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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Hilfan Ade Putra Lubis
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Serum blood urea nitrogen (BUN) sebagai penanda independen kematian di rumah sakit pada penderita infark miokard akut ST elevasi tanpa reperfusi dini Hilfan Ade Putra Lubis; Tawanita Brahmana
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction : Renal dysfunction has been associated to adverse cardiovascular outcomes, including in the setting of ACS, and has been routinely assessed with estimated creatinine clearance, serum creatinine or an estimated glomerular filtration rate (eGFR). However, these assays do not adequately assess acute changes in renal dysfunction. BUN level and BUN/creatinine ratio, may provide supplemental information regarding to renal function.Determine whether abnormal admission serum BUN and BUN/creatinine ratio in subjects presenting acute STEMI associated to other risk factors and whether they could be a predictor of inhospital deathMethods : It was a prospective cohort study of patients presenting acute STEMI without early reperfusion therapy (n = 43) included. Elevated BUN (> or • 25 mg/dl) and elevated BUN/creatinine ratio (> or • 5) were assessed on admission. Results : The incidence rate of elevated BUN and BUN/creatinin ratio were 18.6% and 9.3%. There was no significant relationship between elevated BUN and related risk factors (sex P = 0.57, hypertension P = 0.49, diabetes P = 0.61 and hypercholesterolemia P = 0.05). This study also showed no significant relationship between elevated ratio BUN/creatinine and related risk factors (sex P = 0.66, hypertension P = 0.6, diabetes P = 0.11, hypercholesterolemia P = 0.25). No significant increases of inhospital death found in patients with either elevated BUN (P = 0.10) or elevated BUN/creatinine ratio (P = 0.47).Conclusion : Elevated BUN and BUN/creatinine ratio on admission are not an independent predictors of inhospital death in this study.Key word : BUN; creatinine; STEM!; hospital death
ACCURACY OF POSTERIORANTERIOR THORACIC PHOTOGRAPHY IN DETERMINING CARDIOMEGALY AND CHAMBER ENLARGEMENT COMPARED TO ECHOCARDIOGRAPHY AT THE HAJI ADAM MALIK CENTRAL GENERAL HOSPITAL MEDAN YEAR 2023 Tri Widi Wibowo; Henny Maisara Sipahutar; Hilfan Ade Putra Lubis
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.150

Abstract

Background: The main modality for identifying cardiac chamber enlargement is echocardiography examination, but due to its limitations, posteroanterior (PA) chest X-ray is often used as an alternative method. Methods: This study is an observational study with a cross-sectional design conducted at Radiology Installation and Polyclinic of Integrated Heart Center of The Haji Adam Malik Central General Hospital in patients who came to cardiac polyclinic or emergency room of Integrated Heart Center of The Haji Adam Malik Central General Hospital and underwent posteroanterior chest X-ray and echocardiography who met the inclusion and exclusion criteria. Data were analyzed descriptively to determine the frequency distribution of each demographic variable and risk factor. In addition, the level of sensitivity, specificity, positive predictive value, negative predictive value, of PA chest X-ray to echocardiography in patients with heart problems was calculated. Results: The sensitivity of PA chest X-ray for LVH examination was 91.8% with a specificity of 84.6% and accuracy of 89%; for RVH examination was 90.9% with a specificity of 68.2% and accuracy of 85%; for LAH examination was 89.2% with a specificity of 74.3% and accuracy of 84%; and for RAH examination was 70.4% with a specificity of 86.3% and accuracy of 82%. Conclusion: PA chest X-ray examination showed good accuracy for identifying cardiomegaly and cardiac chamber enlargement, therefore can be used as an alternative method besides echocardiography examination.
Co-Authors Henny Maisara Sipahutar Tawanita Brahmana Tri Widi Wibowo