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INDONESIA
ARKAVI [Arsip Kardivaskular Indonesia)
Published by Universitas Muhammadiyah Prof. Dr. Hamka
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Arjuna Subject : -
Articles 78 Documents
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Overview of Coronary Stenosis in Menopausal Women Based on Age and Risk Factors lalu ahmad Asmayadi
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Overview of Coronary Stenosis in Menopausal Women Based on Age and Risk Factors Cardiovascular diseases (CVDs) take the lives of 17,9 million people every year, 31% of all global deaths. CHD occurs because of atherosclerosis or plaque that builds up in the walls of arterial blood vessels in the heart called atherosclerosis. In elderly women, menopause is one of the factors that can exacerbate coronary heart disease. CHD patients performed percutaneous coronary angiography which is a major component in cardiac catheterization, show to all branches of the coronary arteries so that they can see the degree of the plaque stenosis, location and number of narrowing. The aim of this study to describe coronary stenosis in women based on age and risk factors. The methods of this study uses descriptive research method whose data is taken in cross sectional manner from February to April 2019 at the Tangerang District General Hospital. The results of the study were 19 patients menopausal women aged 45 years and over with risk factors. The age that is most affected by coronary heart disease is 50 years old between 44-54 years. The risk factors gained in menopausal women are 68% hypertension, diabetes mellitus (DM) 16%, and hypertension with DM 16%. Then, results of many narrowing in menopausal women is 1 VD (9 patients), 2 VD (6 patients), and 3 VD (4 patients). Menopausal women are most exposed to coronary heart disease at ages 50 years old (44-54) with a risk factor of hypertension as much as 68% and most narrowing one vessel disease (1VD). Keywords: Coronary Heart Disease, Risk Factors, Menopausal, Percutaneous Coronary Angiography Gambaran Stenosis Koroner Pada Wanita Menopause Berdasarkan Usia Dan Faktor Resiko. Penyakit Kardiovaskular (PKV) merenggut nyawa 17,9 juta orang setiap tahun, 31% dari semua kematian di dunia. Penyakit Jantung Koroner terjadi karena adanya plak aterosklerosis pada dinding pembuluh darah arteri jantung. Pada wanita usia lanjut, menopause adalah salah satu faktor yang dapat memperburuk penyakit jantung koroner. Pada pasien penyakit jantung koroner dilakukan tindakan angiografi koroner perkutan yang merupakan komponen utama dalam kateterisasi jantung, bertujuan untuk memeriksa keseluruhan cabang pembuluh darah koroner sehingga dapat melihat derajat stenosis, lokasi maupun banyaknya penyempitan. Penelitian ini bertujuan untuk mengetahui gambaran stenosis koroner pada wanita berdasarkan usia dan faktor resiko. Penelitian ini menggunakan metode penelitian deskripstif yang datanya diambil secara cross sectional pada bulan Februari sampai April tahun 2019 di Rumah Sakit Umum Kabupaten Tangerang. Hasil penelitian didapatkan 19 pasien wanita menopause usia 45 tahun keatas dengan faktor resiko. Usia yang paling banyak terkena penyakit jantung koroner adalah 50 tahun (44-54). Faktor resiko yang didapat pada wanita menopause adalah hipertensi 68%, diabetes mellitus (DM) 16% dan hipertensi dengan DM 16%. Kemudian, banyaknya penyempitan pada wanita menopause adalah 1 VD (9 pasien), 2 VD (6 pasien) dan 3 VD (4 pasien). Wanita menopause paling banyak terkena penyakit jantung koroner pada usia 50 tahun (44-54) dengan faktor resiko hipertensi 68% dan paling banyak penyempitan 1 VD. Kata Kunci: Penyakit Jantung Koroner, Faktor Resiko, Menopause, Angiografi Koroner Perkutan
Relation between gender,age and blood glucose level to successful rate of fibrinolytic therapy on patient with STEMI Kintan Sari Nastiti; Ghitha Zahra Haifa; Yandi Ariffudin
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 1 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Cardiovascular disease is a non communicable disease that caused more than 17 million death. 80% from all of the death is happened in low and middle earned country like Indonesia. This number make cardiovascular disease as a main cause of mortality in non communicable disease. Acute Coronary Syndrome is one of cardiovascular disease that oftenly happen on emergency room patient and STEMI is the most cases that happens a lot in emergency room. There are many factors that affect STEMI patients such as gender,age,smoking habit and hypertension. Reperfusion therapy like fibrinolytic have been a main choices to the doctors because of its fast outcome and easy procedure. This study to know the relation between sex,age and blood glucose level to successful rate of fibrinolytic therapy on patient with STEMI The research was conducted using cross sectional research design. The subjects of this research were 21 subjects whose taken from STEMI patient from emergency room of Gunung Jati hospital who took fibrinolytic therapy. The data is taken by secondary data from the patient’s medical record. Then, we are looking for related variable that concerned with this study. The result showed that there are no relation between gender,age and blood glucose level to successful rate of fibrinolytic therapy. There are no relation between gender,age and blood glucose level to successful rate of fibrinolytic therapy. The research result showed that p value is more than 0,05, which means that this result is has not a statistical meaning Keywords: STEMI, Fibrinolytic, Blood glucose, Gender, Age
Aortic Dissection Presented As STEMI: How to diagnosis? Wisnu Agung Wiyangga; Mohamad Satrio Goma; Yandi Ariffudin
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 5 No. 1 (2020): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Abstract

