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All Journal The International Journal of Medical Science and Health Research The Indonesian Journal of General Medicine
Pangestu, Hedaya Pancar
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Lutembacher Syndrome An Echocardiography Assesment: A Rare Case Pangestu, Hedaya Pancar; Rizky, Kiki
The International Journal of Medical Science and Health Research Vol. 2 No. 3 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/0c5v3340

Abstract

Background: Lutembacher Syndrome (LS) is a rare heart defect, characterized by the presence of Atrial Septal Defect (ASD) (congenital or acquired) and Mitral Stenosis (MS) (congenital or acquired). Case Description: A 56 years old woman came to the cardiovascular clinic at Balaraja Hospital with complaints of shortness of breath has been felt since the last 3 months. shortness of breath has been aggravated by activity and relieved by rest. Shortness of breath is also felt when lying down, if she sleeps, she has to use 2-3 pillows or an elevated position. On physical examination there was an increase in jugular venous pressure (JVP) 5+4 cm, irregular 1st and 2nd heart sounds, and a grade 2/4 diastolic murmur at the apex and a pansystolic murmur were found. grade 3/6 in the tricuspid area. During auscultation, wide fixed splitting was also found. On examination of the extremities, edema was found in both legs. An electrocardiogram (ECG) examination revealed atrial fibrillation (AF), bigemini ventricular extrasystole (VES) and echocardiography conclusion were found Reumatic Heart Disease, MS severe, mild mitral regurgitation, severe tricuspid regurgitation, pulmonary hypertension, ASD secundum left to right shunt. Conclusion: Lutembacher Syndrome is still a rare disease, including in Indonesia. If diagnosed early and appropriate therapy is carried out, it will provide a good prognosis, if the diagnosis is late, it will increase mortality due to heart failure, arrhytmia and embolic stroke.
The Analysis Study of Association of Peripartum Cardiomyopathy and History of Tuberculosis : A Comprehensive Systematic Review Putri, Syifa Nabila; Pangestu, Hedaya Pancar
The Indonesian Journal of General Medicine Vol. 2 No. 2 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/bns08t96

Abstract

Background: Peripartum cardiomyopathy (PPCM) is a rare and potentially life-threatening condition affecting 1 in 1300 to 1 in 5,000 births, particularly in underdeveloped countries. It is characterized by difficulty breathing, lightheadedness, and fatigue. PPCM is more common in women with pre-eclampsia, chronic hypertension, smoking, alcohol abuse, advanced maternal age, malnutrition, long-term tocolysis, or a history of tuberculosis. Untreated PPCM increases the risk of complications like cardiogenic shock, arrhythmias, heart failure, cardiopulmonary arrest, and mortality. Methods: Following PRISMA 2020 guidelines, this systematic review concentrated on full-text English literature published between 2007 and 2024. Editorials and review articles that appeared in the same journal as the submission were not accepted without a DOI. A number of websites, including ScienceDirect, PubMed, and SagePub, were utilized to gather the literature. Result: The study looked at more than 1800 publications using reputable sources including Science Direct, SagePub, and PubMed. After it was decided that eight publications needed greater investigation, a more extensive review of the entire literature was carried out. Conclusion: Pregnancy can lead to the development of Peripartum cardiomyopathy, a potentially fatal disorder, often diagnosed after delivery due to symptoms mimicking normal physiological findings. Tuberculosis, a common cause of maternal and fetal morbidity, often occurs during pregnancy. Diagnosis is often delayed due to overlapping symptoms and clinician reluctance, necessitating coordination between healthcare providers and community services.
Co-Authors Putri, Syifa Nabila Rizky, Kiki