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All Journal Jurnal Kedokteran Anatomica (Anatomica Medical Journal) Buletin Farmatera Indonesian Journal of Cardiology JURNAL ILMIAH MAKSITEK JURNAL ILMIAH SIMANTEK JURNAL ILMIAH KOHESI Ahmad Dahlan Medical Journal Jurnal Pandu Husada
Ahmad Handayani
Universitas Muhammadiyah Sumatera Utara
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Shock Index as Simple Clinical Independent Predictor of In-hospital MACEs in NSTEMI Patients Presenting with Heart Failure Handayani, Ahmad; Kaban, Kartika; Nasri, Marwan; Mukhtar, Zulfikri; Siregar, Abdullah Afif
Indonesian Journal of Cardiology Vol. 38, No. 2 April-June 2017
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.036 KB) | DOI: 10.30701/ijc.v38i2.731

Abstract

Background: Identification of Non-ST Elevation Myocardial Infarction (NSTEMI) patientsat higher risk of in-hospital complications is very important. Such identification will givecrucial information in determining treatment strategy especially for those come with heartfailure. One of the simple predictor for short term prognosis in acute coronary syndromeis shock index (SI), which is the ratio of heart rate over systolic blood pressure on admission.There had not been any study conducted to evaluate the use of SI in NSTEMI patientscome with heart failure. The aim of this study is to evaluate the SI compared with otherroutine clinical and laboratory examination as a predictor of in-hospital major adversecardiac events (MACEs) in NSTEMI patients presenting with heart failure.Methods: We performed a retrospective analysis of NSTEMI patients with heart failureadmitted to Haji Adam Malik General Hospital in Medan from January 2014 until July 2015.SI was calculated as the ratio of heart rate over systolic blood pressure on presentation.Patients presenting with cardiogenic shock were excluded.Results: There were 55 patients eligible in this study. In-hospital MACEs was found in 24patients (44%) compared with 31 patients (56%) without in-hospital MACEs. Patientswith in-hospital MACEs were older (60.6±10.8 vs. 57.2±7.9, p=0.178), had less historyof dyslipidemia [8(33%) vs. 19 (61%), p=0.032], faster heart rate (111.4±35.8 vs.96.5±24.3, p=0.032], higher GRACE score [139(98-187) vs. 120 (91-148); p=0.001],and higher SI [0.83(0.57-1.5) vs. 0.67 (0.38-1.27), p=0.013). SI >0.8 was the only independentpredictor of MACEs in NSTEMI patients presenting with heart failure (OR=4.3,CI=1.247-14.328, p=0.048).Conclusion: Beyond other routine examinations, SI is the only independent predictor ofin-hospital MACEs in NSTEMI patients presenting with heart failure.
PERBEDAAN KEPATUHAN MINUM OBAT ANTARA LAKI - LAKI DENGAN PEREMPUAN DAN HUBUNGANNYA DENGAN KEBERHASILAN TERAPI PADA PASIEN HIPERTENSI DI KLINIK PELITA BUNDA KECAMATAN LUBUK PAKAM DINDA ETIKA SURY; AHMAD HANDAYANI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Data from World Health Organization (WHO) 2015 showed that around 1,13 billion of people in the world are affected byhypertension, more than 1 from 4 men and 1 from 5 women in the world affected by hypertension. Adherence to medicaltreatment has a very important role towards a successful therapy. Gender is a factor that affects in the utilization of healthservices and adherence to medical treatment. This research aimed to determine the difference in adherence to medicaltreatment between man and woman and the relationship with the success of the therapy in hypertensive patiens at PelitaBunda Clinic, Lubuk Pakam. This research is a cross sectional study. The total sample for this research is 50 hypertensivepatiens at Pelita Bunda Clinic, Lubuk Pakam with a purposive sampling method. Data were analyzed with Chi-Square test.The analysis using Chi Square obtained p-value=0,382 that shows no difference in adherence to medical treatment betweenman and women and the p-value <0,05 shows that there is a significant relationship between the adherence to medicaltreatment towards blood pressure. There is no difference in adherence to medical treatment between man and women.There is a significant relationship between adherence to medical treatment towards a successful therapy.
PENGARUH AKTIVITAS FISIK RUMAHAN TERHADAP TEKANAN DARAH PADA IBU RUMAH TANGGA YANG MEMILIKI RIWAYAT HIPERTENSI DI KELURAHAN TITI KUNING GARBIE SYAHLY AGUNG; AHMAD HANDAYANI
JURNAL ILMIAH KOHESI Vol 5 No 3 (2021): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

