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All Journal Argipa (Arsip gizi dan Pangan) ARKAVI [Arsip Kardivaskular Indonesia) Indonesian Journal of Cardiology
Sidhi Laksono Purwowiyoto
Unknown Affiliation
Health Professions Medicine & Pharmacology Public Health

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Cryptogenic Stroke: A Challenge in Diagnosis and Management Sidhi Laksono Purwowiyoto; Budhi Setianto; Gea Panindhita; Reynaldo Halomoan; I Nyoman Wiryawan
Jurnal Kardiologi Indonesia Vol 42 No 3 (2021): Indonesian Journal of Cardiology: July - September 2021
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1149

Abstract

Ischemic stroke is responsible for 85% of all stroke globally. However, the etiology of around a quarter of ischemic stroke are undetermined, this is called cryptogenic stroke. This kind of stroke affects younger population. Several mechanism are associated with the incidence of cryptogenic stroke such as paroxysmal atrial fibrillation, patent foramen ovale, atherosclerosis, and atrial cardiopathy. Despite many advanced knowledge on stroke generally, cryptogenic stroke is still a challenge in clinical settings. To understand more about cryptogenic stroke, a new term of embolic strokes of undetermined source (ESUS) is proposed and may need a specific workup. Specific workup aims to detect any silent risk factors and also to evaluate the cardiac structure. The term of ESUS also leads to the understanding that cryptogenic stroke is highly related to embolic mechanism and anticoagulation administration might benefit the patients. However, the result of several recent studies showed that anticoagulant was not superior to antiplatelet, and antiplatelet is still the preferred treatment. Studies on PFO closure also shows different result, but the majority of the trials showed benefit of PFO closure in reducing the risk of stroke recurrence.
Diet dan nutrisi pasien gagal jantung: Tinjauan mini bagi praktisi klinis Sidhi Laksono Purwowiyoto; Grace Trifena
ARGIPA (Arsip Gizi dan Pangan) Vol 6 No 2 (2021)
Publisher : UHAMKA PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/argipa.v6i2.7187

Abstract

The incidence of Heart Failure (HF) continues to increase worldwide, but the prognosis remains poor. Nutrition is a lifestyle factor involved in the prevention of heart failure, unfortunately the effects of macro and micronutrients and dietary patterns in the development and treatment of heart failure are still minimal. This is reflected in the lack of nutritional recommendations in all HF clinical guidelines. This literature review uses 40 literature references in searching for diet and nutrition in heart failure patients. In this mini review, we will discuss the implications of diet for sodium restriction, calorie restriction, supplementation of fats, protein, and micronutrients in the management of HF. So it can be concluded that nutritional knowledge is needed for holistic management of heart failure patients starting from sodium restriction procedures, recommended diet, calorie restriction to supplementation.
Peran Latihan Olahraga Terhadap Pasien Gagal Jantung Dengan Fraksi Ejeksi yang Normal Sidhi Laksono Purwowiyoto
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 2 No. 2 (2017): Arkavi: Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.74 KB)

Abstract

ABSTRAK Setengah dari pasien gagal jantung (HF) memiliki fraksi ejeksi ventrikel kiri yang normal (HFpEF). Morbiditas dan mortalitas HFpEF hampir sama dengan HF yang mengalami penurunan fraksi ejeksi, walau pengobatan yang efektif masihlah belum jelas. Diagnosis HFpEF sering kali sangat menantang dan terpaku pada evaluasi klinis, pemeriksaan ekokardiografi dan penunjang lainnya. Latihan olahraga terbukti memperbaiki kualitas hidup pasien dengan gagal jantung sistolik, dan sebagai terapi tambahan pada gagal jantung yang telah direkomendasikan perkumpulan kardiologi Amerika ataupun Eropa. Kebanyakan studi-studi latihan olahraga menggunakan pasien gagal jantung dengan fraksi ejeksi yang menurun, banyak mekanisme yang dapat dipelajari dalam melihat perbaikan kualitas hidup pasien, namun data mengenai peran latihan olahraga terhadap pasien gagal jantung dengan fraksi ejeksi yang normal masihlah amat terbatas. Kata Kunci : HFpEF, latihan olahraga
Co-Authors Gea Panindhita Grace Trifena I Nyoman Wiryawan Reynaldo Halomoan Solly Aryza