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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 11 Documents
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Search results for , issue "Vol. 31, No. 3 September - Desember 2010" : 11 Documents clear
Intervensi pada Stroke Non-Hemoragik Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.126

Abstract

Stroke merupakan penyebab kematian tersering ketiga di Amerika dan merupakan penyebab utama disabili-tas serius jangka panjang. Delapan puluh lima persen stroke adalah non-hemoragik yang terdiri dari 25% akibat small vessel disease(stroke lakunar), 25% akibat emboli dari jantung (stroke tromboemboli) dan sisanya akibat large vessel disease.Riset kesehatan dasar tahun 2007 mendapatkan prevalensi stroke nasional sebesar 0.8%. Stroke juga menjadi penyebab kematian paling tinggi yaitu mencapai 15.9% pada kelompok umur 45 sampai 54 tahun dan meningkat jadi 26.8% pada kelompok umur 55 sampai 64 tahun.Stroke dikenal luas sebagai penyakit yang menimbulkan disabilitas permanen yang menyebabkan penderita kurang bah-kan tidak produktif lagi. ?al ini terjadi akibat kerusa- ?al ini terjadi akibat kerusa-kan permanen jaringan otak yang tidak tergantikan. Tetapi apakah mungkin menghindari disabilitas atau mencegah kerusakan permanen pada jaringan otak bila terjadi tromboemboli?
Penilaian Fungsi Ventrikel Kanan Menggunakan Metoda Ekokardiografi Speckle Tracking Pada Penyakit Paru Obstruktif Kronis Mochamad Arif Nugroho; Amiliana M Soesanto; Renan Sukmawan; Aryo S Kuncoro; Dewiana Kusmana; Poppy S Roebiono; M Munawar; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.127

Abstract

Background In daily practice, evaluation of RV useful in patients with COPD because of its affect prognostic value. Invasive and non-invasive imaging in the evaluation of RV function has several limitations because RV geometry. Speckle tracking is a modality of echocardiography. Speckle tracking can determine strain of myocardium. When compared with strain derived Tissue Doppler, Speckle tracking strain independent of angle so that the measurement of strain to be more reliable. And so far RV assessment with Speckle tracking is still a less investigated. Is there any difference between RV function on echocardiography examination using Speckle tracking methods with varying degrees of COPD?Methods Cross-sectional study conducted in 59 people with COPD who had performed spirometry examination for the classification of severity COPD. Then the patient performed an echocardiography examination using Speckle tracking methods. Then Data will analyze by testing the difference between Speckle tracking and the severity of COPD and also between Speckle track-ing and pulmonary hypertension.Result There COPD subjects 10.2% and 37.3% mild COPD subject was, with men more than women. There were no significant differences between the severity of COPD and right ventricular function using Speckle tracking method. There is a global strain value was higher in non-pulmonary hyper-tension subjects when compared with pulmonary hypertension subjects but the difference was not significant (p = 0.09).Conclusion There were no significant differences between the severity of COPD and RV function using Speckle tracking methods.
Aspek Klinis Penilaian Fungsi Ventrikel Kanan pada PPOK Dede Kusmana
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.128

Abstract

Manifestasi sistemik penyakit paru obstruktif kronis (PPOK) berhubungan dengan hipertensi pulmonal, hiperterofi dan gagal jantung kanan. Keterlibatan kardiovaskular pada penyakit paru menjadi penting ketika dihubungkan dengan penurunan status kese-hatan dan peningkatan angka kematian.Di Amerika Serikat antara 10% - 30% kematian disebabkan gagal jantung pada PPOK. Prevalensi disfungsi ventrikel kanan pada PPOK masih kontroversial dan masih sedikit diteliti. Pene-litian yang dilakukan Vizza dkk menunjukkan ter-dapat penurunan fraksi ejeksi ventrikel kanan (right ventricular ejection fraction= RVEF) tetapi tidak ada penurunan fraksi ejeksi ventrikel kiri (left ventricvular ejection fraction = LVEF) pada pasien PPOK berat. Tetapi penelitian tersebut terbatas pada pasien PPOK berat. Peneliti lain mengatakan tidak terdapat dis-fungsi ventrikel kanan pada PPOK.
Korelasi antara kadar plasma NT-proBNP dengan Kecepatan Doppler Jaringan di anulus katup mitral pada penderita Gagal Jantung Raja Adil C Siregar; Harmani Kalim; Bambang Budi Siswanto; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.129