Based on data from the World Health Organization, it is stated that 972 million or 26.4% of people worldwide havehypertension. This high blood pressure can lead to coronary heart disease, heart failure, and stroke. According to the WorldHealth Organization (WHO), hypertension is a non-communicable disease suffered by people in Indonesia with a fairly highpercentage (57.6%). Physical inactivity can increase the risk of uncontrolled hypertension by increasing stimulation of thesympathetic system and plasma levels of catecholamines which can increase blood pressure. Housewives tend to lackphysical activity or exercise and are only limited in doing physical activities at home, especially with the current pandemicconditions which require people to do activities at home. To determine the relationship of home physical activity to bloodpressure in housewives who have a history of hypertension. This study was conducted using a categorical analytic methodwith a cross-sectional study design from September 2020 to January 2021 in Titi Kuning Village, Medan Johor District,Medan. Based on the results of the analysis, it was found that the most demographic characteristics of the age group werefound at the age of 26-35 years, namely 12 people (40%), the highest blood pressure category was in the 1st-degreehypertension group, namely 15 people (50%), moderate physical activity category being the most found, namely as many as16 people (53.3%) with a value of p = 0.001. There is a significant relationship between home physical activity on bloodpressure in housewives who have a history of hypertension.
HUBUNGAN PRODUKSI URIN DENGAN SATURASI OKSIGEN TERHADAP KEMATIAN SELAMA PERAWATAN PASIEN GAGAL JANTUNG AKUT AZZUHRA PERMATA KHAIRA; AHMAD HANDAYANI
JURNAL ILMIAH KOHESI Vol 5 No 4 (2021): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

Acute heart failure has manifestations with rapid onset that needs to be treated in within 24 hours. Urine output and oxygensaturation (SpO2) are used to monitor patients in the ICU to determine the severity and prognosis ot the disease. This studyaims to determine the relationship between urine output and oxygen saturation to the death of patients during treatment.This study used analytical method with cross sectional design. The number of sample is 45, and the secondary data wascollected from the hospitals’ medical records. The results showed that the relationship of urine output with patients’ outcomeshowed a p value of 0.011 (p <0.05). While the relationship of oxygen saturation with outcome and the relationship of urineoutput with oxygen saturation both showed p values of 0.123 and 0.368 (p>0.05). There is a significant relationship betweenurine output and the acute heart failure patients’ outcome.
Shock Index as Simple Clinical Independent Predictor of In-hospital MACEs in NSTEMI Patients Presenting with Heart Failure Ahmad Handayani; Kartika Kaban; Marwan Nasri; Zulfikri Mukhtar; Abdullah Afif Siregar
Jurnal Kardiologi Indonesia Vol. 38, No. 2 April-June 2017
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v38i2.731

Abstract

Background: Identification of Non-ST Elevation Myocardial Infarction (NSTEMI) patientsat higher risk of in-hospital complications is very important. Such identification will givecrucial information in determining treatment strategy especially for those come with heartfailure. One of the simple predictor for short term prognosis in acute coronary syndromeis shock index (SI), which is the ratio of heart rate over systolic blood pressure on admission.There had not been any study conducted to evaluate the use of SI in NSTEMI patientscome with heart failure. The aim of this study is to evaluate the SI compared with otherroutine clinical and laboratory examination as a predictor of in-hospital major adversecardiac events (MACEs) in NSTEMI patients presenting with heart failure.Methods: We performed a retrospective analysis of NSTEMI patients with heart failureadmitted to Haji Adam Malik General Hospital in Medan from January 2014 until July 2015.SI was calculated as the ratio of heart rate over systolic blood pressure on presentation.Patients presenting with cardiogenic shock were excluded.Results: There were 55 patients eligible in this study. In-hospital MACEs was found in 24patients (44%) compared with 31 patients (56%) without in-hospital MACEs. Patientswith in-hospital MACEs were older (60.6±10.8 vs. 57.2±7.9, p=0.178), had less historyof dyslipidemia [8(33%) vs. 19 (61%), p=0.032], faster heart rate (111.4±35.8 vs.96.5±24.3, p=0.032], higher GRACE score [139(98-187) vs. 120 (91-148); p=0.001],and higher SI [0.83(0.57-1.5) vs. 0.67 (0.38-1.27), p=0.013). SI >0.8 was the only independentpredictor of MACEs in NSTEMI patients presenting with heart failure (OR=4.3,CI=1.247-14.328, p=0.048).Conclusion: Beyond other routine examinations, SI is the only independent predictor ofin-hospital MACEs in NSTEMI patients presenting with heart failure.
Sistem Konduksi Jantung Ahmad Handayani
Buletin Farmatera Vol 2, No 3 (2017)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.695 KB) | DOI: 10.30596/bf.v2i3.1197

