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All Journal E-Jurnal Medika Udayana The Indonesian Journal of Public Health Indonesian Journal of Cardiology ACI (Acta Cardiologia Indonesiana) Callosum Neurology Journal : Jurnal Berkala Neurologi Bali Indonesian Andrology and Biomedical Journal
I Made Putra Swi Antara
Faculty Of Medicine - Udayana University, Bali, Indonesia / Cardiovascular Medicine Department - Sanglah Hospital, Bali, Indonesia
Health Professions Medicine & Pharmacology Neuroscience Public Health

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HUBUNGAN KADAR ASAM URAT DALAM DARAH TERHADAP KEPARAHAN PENYAKIT JANTUNG KORONER DI RSUP SANGLAH DENPASAR BALI Putu Rarassani; I Nyoman Wiryawan; I Made Putra Swi Antara
E-Jurnal Medika Udayana Vol 9 No 2 (2020): Vol 9 No 02(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i2.P11

Abstract

Penyakit Jantung Koroner atau PJK merupakan salah satu penyebab mortalitas utama pada orang dewasa. PJK disebabkan oleh banyak faktor dimana salah satu faktor yang masih menjadi perdebatan adalah kadar asam urat dalam darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar asam urat dalam darah terhadap keparahan PJK di RSUP Sanglah Denpasar Bali. Jenis penelitian cross-sectional analitik dengan metode pengambilan data consecutive sampling, dari rekam medis dan data laboratorium kateterisasi jantung pada Juni 2017 sampai Agustus 2018. Subjek dari penelitian merupakan pasien yang melakukan kateterisasi di laboratorium kateterisasi pelayanan jantung terpadu RSUP Sanglah. Keparahan PJK dilihat dari skor vessel disease (0VD, 1VD, 2VD, 3VD) hasil kateterisasi dan kadar asam (mg/dl) dari hasil pemeriksaan laboratorium pada data rekam medis. Data dianalisis bivariat dengan uji korelasi dan multivariat dengan regresi linear pada 196 sampel (166 laki-laki dan 30 perempuan). Laki-laki dengan kadar asam urat ? 7 mg/dl dominan PJK 3VD 42,3% (p = 0,02 r = 0,15), analisis multivariat (p = 0,031). Perempuan dengan kadar asam urat ? 6 mg/dl dominan PJK 3VD 33,3% (p = 0,13 r = - 0,20). Kesimpulan dari penelitian ini adalah kadar asam urat dalam darah berhubungan signifikan dan sangat lemah dalam meningkatkan keparahan penyakit jantung koroner (PJK) pada laki-laki. Kadar asam urat bukan merupakan faktor tunggal melainkan dipengaruhi juga oleh faktor usia dan kadar kolesterol LDL. Sementara pada perempuan tidak terdapat hubungan yang signifikan antara kadar asam urat dalam darah terhadap keparahan PJK. Kata kunci: asam urat, keparahan, penyakit jantung koroner
Intervensi penyakit jantung koroner dengan Sindroma Gagal Jantung I Made Putra Swi Antara; Yoga Yuniadi; Bambang Budi Siswanto
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.v30i1.176

Abstract

Revaskularisasi koroner pada pasien dengan gagal jantung seringkali menjadi keputusan yang sulit akibat diperlukannya pertimbangan antara keuntungan dan risiko perioperatif yang lebih besar pada kelompok pasien seperti ini. Sementara itu, angka mortalitas pasca tindakan CABG pada pasien dengan gagal jantung di Pusat Jantung Nasional Harapan Kita (PJNHK) cukup tinggi. Data yg tercatat pada tahun 2006-2008 menunjukkan bahwa 14 dari 85 orang (16,4%) pasien akhirnya meninggal di rumah sakit.Apakah revaskularisasi dengan PCI pada penyakit jantung koroner (PJK) dengan EF rendah namun miokardium yang viabel memiliki peranan di PJNHK? Melaui pemaparan kasus ini akan didiskusikan manajemen Sindroma Gagal Jantung yang disebabkan oleh PJK dengan EF buruk menggunakan revaskularisasi PCI pada pasien yang menolak CABG.
Pencabutan Kabel Pacu Alat Elektronik Kardiak Implan I Made Putra Swi Antara; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 4 Oktober - Desember 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i4.382

