Articles
Ablasi Septal pada Pasien dengan Hypertrophic Obstructive Cardiomyopathy pada Pasien dengan Gagal Nafas
Jusuf Endang;
H Haryadi;
Siska Suridanda;
Andika S;
Roy Christian;
I Irmalita;
Sunu Budi Raharjo;
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i1.304
Hypertrophic Obstructive Cardiomyopathy (HOCM) prevalence is about 1 among 500 population. It is caused by genetic malformation. Dyspnoe, angina pectoris and syncope are clinical manisfestation. Pharmacological and non-pharmacological treatments can be performed to relieve the obstructive symptoms. Recently alcohol septal ablation has been proven improve haemodynamic and functional status.We report a case of HOCM patient with refractory lung oedema and intubated due to respiratory failure that was immediatelly improved afterseptal ablation.
Only Single Pacing On Dual Chamber Pacemaker
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i1.307
EKG merupakan pemeriksaan penunjang yang sangat penting untuk evaluasi pasien pemakai alat pacu jantung menetap. Melalui EKG fungsi pemacuan dan fungsi sensing alat pacu jantung menetap dapat ditentukan dengan cukup akurat. Dengan mengantongi informasi jenis alat pacu jantung menetap yang digunakan, EKG bagi seorang kardiolog akan memberikan informasi adanya fenomena undersensing, oversensing, loss of capture, loss of output, dan sebagainya.
Ekstraksi Lead Pacu Jantung dengan Kabel Seluruhnya Tertarik ke dalam Ventrikel Kanan
Wishnu Aditya;
Yoga Yuniadi;
Erika Maharani;
Farial Indra;
Edrian Zulkarnaen;
Yandi Arifiudin
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v33i3.312
We are reporting a case of lead extraction from a woman who has been implanted permanent peacemaker (PPM), and later has a complication of a local site infection and infective endocarditis. She had multiple local debridement procedures, generator removal, and multiple cable amputation. Her PPM wire was free-floating inside the right ventricle (RV). Lead extraction was done successfully using a snare catheter and a long sheath.
Implikasi Klinis Repolarisasi Dini
Reza Octavianus;
Yoga Yuniadi;
Budhi Setianto
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v33i3.314
Early repolarization described as J-point elevation with concaved ST segment, notch or slurred at terminal QRS complex on surface electrokardiography. This electrokardiography pattern that usually exists in young male population, for about 60 years has been concluded as benign normal variant electrokardiography. Klatsky in 2002, has strengthed this issues with his study with 1000 elecrokardiographies with early repolarization which were followed for 12 years. There was no significant case for hospitality or malignant ventricular arrhythmias among population with early repolarization comparared with normal elektrokardiography without early repolarization.But, recent studies with larger samples, show different thing, which is there was a correlation between early repolarization and malignat ventricular arrhythmias. So the issue is, whether we can still consider this early repolarization as a normal variant or not. And how about the management of asymptomatic population with early repolarization such as syncope or evidence of malignant ventricular arrhythmias.T-wave Alternans is a difference at amplitude or morphology of ST segment and T wave in every other heart beat. T-wave Alternans measurement is a non-invasive method to value cardiac cells hererogeneity. This examination has been proven to be useful as a risk stratification for malignant ventricular arrhythmias events in large studies. Higher T-wave Alternans value accompanied with higher risk for developing these arrythymias. T-wave Alternans measurement has been approved in the guideline for management of wide QRS complex tachyarrythmias for detection ventricular arrhythmias with I and IIa class of recommedantion. The more practical Modified Moving Average technicque which can be performed in healthy subjects with early repolarization is useful for risk stratification. Large studies have approved the use of Modified Moving Average for measure T-wave Alternans in these arrhythmias risk stratification.
Elevasi Segmen ST Varian Normal
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v33i3.317
Elevasi segmen ST selalu menimbulkan dugaan adanya infark miokard akut. Walaupun sebenarnya tidak semua elevasi segmen ST berkaitan dengan adanya oklusi arteri koroner karena ada gambaran elevasi segmen ST yang hanya merupakan varian normal. Tulisan ini akan menyegarkan kembali pengetahuan tentang elevasi segmen ST varian normal.
