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Raymond Pranata
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Editorial Office: Heart House, Jalan Katalia Raya No. 5, Kota Bambu Utara West Jakarta, 11430 - Indonesia Telephone: +62 21 5681149, Fax: +62 21 5684220 Email: ijc@inaheart.org
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INDONESIA
Indonesian Journal of Cardiology
Published by Indonesian Heart Association
ISSN : 28303105     EISSN : 29647304     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Indonesian Journal of Cardiology (IJC) is a peer-reviewed and open-access journal established by Indonesian Heart Association (IHA)/Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) [www.inaheart.org] on the year 1979. This journal is published to meet the needs of physicians and other health professionals for scientific articles in the cardiovascular field. All articles (research, case report, review article, and others) should be original and has never been published in any magazine/journal. Prior to publication, every manuscript will be subjected to double-blind review by peer-reviewers. We consider articles on all aspects of the cardiovascular system including clinical, translational, epidemiological, and basic studies. Subjects suitable for publication include but are not limited to the following fields: Acute Cardiovascular Care Arrhythmia / Cardiac Electrophysiology Cardiovascular Imaging Cardiovascular Pharmacotherapy Cardiovascular Public Health Policy Cardiovascular Rehabilitation Cardiovascular Research General Cardiology Heart Failure Hypertension Interventional Cardiology Pediatric Cardiology Preventive Cardiology Vascular Medicine
Arjuna Subject : Kedokteran - Cardiology and Cardiovascular Medicine
Articles 9 Documents
 1 
Search results for , issue "Vol. 29, No. 1 Januari - April 2008" : 9 Documents clear
Dampak Pasar Bebas ASEAN Terhadap Praktek Kardiologi di Negara – Negara ASEAN Anna Ulfah Rahajoe
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.195

Abstract

Tanggal 19 Oktober 2008 yang lalu Dr. Dar-Ching Wu, Ahli Bedah Senior dari Singapura telah menyampaikan Sukaman Lecture,segera setelah The 17th Asean Congress of Cardiology dibuka. Acara Ilmiah Kardiologi yang diselenggarakan di kota Hanoi, Vietnam ini sangat meriah, sejalan dengan tumbuhnya perekonomian negara tersebut.Menurut dokter yang sudah banyak makan garam ini, kedokteran adalah praktek dari pengobatan dan pencegahan suatu penyakit. Dokter disanjung sebagai profesi yang sangat terhormat, karena dengan segala kemampuan yang ia miliki dapat menolong orang sakit yang seringkali sangat parah kondisinya. Terdapat hubungan langsung antara dokter dengan pasien, dan pasien sangat menghargai pertolongan dokternya. Dengan berkembangnya ilmu dan teknologi kedokteran, karakter layanan kesehatan pun berubah. Banyak pelaku lain yang ikut berperan, yakni tenaga kesehatan selain dokter, manajemen rumah sakit, dan penyandang dana. Kedokteran akhirnya berubah menjadi industri jasa pelayanan kesehatan.
Trigliseridemia Postprandial Sebagai Faktor Prediksi Kejadian Kardiak Sindroma Koroner Akut Berulang Muh A Sungkar; Harmani Kalim; Sjukri Karim
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.196

Abstract

Background. Plasminogen Activator Inhibitor-1 (PAI-1) is an important hemostatic factor of thrombosis that inhibits fibrinolysis mechanism by tissue-Plasminogen Activator (t-PA). PAI-1 is a predictor for recurrentacute coronary syndrome (ACS). PAI-1 is also associated with Insulin Resistance syndrome that manifest as increase level of Triglyceride (Tg), decrease of HDL cholesterol, hypertension and glucose intolerance. Acute or chronic hypertriglyceridemia is often associated with high PAI-1 plasma activity. Objective. To know the relationship between postprandial Tg (ppTg) and increasing PAI-1 plasma levels in patients with ACS that may cause recur-rent cardiac events.MethodsThis is a case-control study, that included 54 ACS patients (aged 54-63 years), with or without ST segment elevation, without diabetes mel-litus, who were admitted to Emergency Department of National Cardiac Center Harapan Kita, Jakarta. All patients were followed up during hos-pitalization and one month after discharged. Subjects were divided into 2 groups based on ppTg level and compared it to age group, sex, body mass index, smoking habit, systolic blood pressure, pulse, ST segment deviation, CKMB, total cholesterol, low density lipoprotein (LDL), HDL and PAI-1 levels, as haemostatic factor. Patients with ppTg level < 153.5 mg/dL is a control case. Results.There was an increasing PAI-1 levels (mean 28.9 ± 25.81 ng/dL) as predictor of post ACS events in the study subjects. The level of PAI-1 plasma increased in patients with hypertriglyceridemia (p=0.004). Despite no significant association between pp hipertriglicerydemia and MACE, the overall results showed a significant association between postprandial hipertriglicerydemia and obesity (p=0.037) as well as HDL cholesterol as components of metabolic syndrome. Conclusions. The postprandial hipertriglicerydemia is a condition that can be found in metabolic disturbances and may influence coagulation status. There are association between pp hipertriglicerydemia and obesity. PAI-1 level is predictor for recurrent cardiac events post ACS.
Hubungan Antara Job Strain Dengan Terjadinya Infark Miokard Pada Pasien Pusat Jantung Nasional Rima Melati; Endang Basuki; Budhi Setianto
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.197