2% per hour reported in the first several hour ofonset. A 36-Year-Old man admitted to emergency department with abruptonset heavy pain in his epigastric. Trans-thoracic echocardiography (TTE)was suggestive AD stanford A debakey type I. Patient had been referred toundergoing ascending aortic hemiarch replacement. It is important toperform routine bedside TTE on high suspicious of aortic dissection and RVinfarction patient. Maintenance of lowblood pressure is critical in this patientand urgent transfer to high facilities is needed. Keywords: Aortic Dissection, Hemiarch Replacement Right VentricularInfarction, STEMI, TTE
Percutaneous Coronary Intervention in Stable Coronary Artery Disease Puspitasari; Ahmad
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 5 No. 1 (2020): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Coronary heart disease (CHD) is a pathological process characterized by the accumulation of atherosclerotic plaque in the epicardial arteries, both obstructive and non-obstructive. Stable CHD is generally characterized by episodes of reversible myocardial demand or supply mismatches associated with ischemia or hypoxia, which are usually induced by exercise, emotion or other stress, but also occur spontaneously. In recent years, there has been increasing interest in the use of percutaneous coronary intervention (PPI) to treat CHD in complex lesions and in higher risk patients, such as those with comorbidities and poor hemodynamic status. The number of surgical interventions for cardiovascular disease increased between 1980 and 2013. In 2013 there were more than seven times the number of PCI compared to the previous two decades (1993). In patients with chronic coronary syndrome, optimal medical therapy is the key to reducing symptoms, stopping the progression of atherosclerosis, and preventing atherothrombotic events. The two goals of revascularization are symptom relief in patients with angina and or improvement in prognosis. In patients with stable CHD, the initial Fractional flow reserve FFR-guided PCI strategy was associated with lower rates of death, myocardial infarction, or urgent revascularization over 5 years than medical therapy alone. Patients without significant stenosis have haemodynamic significant long-term favorable outcomes with medical therapy alone. Keywords : Coronary heart disease, percutaneous coronary intervention Penyakit jantung koroner (PJK) adalah proses patologis yang ditandai dengan akumulasi plak aterosklerotik di arteri epikardial, baik obstruktif maupun non-obstruktif. PJK stabil umumnya ditandai dengan episode ketidaksesuaian permintaan/pasokan miokard yang reversibel, terkait dengan iskemia atau hipoksia, yang biasanya diinduksi oleh latihan, emosi atau tekanan lain, tetapi mungkin juga terjadi secara spontan. Dalam beberapa tahun terakhir, ada peningkatan minat dalam penggunaan intervensi koroner perkutan (IKP) untuk mengobati PJK pada lesi kompleks dan pasien risiko yang lebih tinggi, seperti mereka yang memiliki komorbiditas dan status hemodinamik yang buruk. Jumlah intervensi bedah untuk penyakit kardiovaskular meningkat antara 1980 dan 2013. Pada 2013 ada lebih dari tujuh kali jumlah IKP dibandingkan dengan dua dekade sebelumnya (1993). Pada pasien dengan sindrom koroner kronis, terapi medis yang optimal adalah kunci untuk mengurangi gejala, menghentikan perkembangan aterosklerosis, dan mencegah kejadian aterothrombotik. Dua tujuan revaskularisasi adalah menghilangkan gejala pada pasien dengan angina dan/atau perbaikan prognosis. Pada pasien dengan PJK stabil, strategi IKP dipandu Fractional flow reserve FFR awal dikaitkan dengan tingkat kematian, infark miokard, atau revaskularisasi mendesak yang lebih rendah dalam kurun waktu 5 tahun dibandingkan terapi medis saja. Pasien tanpa stenosis bermakna secara hemodinamik memiliki hasil jangka panjang yang menguntungkan dengan terapi medis saja. Kata Kunci : Penyakit jantung koroner, intervensi koroner perkutan
Relations of left atrial appendage emptying flow velocity to left atrial appendage thrombus in Mitral Stenosis Patients by transesophageal echocardiography examination Debby Kurniawan
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v4i2.5547

