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Faktor-Faktor Risiko Hipertensi Diastolik Pada Usia Dewasa Muda Yelly Nursakinah; Ahmad Handayani
JURNAL PANDU HUSADA Vol 2, No 1 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v2i1.5426

Abstract

Hipertensi atau tekanan darah tinggi di definisikan sebagai nilai tekanan darah sistolik ?140 mmHg dan atau tekanan darah diastolic ?90 mmHg. Tekanan darah diastolik lebih sering mengalami peningkatan pada usia dibawah 50 tahun. Hipertensi diastolik (Diastolic Hypertension) didefinisikan sebagai tekanan darah diastolik dengan nilai 90 mmHg atau lebih. Hipertensi diastolik biasanya terjadi pada usia muda atau usia pertengahan, yaitu sekitar 3050 tahun. Tujuan penelitian ini adalah untuk mengetahui hubungan antara usia, jenis kelamin, indeks massa tubuh, aktivitas fisik, dan riwayat keluarga dengan hipertensi diastolic pada usia dewasa muda. Penelitian ini merupakan survey analitik dengan desain cross sectional. Hasil penelitian didapatkan faktor yang berhubungan dengan hipertensi diastolic pada usia dewasa muda adalah indeks massa tubuh (P=0,022). Jadi, terdapat hubungan antara indeks massa tubuh dengan hipertensi diastolik pada usia dewasa muda pada karyawan dan karyawati di Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara.
PERSEPSI DAN TINGKAT PENGETAHUAN PASIEN PENYAKIT JANTUNG TERHADAP COVID-19 DI RUMAH SAKIT MITRA MEDIKA AMPLAS MEDAN FAWWAZ, ADITYA ACHMAD; HANDAYANI, AHMAD
JURNAL ILMIAH SIMANTEK Vol 7 No 4 (2023): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

COVID-19 is a respiratory disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). This disease causes people to be afraid to go to the hospital. The fear also affects the number of heart patients who go to hospital. This study aims to determine the perception and knowledge of heart patients about COVID-19. The method used is descriptive-quantitative with a cross-sectional study design. Cardiac patients who were treated at Mitra Medika Amplas Hospital in Medan were included in the inclusion criteria. The research data was obtained from primary data using the COVID-19 knowledge questionnaire and the COVID-19 perception questionnaire. The researcher found that the knowledge of 96 respondents was good, with a total of 100%. Respondents' perception of COVID-19 is good, with a total of 99%. It was concluded that patients receiving treatment and being treated at the Mitra Medika Amplas Hospital in Medan had good knowledge and perceptions about COVID-19.
FACTORS PREDICTING MORTALITY IN COVID-19 PATIENTS WITH CARDIOVASCULAR COMORBIDITY SIREGAR, CINDY OKTAVIA; HANDAYANI, AHMAD
JURNAL ILMIAH SIMANTEK Vol 7 No 4 (2023): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

The presence of rapidly spreading Corona virus or SARS-CoV-2 throughout the world became a public concern and maajor problem for the world’s population due to it’s high mortality rate.. The COVID-19 patients was often accompanied by the presence of underlying diseases which one of them is cardiovascular disease (CVDs) which tends to aggravate the symptoms and worsen the prognosis. It is necessary to evaluate some factors that make contributions of predicting the risks of death in this population. This was a retrospective analytical study with cross sectional design with total samples of 42 patients who were hospitalized in Mitra Medika Amplas General Hospital Medan. Several factors were identified and statistical analysis were done to analyze the relationship between them with the risk of mortality. This study found that several factors contributed to the risk of mortality in COVID-19 with CVDs which are male gender, lower oxygen saturation at admission, increased renal function laboratory values. Male gender, initial oxygen saturation, ureum and creatinine are factors predicting mortality in COVID-19 patients with cardiovascular comorbidity.
Karakteristik Demografi Korban Pembunuhan Yang Diperiksa Di Departemen Forensik Dan Medikolegal RS Bhayangkara TK II Medan Purwoko, Firda Syakirina; Ritonga, Mistar; Parinduri, Abdul Gafar; Handayani, Ahmad
JURNAL PANDU HUSADA Vol 5, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v5i2.20741