Abstract

Background. Coronary heart disease is the most frightening disease and still become a problem in the developed and developing countries. The prevalence of myocardial infarction is also increasing from year to year. Beside the conventional risk factors, it is also influenced by occupational factors. Although job strain can cause stress which would have impact on the occurence of myocardial infarction, the prevention strategies being implemented are just for conventional risk factors. There is still no concern for occupational factors which can also cause job strain. This study was aimed to assess the relationship between job strain and other risk factors with myocardial infarction among workers.Methods. The study design was matched case – control 1:1 for age. Data were collected by using general questionnaire which covered demography characteristics, conventional risk factors, job characteristics, and demand – control questionnaire (JCQ) to assess job strain.Result. Job strain, smoking and dyslipidemia were risk factors which had relationship with myocardial infarction. Job strain increased myocardial infarction risk by 6.8 times (Adj OR 6.80, 95% CI: 2.72 ; 16.98, p = 0.000). Light smokers increased myocardial infarction risk by 15 times (Adj OR 14.97, 95% CI: 3.17 ; 70.74, p = 0.001), medium smokers increased myocardial infarction risk by 7.7 times (Adj OR 7.72, 95% CI: 2.73 ; 21.84, p = 0.000), and heavy smokers increased myocardial infarction risk by 26 times (Adj OR 25.61, 95% CI: 5.25 ; 124.88, p = 0.000). Dyslipidemia increased myocardial infarction risk by 2.8 times (Adj OR 2.82, 95% CI: 1.07 ; 7.44, p = 0.035). Job strain component which increased myocardial infarction risk was high job demand (Adj OR 2.44, 95% CI: 1.02 ; 5.85, p = 0.046).Conclusion. Job strain, smoking and dyslipidemia simultaneously had relationship with myocardial infarction.
Profil Pemulihan Laju Jantung Orang Terlatih Adhantoro Rahadyan; Yasmin Tajoedin; Basuni Radi
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.198

Abstract

Background. A faster recovery of heart rate after exercise has long been associated with higher level of fitness and prognosis. Recent studies have suggested that the rate in which heart rate recovers from exercise or heart rate recovery (HRR) is mediated by autonomic factors, particularly the rate at which vagal tone is reactivated. Several studies were published addressing the diagnostic and prognostic utility of HRR in patients with cardiac disease. This study was to obtain the value of HRR of well-trained men. Methods. It was an observational study that involved well-trained men who underwent medical examination included treadmill stress test in Saryanto Institute of Aerospace Medicine Jakarta.The value of the HRR was defined as the decrease of heart rate from peak exercise to second minute of recovery period. Results. One hundred and twenty eight subjects participated in the study. Thirty five were excluded due to incomplete data. The mean age was 22 ± 1.0 years. Mean heart rate recovery at 2 minutes was 57 ± 10 beat per minute. No different between those with resting heart rate of less than 60 and more than 60 (55 ± 10 vs 58±10 bpm; p:0.1) and amongs different fitness levels (Q1 vs Q4 : 56 ± 11 vs 59 ± 7 bpm, p:0.3)Conclusion. Heart rate recovery at 2 minutes in well-trained men was 57 ± 10 beat per minute.
Drug Induced Long QT Januar Wibawa Martha
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.199

Abstract

A 54 years old cattle-farm owner was found un-conscious by his daughter at his living room. After she repeatedly shook his body, he regained consciousness without any impairment. He told his daughter that before collapse he suddenly felt weakness all over his body, a bit lightheaded and a brief period of palpitation. On the next day he experienced the same symptom, and this time he fainted at the farm. He was rushed to 24-hour infirmary, but he recovered before reaching the clinic. He afterwards was seen by a doctor and was told to have a mild stroke. He was referred to emergency department at a nearby hospital where he passed out for the third time; but this time was witnessed by his daughter. She noted that before he fell down, he was having a short period of seizure. A neurologist was among the first physician who saw him and noticed that the patient had a very slow pulse. He accordingly consulted the patient to cardiologist due to bradycardia.
Stroke Iskemik Pasca Terapi Fibrinolitik Z Zulkarnaini
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.200

