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Journal : Jurnal Kedokteran

EFUSI PERIKARDIUM Ermawan, Romi
Jurnal Kedokteran Vol 3 No 4 (2014)
Publisher : Faculty of Medicine Universitas Mataram

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Abstract

Efusi perikardium adalah suatu penyakit yang sering dijumpai para klinisi dalam praktek sehari-hari. Penyakit ini dapat disebabkan oleh berbagai penyebab, dimana uremia dan tuberkulosis merupakan penyebab yang tersering. Jika efusi berkembang semakin besar dapat mengganggu hemodinamik, yang berakibat terjadinya syok kardiogenik yang dikenal sebagai tamponade jantung. Sangat penting mengatasi efusi perikardium dengan tepat melalui pemeriksaan fisik yang baik, pemeriksaan ekhokardiografi yang adekuat serta analisis cairan eprikardium yang akurat. Keywords: Efusi Perikardium - Tamponade Jantung
HUBUNGAN LAMA IMPLANTASI STENT DENGAN KEJADIAN IN-STENT RESTENOSIS BERMAKNA PADA PASIEN PJK YANG DILAKUKAN ANGIOGRAFI KORONER EVALUASI DI RUMAH SAKIT UMUM DAERAH PROVINSI NUSA TENGGARA BARAT Zikriyya Melati Rahmany; Pintaningrum, Yusra; Ermawan, Romi
Jurnal Kedokteran Vol 10 No 1 (2021): volume 10 nomor 1 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i1.477

Abstract

Background : in-stent restenosis is a problem which happens in patient whom underwent percutaneous coronary intervention procedure. The aim of this study is to know the correlation between the duration of stent implantation and significant in-stent restenosis case on coronary heart disease (CHD) patient under coronary angiography evaluation. Method : This study is an observational analytic study with cross sectional method on CHD patient under coronary angiography evaluation in West Nusa Tenggara Public Hospital. The data were obtained from heart catheterization laboratory and medical records from January, 2018 until June, 2020. The analysis was done by eta correlative hypothesis using SPSS Ver. 26.0. Result: This research has 89 subjects. The statistical analysis showed p = 0.174 and r = 0.251 Conclusion: There is no correlation between the duration of stent implantation and significant in-stent restenosis case on CHD patient under coronary angiography evaluation in West Nusa Tenggara Public Hospital. Key Word: In-stent restenosis, the duration of stent implantation, coronary angiography evaluation, coronary heart diasease
Kadar VCAM-1 Darah Tepi Dan Wilkins Score Pada Stenosis Mitral Penyakit Jantung Rematik Romi Ermawan
Unram Medical Journal Vol 10 No 4 (2021): Jurnal Kedokteran Volume 10 nomor 4 (Desember) 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i4.606

Abstract

Abstract Background: Vascular cell adhesion molecule-1 (VCAM-1) is an important protein in the progression of mitral valve damage in rheumatic heart disease. To measure the severity of the damage, there is a scoring system known as Wilkins Score, consisting of valve mobility disorder, valve thickening, valve calcification and sub-valvular thickening. Methods: This analytic-observational study was using cross-sectional design. There were 45 patients with mitral stenosis of rheumatic heart disease who were collected by consecutive sampling. The peripheral VCAM-1 level was obtained from peripheral venous access, and echocardiogram was obtained to assess Wilkin Score as well as other related parameters. There were also 22 normal subjects who got involved as comparison. Results: The mean Wilkins Score of patients are 9,09 ± 1,81. The mean peripheral VCAM-1 level of patients and normal subjects are 1155,3 ± 328,8 ng/mL and 605,5 ± 100,4 ng/mL. There is significant difference in peripheral VCAM-1 level between 2 groups (p<0,001). There are also significant positive correlations between peripheral VCAM-1 level and valve mobility disorder (p<0,001, r = +0,522), valve thickening (p<0,001, r = +0,583), valve calcification (p<0,001, r = +0,538), sub-valvular thickening (p <0,001, r = +0,647), and also Wilkin Score (p<0,001, r = +0,841). Conclusion: There is a significant positive correlation between peripheral VCAM-1 level and Wilkins Score in mitral stenosis of rheumatic heart disease. Keyword: VCAM-1 - Wilkins Score - Mitral Stenosis - Rheumatic Heart Disease