Abstract

Left atrial appandage emptying flow velocity is a measurement of the velocity of blood flow in left atrial appendage with pullsed doppler echocardiography modality, This examination were done in order for evaluate the clots which caused by mitral stenosis. Descriptive method in patients with mitral stenosis using 14 patients as the subject of this study. There is 14 patients who meet the criteria in the study, in this study the results obtained Left atrial appendage emptying velocity to left atrial appendage thrombus has no significant relation. There is no correlation with each other. Due to the value of a distant ratio. Keywords: Left atrial appendage emptying velocity, left atrial appendage, Mitral Stenosis. Left atrial appendage emptying velocity merupakan teknik pengukuran kecepatan aliran darah di left atrial appendage dengan modalitas pullsed doppler echocardiography, pemeriksaan ini dilakukan untuk mengevaluasi pembekuan darah yang di sebabkan oleh mitral stenosis. Metode dekriktif pada pasien Mitral Stenosis dengan menggunakan 14 pasien sebagai subjek penelitian. Didapat sampel penelitian sebanyak 14 pasien yang memenuhi kriteria pada penelitian. Pada penelitian ini hasil uji korelasi Left atrial appendage emptying velocity terhadap left atrial appendage thrombus Tidak bermakna. Pada penelitian ini tidak ada korelasi antara variabel Left atrial appendage emptying velocity dengan left atrial appendage thrombus. Dikarenakan nilai rasio yang jauh. Kata Kunci: Left atrial appendage emptying velocity, left atrial appendage, Mitral Stenosis.
Fadila Annisa Ablation in Patients with Idiopathic Fascicular Left Ventricle Tachycardia at Tangerang District General Hospital ABSTRACT Ventricular tachycardia (VT) originating from Fascicular LV usually occurs in patients without structural heart dis Fadilla Annissa
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Ventricular tachycardia (VT) originating from Fascicular LV usually occurs in patients without structural heart disease , but it is not uncommon to produce incessant VT in the case of Tachycardiomyopathy. Catheter ablation is a very effective therapy for VT that is resistant to drug therapy or in patients who do not want to undergo daily therapy with the success of VT elimination estimated in> 90% of patients. The author uses descriptive method. The writing time was held in February 2018 with a total of 1 IFLVT patients. The results of this case study found one patient identified with IFLVT, with an ECG before ablation indicated a RBBB pattern and a left axis deviation axis indicated the classification of posterior IFLVT. and has been successfully ablated used radio frequency waves and tachycardia is noninducibility even with aggressive pacing. Purkinje Potentials and Diastolic Potentials are useful markers for successful ablation procedure because they participate in reentry circuits. Keyword: Ventricle tachycardia, IFLVT, AblationFadila Annisa Ablasi pada Pasien Idiopathic Fascicular Left Ventricle Tachycardia Ventrikel Takikardi (VT) yang berasal dari Fascicular LV biasanya terjadi pada pasien tanpa struktur jantung yang abnormal, Tetapi tidak jarang dapat menghasilkan VT yang bersifat incessant pada kasus Tachycardiomyopathy. Ablasi kateter merupakan terapi yang sangat efektif untuk VT yang resisten terhadap terapi obat atau pada pasien-pasien yang tidak mau menjalani terapi harian dengan keberhasilan eleminasi VT diperkirakan pada >90% pasien. Penelitian menggunakan metode deskriptif. Waktu penulisan dilaksanakan pada Februari 2018 dengan jumlah kasus sebanyak 1 pasien IFLVT. Hasil dari studi kasus ini didapatkan satu orang pasien yang teridentifikasi IFLVT, dengan EKG sebelum ablasi menunjukkan RBBB pattern dan sumbu deviasi aksis kiri yang menandakan klasifikasi dari IFLVT posterior, dan telah berhasil diablasi dengan menggunakan gelombang radio frekuensi kemudian takikardia tidak tercetus kembali bahkan dengan pemicuan yang agresif.. Purkinje Potentials dan Diastolic Potentials menjadi penanda yang berguna dalam prosedur ablasi yang sukses karena berpartisipasi dalam sirkuit reentry. Kata Kunci: Ventrikel takikardi, IFLVT, Ablasi
PROSEDUR TINDAKAN BALLOON MITRAL VALVULOPLASTY PADA PASIEN MITRAL STENOSIS Nn Ananda Rika
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v4i2.3499