Abstract

As more people are living longer with more significant cardiac disease,permanent pacemakers (PPMs) and implantable cardioverter-defibrillators(ICDs) are being inserted more frequently each year. Beginning early in the21st century, there has also been an expansion in the indications for cardiacimplantable electronic devices (CIED, a term which includes PPMs andICDs), and device therapy has become more complex, frequently involvingmultiple leads per patient. In turn, there will be more occasion where thelead removal for these CIED will be necessary.A 6 y.o. patient was incidentally found to have a fractured pacemaker leadduring during routine x-ray for his respiratory tract infection. The pacemakerwas inserted 5 years ago, indicated for the permanent total atrioventricularblock developed after total correction surgery in Tetralogy of Fallot. Thelead fracture was thought to be caused by a phenomenon known as thesubclavian crush syndrome. A transvenous lead extraction in this patientwas only partially successful, leading to a surgical removal of the remaininglead. A new permanent pacemaker along with a new lead in the apexwas successfully inserted before the surgery.There are different levels of recommendations on whether a lead shouldbe extracted or left behind. And in times where removal was needed,new specialized tool and techniques have developed in the last decade forthe safe and successful retrieval of implanted pacemaker leads.
Obesity in Patient with Grown Up Congenital Heart Disease Ventricular Septal Defect with Pulmonary Hypertension in Sanglah Hospital, Bali, Indonesia Nabila Natasya; Maya Paramita Wijaya; Yosi Kusuma; I Made Putra Swi Antara
ACI (Acta Cardiologia Indonesiana) Vol 4, No 1 (2018)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.36636

Abstract

Ventricular septal defect (VSD) is a congenital heart disease (CHD) which characterized bya hole in the wall that separate between the right and left ventricle. There are several typesof VSD based on its location, which are perimembranous/conoventricular, subpulmonary/conotruncal, supracristal/doubly commited, muscular and atrioventricular canal/inlet. AVSD is one of the most common CHD which occurs in approximately 2-6 of every 1,000live births and accounts for more than 20% of all CHDs. However, the population of VSDpatients with grown up congenital heart disease (GUCH) is still uncertain. We are presentinga rare case of a 19 year old patient with congestive heart failure NYHA functional class IVdue to uncorrected left-to-right shunt supracristal VSD with body mass index of 35.5 kg/m2. He presented in the emergency room with acute decompensated heart failure profileB. Echocardiography revealed decreased left ventricle (LV) systolic function, normal rightventricle (RV) systolic function, decreased LV diastolic function, and dilated left atriumand LV. We plan to perform right heart catheterisation and pulmonary artery oxygenresponsiveness test followed by VSD closure in this patient. Another explanation will bediscussed in this paper.
LAPORAN KASUS: SINDROMA STOKES-ADAMS SINKOP KARDIAK YANG MIRIP BANGKITAN Putu Lohita Rahmawati; I Wayan Widyantara; I Made Putra Swi Antara
Callosum Neurology Vol 2 No 3 (2019): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.249 KB) | DOI: 10.29342/cnj.v2i3.90

Abstract

Pendahuluan: Kesalahan dalam mengidentifikasi suatu sinkop sebagai bangkitan epileptik merupakan hal yang tidak jarang terjadi. Pasien mendapatkan manajemen epilepsi namun bangkitan tidak kunjung terkendali. Masalah kardiovaskular harus dipertimbangkan dalam keadaan ini karena keterlambatan identifikasi meningkatkan mortalitas. Kasus: Pasien laki-laki, 26 tahun, mengalami bangkitan onset general motorik tonik klonik yang terjadi lebih dari 20 kali dalam waktu 18 jam dengan durasi 3-5 menit. Diantara kejang pasien sadar baik tanpa adanya periode bingung. Pasien  mendapatkan terapi diazepam 10 mg intravena sebanyak 3 kali pemberian namun kejang terus terjadi. Pemeriksaan fisik menunjukkan bradikardia, kardiomegali dengan bising sistolik mitral dan tidak didapatkan defisit neurologis lainnya. Gambaran EKG menunjukkan AV blok derajat 3 dengan gambaran echocardiography dilatasi ventrikel kiri dengan regurgitasi moderat katup mitral. Pemeriksaan CT-scan kepala dan EEG normal. Dilakukan pemasangan alat pacu jantung sementara dan setelahnya pasien tidak mengalami bangkitan. Diskusi: Aktivitas tonik klonik seperti bangkitan epileptik dapat terjadi pada pasien yang mengalami sinkop akibat AV blok. Penurunan kesadaran mendadak sesaat disertai aktivitas seperti bangkitan akibat aritmia yang menyebabkan penurunan perfusi serebral disebut sebagai sindroma Stokes-Adams. Aktivitas tonik klonik pada keadaan ini tidak responsif terhadap regimen antikonvulsan. Kesimpulan: Laporan kasus ini mengangkat pentingnya pengenalan tentang sinkop kardiak untuk membedakannya dengan bangkitan epileptik. Pada pelayanan gawat darurat, kesalahan identifikasi menyebabkan keterlambatan penanganan dan meningkatkan mortalitas. Kata Kunci: Sindroma Stokes-Adams, Sinkop Kardiak, AV Blok
PREVALENCE AND RISK FACTORS OF THE HYPERTENSION OF TRUNYAN VILLAGE, BALI IN 2019 Made Violin Weda Yani; Ni Nyoman Gita Kharisma Dewi; I Made Putra Swi Antara; I Gede Putu Supadmanaba; Putu Nadira Widyakania; Niluh Dika Jelita; Cokorde Istri Ayu Laksmi Dewi; Ni Luh Ade Utari
The Indonesian Journal of Public Health Vol. 17 No. 1 (2022): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.67 KB) | DOI: 10.20473/ijph.v17i1.2022.73-81

