Article Per Year (5 Year)
p-Index From 2020 - 2025
0.23
P-Index
This Author published in this journals
All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga.
Muslimin Budiman Satryanto
FK YARSI
Health Professions Medicine & Pharmacology Public Health

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
A Case of Heart Failure due to Triple Vessel Coronary Artery Disease: Role of General Practitioner Muslimin Budiman Satryanto; Sidhi Laksono
Saintika Medika Vol. 18 No. 2 (2022): December 2022
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol18.SMUMM2.17370

Abstract

Heart failure with reduced ejection fraction (HFrEF) is a complex clinical syndrome characterized by a left ventricular ejection fraction ≤ of 40%. Primarily the etiology of heart failure is due to coronary artery disease (CAD). Patients with multivessel disease are considered for revascularization procedures with coronary artery bypass grafting (CABG). We report patient with HFrEF due to three-vessel disease (3VD) is not indicated for revascularization and only gets a conservative therapy to improve the patient's quality of life. A 52-year-old man visited the cardiologist to get control his condition. The patient experienced shortness of breath, heartburn, cold sweat, and fatigue. The physical and blood examination was normal, electrocardiography showed fragmented QRS complex, V1-V3 poor R waves progression, and V5-V6 T waves inverted. The echocardiography showed a result of ejection fraction is only 30%. He was treated with acetylsalicylic acid, bisoprolol, valsartan, furosemide, nitroglycerin, spironolactone, and isosorbide dinitrate. Treatment with CABG was not carried out. The ejection fraction was raised to 40% and he was clinically improved. HFrEF due to CAD3VD could be treated with fully conservative therapy and not indicated for revascularization treatment because of coronary anatomy and myocardial viability. A comprehensive approach should be evaluated by Heart Team.
Co-Authors Sidhi Laksono