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David Kristianus
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Health Professions

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Seorang Pria Sehat Berusia 23 Tahun dengan Pingsan Setelah Bermain Futsal: Kasus Rhabdomyolysis yang disebabkan oleh aktivitas: Laporan Kasus David Kristianus; Jonkie Budi Tirtadjaja
Cermin Dunia Kedokteran Vol 52 No 7 (2025): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i7.1508

Abstract

Introduction: Exertional rhabdomyolysis (ER) is a medical condition resulting from strenuous exercise characterized by skeletal muscle damage followed by the release of intracellular components into the circulation. ER has various clinical manifestations and is associated with various complications that increase morbidity and mortality. Case: A 23-year-old male came to the emergency department with decreased consciousness after playing futsal. After urinary catheter insertion, brown-colored urine was observed. Laboratory examination showed increased serum CK level (199,011 IU/L), increased serum creatinine, hyperkalemia, and metabolic acidosis. The diagnosis was exertional rhabdomyolysis, acute kidney injury, hyperkalemia, and metabolic acidosis. Conclusion: The condition of the patient improved after aggressive intravenous rehydration, intravenous insulin, and sodium bicarbonate therapy. Prompt diagnosis and appropriate management can reduce complications, morbidity and mortality.
Tata Laksana Sindrom Koroner Akut dengan Elevasi Segmen ST Sadapan aVR di Rumah Sakit dengan Fasilitas Terbatas: Laporan Kasus David Kristianus; Yuliana Rias Mayasari; Leona Friyanti Ngadiah
Cermin Dunia Kedokteran Vol 51 No 6 (2024): Cardiology
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i6.934

Abstract

Analysis of aVR leads on electrocardiography (ECG) is often given less attention, when in fact ST-segment elevation in aVR leads and diffuse ST-segment depression in other leads indicates circumferential subendocardial ischemia, which can be caused by left main coronary artery occlusion (LMCA) or three-vessel coronary artery disease (3VD) and is associated with a poor prognosis. An 83-year-old male came to the emergency room with chest pain for 18 hours. The ECG showed ST-segment elevation in the aVR with diffuse ST-segment depression in the anteroinferolateral leads. He was diagnosed with acute coronary syndrome (ACS), suspected occlusion of the left main coronary artery (LMCA), and a differential diagnosis of three-vessel coronary artery disease (3VD). Examination of cardiac markers and cardiac catheterization facilities were not available. A loading dose of aspirin and clopidogrel was given. During in-hospital treatment, ECG evaluation showed improvement of aVR ST-segment elevation. Early recognition of ACS with aVR ST-segment elevation and prompt early management are important.
Co-Authors Jonkie Budi Tirtadjaja Leona Friyanti Ngadiah Yuliana Rias Mayasari