Abstract

Introduction: Hypertension is the cause of 7.5 million deaths, equivalent to 12.8% of total deaths based on WHO data. Trunyan Village currently has limited access to health services, low public awareness of maintaining personal health and environmental health, and no descriptive or analytical data discussing hypertension prevalence and risk factors. Methods: Therefore, this study aims to determine hypertension prevalence and risk factors in Trunyan Village, Bangli. This study used a cross-sectional design, with the subject selection method using simple random sampling and blood pressure status as a dependent variable. The interview was conducted on 55 people, which used a questionnaire. Result: Data analyzed used the chi-square test, and the relationship between variables was considered significant with a p-value <0.05. The prevalence of hypertension in Trunyan Village is 52.7%, with female dominance (65.5%) and age ≤50 years (52.7%). There is a significant relationship between hypertension and age (p<0.01; PR=3.50), the habit of consuming sweet foods (p=0.02; PR=0.54), and family history of hypertension (p<0.01; PR=1.91). Conclusion: It can be concluded that hypertension has a significant relationship with risk factors for age, habits of consuming sweets foods, and a family history of hypertension. Further research needs to be carried out with a larger sample size to obtain more representative results. Keywords: Bali, hypertension, prevalence, risk factors, Trunyan village
HUBUNGAN ANTARA TINGKAT KEPATUHAN PREVENSI SEKUNDER DENGAN PERBURUKAN PENYAKIT PADA PASIEN JANTUNG REMATIK DI RSUP SANGLAH DENPASAR Pangestu, Ni Luh Diah Wahyuning; Wita, I Wayan; Antara, I Made Putra Swi; Yasmin, A.A. Ayu Dwi Adelia
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P18

Abstract

Penyakit jantung rematik (PJR) adalah suatu kondisi dimana terjadinya kelainan struktural dan fungsional katup pada jantung yang bersifat irreversibel dan biasanya merupakan kelanjutan dari demam rematik akut. PJR apabila tidak tertangani dengan sempurna dapat mengalami serangan berulang (recurrent). Penanganan yang sempurna memerlukan biaya besar dan waktu yang lama sepanjang usia penderitanya. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kepatuhan prevensi sekunder dengan perburukan penyakit pada pasien jantung rematik di RSUP Sanglah Denpasar. Desain penelitian ini menggunakan metode analitik Studi Kohort Retrospektif dengan total sampel sebanyak 77 orang. Variabel dependen adalah perburukan penyakit (riwayat rawat inap, level gangguan katup, fungsi sistolik) dan variabel independen adalah tingkat kepatuhan. Teknik sampling menggunakan consecutive sampling. Data yang digunakan diambil dari data sekunder rekam medis RSUP Sanglah Denpasar. Data yang sudah terkumpul dianalisis menggunakan software SPSS versi 26. Nilai p < 0,05 pada uji statistik chi-square menunjukkan ada hubungan signifikan. Persentase tingkat kepatuhan prevensi sekunder pasien lebih besar dibandingkan tidak patuh, yaitu sebesar 55,8%. Terdapat hubungan yang signifikan antara tingkat kepatuhan dengan riwayat rawat inap pada pasien PJR (p = 0,040). Pasien yang memiliki tingkat kepatuhan tinggi terhadap prevensi sekunder, memiliki riwayat rawat inap yang jarang (< 2 kali) bahkan tidak sama sekali, sedangkan tidak ditemukan hubungan yang signifikan antara tingkat kepatuhan dengan perburukan level gangguan katup (p = 0,454) dan penurunan fungsi sistolik ventrikel kiri (p = 0,497). Kata Kunci: Penyakit Jantung Rematik, Tingkat Kepatuhan, Perburukan Penyakit
The Correlation between Hypogonadism and Coronary Heart Disease in Men at RSUP Prof. Ngoerah Liu, Jovita Theodora; I Gusti Ngurah Pramesemara; I Made Putra Swi Antara; Ida Ayu Dewi Wiryanthini
Indonesian Andrology and Biomedical Journal Vol. 5 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v5i2.65634

