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PULMONARY VASCULAR OBSTRUCTIVE DISEASE PREVENTION: A CASE REPORT OF MANAGEMENT APPROACH IN CAVSD WITH LARGE PDA Hazami, Zakky; Putra, Bayushi Eka; Hendrarto, Toto Wisnu
Majalah Kedokteran Indonesia Vol 68 No 8 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Background: Complete atrioventricular septal defect (CAVSD) and large patent ductus arteriosus (PDA) are considered as one of special conditionwhich need attention regarding its diagnosis and management. When CAVSD and large PDA is concomitant, the management is different from the simple case of CAVSD. Objective: Early recognition and optimal management of CAVSD and large PDA in area with limited medical facilities. Methods: This study will be presented as a case report. Case Illustration: A twenty-days-old female neonate was born with CAVSD and large PDA. The baby was in the 37 weeks gestational age when she was born spontaneously with APGAR score 8/9 and birth weight of 2890 g. Conservative approach was preferred as the patient was treated with captopril 0.8 mg three times a day, spironolactone2mg twice a day and hydrochlorothiazide 1 mg twice a day to prevent heart failure. Conclusion: Pre-ductal and post-ductal oximetry test measurement is a reliable approach to screen patient with congenital heart disease which might be applied in medical center with limited medical facilities. Moreover, regarding the management, it might be beneficial to conduct early pulmonary artery banding.

KUNCI PENANGANAN HIPERTENSI REFRAKTER: MENDALAMI ENTITAS HIPERTENSI ESENSIAL DAN SEKUNDER Putra, Bayushi Eka
Majalah Kedokteran Indonesia Vol 68 No 1 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Hipertensi merupakan salah satu faktor risiko utama terjadinya penyakit kardiovaskular. Prevalensi hipertensi di negara berkembang mencapai 25,4% - 41,1% pada laki-laki dan 27,2% -38,7% pada wanita.1Sedangkan, di negara maju prevalensinya mencapai 20%-30% dengan 51%-80%-nya mendapatkan tatalaksana dan hanya 27%-66% dari yang mendapatkan tatalaksana mencapai tekanan darah yang terkontrol.2

A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble Juzar, Dafsah Arifa; Putra, Bayushi Eka
Jurnal Kardiologi Indonesia Vol 43 No 4 (2022): Indonesian Journal of Cardiology: October - December 2022
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1368

Background. Takotsubo is a syndrome characterized by transient regional systolic dysfunction of the left ventricle (LV). The most common clinical presentation mimics acute myocardial infarction without angiographic evidence of obstructive coronary artery disease or acute plaque rupture.1-3 The diagnosis and management became a challenge when it presented as atypical symptoms and significant obstructive coronary artery. Thus, this case report highlights the diagnosis and management of Takotsubo Cardiomyopathy with obstructive coronary artery disease.Case illustration. A 71 years old woman came to the emergency room with a chief complaint of dyspnea from one week ago and worsened in the last three days. The initial electrocardiogram showed slight ST-elevation, and thorax Rontgen showed the congestion and elongation of the aorta. Increased high-sensitive Cardiac Troponin T and The NT-Pro BNP levels were present, along with apical ballooning of the LV and reduced RV function. Physiological stress was found to be the death of her husband one week ago. Although the left ventriculography of this patient was classically depicted as the octopus trap, we did find obstructive coronary artery disease in the left anterior descending artery. Keywords: Takotsubo Cardiomyopathy, Uncommon presentation, Coronary artery disease, apical ballooning, acute heart failure

Pencegahan Penyakit Paru Vaskular Obstruktif: Sebuah Laporan Kasus Pendekatan Tata Laksana pada CAVSD dengan PDA Besar Hazami, Zakky; Putra, Bayushi Eka; Hendrarto, Toto Wisnu
Majalah Kedokteran Indonesia Vol 68 No 8 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.8-2018-46

Background: Complete atrioventricular septal defect (CAVSD) and large patent ductus arteriosus (PDA) are considered as one of special conditionwhich need attention regarding its diagnosis and management. When CAVSD and large PDA is concomitant, the management is different from the simple case of CAVSD. Objective: Early recognition and optimal management of CAVSD and large PDA in area with limited medical facilities. Methods: This study will be presented as a case report. Case Illustration: A twenty-days-old female neonate was born with CAVSD and large PDA. The baby was in the 37 weeks gestational age when she was born spontaneously with APGAR score 8/9 and birth weight of 2890 g. Conservative approach was preferred as the patient was treated with captopril 0.8 mg three times a day, spironolactone 2mg twice a day and hydrochlorothiazide 1 mg twice a day to prevent heart failure. Conclusion: Pre-ductal and post-ductal oximetry test measurement is a reliable approach to screen patient with congenital heart disease which might be applied in medical center with limited medical facilities. Moreover, regarding the management, it might be beneficial to conduct early pulmonary artery banding.

Kunci Penanganan Hipertensi Refrakter: Mendalami Entitas Hipertensi Esensial dan Sekunder Putra, Bayushi Eka
Majalah Kedokteran Indonesia Vol 68 No 1 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.1-2018-92

Hipertensi merupakan salah satu faktor risiko utama terjadinya penyakit kardiovaskular. Prevalensi hipertensi di negara berkembang mencapai 25,4% - 41,1% pada laki-laki dan 27,2% -38,7% pada wanita.1Sedangkan, di negara maju prevalensinya mencapai 20%-30% dengan 51%-80%-nya mendapatkan tatalaksana dan hanya 27%-66% dari yang mendapatkan tatalaksana mencapai tekanan darah yang terkontrol.2

Cardiovascular Disease and COVID-19: What’s the Issue? Putra, Bayushi Eka; Santoso, Anwar
Majalah Kedokteran Indonesia Vol 70 No 4 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.4-2020-231

What’s our status? As per 17 April 2020, Indonesia has the most confirmed cases (5.923 cases) of Coronavirus Disease (COVID-19) among Southeast Asian Countries.1 Considering the daily increase of cases, we are considered nowhere near the plateau of the epidemic curve. It was predicted that the peak may be reached from May to June.2 Predictably, this will not end soon. COVID-19 contracted patients may also vary in severity. The patient may present with no symptoms, mild to moderate, and severe condition. Mild (81%) depicted as COVID-19 patients with no evidence or mild pneumonia, severe (14%) for COVID-19 patients with hypoxia and greater than 50% lung involvement within 24-48 hours, critical (5%) if the patient develops shock, acute respiratory distress syndrome, myocarditis, or even organ failure which need intensive care, and 2.3 % were fatal which end up in death.3,4

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