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All Journal Majalah Kedokteran Andalas
Yerizal Karani
Bagian Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran, Universitas Andalas
Health Professions Medicine & Pharmacology Public Health

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Atrial fibrillation with flutter episode in patient with mitral stenosis Deri Arara; Yerizal Karani
Majalah Kedokteran Andalas Vol 41, No 3 (2018): Published in September 2018
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v41.i3.p134-142.2018

Abstract

Mitral stenosis (MS) is a condition which happened because of congenital or acquired event. The most common etiology of MS in Indonesia is Rheumatic Heart Disease (RHD). Chronic inflammation on the mitral valve could lead to stenosis from mild to severe degree. Mitral stenosis could lead to many complications such as pulmonary hypertension and atrial fibrillation (AF). The prevalence of AF in patients with MS is related to the severity of valve obstruction and patient age. AF event in patient with MS could be happen because of Left Atrial (LA) dilatation of the patient. The mechanism that responsible for AF in patient with MS is a complex one. AF even with or without atrial flutter episode could lead a deterioration of patient hemodynamic. In the other way, the patient also predisposes to left atrial thrombus formation and systemic embolic events. Good awareness in diagnosis and management of atrial fibrillation in patient with MS are mandatory to reduce the morbidity and mortality.
Anomaly of left coronary artery Finesa Hasye; Yerizal Karani
Majalah Kedokteran Andalas Vol 41, No 3 (2018): Published in September 2018
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (657.202 KB) | DOI: 10.25077/mka.v41.i3.p143-151.2018

Abstract

Anomalies of the coronary artery are uncommon, with a reported incidence of 0.3% to 1.3% in the coronary angiography studies routinely performed for suspected atherosclerotic coronary disease. There were 0.92% incidence of anomalous origination of the right coronary artery from the left sinus and the 0.15% incidence of anomalous origination of the left coronary artery from the right sinus. Most coronary artery anomalies are diagnosed by invasive angiography performed to investigate suspected atherosclerotic coronary disease. There are two important managements for patient with anomaly coronary artery. First, these coronary anomalies should result in exclusion from participation in intense competitive sports to reduce the risk of a cardiac event or sudden death. Second, and more importantly, treatment for wrong sinus coronary artery anomalies are revascularization can be either surgical or percutaneous. Surgical intervention should be considered for high-risk varieties of anomalous coronary arteries, as this is the only treatment that has been demonstrated to improve coronary blood flow and carries a low morbidity and mortality.
Stenosis aorta dengan penyulit hiperkalemia Rika Permata Sari; Yerizal Karani; Citra Kiki Krevani
Majalah Kedokteran Andalas Vol 42, No 1 (2019): Published in January 2019
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (949.551 KB) | DOI: 10.25077/mka.v42.i1.p31-40.2019

Abstract

Stenosis Aorta (SA) merupakan salah satu kelainan katup jantung yang sering ditemui, dan juga merupakan indikasi untuk dilakukannya operasi penggantian katup. Kalium adalah ion ekstraselular berperan penting dalam pengaturan elektrofisiologis fungsi miokard. Hiperkalemia dapat dikaitkan dengan kelainan elektrokardiografi yang sering terjadi. Secara umum, hiperkalemia menghasilkan penurunan kecepatan rangsangan dan konduksi secara bertahap pada sel pacu jantung dan jaringan di seluruh jantung. Tujuan: Memaparkan mengenai stenosis aorta baik secara diagnostik maupun penatalaksanaan. Kasus: Wanita 79 tahun dengan keluhan utama pusing setelah aktivitas. Nyeri dada tidak menjalar saat aktivitas dan berkurang saat istirahat sejak satu minggu sebelumnya. Riwayat nyeri dada sejak 1 tahun terakhir saat aktivitas dan tidak muncul saat istirahat. Sesak nafas muncul 7 hari rawatan, tidak menciut, tidak dipengaruhi makanan atau cuaca, terutama saat nyeri dada. Pasien didiagnosis stenosis aorta berat dengan hiperkalemia. Simpulan: Berdasarkan manajemen stenosis aorta, pasien direncanakan angiografi. Jika ada penyumbatan koroner disarankan Coronary Artery Bypass Grafting sekaligus penggantian katup aorta.
Co-Authors Citra Kiki Krevani Deri Arara Finesa Hasye Rika Permata Sari