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All Journal Medical Journal of Indonesia Indonesian Journal of Cardiology Advances In Social Humanities Research
Irsad Andi Arso, Irsad Andi
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Humanities Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Social Sciences

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Kardioversi Listrik yang Berhasil pada Wanita Kehamilan Tahap Akhir dengan Takikardia Supraventrikular Setiaji, Dimas; Jati, Lintang Daru; Shiddiq, Achmad; Hartopo, Anggoro Budi; Arso, Irsad Andi
Jurnal Kardiologi Indonesia Vol 44 No 4 (2023): Indonesian Journal of Cardiology: October - December 2023
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1280

Abstract

Background: Pregnancy, precipitate cardiac arrhythmia, and supraventricular tachycardia (SVT) are some most frequent and sustained arrhythmias in pregnancy. In general, the pharmacological approach in pregnant patient is similar to that in the non-pregnant patient. However, fetal safety becomes a special consideration before administering the therapy. Case Presentation: We reported a 34-year-old female G3P2A0 with 35 weeks of gestation who came to the emergency department with sudden onset palpitations within 2 hours before admission. She had no prior history of any major medical illness. The clinical examination revealed that the patient had a regular pulse rate of 198/minute, and the blood pressure was 80/50 mmHg. The electrocardiogram showed the presence of SVT. Synchronized cardioversion with 50 joules was performed. The patient’s rhythm was converted to sinus tachycardia with a pulse rate of 120/minute and blood pressure was 90/60 mmHg. The patient was admitted to ICCU immediately after cardioversion and discharged from the hospital without any adverse effects after two days of monitoring. Conclusion: SVT is arrhythmia condition that is often found in pregnant women. In an unstable SVT condition, cardioversion is the first general action that is safe to be performed on the mother and the fetus. It must have strict observation before and after cardioversion to monitor whether there was a problem with the fetus or not.
Impact of Cardiac Rehabilitation on Functional Aerobic Capacity in Coronary Artery Disease Patients Sjughiarto, M.Afies; Arso, Irsad Andi; Hartopo, Anggoro Budi
Advances In Social Humanities Research Vol. 3 No. 5 (2025): Advances In Social Humanities Research
Publisher : Sahabat Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/adv.v3i5.437

Abstract

Cardiac rehabilitation (CR) is a vital component of secondary prevention in patients with coronary artery disease (CAD), known to improve cardiorespiratory fitness (CRF), enhance quality of life, and reduce cardiovascular morbidity and mortality. This study aimed to examine the impact of physical activity status on functional aerobic capacity (FAC) and CRF classification, as well as to identify significant predictors of FAC among CAD patients. A cross-sectional study was conducted involving 104 CAD patients who underwent exercise stress testing. Participants were divided into three groups: (1) those who completed phase II CR within 30 days, (2) those who engaged in regular exercise without formal CR, and (3) physically inactive individuals. FAC was calculated as the ratio of achieved to predicted metabolic equivalents (METs) and used to classify CRF into four categories (A: <69%, B: 70–99%, C: 100–129%, D: ?130%). The Kruskal-Wallis test revealed a significant association between rehabilitation status and FAC scores (p=0.047). Patients who completed phase II CR had significantly higher FAC than physically inactive individuals (p=0.011). The inactive group showed the lowest FAC (mean 0.58), with most classified in the lowest CRF category. Quantile regression demonstrated that phase II CR positively influenced FAC at the 50th and 75th quantiles (p=0.048 and p=0.011, respectively), while residual ischemia had a negative effect (p=0.005 and p=0.025). In conclusion, phase II CR significantly improves FAC in CAD patients, particularly those with moderate to high baseline capacity. Tailored CR programs may be especially beneficial for patients with residual ischemia, supporting individualized approaches in clinical rehabilitation practice.
Indonesia-INTERASPIRE study: an Indonesian cross-sectional multicenter survey on cardiovascular secondary prevention in coronary heart disease Ambari, Ade Meidian; Hasan, Harris; Dwiputra, Bambang; Desandri, Dwita Rian; Hamdani, Rita; Krevani, Citra Kiki; Syaoqi, Muhammad; Ridwan, Muhammad; Anandini, Hesti; Fitra, Maha; Arso, Irsad Andi; Anggraeni, Vita Yanti; Hartopo, Anggoro Budi; Siregar, Yasmine Fitrina; Tjahjono, Cholid Tri; Tiksnadi, Badai Bhatara; Febrianora, Mega; Tarsidin, Najmi Fauzan; Arityanti, Dean; Qhabibi, Faqrizal Ria; Makes, Indira Kalyana; Susilowati, Eliana; Erwan, Nabila Erina; Hergaf, Indah Widyasari; Raynaldo, Abdul Halim
Medical Journal of Indonesia Vol. 34 No. 3 (2025): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257833

Abstract

BACKGROUND Cardiovascular disease (CVD) is projected to affect more than 23.3 million people by 2030. Therefore, CVD prevention strategies were established to decrease morbidity and mortality while enhancing overall well-being. The Joint European Societies (JES) guidelines on CVD prevention were developed to enhance preventive cardiology practices. This study aimed to evaluate the adherence to JES guidelines for cardiovascular prevention in routine clinical practice for secondary prevention. METHODS This multicenter cross-sectional study was conducted in 7 centers between August 2020 and June 2021. Patients under 80 years old who had undergone percutaneous transluminal coronary angioplasty, coronary artery bypass graft, percutaneous coronary intervention, or experienced acute coronary syndrome were identified from medical records and interviewed a year later. Descriptive statistics were used to calculate the occurrence of risk variables, medication use, and index events associated with low-density lipoprotein cholesterol (LDL-C), hemoglobin A1c, and blood pressure (BP). RESULTS A total of 402 participants (13.9% female) were interviewed, and their medical records were reviewed. Among the study population, 74.4% had a smoking history, 35.4% had dyslipidemia, 33.1% did not meet the BP target, and only 28.4% achieved the LDL-C target. Additionally, less than half (43.8%) participated in physical activity for >150 min/week. Only 15.6% of the patients among the centers who had scored >8 for the guideline-based target score. CONCLUSIONS Most patients did not meet the guidelines for secondary prevention, primarily due to the high prevalence of dyslipidemia and physical inactivity, although some achieved the LDL-C target.
Co-Authors Ambari, Ade Meidian Anandini, Hesti Anggoro Budi Hartopo Anggraeni, Vita Yanti Arityanti, Dean Badai Bhatara Tiksnadi Budi Yuli Setianto Cholid Tri Tjahjono Desandri, Dwita Rian Dwiputra, Bambang Erwan, Nabila Erina Febrianora, Mega Fitra, Maha Hasan, Harris Hergaf, Indah Widyasari Jati, Lintang Daru Krevani, Citra Kiki Makes, Indira Kalyana Muhammad Ridwan Qhabibi, Faqrizal Ria Raynaldo, Abdul Halim Rita Hamdani setiaji, dimas Shiddiq, Achmad Sjughiarto, M.Afies Susilowati, Eliana Syaoqi, Muhammad Tarsidin, Najmi Fauzan Yasmine Fitrina Siregar