Sinkop Berulang pada Perempuan Muda
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 30, No. 3 September - Desember 2009
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v30i3.318
Sinkop adalah ketidakmampuan mempertahankan postur tubuh akibat hilangnya kesadaran sesaat. Sinkop pada usia muda sering dikaitkan dengan kegagalan refleks vasovagal. Sinkop umumnya benigna walaupun pada subset pasien tertentu sinkop dapat merupakan gejala suatu kejadian yang mengancam jiwa. Oleh karena itu rawat inap karna sinkop sering terjadi akibat kesuliatan untuk segera mengetahui kausa sinkop, kurangnya kriteria baku untuk diagnosis dan kekhawatiran terhadap kemungkinan suatu aritmia yang berbahaya.
Patient-, Disease-, or Doctor-Centered Medicine
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i2.321
Majelis Kehormatan dan Disiplin Kedokteran Indonesia (MKDKI) melaporkan bahwa terdapat peningkatan yang signifikan laporan tindak pelanggaran disiplin kedokteran. Sepanjang tahun 2012 terdapat 23 kasus pelanggaran disiplin sedangkan semester pertama tahun ini sudah terdapat 35 kasus yang dilaporkan ke MKDKI. Sebuah kemajuan dari perspektif kesadaran masyarakat tentang pelayanan kesehatan yang baik dan keberanian melaporkan kejanggalan pelayanan yang terjadi. Tetapi tentu saja tidak dapat dihindari adanya faktor lain yang turut berperan terhadap peningkatan laporan pelanggaran disiplin tersebut. Komunikasi dokter-pasien sering menjadi akar dari berbagai ketidakpuasan dalam pelayanan praktik kedokteran yang kemudian berujung pada pengaduan. Salah satu faktor yang turut mempengaruhi buruknya komunikasi dokter-pasien adalah belum dimilikinya konsep “patient-centered medicine” oleh sebagian praktisi kedokteran.
Seeing the Inner from Outer
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i2.324
Since Furchgott et al1 showed that acetylcholine requires the presence of endothelial cells to induce vasodilation, the importance of the endothelial cell layer for vascular homeostasis has been increasingly appreciated. Endothelial dysfunction was initially identified as impaired vasodilation to specific stimuli such as acetylcholine or bradykinin. A broader understanding of the term would include not only reduced vasodilation but also a proinflammatory and prothrombic state associated with dysfunction of the endothelium.2 Figure 1 describe regulation function of endothelium during normal and dysfunction condition.3 In human, endothelial dysfuntion was first described in forearm of hypertensive patient.4 Dysfunction of the endothelium has been attributed to the pathophysiology of different forms of cardiovascular disease, including hypertension, coronary artery disease, chronic heart failure, peripheral artery disease, diabetes, and chronic renal failure.2
Hubungan mean platelet volume dengan miocardial blush kuantitatif pada pasien ima-est yang menjalani intervensi koroner perkutan primer
Sri Murdiati;
Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i2.326
Background. Mean platelet volume is a marker of platelet, size and activation functions. Increased mean platelet volume showed a large and active platelet release more thromboxane A2 than smaller ones. A simple marker was detected using a fast and functional techniques will help approaches to inflammation caused by platelets. Thus MPV is an important examination of effective simple, easy, and low cost to be used and explored extensively, particularly in developing countries such as Indonesia, to predict the likelihood of complications to come.Methods and Results. Seventy-two patients (age minimum 30 years and maximum 80 years who came to the hospital with a presentation IMA-EST onset less than 12 hours were included in this study. Following primary percutaneous intervention coroner examined myocardial blush with Qube and see the relationship with the value mean platelet volume (MPV) in assessing myocardial flow. End point of this study is the lack of correlation between MPV values in the assessment of myocardial blush Qube post-reperfusion.Conclusion. MPV values in this population as the initial entry no relationship with Qube in assessing the value of post-reperfusion myocardial blush
Stratifikasi Risiko Kematian Jantung Mendadak pada Sindrom Koroner Akut
Jusup Endang;
Dewi H Suprobo;
Radityo Prakoso;
Yoga Yuniadi;
Bambang B Siswanto;
Nani Hersunarti
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association
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DOI: 10.30701/ijc.v34i2.327
Sudden cardiac death is the leading cause of cardiovascular mortality in acute coronary syndrome. Risk stratification scoring tools are available to better identify patients at risk after acute myocardial infarction. In addition plenty of factors and treatment modalities modulate the risk of sudden cardiac death.A case of in-hospital SCD in a young woman with acute anterior STEMI is presented as a trigger to the importance of risk stratification and treatment according to guidelines in preventing SCD.