Abstract

Hypogonadism is a clinical syndrome associated with aging, characterized by low levels of testosterone in a man's body. Hypogonadism can lead to various diseases, one of which is coronary heart disease. Coronary heart disease is a cardiovascular disease caused by the buildup of plaque in the coronary arteries. This research aims to examine the relationship between hypogonadism and coronary heart disease in men at RSUP Prof. Ngoerah. The research was conducted analytically with a case-control design. Hypogonadism was measured using the ADAM score questionnaire, which consists of 10 questions. The research sample comprised men who were coronary heart disease patients and men who were non-coronary heart disease patients aged 35–45 years in the Gedung Pelayanan Jantung Terpadu RSUP Prof. Ngoerah. The sample was determined using a consecutive sampling technique, with a total of 50 participants. The research results found that 28 participants (56%) tested positive for hypogonadism, and 22 participants (44%) tested negative for hypogonadism. A p-value of 0.004 indicated a significant relationship (p ≤ 0.05) between hypogonadism and coronary heart disease. The calculated Odds Ratio (OR 95% CI) between hypogonadism and coronary heart disease was 5.6 (1.648 – 19.232). Among the research participants, 19 (76%) were both positive for hypogonadism and coronary heart disease. Meanwhile, 16 participants (64%) were negative for both hypogonadism and coronary heart disease. The lower the testosterone levels in men, the higher the risk of developing coronary heart disease. Coronary heart disease patients with hypogonadism were 5.6 times more likely to have the condition compared to those without hypogonadism. There is a significant correlation between andropause and coronary heart disease in men at RSUP Prof. Ngoerah.
The Correlation Between Erectile Dysfunction and Coronary Heart Disease in Men at RSUP. Prof. Ngoerah Wangsadinata, Stanislaus Clifton; I Gusti Ngurah Pramesemara; I Made Putra Swi Antara; I Nyoman Gede Wardana
Indonesian Andrology and Biomedical Journal Vol. 6 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v6i1.65603

Abstract

Background : Coronary heart disease (CHD) has become one of the major economic burdens globally, as CHD has been the leading cause of mortality worldwide for the past 25 to 30 years. One of the factors that plays a role as a predictor of coronary heart disease is erectile dysfunction. Objective : To investigate the correlation between erectile dysfunction and coronary heart disease in male patients at RSUP Prof. Ngoerah. Methods : This research is an observational analytic study with a case-control design. Erectile dysfunction was measured using the IIEF-5 questionnaire, which consists of 5 items. Other risk factors were measured using a patient data questionnaire. The study sample consisted of 50 participants, divided into 25 cases and 25 controls. The case samples were male patients aged 25–60 with a history of coronary heart disease who were visiting or receiving treatment at the Cardiology Outpatient Clinic, Integrated Cardiac Services Building, RSUP Prof. Ngoerah, Denpasar. The control samples had the same criteria as the case samples but had no history of coronary heart disease. Results : A significant relationship was found between erectile dysfunction and coronary heart disease (p=0.049), with an OR of 9.33 (95% CI 1.05–82.8). Conclusion : There is a significant relationship between erectile dysfunction and coronary heart disease. Patients with erectile dysfunction have a 9.33 times higher likelihood of having coronary heart disease.
Co-Authors Bambang Budi Siswanto Cokorde Istri Ayu Laksmi Dewi I Gede Putu Supadmanaba I Gusti Ngurah Pramesemara I Nyoman Gede Wardana I Nyoman Wiryawan I Wayan Widyantara I Wayan Wita Ida Ayu Dewi Wiryanthini Liu, Jovita Theodora Made Violin Weda Yani Maya Paramita Wijaya Nabila Natasya Ni Luh Ade Utari Ni Nyoman Gita Kharisma Dewi Niluh Dika Jelita Pangestu, Ni Luh Diah Wahyuning Putu Lohita Rahmawati Putu Nadira Widyakania Putu Rarassani Wangsadinata, Stanislaus Clifton Yasmin, A.A. Ayu Dwi Adelia Yoga Yuniadi Yosi Kusuma