Abstract

Abstrak Pemahaman ilmu dasar kedokteran sangat penting bagi seorang klinisi. Aritmia merupakan masalah kardiovaskular yang cukup sering dijumpai dan menyulitkan. Pemahaman tentang dasar elektrofisiologi, cara kerja elektrokardiografi, dan mekanisme terjadinya aritmia jantung merupakan modal dasar seorang dokter untuk memiliki pendekatan yang logis dalam diagnosa dan terapi pada pasien dengan kondisi aritmia. Pemahaman sistem konduksi jantung setidaknya membutuhkan pemahaman tentang dua hal yakni dasar kelistrikan jantung mencakup potensial aksi sel otot jantung dan sel pacu jantung dan konsep pembentukan dan penjalaran impuls melalui sistem konduksi jantung. Tulisan ini bertujuan memberikan gambaran umum yang ringkas dan mendasar tentang sistem konduksi jantung. Kata kunci: aritmia, kelistrikan, konduksi, jantung  Abstract Understanding the basic science of medicine is very important for a clinician. Arrhythmias are a quite common and complicated cardiovascular problem. Understanding of the electrophysiological basis, the workings of electrocardiography, and the mechanism of cardiac arrhythmia are the doctors' basic requirement for having a logical approach to diagnosis and therapy in patients with arrhythmia. Understanding the cardiac conduction system requires at least an understanding of two things: the base of the heart's electricity includes the potential action of heart muscle and pacemaker cells and the concept of impulse formation and propagation through the cardiac conduction system. This paper aims to provide a concise and basic overview of the cardiac conduction system. Keywords: arrhythmia, electricity, conduction, heart
PREDICTORS OF IN-HOSPITAL LENGTH OF STAY IN NSTEMI PATIENTS Ahmad Handayani; Andika Sitepu; Faisal Habib
Buletin Farmatera Vol 4, No 3 (2019)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (734.521 KB) | DOI: 10.30596/bf.v4i3.2156

Abstract

As our population grows older, the rate of NSTEMI patients is rising. Risk stratification is an important process for patients with Non-ST Elevation Myocardial Infarction (NSTEMI). Global Registry of Acute Coronary Events (GRACE) scores in the best to predict mortality and myocardial infarction in NSTEMI Patients. On the other hand, NSTEMI Patients trends to be older with more co-morbidity. In this scenario, we need to predict the length of stay as it correlates with the patient's prognostic and cost. This study aims to analyze factors influencing the in-hospital length of stay in survivor NSTEMI Patients in four different hospitals (Adam Malik Medan National General Hospital, Pirngadi Medan General Hospital, Grandmed Lubuk Pakam General Hospital, and Aceh Tamiang Public General Hospital). This was an observational study with prospective design conducted on 44 patients in four different hospitals from March to May 2017. We only included the patients that discharged alive from the. hospital Statistical analysis was performed to assess the routine clinical and laboratory variables relations with the length of stay. Prolong length of stay was defined as more than 5 days. As mentioned in the previous study, older age, heart failure will prolong the length of stay. The limitations of this study were we didn't analyze the effect of revascularization, the co-morbidities, and the method of patient’s payment. We should use GRACE and TIMI risk score routinely, optimizing therapy for heart failure and giving special attention to elderly patients in NSTEMI Patients.Keywords: NSTEMI, GRACE, Length of Stay
FAKTOR RISIKO UTAMA YANG BERHUBUNGAN DENGAN KENDALI TEKANAN DARAH PADA POLISI PENDERITA HIPERTENSI LABUHAN BATU SELATAN ELIZABETH ADINDA PUTRI HARAHAP; AHMAD HANDAYANI
JURNAL ILMIAH MAKSITEK Vol 7 No 4 (2022): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Hypertension or high blood pressure is one of the diseases that contributes to the largest mortality in the world. Hypertension is characterized by high blood pressure in the systemic arteries. Blood pressure is expressed by systolic and diastolic blood pressure. According to the American Heart Association (AHA) hypertension has contributed to deaths globally around 10.4 million deaths annually and it is estimated that 1.39 billion people suffer from hypertension in 2010. There are several risk factors that cause hypertension, namely, gender, age, genetics, diet, exercise habits, obesity, alcohol consumption, excess salt consumption, smoking habits, work, stress, and comorbidities such as kidney disease and diabetes. One of the jobs that are at risk of developing hypertension is the police, where the police experience stress, the wrong diet, the wrong lifestyle. The objext of the research is To determine the main risk factors associated with the incidence of hypertension in South Labuhanbatu Police in 2021. This type of research is an analytic survey research with a cross sectional design. The sample used in the study amounted to 96 people. Data retrieval was carried out with primary data obtained by two methods, namely by conducting direct interviews by distributing questionnaires to South Labuhanbatu police personnel. Secondary data includes the number of members, member names, age of members and main duties. Then the data will be collected and analyzed. The results the research are From 96 samples, the relationship between hypertension and age was obtained p value = 0.001 and OR:0,088, Food high in salt p value = 0.018 and OR; 0,221, Family history p value = 0.715, Smoking p value = 0.932, Alcohol consumption p value = 0.902, Obesity p value = 0.379, Physical activity p value = 0.08 and OR : 3,509, Stress p value = 0.189. the conclussion if the research there is a relationship between age, physical activity, and hypertension and there is no relationship between family history or genetics, smoking, alcohol consumption, obesity, stress and hypertension. The risk factor which is the main risk factor associated with the incidence of hypertension in the South Labuhanbatu police in 2021 is physical activity
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERUBAHAN EKG PADA PASIEN HIPERTENSI TRESNA ADI PRAYOGA; AHMAD HANDAYANI
JURNAL ILMIAH SIMANTEK Vol 6 No 3 (2022): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Hypertension is one of the main problems of mortality and morbidity in cardiovascular disease in Indonesia, prolonged hypertension can cause complications in the heart in the form of left ventricular hypertrophy, to detect left ventricular hypertrophy requires the use of an easy and inexpensive tool, namely electrocardiography. The purpose of this study is to look at some of the factors causing the electrocardiographic picture that may have an effect on the occurrence of left ventricular hypertrophy including age, gender, length of time suffering from hypertension, obesity and diabetes mellitus. The design of this study was retrospective descriptive with a cross-sectional approach. The research subjects were 42 hypertensive heart disease (HHD) patients who had conducted an electrocardiography examination at Mitra Medika Bandar Klippa General Hospital for the period January 2019 - July 2020 who met the inclusion and exclusion criteria. This result of this research there is an effect of a long history of suffering from hypertension with left ventricular hypertrophy with a value (p = 0.006).
PERBEDAAN KARAKTERISTIK PASIEN CHF (CHRONIC HEART FAILURE) PADA USIA DEWASA DAN USIA LANJUT SERTA HUBUNGANNYA DENGAN KEMATIAN SELAMA PERAWATAN WIRDANI FADHILA; AHMAD HANDAYANI
JURNAL ILMIAH SIMANTEK Vol 6 No 3 (2022): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