Abstract

Percutaneous Balloon Mitral Valvuloplasty (BMV) was introduced in 1984 by Inoue who developed the procedure as a logical extension of surgical closed commissurotomy. Since then, BMV has emerged as the treatment of choice for severe pliable rheumatic Mitral Stenosis (MS). With increasing experience and better selection of patient, the immediate results of the procedure have improved and the rate of complications declined. When the reported complications of BMV are viewed in aggregate, complications occur at approximately the following rates: mortality (0–0.5%), cerebral accident (1–2%), mitral regurgitation (MR) requiring surgery (1.6–3%). These complication rates compare favorably to those reported after surgical commissurotomy. Several randomized trials reported similar hemodynamic results with BMV and surgical commissurotomy. Restenosis after MBV ranges from 4% to 70% depending on the patient selection, valve morphology, and duration of follow-up. Restenosis was encountered in 31% of the author's series at mean follow-up 9 ± 5.2 years (range 1.5–19 years) and the 10, 15, and 19 years restenosis-free survival rates were (78 ± 2%) (52 ± 3%) and (26 ± 4%), respectively, and were significantly higher for patients with favorable mitral morphology (MES ⩽ 8) at 88 ± 2%, 67 ± 4% and 40 ± 6%), respectively (P < 0.0001). The 10, 15, and 19 years event-free survival rates were (88 ± 2%, 60 ± 4% and 28 ± 7%, respectively, and were significantly higher for patients with favorable mitral morphology (92 ± 2%, 70 ± 4% and 42 ± 7%, respectively (P < 0.0001). The effect of BMV on severe pulmonary hypertension, concomitant severe tricuspid regurgitation, left ventricular function, left atrial size, and atrial fibrillation are addressed in this review. In addition, the application of BMV in specific clinical situations such as in children, during pregnancy and for restenosis is discussed. The transseptal technique is the most common technique used to perform BMV. Keyword: Balloon Mitral Valvuloplasty
ROTABLATOR TERAPI KLASIFIKASI PADA ARTERI KORONER amanah sabailin irvani
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 5 No. 2 (2020): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v5i2.3512

