang beragam. Prevalensi dan mortalitas GJA di dunia terus mengalami peningkatan dan masih merupakan masalah kesehatan utama di Asia. Penelitian ini bertujuan untuk mengetahui pemeriksaan yang diperlukan untuk menegakkan diagnosis GJA dan perkembangan tatalaksana terkini GJA. Jenis penelitian ialah literature review. Hasil penelitian mendapatkan perkembangan diagnosis dan tatalaksana GJA berdasarkan kelas rekomendasi dan tingkatan bukti yang diperbaharui oleh ESC 2016 dan ACC/AHA/HFSA 2017. Selain itu, 4 jurnal membahas perkembangan penggunaan biomarker troponin, biomarker multipel, miRNA, serta USG Paru. Perkembangan tatalaksana GJA menggunakan tolvaptan, serelaksin, dan neuromuscular electrical stimulation (NMES). Simpulan penelitian ini ialah penegakan diagnosis lewat anamnesis, pemeriksaan fisik dan penunjang GJA dapat dilakukan dengan memahami penyebab retensi cairan dan penurunan curah jantung pasien sehingga dapat memberikan tatalaksana farmakologis dan non-farmakologis dengan tepat.Kata kunci: diagnosis, tatalaksana, gagal jantung akut 
Diagnosis dan Tatalaksana Terkini Penyakit Jantung Hipertensi Moningka, Brigita L. M.; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.31962

Abstract

Abstract: Hypertensive heart disease is a response to a prolonged increase in blood pressure that causes various changes in the myocardial structure. This study was aimed to obtain the recent diagnosis and management of hypertensive heart disease. This was a literature review study using 4 databases, as follows: Pubmed, Clinical Key, Science Direct, and Google Scholar. The keywords used were Hypertensive Heart Disease diagnosis of Hypertensive heart disease OR Screening of hypertensive heart disease OR imaging of hypertensive heart disease AND therapy OR treatment OR management of hypertensive heart disease. The results showed that there were 10 literatures that fulfilled the criteria, consisting of 6 randomized controlled trials and 4 article reviews. Among patients with hypertensive heart disease, left ventricle hypertrophy, left ventricular dilation, and diastolic and systolic disfunction were the most commonly found in ECG, echocardiography, chest X-ray, and CMR. Therapy of hypertensive heart disease was according to ACC/AHA guidelines with non-pharmacological therapy by adopting the DASH diet and pharmacological therapy of choice was ACE-I or ARB. In conclusion, in hypertensive heart disease, the most common structural changes were left ventricle hypertrophy, left ventricular dilation, diastolic and systolic disfunction found in ECG, echocardiography, chest X-ray, and CMR. Therapy of hypertensive heart disease was according to ACC/AHA guidelines.Keywords: hypertensive heart disease Abstrak: Penyakit jantung hipertensi merupakan respon terhadap peningkatan tekanan darah berkepanjangan yang menyebabkan berbagai perubahan pada struktur miokard. Penelitian ini bertujuan untuk mendapatkan diagnosis dan tatalaksana terkini mengenai penyakit jantung hipertensi. Jenis penelitian ialah literature review menggunakan 4 database, yaitu Pubmed, Clinical Key, Science Direct, dan Google Scholar. Kata kunci yang digunakan ialah Hypertensive Heart Disease diagnosis of Hypertensive heart disease OR Screening of hypertensive heart disease OR imaging of hypertensive heart disease AND therapy OR treatment OR management of hypertensive heart disease. Hasil penelitian mendapatkan 10 literatur yang memenuhi kriteria penelitian, terdiri dari 6 randomized controlled trial dan 4 review article. Pada penyakit jantung hipertensi kelainan struktural yang sering ditemukan ialah hipertrofi ventrikel kiri (konsentrik maupun eksentrik), dilatasi ventrikel kiri, disfungsi diastolik dan sistolik, yang dapat dideteksi lewat pemeriksaan EKG, ekokardiografi, rontgen toraks, dan CMR. Terapi penyakit jantung hipertensi menurut pedoman ACC/AHA yakni nonfarmakologi seperti pola diet DASH dan terapi farmakologi pilihan yaitu ACE-I atau ARB. Simpulan penelitian ini ialah pada penyakit jantung hipertensi terdapat hipertrofi ventrikel kiri, dilatasi ventirkel kiri, disfungsi diastolik maupun sistolik, dideteksi menggunakan EKG, ekokardiografi, rontgen toraks dan CMR. Terapi penyakit jantung hipertensi sesuai dengan pedoman penatalaksanaan ACC/AHA.Kata kunci: penyakit jantung hipertensi
Co-Authors Agnes L. Panda Agung D. Harikatang, Agung D. Alia, Jaka K. Alitu, Moh. A. R. Anjani, Ni Made Biancha Tumade, Biancha Ghosalim, Aurell H. Haris, Devina E. Herdy Munayang Joulanda A. M. Rawis Kalangi, Cathleen S. Lantang, Eka Y. Loretta C. Wangko Moningka, Brigita L. M. Niluh, Cecilia E. Pritartha S. Anindita Santoso, Michael Saroinsong, Lifi Setiadi, Benny Starry H. Rampengan Tandipanga, Mayprengki B. Victor F. F. Joseph, Victor F. F. Wambrauw, Jery Wenas, Mercilia F.