Abstract

Abstrak: Pembunuhan ialah sesuatu aksi melenyapkan nyawa seorang dengan metode melanggar hukum, maupun yang tidak melawan hukum, pembunuhan diatur dalam Pasal KUHP. Berdasarkan data Badan Pusat Statistik Provinsi Sumatra Utara, Provinsi SUMUT kasus pembunuhan tahun 2013 terdapat 118 kasus yang terdaftar sedangkan pada tahun 2017 menurun menjadi 98 kasus. Tujuan penelitian ini untuk mengetahui karakteristik demografi korban pembunuhan yang diperiksa di Departemen Forensik dan Medikolegal RS Bhayangkara TK II Medan. Desain penelitian ini deskriptif dengan pendekatan restospektif. Penelitian ini dilakukan di Di Departemen Forensik Dan Medikolegal RS Bhayangkara TK Il Medan. Populasi yang digunakan dari penelitian ini adalah semua korban pembunuhan yang diperiksa di Departemen Forensik dan Medikolegal RS Bhayangkara TK II Medan. Teknik pengambilan sampel yang digunakan adalah total population sampling dari data sekunder periode Agustus 2020 – Maret 2022. Didapatkan total 90 kasus pembunuhan di departemen forensik dan medikolegal RS Bhayangkara TK II Medan, Median usia rentang 30 tahun dengan subjek dalam penelitian ini mayoritas berjenis kelamin laki-laki yaitu 74 kasus (82,2%). Data sebab kematian tersering pada subjek penelitian adalah kekerasan tumpul, dengan jumlah sebanyak 50 kasus (37,5%). Regio tubuh yang paling banyak menyebabkan kematian adalah regio kepala sebanyak 50 kasus (55,6%). Korban Pembunuhan sebagian besar berusia 26 sampai 35 tahun sebanyak 20 kasus (22,2 %) dan sebagian besar berjenis kelamin laki-laki. Sebab kematian paling banyak diakibatkan oleh trauma tumpul paling banyak terjadi pada regio kepala.
Hubungan Tingkat Pendidikan Dan Status Sosial Ekonomi Terhadap Tingkat Pengetahuan Tentang Faktor Risiko Penyakit Jantung Koroner Pada Pasien Penyakit Jantung Koroner Handayani, Ahmad; Nasution, Ria Wenny
JURNAL PANDU HUSADA Vol 5, No 1 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v5i1.18619

Abstract

Latar Belakang: Berdasarkan data dari World Health Organization (WHO) dan juga data dari USA's Centers for Disease Control dan Prevention (CDC), penyakit yang membunuh setidaknya 17 juta orang per tahun ialah penyakit jantung dan stroke, yang mana data tersebut jumlahnya secara global hampir sepertiga dari semua kematian. Berdasarkan American Heart Association (AHA), menyatakan bahwa penyakit jantung koroner juga sebagai penyebab 1 dari 7 kematian di Amerika Serikat yang mana data tersebut  menewaskan sekitar 3% orang dewasa lanjut usia. Faktor risiko penyakit jantung dapat dibedakan menjadi 2 faktor yaitu  faktor yang tidak dapat dimodifikasi seperti usia pasien, jenis kelamin, dan predisposisi genetik keluarga dan juga ada faktor yang dapat dimodifikasi seperti dislipidemia, hipertensi, diabetes melitus, kebiasaan merokok, kurangnya aktivitas fisik dan pola diet yang menyebabkan obesitas. Metode: Analitik observasional dengan pendekatan observasional, minimal sampel penelitian ini 100 pasien penyakit jantung koroner yang dianalisis dengan menggunakan analisis univariat dan akan dilakukan analisis bivariat dengan metode chi-square untuk menguji hubungan tingkat pendidikan dan sosial ekonomi terhadap tingkat pengetahuan tentang faktor risiko penyakit jantung koroner pada pasien penyakit jantung koroner. Hasil: Hasil analisis bivariat dari 106 sampel data kuesioner pasien penyakit jantung koroner di Rumah Sakit Mitra Medika Amplas untuk mengetahui hubungan tingkat pendidikan dan status sosial ekonomi dengan tingkat pengetahuan tentang faktor resiko penyakit jantung koroner pada pasien penyakit jantung koroner, setelah dilakukan uji Chi Square diperoleh nilai p=0,000 (p0,05). Kesimpulan: Terdapat adanya hubungan antara tingkat pendidikan dan status sosial ekonomi terhadap tingkat pengetahuan tentang faktor risiko penyakit jantung koroner pada pasien penyakit jantung koroner di Rumah Sakit Mitra Medika Amplas.
Faktor-Faktor Yang Mempengaruhi Tingkat Kepatuhan Menghentikan Kebiasaan Merokok Pada Pasien Penyakit Jantung Koroner Mayfa, Rara Khairania; Handayani, Ahmad; Batubara, Heppy Jelita Sari; Putri, Sheila Dhiene
ANATOMICA MEDICAL JOURNAL | AMJ Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v7i2.14744