Abstract

Background.N-terminal pro brain natriuretic peptide (NT-proBNP) will release from myocite granules in a condition of increased cardiac wall-stress in heart failure (HF) patients, and its plasma level elevation had been widely used as a parameter of diagnosis, functional class, treatment monitoring and prognostication. Pulsed-wave tissue Doppler velocities of mitral annulus (Tissue Doppler Imaging/TDI) currently known had an ability to detect move-ment changes of cardiac wall in HF patients. But only few research to see the correlation between them, with various selection of patients and results.Aim. To determine whether plasma NT-proBNP levels correlate with mitral annulus velocities measured by TDI and to search which component had the strongest correlation.Methods.One hundred consecutive patients with HF who came for echocardiography examination in The National Cardiac Center Harapan Kita Jakarta underwent an additional TDI procedure (Sm, Emand E/Em component). Before or after echocardiography, venous blood sample was collected for plasma NT-proBNP examination. We determined the cor-relation between plasma NT-proBNP level and TDI results, and assessed which component had the strongest correlation.Results.There were 74 men and 26 women of HF patients with mean of age 54 y.o. Functional NYHA Class II were 28 patients, NYHA Class III 42 patients and NYHA Class IV 30 patients. The causes of HF were CAD 49 patients, HHD 19 patients, Valve Disease 23 patients, DCM 8 patients and other 1 patient. There were 64 patients with sinus rhythm and 36 patients with atrial fibrillation. There were 17 diastolic HF patients and 83 systolic HF patients. Fifty patients with significant MR and 50 patients without significant MR. We found the strongest significant negative correlation (r= -0,713, p0,000) between plasma NT-proBNP level and Emcomponent. Smalso had a significant negative correlation, but Emhad a stronger correlation than Sm. E/Emcomponent had a weak significant positive correlation.Conclusion.Elevated plasma NT-proBNP levels correlates strongly with declining velocities of TDI early diastolic Emcomponent in HF patients.
Menilai Doppler Jaringan pada Gagal Jantung: Perlukah ? Renan Sukmawan
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.130

Abstract

Gagal jantung kongestif (C?F) telah diketahui merupakan penyakit kardiovaskular yang menjadi masalah kesehatan di Indonesia maupun di banyak negara lainnya. Berbagai metode diagnostik dikembangkan untuk penegakan diagnosis dan evaluasi tata laksana pasien. Pemeriksaan peptida natriuretik seperti Brain natriuretic peptide (BNP) maupun N-terminal pro-BNP (NT-BNP) telah umum dilakukan untuk kep-erluan diagnostik maupun evaluasi terapi CHF. Akan tetapi pemeriksaan biomarker tersebut relatif mahal, terutama bila dilakukan secara serial untuk mengetahui keberhasilan terapi. Pada CHF timbulnya gejala dan tanda telah diketahui terkait dengan tingginya tekanan baji pul-monal (PCWP). Keberhasilan terapi dan perbaikan klinis, kapasitas fungsional serta prognosis pasien CHF tentunya juga terkait dengan seberapa jauh terapi yang diberikan mampu menurunkan PCWP tersebut.
Gangguan fungsi Jantung pada Keadaan Sepsis Kabul Priyantoro; Soroy Lardo; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.131

Abstract

Sepsis is a condition where bacteremia persist and precede by SIRS sign, in a severe condition sepsis can manifest as septic shock and refractory septic shock with very high mortality rate, up to 50% during hospitalization, almost equalize death due to myocardial infarction. In a severe sepsis at least one of organ dysfunction is present, cardiovascular is one of the most frequent affected organ system in severe sepsis and almost always affected during septic shock. During sepsis depression of cardiac systolic and diastolic func-tion characterized by bi-ventricular impairment of contractility, decrease in ventriclular compliance which manifest as subsequent reduction in left ventricular ejection fraction and LV stroke work index. The pathophysi-ology of cardiac depression during sepsis remain unclear up to now, but many evidence showed that circulating cardio toxic agent (IL – 1, IL – 8, C3a), endotoxin (LPS), cytokine (IL – 1, IL – 6, TNF – a), endothelin – 1 (ET – 1), nitric oxide (NO), prostanoid (Tromboxan & Prostasiklin), and adhesion molecule (intercellular adhesion molecule-1 & vascular cell adhe-sion molecule-1) play important role in depressing cardiac function during sepsis. Definitive therapy regarding cardiac dysfunction during sepsis is still unknown, but adequate supportive management in maintaining adequate preload continued by inotropic and or vasopressor with low dose cor-ticosteroid, low dose nitroglycerine (in selected patients) and statin are prove in clinical trial effective in providing better outcome. Poor cardiac function in sepsis is related to poor outcome during hospitalization. This article discus about cardiac dysfunction, pathophysiology and supportive management in adult with sepsis.
Cara Pemilihan Strategi Kendali Laju dan Irama Dicky A Hanafy
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.132

