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All Journal Indonesian Journal of Cardiology Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Cermin Dunia Kedokteran
Amiliana M. Soesanto
Departemen Ilmu Penyakit Jantung Dan Pembuluh Darah RSJP Harapan Kita/Fakultas Kedokteran Universitas Indonesia Jakarta.
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Pemeriksaan trans-Esophageal Echocardiografi (I) Lucia Kris Dinarti; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 31, No. 2 Mei - Agustus 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i2.148

Abstract

Perkembangan Trans Esophageal Echocardiografi (TEE) merupakan penemuan besar dalam sejarah pencitraan jantung. TEE adalah cara pendekatan pencitraan jantung dengan menggunakan sebuah transducer khusus berfrekuensi 5 - 7,5 MHz yang diletakkan pada esophagus. Pendekatan ini menghasilkan pencitraan dari sisi posterior struktur jantung yang lebih sempurna oleh karena hantaran suara ultra dari transducer TEE tidak terganggu oleh struktur dinding dada atau jaringan paru (lihat gambar 1).
Estimasi Tekanan Atrium Kanan Dengan Rasio Gelombang E/Ea Katup Trikuspid Yasmina Hanifah; Amiliana M Soesanto; Ismoyo Sunu; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.151

Abstract

Background. Right atrial pressure is one of hemodynamic parameter that can guide therapy for patients in intensive care unit. Right atrial pressure is also needed for calculation of other hemodynamic parameter such as pulmonary pressure and systemic vascular resistance. Estimation of right atrial pressure using E/Ea ratio is not much studied until now. There were only three studies with different result. This study objective is therefore to asses the correlation and agreement of estimation right atrial pressure by using ratio E wave (spectral doppler) and Ea wave (tissue doppler imaging) from tricuspid valve. Methods.This is a diagnostic test with cross sectional design study in patients in Cardiovascular Care Unit (CVCU) who had been inserted central venous pressure line (CVP line). E wave was taken from tricuspid inflow with pulsed wave spectral doppler and Ea wave was taken from the lateral tricuspid annulus with tissue doppler imagingat at early diastolic filling. Correlation analysis was performed to assess the correlation of E/Ea ratio with right atrial pressure from CVP line. The result of E/Ea ratio liner regrresion is analyzed with bland altman plot to asses agreement between E/Ea ratio and invasive methods of CVP line. Data was analyzed using SPSS 15.0.Results.There were 50 from 16 sample. As many as 20 data was also also measured by second observer for interobserver variability. There was a good precision for inter and intraobserver with ICC > 0,8. There was good correlation between E/Ea ratio with right atrial pressure, r = 0.728, p < 0,001. Cut off point E/Ea >3,95 could predict right atrial pressure = 10 mmHg (sensitvity 73,1% and specificity 70,8% and positive predictive value 73% and negative predictive value 73,9%). The agreement between E/Ea ratio and CVP line for measuring right atrial prssure was poor, with Intra-class Correlation(ICC) 24% and percentage error more than 30%. Based on this agreement right atrial pressure estimated by E/Ea ratio could have difference as much as 0,01 +3,53 mmHg. Conclusion.There were good correlation but poor agreeement for right atrial pressure estimation by using E/Ea ratio.
Penilaian Fungsi Ventrikel Kanan (1) Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.168

Abstract

Pengukuran fungsi ventrikel kanan relatif tidak seseder-hana pengukuran fungsi ventrikel kiri, mengingat ben-tuk geometriknya yang kompleks. Walaupun demikian secara praktis pengukuran fungsi ventrikel kanan dapat dilakukan dengan pemeriksaan ekokardiografi melalui beberapa cara. Pada kesempatan kali ini akan diuraikan cara praktis pengukuran fungsi ventrikel kanani yang dapat digunakan dalam praktek sehari-hari.
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.
Hipertensi Pulmonal Persisten Segera Setelah Balloon Mitral Valvuloplasty Irwan H Siahaan; Manoefris Kasim; Amiliana M Soesanto; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 29, No. 3 September - Desember 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i3.182