Abstract

Reperfusi dini dengan fibrinolitik merupakan kemajuan besar dalam menurunkan morbilitas dan mortalitas pasien infark miokard akut (IMA) dengan elevasi seg-men ST (ST Elevation Myocardial Infarction/STEMI). Selain secara signifikan menurunkan angka mortalitas jangka pendek dan jangka panjang, juga terbukti menin-gkatkan kualitas hidup.Namun, terapi fibrinolitik juga dapat meningkatkan risiko stroke, dilaporkan angka kejadiannya mencapai 0,5-1%. Bila stroke terjadi, angka mortalitasnya sangat tinggi tinggi, yakni 45-75%.3.Di Pusat Jantung Nasional Harapan Kita (PJN-HK), pada tahun 2004 tercatat 3 kasus stroke setelah terapi fibrinolitik dan salah satunya meninggal, se-dangkan pada tahun 2006 ditemukan satu kasus lagi. Oleh karenanya, penting untuk difahami faktor risiko, penyebab serta upaya-upaya yang dapat dilakukan untuk menghindari terjadinya komplikasi tersebut. Tujuan dari presentasi kasus ini adalah untuk mendiskusikan kejadian stroke iskemik pasca terapi fibrinolitik.
Rhabdomyoma Penyebab Obstruksi Ventrikel Kiri Pada Neonatus Umur Dua Hari S Suryono; Mahrus A Rachman; Teddy Ontoseno
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.201

Abstract

Tumor intrakardiak pada pediatri sangat jarang ditemukan, kejadiannya hanya mencapai 0,001% sampai 0,003% dari semua kasus yang diterima di rumah sakit rujukan. Rhabdomyomamerupakan tumor jinak intrakardiak yang ditemukan pada bayi di bawah usia satu tahun, kejadiannya mencapai lebih dari 75% dari keseluruhan kasus tumor jantung dengan distribusi sama antara pria dan wanita.Rhabdomyomabiasanya multiple, berukuran antara beberapa millimeter hingga beberapa sentime-ter; lokasinya dapat intramural pada dinding, septum bahkan pada rongga ventrikel. Gambaran klinisnya dapat berupa : obstruksi ventrikel, aritmia dan kematian mendadak.Obstruksi ventrikel kiri (left ventricle/LV) yang ditandai dengan gagal jantung merupakan mani-festasi klinis Rhabdomyomayang sangat langka.Diagnosis dini tumor jantung (Rhabdomyoma) pada LV merupakan hal penting karena tindakan be-dah diharapkan dapat memberikan perbaikan klinis dan harapan hidup lebih panjang, meskipun reseksi sempurna tidak selalu tercapai.
Enhanced External Counterpulsation (EECP) dan Arah Masa Depan Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.202

Abstract

Diperkirakan 6,4 juta pasien di USA menderita penyakit jantung koroner (PJK) simptomatik (Coronary Artery Disease/CAD), dan sekitar 400.000 kasus baru muncul tiap tahunnya. Meskipun telah diIakukan terapi medis optimal dan prosedur invasif seperti angioplasti dan bedah pintas koroner (coronary artery bypass graft/CABG), diperkirakan terdapat 300.000 – 900.000 pasien menderita angina pektoris refrakter (RAP). Sekitar 25.000 - 75.000 kasus baru RAP terdiagnosa tiap tahunnya.Saat ini ada beberapa terapi alternatif non farmakologis bagi pasien RAP dengan atau tanpa gagal jantung, yaitu : neurostimulasi (rangsangan listrik syaraf transkutaneus dan stimulasi medula spinalis), EECP (Enhanced External Counterpulsation), teknik revaskularisasi laser, terapi gen, dan prosedur intervensi terbaru seperti perkutaneus in situ koronari venous arterialisasi atau perkutaneus in situ coronary artery bypass. Dari modalitas-  modalitas terapi tersebut, EECP mewakili teknik yang benar-benar non-invasif. EECP dapat mengurangi gejala angina dan area iskemik miokard secara obyektif, serta memperbaiki fungsi sistolik maupun diastolik ventrikel kiri. Makalah ini akan meringkas bukti-bukti yang ada saat ini tentang penggunaan terapi EECP pada angina stabil dan gagal jantung. Juga dibicarakan arah pemakaian EECP di masa mendatang.
Gambaran Gigi Gergaji Pada Takikardia QRS Sempit Iregular Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.203

Abstract

Seorang laki-laki 53 tahun, dirawat dengan keluhan jantung berdebar cepat dan tak teratur. Dirasakan hilang timbul sejak 6 bulan yang lalu. Terdapat angina pectoris pada saat berdebar. Riwayat hipertensi yang terkontrol dengan terapi amlodipin 5 mg. Pasien diketahui menderita PJK pasca pemasangan drug eluting stent di RCA dan LAD.

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