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All Journal International Islamic Medical Journal The Avicenna Medical Journal
Angkasa, Irwan Surya
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Religion Humanities Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Primary Percutaneous Coronary Intervention in a 24-hour PCI Capable Hospital in Indonesia Laksono, Sidhi; Hosanna, Cliffian; Angkasa, Irwan Surya; Nurbaeti, Putri
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6531

Abstract

Introduction: Chest pain may be a symptom of a life-threatening disease such as S ST-Elevation Myocardial Infarction (STEMI). Immediate primary percutaneous coronary intervention (PPCI) is recommended for virtually all STEMI patients who present in a PCI-capable hospital. Objective: We would like to present data on Door-to-Balloon (DTB) times and the factors affecting it. Methods: This is a single-center retrospective study. Patients are STEMI patients, undergoing primary PCI from 1st January 2024 to 30th April 2024. Secondary data are obtained from the medical records and analyzed. Results: A total of 60 patients undergo PPCI during the study period. Patients are generally male patients, aged 53.67 years old, with 2 traditional cardiovascular risk factors, presenting to the emergency department (ED) with an average of 5.88 hours of chest pain. DTB time was 86.25 minutes during the study period. We identified the onset of chest pain and referred patients to be associated with DTB time. Referred patients had longer onset since chest pain but faster DTB time. We found no association between age, gender, presenting time, diagnosis, Killip class, and physician factor to significantly affect DTB time. Conclusions: We have identified factors that may help us improve our DTB time. Patient knowledge should also be improved to increase awareness of symptoms of chest pain, minimizing patient delay and improving total ischemic time. 
Distinguish Between Perforation or Coronary Cameral Fistula: A Rare Findings during Percutaneous Coronary Intervention Laksono, Sidhi; Angkasa, Irwan Surya; Zheng, Tonni; Hosana, Cliffian; Nurbaeti, Putri; Nokik Stujanna, Endin
The Avicenna Medical Journal Vol. 6 No. 1 (2025): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v6i1.45801

Abstract

Introduction: Coronary cameral fistula (CCFs) is a connection between the coronary arteries and a chamber of the heart. Most of it is accidentally found on coronary angiography. This case report discusses a patient with symptoms in whom CCF was incidentally found on CAG. Case presentation: A 49-year-old male patient came to our hospital to undergo an elective standby coronary angiogram. No plaque was found in the LM and LCx; however, a chronic total occlusion (CTO) in the medial LAD was found, as well as 60% tubular stenosis in the proximal and 75% tubular stenosis in the distal RCA. Drug eluting stent was placed up to 20 atm in mid-distal LAD. However, we found contrast-dye extravasation that emptied directly into the heart chamber from the distal LAD. There’s no any signs of pericardial effusion from the bedside echo thus reinforcing the diagnosis of CCFs. Discussion: CCFs represent rare cardiovascular anomalies characterized by abnormal connections between coronary arteries and cardiac chambers or major vessels. Conclussion: Bedside echocardiography is a rapid modality to differentiate perforation from CCFs and can be performed intra-PCI. Management such as transcatheter closure or surgical ligation, can be performed with their own indications.
Co-Authors Hosana, Cliffian Hosanna, Cliffian Laksono, Sidhi Nokik Stujanna, Endin Nurbaeti, Putri Zheng, Tonni