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All Journal Heart Science Journal
Veliawan, Zhafran
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Health Professions Immunology & microbiology Medicine & Pharmacology

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Rapid heparinization as a decisive strategy for acute upper limb ischemia: a case report Veliawan, Zhafran; Kurnianingsih, Novi
Heart Science Journal Vol. 6 No. 2 (2025): The Complexity in the Management of Heart Rhythm Disorder
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.02.21

Abstract

Background: Acute upper limb ischemia is a rare clinical presentation of thromboembolism, mostly known in patients with atrial fibrillation. Both conservative and surgical procedures are available as alternatives to therapy. In this case report, a patient who had been diagnosed with acute upper limb ischemia received immediate heparin administration in order to protect the upper limb and restore its functional capabilities. Case Illustration: A 60-year-old male presented with acute pain and numbness, along with bluishness and a cold sensation in the right hand. He has unrestricted arm mobility. The patient has a medical background of atrial fibrillation for over 11 years. The right hand exhibited reduced peripheral saturation, pulselessness, pain, pallor, and poikilothermy, but neither paresthesia nor paralysis. Duplex ultrasonography showed no detectable blood flow from the right brachial artery up to the distal arteries. However, the vein remained audible. The patient received heparinization immediately. Conclusion: Immediate identification and administration of heparin in instances of acute upper limb ischemia (AULI) are crucial for achieving favorable outcomes and a good prognosis. Continued treatment with anticoagulants is necessary for the therapeutic intervention in order to enhance limb preservation, minimize complications, and ensure patients have an excellent quality of life subsequent to conservative treatment.
Diagnosis and management of vasovagal syncope: A comprehensive review Veliawan, Zhafran; Rizal, Ardian
Heart Science Journal Vol. 7 No. 3 (2026): Predicting Restenosis in Coronary Artery Disease
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.03.2

Abstract

Syncope is a distinct type of  transient loss of consciousness characterized by rapid onset and complete spontaneous recovery. Syncope is categorized into three different kinds according to the 2018 European Society of Cardiology guidelines. Different types of syncope ultimately converge on a common pathophysiological occurrence: global cerebral hypoperfusion, resulting from the circulatory system's inability to maintain blood pressure at a level sufficient to provide adequate cerebral perfusion. Vasovagal syncope, often referred to as the "common faint," is the predominant etiology of syncope. Although classified as a benign condition, recurrent syncope incurs significant costs and adversely effects the quality of life for patients, particularly in the elderly. Typical vasovagal syncope predominantly manifests in young adults and is frequently identified based on medical history, provided there is no structural heart disease. Atypical vasovagal syncope frequently presents with a short or nonexistent prodrome, and inattention regarding the loss of consciousness is prevalent, leading to potential misdiagnosis, such as falls. This article provides an overview of the evaluation and management of vasovagal syncope.
Co-Authors Kurnianingsih, Novi Rizal, Ardian