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All Journal Indonesian Journal of Cardiology Heart Science Journal
Siska Suridanda Danny
Departement of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia National Cardiovascular Center “Harapan Kita”, Jakarta, Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology

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Faktor-Faktor yang Mempengaruhi Kejadian Kardiovaskular Mayor pada Wanita Pasca Infark Miokard Akut Siska Suridanda Danny; Poppy S Roebiono; Amiliana M Soesanto; Manoefris Kasim
Jurnal Kardiologi Indonesia Vol. 30, No. 1 Januari - April 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i1.171

Abstract

Background.Cardiovascular mortality had decreased significantly in men during the last 20 years but the decrease of mortality in women stayed more subtle. Age-group analysis toward this lack of decline showed that gender difference especially evident in subjects aged less than 55 years. This study aimed to investigate the rate of Major Adverse Cardiovascular Events (MACE) occurred in women after Acute Myocardial Infarction (AMI) and associated predictors, along with the differences in clinical characteristics between age groups which could potentially cause a disparity in outcome.Methods.This was a retrospective cohort study by medical records analysis. We investigated female patients presenting to Emergency Departement National Cardiovascular Center Harapan Kita Jakarta (NCCHK) with AMI during January-December 2007. Investigation toward the occurrence of MACE was undertaken in February-March 2009. Results.Female patients constituted 22.4% of all patients diagnosed as Acute Coronary Syndrome. There were a total of 168 patients with AMI, followed for 14-26 months (mean follow up time of 16.6 months). The incidence of MACE was 51.7%. Intra hospital mortality was 16.7% while overall mortality was 30.9%. Predictors for MACE were Diabetes Mellitus (DM) with HR 2.293 (95% CI: 1.099-4.783 p=0.027), and coronary lesion affecting 3 vessel/Left Main disease with HR 4.217 (95% CI: 1.907-9.280 p<0.001). Age-group analysis showed that in women more than 55 years of age, predictors of MACE included also DM and coronary lesion affecting 3 vessel/Left Main disease, along with history of previous angina. However, in women less than 55 years of age, the incident of MACE can not be predicted by clinical factors investigated by this study.Conclusions.AMI in women poses a high rate of MACE and death in all age groups. AMI occurred in younger women constitutes a high risk group with different disease profile which is difficult to predict by traditional risk factors.
Ablasi Radiofrekuensi pada Kepak Atrium Tipikal Setelah Pemasangan Amplatzer Septal Occluder : Suatu Laporan Kasus Siska Suridanda Danny; Yoga Yuniadi; Amir Aziz Alkatiri; Faris Basalamah; Muhammad Munawar
Jurnal Kardiologi Indonesia Vol. 29, No. 2 Mei - Agustus 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i2.192

Abstract

We report a case of a 48-year old female with secundum atrial septal defect (ASD), already undergone device closure with an Amplatzar Septal Occluder (ASO). The patient subsequently underwent radiofrequency catheter ablation for typical atrial flutter, three months after ASD closure with good results. During follow up the patient remained in sinus rhythm and the complaints of dyspnoe and palpitation subsided.
The Current Concept and Role of Intensive Cardiovascular Care Units Siska Suridanda Danny
Heart Science Journal Vol 4, No 1 (2023): Optimizing Outcome in Acute Cardiac Care
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2023.004.01.1

Abstract

Since its first establishment in the early 1960s, intensive care for the critically ill cardiac patients had transformed substantially. From a unit designed only to monitor cardiac rhythm and administer electrical therapy to patients with myocardial infarction (MI), the Intensive Cardiovascular Care Units (ICVCU) now provide care for a wide array of patients with cardiovascular conditions needing close observation and hemodynamic support. This shift in role is accompanied with the development of cardiac critical care as an emerging subspecialty of cardiovascular medicine. Cardiac intensivists should have proper training in general cardiology, combined with additional competency in critical care, including mechanical ventilation, renal replacement therapy, mechanical circulatory support and general preventive measures for infections. A high-intensity medical staffing in a closed care system had shown to improve mortality in critically ill cardiac patients in the contemporary ICVCUs. As interventional cardiology, structural heart disease, electrophysiology, advanced heart failure and transplantation continue to offer new treatment options for complex high-risk patients, cardiac critical care is of utmost importance to provide collaborative care among these disciplines. 
Co-Authors Amiliana M. Soesanto Amir Aziz Alkatiri Faris Basalamah Manoefris Kasim Muhammad Munawar Poppy S Roebiono Yoga Yuniadi