Abstract

Abstrak: Merokok merupakan salah satu penyebab penyakit jantung koroner (PJK). Keluarga, lingkungan, pengetahuan, dan persepsi dapat mempengaruhi kebiasaan merokok pasien PJK. Metode: Analisa observasional dengan pendekatan cross sectional. Pengambilan sampel memakai cara consecutive sampling dan non-probability sampling. Data yang dipakai adalah data primer yang dikumpulkan menggunakan kuisioner kepatuhan responden untuk berhenti merokok, ada atau tidaknya dorongan keluarga dan lingkungan sekitar, serta pengetahuan dan persepsi terhadap rokok, dengan total responden 100 orang pasien PJK. Analisa data memakai uji Chi Square. Hasil: diperoleh  kepatuhan berhenti merokok sejumlah 85 (85%) responden. Dorongan keluarga sejumlah 89 (89%) responden. Dorongan lingkungan sejumlah 69 (69%) responden. Pasien secara pengetahuan yang memadai sejumlah 90 (90%) responden. Pasien secara persepsi yang positif sejumlah 79 (79%) responden. Perolehan analisa bivariat lingkungan, hubungan keluarga, persepsi dan pengetahuan pada kepatuhan berhenti merokok ialah p = 0,05. Kesimpulan: lingkungan, keluarga, persepsi dan pengetahuan bisa menaikan kepatuhan untuk tidak lagi merokok bagi pasien PJK.Kata kunci: Faktor-faktor berhenti merokok, penyakit jantung koroner, tingkat kepatuhan berhenti merokok
Premature Ventricular Complexes: Diagnose, Evaluation, and Management Handayani, Ahmad; Lubis, Anggia Chairuddin
Buletin Farmatera Vol 7, No 1 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i1.9684

Abstract

Premature ventricular complexes (PVCs) are arrhythmias due to abnormal impulse formation in the ventricles. The incidence is detected as much as 1% on standard electrocardiographic (ECG) examination. The aim of this literature review is to explain the diagnosis, evaluation, and management of PVC. The diagnosis of PVC is determined from the symptoms and evidence from the ECG recording. Symptoms may include a faster heartbeat sensation, chest discomfort, skipped beat, and intermittenly strong heartbeat. Evidence of PVC is established by regular ECG recordings or Holter. A 12-ECG can help determine the location of source. PVC evaluation includes determine the dangerousity, the next examination step, the treatment options, and whether ablation is needed. Managements include medical therapy and catheter ablation. Catheter ablation is performed where treatment is unsatisfactory or if the PVC causing life threathening arrhythmia or cardiomyopathy. PVC is considered dangerous if the underlying disease is found in the form of cardiac structural abnormalities, ischemic heart disease or other arrhythmic disorders, more than 2000 PVC is found in 24 hours, complex morphology, different morphology, increased with exercise, PVC with non-outflow tract form, with short coupling interval, and with a wider QRS duration The incidence of VVC that is considered to be able to induce cardiomyopathy is from 10-26%. PVC requires a structured and systematic diagnosis and evaluation step to determine the appropriate treatment.
HUBUNGAN POLIMORFISME GEN ANGIOTENSIN CONVERTING ENZYME DENGAN PERBAIKAN FRAKSI EJEKSI VENTRIKEL KIRI PADA PASIEN GAGAL JANTUNG KRONIK Handayani, Ahmad; Thristy, Isra; Andina, Meizly
Buletin Farmatera Vol 6, No 2 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v6i2.5549

