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Sequeira Saldanha, Luzelia Marta
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Health Professions

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Takikardia Ventrikular pada Infark Miokard Akut dengan Elevasi Segmen ST Anterior Septal: Laporan Kasus Sequeira Saldanha, Luzelia Marta
Cermin Dunia Kedokteran Vol 52 No 8 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i8.1345

Abstract

Introduction: Fatal ventricular tachyarrhythmias such as ventricular tachycardia (VT) or ventricular fibrillation (VF) are the most frequent cause of sudden cardiac death. In-hospital mortality of VT in STEMI was a 4- to 5-fold increase compared to STEMI without ventricular tachyarrhythmia; VT and VF were also initially thought to be the most common causes of out-of-hospital cardiac arrest. Late VT (occurs beyond 24-48 hours of STEMI onset) is a predictor for worse prognosis. Case: A 49-year-old female presented with continuous chest pain for 5 days and a rapid heartbeat (palpitation) for 4 days before hospital admission. Initial examination revealed VT and ST elevation on ECG, leading to a diagnosis of anteroseptal STEMI with VT. Treatment included aspirin, clopidogrel, heparin, isosorbide dinitrate, bisoprolol, and simvastatin. The VT resolved about 2 hours after the initial treatment, and the evolution of STEMI (on ECG) was observed. Conclusion: Early recognition and prompt treatment for VT patients can prevent hemodynamic instability and reduce mortality.
Clinical Characteristics, Chest X-Ray and Laboratory Findings of COVID-19 Patients in Leona Kefamenanu Hospital on 2021 : A retrospective study Sequeira Saldanha, Luzelia Marta
Cermin Dunia Kedokteran Vol 50 No 12 (2023): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i12.947

Abstract

Introduction: COVID-19 can be life-threatening in older age group and those with comorbidities. This is a study on the clinical characteristics of COVID-19 patients in rural field hospitals in Indonesia. Method: A retrospective, non-experimental study on COVID-19 patients in LeonaKefamenanu Hospital, East Nusa Tenggara, Indonesia from January 2021 to December 2021. Multivariable logistic regression analysis was used to analyze the factors associated with severe COVID-19. Results: During the period, 153 patients were registered, 66 (43.1%) were male; mostly 40 to 59 years of age. The most common symptom was cough 144 (94.1%), followed by fever (n=105, 68.9%), fatigue (n=92, 60.1%), and nausea (n=80, 52.3%). Most patients had normal leukocyte, lymphocyte, and platelet counts; 17.6% of patients had hypokalemia, more frequently seen in severe cases (p<0.029). Most patients had an abnormality in their chest x-ray on admission (63.4%) and all were severe COVID-19. Multivariatelogistic regression analysis showed that age ≥60 years (OR = 8.98, 95%CI: 1.81–44.56, p =0.007) and dyspnea (OR = 16.83, 95%CI: 1.95–144.69, p =0.010) were independently associated with severe cases. Fatigue (OR = 4.606, 95%CI: 1.589–13.354, p <0.005) was also independently associatedwith disease deterioration. Conclusion: Age ≥60 years, fatigue, and dyspnea were associated with severe cases in Leona Kefamenanu Hospital, East Nusa Tenggara, Indonesia.
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