The heart is the most important organ in the human body, which has the main function of pumping blood throughout the body. If there is an abnormality in one of the components of the heart, it will cause a disturbance in the process of pumping blood by the heart, causing failure to pump blood. Heart failure is a condition in which the heart is unable to pump sufficient blood for the body's needs. Congestive heart failure is failure of the right and left heart. Where the data source is obtained from MEDLINE, Google scholar, PubMed and Google. Journals with cross sectional, before after study and observational study methods were included in this literature study. The criteria for respondents in this literature review are adult and elderly patients diagnosed with heart failure. The results of this study are in accordance with the theories that have been stated that the most common cause of congestive heart failure in the elderly (> 60 years) with the most frequent sex is women who are caused by a decrease in the hormone estrogen which triggers the formation of atherosclerosis, with different comorbid factors. in each patient, namely, anemia caused by chronic disease, hypertension that triggers the thickening of the heart wall, diabetes mellitus, depression, and psychological stress.
Co-Authors Abdul Gafar Parinduri Abdullah Afif Siregar Annisa AZZUHRA PERMATA KHAIRA BATUBARA, HEPPY JELITA SARI DINDA ETIKA SURY ELIZABETH ADINDA PUTRI HARAHAP Faisal Habib FAWWAZ, ADITYA ACHMAD GARBIE SYAHLY AGUNG HENDRA SUTYSNA Indrawan Sani, Riyanda Isra Thristy Kaban, Kartika Kartika Kaban Lubis, Anggia Chairuddin Marwan Nasri Mayfa, Rara Khairania Meizly Andina, Meizly Muhammad Rizki Mukhtar, Zulfikri Nasri, Marwan Nasution, Ria Wenny Purwoko, Firda Syakirina Putri, Sheila Dhiene RITONGA, MISTAR Sheila Dhiene Putri Siregar, Abdullah Afif SIREGAR, CINDY OKTAVIA Siregar, Maulana Sitepu, Andika TRESNA ADI PRAYOGA WIRDANI FADHILA Yelly Nursakinah Zulfikri Mukhtar