Abstract

Angiotensin-converting enzyme (ACE) is a circulating and membrane-bound enzyme in the renin-angiotensin system. Polymorphism is the presence of two or more alleles at a locus in a population. In patients with heart failure with impaired systolic function, the RAA system is activated. One of the main therapies in heart failure is the administration of angiotensin-converting enzyme blockers. This study aims to examine the relationship between angiotensin-converting enzyme gene polymorphisms with improvement in left ventricular ejection fraction (FEVK).This research is a prospective observational study using a convenient sampling technique, carried out at Mitra Medika Hospital Bandar Klippa, Deli Serdang. The number of samples in the study was 37 people. Each patient was examined for initial echocardiography and at least 1 month after treatment when clinical improvement was seen. All patients received treatment according to the standard guidelines for the management of chronic heart failure according to the European Society of Cardiology (ESC)/Indonesian Cardiovascular Specialist Doctors Association (PERKI). The majority of research subjects were male as much as 81% and the average age of the patients was 56 years. ACE gene polymorphism was dominated by gene II as much as 57%. The average FEVK value in the first measurement was 25.8% and in the second measurement, it increased to 34.4%. There was a significant change between FEVK I measurements by an average of 25% to 34% in the next measurement (p 0.05). In the analysis of the relationship, it was seen that the ACE gene polymorphism did not affect the improvement of the FEVK value.Treatment of chronic heart failure with a decrease in ejection fraction was seen to have a significant effect in increasing FEVK. There is no relationship between angiotensin-converting enzyme gene polymorphisms on response to therapy in patients with chronic heart failure in this study.
Pengaruh Membaca Al-Qur’an Terhadap Penurunan Tekanan Darah Pada Lansia Hipertensi Di UPT Pelayanan Sosial Lanjut Usia Binjai Rizki, Muhammad; Siregar, Maulana; Handayani, Ahmad; Sutysna, Hendra
Buletin Farmatera Vol 10, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v10i1.24411

Abstract

Abstract: Reading the Qur'an is a form of dhikr and as a meditation in positive benefits for the body. Hypertension is a condition when blood pressure in tFaculty of Medicine he blood vessels increases chronically at 140/90 mmHg. The prevalence rate in Binjai City in 2016 was found to be 366 hypertension patients. Therapy to read the Qur'an harmoniously and carefully can improve biochemistry in the body that lowers blood pressure. This study aims to determine the effect of reading the Qur'an on reducing blood pressure in the elderly with hypertension at the Binjai Elderly Social Service Unit. This study uses a type of quantitative research with a quasi-experimental method  with a non-randommized pre test-post test control group design. Based on the results of the study, it was found that there was an average difference between the intervention and control groups, where the systolic mean was 143.25 and diastolic 88.37, while the systolic and diastolic mean of the control group were 150.43 and 94.75. This is because the verses of the Qur'an read by hypertensive patients can activate endorphins naturally, thereby increasing feelings of relaxation and lowering blood pressure. It was found that  the P value in the final systolic variable was 0.034 which means that there was a mean difference between the final systolic in the intervention group and the control group because P was 0.05, while the P value in the final diastolic variable was 0.001 which can be concluded that there is a significant mean difference between the final systolic of the intervention group and the control group because of P 0.05. Based on this study, it was found that the majority of hypertension is found in women and 60-74 years old. There was a difference in average blood pressure in the intervention and control groups.
Heart Failure with Atrial Fibrillation: Physical Domain Severely Compromised Despite Preserved Mental Well-Being Indrawan Sani, Riyanda; Handayani, Ahmad; Annisa; Sheila Dhiene Putri
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14418

Abstract

Atrial fibrillation (AF) frequently coexists with chronic heart failure (CHF), imposing a “double chronic burden” that may severely affect patients’ quality of life (QoL). This study aimed to evaluate QoL in CHF patients with AF using the SF-36 questionnaire, focusing on the most impaired physical and mental domains. A descriptive study was conducted on 30 adult patients (≥40 years) attending the Cardiology Clinic of Mitra Medika Amplas Hospital, Medan. QoL was assessed using the validated Indonesian version of SF-36, and data were analyzed descriptively. The mean age was 62 years, with 70% female, 76.7% having non-valvular AF, and common comorbidities including coronary artery disease (43.3%) and hypertension (33.3%). Physical domains were severely impaired, with role physical (24.17), general health (37.00), and physical functioning (44.00), resulting in a low Physical Component Summary (PCS) of 30.0. In contrast, mental domains were relatively preserved, with mental health (80.93), vitality (80.17), and social functioning (76.35), yielding a Mental Component Summary (MCS) of 57.5. These findings indicate that CHF patients with AF experience substantial physical limitations despite maintained mental well-being, highlighting the importance of interventions targeting physical function while supporting psychosocial health.