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All Journal Althea Medical Journal
Sunaryo B. Sastradimaja, Sunaryo B.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
Medicine & Pharmacology

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Effect of Short Term Cardiac Rehabilitation Program on Quality of Life in Patients with Coronary Artery Disease Marita, Ina; Sastradimaja, Sunaryo B.; Tiksnadi, Badai Bhatara
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Background: Cardiac rehabilitation (CR) programs are known to be one of the effective managements which aim to improve the quality of life (QoL) in coronary artery disease (CAD). However, there is still controversy about the effect on QoL dimension. The purpose of this study is to determine the effect of short term cardiac rehabilitation program on quality of life in patients with coronary artery disease.Methods: The study design used was a quasi experimental study with repeated measurements in consecutive sampling involving 11 subjects with CAD from September–November 2015 in Cardiorespiratory Clinic and Gymnasium of Physical Medicine and Rehabilitation and Cardiac Unit Services, Dr. Hasan Sadikin General Hospital Bandung. The cardiac rehabilitation program was performed for 4 weeks. The quality of life was scored using medical outcomes study short form 36 (SF-36) questionnaire before and after CR program. Statistics obtained in this study were analyzed using paired t-test and Wilcoxon test.Results: This study involved 11 male patients with CAD with an average age of 58 (11) years old with the diagnosis of CAD post CABG (n=6), CAD post PCI (n=4), and CAD unrevascularized (n=1). The average total score of quality of life questionnaire SF-36 demonstrated a significant increase (p<0.001) after CR program 87.27(8.5) as compared to before CR program 49.09(8.4). This improvement occurred in all QoL dimensions.Conclusions: Short term cardiac rehabilitation program can improve the quality of life in patients with coronary artery disease. 
Comparison of Functional Capacity using Primary Percutaneous Coronary Intervention with Pharmacological Therapy on ST Elevation Acute Coronary Syndrome Patients Wardhani, Andini Nurkusuma; Achmad, Chaerul; Sastradimaja, Sunaryo B.
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Background: Acute Coronary Syndrome (ACS) is a shift manifestations pattern of ischemic myocardium. Revascularization either with Primary Percutaneous Coronary Intervention (PCI) or pharmacological therapy is an optional treatment for ST Elevation Acute Coronary Syndrome (STEACS) patients. The aim of the study was to compare the functional capacity using six-minute walking test on STEACS patients who underwent Primary PCI or pharmacological therapy.Methods: A cross sectional study was conducted from September to October 2012 to 35 STEACS patients who were treated after two years. The samples were obtained from the list of patients at Dr. Hasan Sadikin General Hospital. Inclusion criteria consisted of patients diagnosed as STEACS, cooperative and not experiencing cognitive disturbance. The exclusion criteria were STEACS patients with unstable angina or myocardial infarct in the last month, stable exertional angina, and pregnant women. The patients underwent 6 minutes walking test,VO2max was measured using theCalahin and Cooper formula, then Metabolic Equation Task (METs) was calculated. Data were analyzed by unpaired T-test.Results: There were 19 Primary PCI and 16 pharmacological therapy patients. The average of age between the two groups was distributed evenly. Most of the STEACS patients were male, had a college/academic degree and were retired. Patients treated with pharmacological therapy had higher average of VO2 max and METs than patients with Primary PCI. There was no significantly differences of METs between those groups (p>0.05)Conclusions: There were no significantly differences of functional capacity in STEACS patients treated with Primary PCI or Pharmacological therapy. [AMJ.2015;2(1):162–6]
Intrinsic Risk Factors of Falls in Elderly Amatullah, Yasmin; Sastradimaja, Sunaryo B.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly.Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT). Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables.Results: From 53 patients, women (35.66%) were considered to have higher risk of fall than men (18.34%). The majority of patients (66%) with the risk of fall were from the age group 60–74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs.Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls. [AMJ.2016;3(3):334–9] DOI: 10.15850/amj.v3n3.875 
Co-Authors Amatullah, Yasmin Andini Nurkusuma Wardhani, Andini Nurkusuma Badai Bhatara Tiksnadi Chaerul Achmad Lazuardhi Dwipa Marita, Ina