Abstract

AbstractPercutaneous coronary intervention (PCI) of heavily calcified lesions is a challenge for the interventional cardiologist and is associated with a high rate of restenosis and target lesion revascularization (TLR). Adequate lesion preparation by rotational atherectomy(RA) followed by drug-eluting stent implantation has shown favorable results. AbstrakIntervensi perkutan koroner (PCI) lesi yang sangat terkalsifikasi merupakan tantangan bagi ahli jantung intervensi dan dikaitkan dengan tingginya tingkat restenosis dan target lesi revaskularisasi (TLR). Persiapan lesi yang kuat dengan rotational atherectomy(RA) diikuti oleh implantasi stent eluting obat telah menunjukkan hasil yang menguntungkan.
Mengenal Peran Teknisi Kardiovaskuler di Laboratorium Aritmia Bintang Arinova
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 5 No. 1 (2020): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v4i2.3518

Abstract

Aritmia adalah kondisi dimana detak jantung tidak beraturan – jantung dapat berdetak terlalu cepat atau terlalu lambat. Kondisi tersebut dapat terjadi karena perubahan sistem elektrik jantung atau adanya gangguan listrik di jantung. Laboratorium Elektrofisiologi Jantung (EP Lab) adalah laboratorium yang menyediakan layanan diagnosis dan perawatan aritmia jantung (detak jantung yang tidak beraturan) dan juga abnormalitas dari sistem elektrik jantung. Teknisi Kardiovaskuler adalah setiap orang yang telah mengikuti dan menyelesaikan pendidikan teknik kardiovaskular yang telah diakui pemerintah dan lulus ujian sesuai dengan persyaratan yang berlaku. Program studi Teknik Kardiovaskular secara khusus mempelajari penanganan masalah jantung dan pembuluh darah dan teknik dalam mengoperasikan peralatan keteknisian kardiovaskular untuk diagnostik, terapi dan rehabilitasi. Pengetahuan dan kemampuan yang harus dikuasai mahasiswa program studi ini meliputi mengoperasikan alat-alat diagnostik kardiovaskular, mengelola peralatan keteknisian kardiovaskular, pendokumentasian dan menganalisis data hasil pemeriksaan, serta membuat laporan kasus dan penelitian terkait jantung dan pembuluh darah.
Analisis Multivariat Kejadian Hipertensi di Masyarakat RW 009 Kelurahan Bojong Menteng dan Kelurahan Jati Luhur Bekasi Tahun 2018 (Analisis Data Sekunder) Shinta Sari Dewi
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 5 No. 2 (2020): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v5i2.5519

Abstract

Data from Puskesmas in Bekasi City show the number of hypertension sufferers is 12,545 people. Based on the highest prevalence of hypertension in Bekasi City, especially in the Bojong Menteng Village and Jati Luhur Village, researchers are interested in researching the incidence of hypertension. The purpose of this study was to determine the most dominant factor with the incidence of hypertension in the community of RW 009, Bojong Menteng, and Jati Luhur Bekasi in 2018 (secondary data analysis). This research is a quantitative study with a cross-sectional study design. The data used is secondary data on hypertension in 2018 with a sample size of 304 respondents and the sampling technique uses a saturated sampling method. Data analysis used a chi-square statistical test and multiple logistic regression. The incidence of hypertension in the community of RW 009, Bojong Menteng Village, and Jati Luhur Bekasi Village was 48.7%. The results of multivariate analysis showed that the most dominant variable with the incidence of hypertension was age with an OR value of 5.756. Suggestions for the community of RW 009 Kelurahan Bojong Menteng and Kelurahan Jati Luhur Bekasi are to regularly check their blood pressure at health facilities, have a healthy lifestyle, and be more active in physical activities.

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