Abstract

Background.Pulmonary hypertension frequently complicates mitral stenosis. Increased pulmonary artery pressure results from raised left atrial pressure, pulmonary arteriolar vasoconstriction, and obliterative changes in the pulmonary vascular bed, and usually responds to relief of mitral stenosis. However, severe pulmonary hypertension may persist after mechanical relief of mitral stenosis.Methods.A case cross sectional study was conducted in mitral stenosis patients to study the immediate effect of BMV for severe pulmonary hypertension. Pulmonary hypertension was assessed by echocardiography before procedur and 24 – 72 hours after procedure. Analysis was done to assess the relation of age, gender, left atrial size, gradient across mitral valve, mitral valve area and systolic PA pressure before procedure on the persistency of severe pulmonary hypertension.Results.There were 183 patients with mitral stenosis were found in January 2007 – December 2008. Seventy three were severe pulmonary hypertension (systolic PAP = 80 mmHg) and 61 patients were mild – moderate pulmonary hypertension ( systolic PAP < 80 mmHg). Only 54 patients were fulfilling study criteria. Of 54 cases included to analysis, 66.7% were female, 70.4% were in sinus rhytm and had age of 35.44 ± 10.55 yo. The mean mitral valve gradient (MVG) decreased from 18.53 ± 6.40 to 8.50 ± 4.84 mm Hg (p< 0.001). Mitral valve area (MVA) increased from 0.76 ± 0.26 to 1.36 ± 0.36 cm 2 (p < 0.02). LA diameter decreased from 52.87 ± 7.14 to 49.13 ± 7.35 mm (p = 0.01). The pulmonary artery systolic pressure decreased from 100.48 ± 15.77 to 79.83 ± 17.49 mm Hg (p< 0.001). Systolic PAP > 95 mmHg was associated with persistency of PH in mitral stenosis patients with 58% sensitivity and 30% specificity.Conclusions.The degree of Systolic PAP before BMV is associated with persistency of severe pulmonary hypertension. Systolic PAP > 95 mmHg was associated with persistency of PH in mitral stenosis patients with 58% sensitivity and 70% specificity.
Pengukuran Fungsi Sistolik Global Ventrikel Kiri Amiliana M Soesanto
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.v29i2.193

Abstract

Pengukuran fungsi sistolik jantung dengan pemeriksaan ekokardiografi dapat dilakukan dengan beberapa cara. Pada kesempatan kali ini akan diuraikan cara pengukuran fungsi sistolik ventrikel kiri yang dapat digunakan.
Penilaian Disinkroni Kardiak Dengan Pemeriksaan Ekokardiografi Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 28, No. 6 November 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i6.204

Abstract

Penilaian disinkroni kardiak merupakan salah satu aspek penting dari pemeriksaan ekokardiografi dalam menilai fungsi jantung. Disinkroni (disinkroni mekanik) adalah suatu gerakan yang tidak sinkron atau tidak seragam dari otot jantung. Bila ditinjau dari periode dalam siklus jantung, disinkroni bisa terjadi pada saat sistolik maupundiastolik. Walaupun demikian, sampai saat ini baru disinkroni sistolik yang banyak diteliti dan diketahui implikasi klinisnya pada beberapa kelainan jantung.
Gambaran Fungsi Diastolik Ventrikel Kiri Pada Penderita Keganasan Yang Mendapat Kemoterapi Doxorubicin Januar Wibawa Martha; Sunarya Surianata; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 28, No. 5 September 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i5.217

