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All Journal Cardiovascular and Cardiometabolic Journal (CCJ) Cermin Dunia Kedokteran
Koswara, Jonathan
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology

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Precordial Catch Syndrome: Unveiling a Benign Yet Noteworthy Cause of Chest Pain in the Young Koswara, Jonathan; Chen, Jery; Yap, Irianto; Suwanto, Denny
Cardiovascular and Cardiometabolic Journal (CCJ) Vol. 5 No. 2 (2024): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v5i02.2024.103-110

Abstract

Highlights: 1. An insight on how precordial catch syndrome could be a potential research base for further research because of its rarity. - Background: This syndrome is rarely discussed in the differential diagnosis of chest pain, as it deserves wider recognition. Pediatricians report that PCS accounts for 80% to 90% of chest discomfort in the absence of trauma, primarily in adolescent and young adults. The classic pain history can help identify precordial catch syndrome, often eliminating the need for further testing or referrals. The diagnosis of precordial catch can be challenging due to various inconclusive workups. However, once diagnosed, this condition can be managed conservatively. Objective: This review sought to describe the distinctive features of the syndrome and its management strategy. Method: Descriptive review method was used in this study to provide a comprehensive overview for this study. Results: The pain is sudden in onset, is severe, and is localized above the cardiac apex (fifth intercostal space within the left midclavicular line). General testing is required to exclude various conditions., but several tests like ECG and chest x-ray can be done to rule out other causes of chest pain. Though in pediatric considerations, classic pain history can help identify PCS, often eliminating the need for further testing or referrals. Conclusion: This syndrome deserves wider recognition because it is rarely discussed in the differential diagnosis of precordial pain. Pediatricians report that precordial catch accounts for 80% to 90% of chest pain once any chest trauma is excluded
Assessing Cardiovascular Fitness on Military Recruitment Koswara, Jonathan; Yap, Irianto; Chandra, Ricky Alexander; Suwanto, Denny
Cardiovascular and Cardiometabolic Journal (CCJ) Vol. 6 No. 1 (2025): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v6i1.2025.9-25

Abstract

Background: Military recruitment demands optimal health, with cardiovascular fitness being a key criterion. To assess candidates, military organizations worldwide employ standardized screening protocols. Initial evaluations typically involve history-taking and physical examinations based on guidelines from the American Heart Association and the European Society of Cardiology. Method: Electrocardiography (ECG) serves as an accessible and cost-effective screening tool. Abnormal findings in these initial tests necessitate further assessments to determine a candidate’s fitness for service. Depending on the severity and context, additional tests such as echocardiography or, in rare cases, coronary angiography may be conducted. However, cost constraints influence the extent of these evaluations in some countries. Aim: This article examines cardiovascular screening in military recruitment and the variations in assessment practices across different nations. -- Highlights: 1. This article addresses the importance of standardized yet flexible cardiovascular assessments essential for military screenings. While standardized protocols are essential for consistency, military screenings should also adapt to environmental factors, individual differences, and evolving fitness benchmarks to ensure accurate evaluations.
Nefritis Lupus: Klasifikasi dan Tata Laksana Terkini: Tinjauan Pustaka Irianto; Sunjaya, Willy; Koswara, Jonathan
Cermin Dunia Kedokteran Vol 52 No 5 (2025): Kardiologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i5.1346

Abstract

Lupus nephritis (LN) is one of the most common complications in systemic lupus erythematosus. If not detected quickly, LN will often cause reduced kidney function in five years necessitating kidney replacement. Diagnosis and classification of LN are made with a kidney biopsy. The drug of choice is based on the histopathology classification and needs to be tailored case by case. If complete remission is not achieved or if it relapses, the causes need to be investigated. More nephron cells can be saved in earlier therapy to prevent end stage kidney disease complications.
Co-Authors Chandra, Ricky Alexander Chen, Jery Irianto Sunjaya, Willy Suwanto, Denny Yap, Irianto