Abstract

Background. Doxorubicin is one of the first-line chemoterapy against many form of neoplasm but the use is hampered by its cardiotoxic poten-tial with the end result of congestive heart failure. It is imperative that specific monitoring scheme is applied to detect as early as possible the cardiac damage due to doxorubicin. There is large body of evidence that left ventricular diastolic dysfunction precede systolic dysfunction. There-fore, diastolic function may serve as am early monitoring parameter in patients receiving doxorubicin. This study is aimed to delineate the preva-lence of diastolic dysfunction among patients receiving doxorubicin, to define the lowest cumulative dosage of doxorubicin that already cause di-astolic dysfunction, and to describe the association between cumulative dosage of doxorubicin with grade of diastolic dysfunction.Methods. This study utilizes cross sectional design, conducted in Depart-ment of Cardiology and Vascular Medicine to 38 cancer patients receiving doxorubicin in Subdivision of Hematology-Oncology Department of Inter-nal Medicine, Faculty of Medicine, Padjadjaran University. The study com-menced from September 2006 until January 2007.Results. The prevalence of diastolic dysfunction among patients who re-ceived doxorubicin is 86,8%. The actual lowest cumulative dose of doxoru-bicin that already had diastolic dysfunction is 112 mg/m2 but the crossing point between correlation line and the occurrence of E/A ratio and Em/Am ratio of less than 1 is between 110-130 mg/m2. There is negative correlation between cumulative dose of doxorubicin and E/A ratio (r = -0,62) and Em/Am ratio (r = -0,69). Cumulative dose of doxorubicin among normal dias-tolic function, grade 1 diastolic dysfunction and grade 2 diastolic dysfunction are 101,4 + 3,9 mg/m2 , 168,3 + 7,6 mg/m2 and 237,1 + 11 mg/m2, respec-tively (p < 0,01). There is positive correlation between cumulative dose of doxorubicin with grade of diastolic dysfunction (r = 0,7)Conclusions. The prevalence of diastolic dysfunction among patients who received doxorubicin is 86,8%. The lowest cumulative dose of doxorubi-cin that already had diastolic dysfunction is between 110-130 mg/m2 . There is a strong positive correlation between cumulative dose of doxorubicin with grade of diastolic dysfunction.
Seleksi Kandidat Balloon Mitral Valvuloplasty pada Stenosis Mitral Rematik Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.306

Abstract

Balloon Mitral Valvulotomy (BMV), sometimes also referred to as Percutaneous Transcatheter Mitral Commissurotomy (PTMC) is becoming a common treatment option for patients with mitral stenosis. Compared to surgical valvotomy, it has less procedural risk, shorter hospital stay and comparable outcome. However, that good result can only be achieved in selected good candidates. This article will give a highlight of some consideration to choose a good candidate for BMV mostly evaluated by echocardiography.
Pemeriksaan Hemodinamik Ekokardiografi pada Kasus Kegawatan dan Kritikal Jantung Seri III: Penilaian Hemodinamik Jantung Kanan Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.308

Abstract

Walaupun sering terabaikan, fungsi jantung kanan dan sirkulasi pulmoner mempunyai peranan penting dalam keseluruhan sistem sirkulasi. Tidak jarang kasus-kasus kritikal disebabkan karena kegagalan sirkulasi jantung kanan. Pada seri III forum ekokardiografi ini akan dibahas penilaian hemodinamik jantung kanan dengan ekokardiografi untuk kasus-kasus kritikal sehingga akan diutamakan cara pemeriksaan yang praktis, sederhana, dan cepat.
Co-Authors Adhi Kristianto Sugianli Adrian Gunawan, Adrian Agnes Lucia Panda Amir Aziz Alkatiri Andaru Dahesihdewi Andre P Ketaren Ariani, Rina Ario S. Koencoro Aryo S Kuncoro Bambang Budi Siswanto Beny Togatorop BRM Ario S. Kuncoro Butarbutar, Maruli Dede Kusmana Dewiana Kusmana Dicky A. Hanafy Doni Firman Estu Rudiktyo Ganesja M Harimurti Ganesja M Harimurti Hamed Oemar Harmani Kalim Hasanah Mumpuni Heru Sulastomo Hubert Seggewiss Ida Bagus Rangga Wibhuti Irwan H Siahaan Ismoyo Sunu Januar Wibawa Martha Lilik Indrawati, Lilik Lucia Kris Dinarti Lucia Kris Dinarti M Munawar Manoefris Kasim Mochamad Arif Nugroho Muchtaruddin Mansyur Nani Hersunarti Nani Hersunarti Nani Hersunarti Nani Hersunarti Nur Haryono Omar Fauzi Poppy S Roebiono Poppy S Roebiono Prakoso, Baskoro Justicia Prima Almazini Raja Adil C Siregar Rarsari Soerarso Rarsari Soerarso Rarsari Soerarso Rarsari Soerarso Renan Sukmawan Rina Ariani Rony Mario Candrasatria, Shahab, Fahmi Siska Sulistiowati Siska Suridanda Danny Sunarya Surianata Wendy M. Saragih Wicaksono, Sony Hilal Yasmina Hanifah Yoga Yuniadi Yoga Yuniadi