Abstract

Atrial fibrillation (AF) is common and highly variable in its clinical presenta-tion and evolution. Iit causes substantial morbidity and mortality, including impaired quality of life, heart failure, systemic emboli, and stroke. An ac-curate diagnosis is important and should be distinguished from atrial flutter or other arrhythmias which involves the atrium. Management of patients with AF involves 3 objectives: rate control, rhythm control, and prevention of thromboembolism. A rate control strategy alone, without attempts at restoration or maintenance of sinus rhythm (SR), is reasonable in some patients with AF, especially those who are asymptomatic. In some circum-stances, when the cause of AF is reversible, such as when AF occurs after cardiac surgery, no long-term therapy may be necessary. The CHADS2 scoring system can be used to risk stratify patients with nonvalvular AF to determine the need for warfarin. The risk of thromboembolism or stroke does not differ between pharmacological and electrical CV. Ablation of the AV conduction system and permanent pacing is an option for patients with rapid ventricular rates despite maximum medical therapy. However, there is growing concern about the negative effects of long-term RV pac-ing. Biventricular pacing may overcome many of the adverse hemodynamic effects associated with RV pacing. Pharmacological therapy to maintain SR should be considered in patients who have troublesome symptoms. Drugs should be used to decrease the frequency and duration of episodes, and to improve symptoms. AF recurrence while taking an antiarrhythmic drug is not indicative of treatment failure and does not necessitate a change in antiarrhythmic therapy. Antiarrhythmic drug choice is based on side effect profiles and the presence or absence of structural heart disease, heart failure, and hypertension. Catheter ablation for AF is currently considered a second-line therapy in highly symptomatic patients in whom one or more antiarrhythmic agents have failed.
Trombolisis Intra-arterial Perkutan pada Stroke Iskemik Peri-angiografi Koroner: Pengalaman Awal di Pusat Jantung Nasional Harapan Kita Muhammad Fadil; Dicky Hanafy; I Irmalita; Doni Firman; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.133

Abstract

Background. Ischemic stroke is a rare but well-known complication of cardiac-catheter interventions attributable mostly to embolism. Peri-coronary angiography stroke, represents a unique opportunity for im-mediate stroke interventional therapy with intravenous, catheter based intra-arterial thrombolysis (IAT) or combined therapy using recombinant tissue plasminogen activator (rtPA). Intra-arterial thrombolysis is an option for treatment of selected patients who have major stroke of < 6 hours duration due to occlusion of the Media Cerebral artery(MCA) and who are not otherwise candidates for intravenous rtPA (Class I, Level of Evidence B, AHA guidelines). Objective.To review the first experience of percutaneous intra-arterial thrombolysis(PIAT) as a management of acute ischemic stroke due to complication of coronary angiography procedure. Summary. We present 3 cases of acute ischemic stroke which happened during coronary angiography procedures. All of them (NIHSS 30, 20 and 34) were treated immediately with intra-arterial thrombolysis (IAT) recom-binant tissue Plasminogen Activator (rtPA) and had a very good outcome with no residual of stroke (NIHSS 0). Although it has been stated clearly in the AHA guidelines for the early management of adult with ischemic stroke, up until now the procedure of IAT or (intra-venous thrombolysis) IVT upon acute ischemic stroke is not established yet in standard operational procedure of National Cardiovascular Center Harapan Kita (NCCHK) Jakarta, which perhaps makes the physicians hesitate on performing these procedures due to legal aspects, while in the other hand the risks of acute ischemic stroke remain the potential threats on every single coronary angiography or any intensive catheter based procedures.
Normalisasi EKG pada Pasien dengan Blok Berkas Cabang Kanan yang Dilakukan Pemacuan Ventrikel Kanan Z Zainuddin; Yoga Yuniadi; Hardja Priatna; Dicky A Hanafi
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.134

Abstract

Right ventricle apex (RVA) pacing bypasses the His-Purkinje system result-ing in left bundle branch block like pattern on surface EKG. In preexisting right bundle branch block (RBBB), pacing from certain location of RV might change the EKG pattern. We present two cases of normalization of QRS complex upon RV septal pacing in preexisting RBBB patients. The postulated mechanisms of the phenomenon is also proposed.
Pemeriksaan Trans Esophageal Echocardiografi (TEE) Lucia Kris Dinarti; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.135

Abstract

Perkembangan Trans Esophageal Echocardiografi (TEE) merupakan penemuan besar dalam sejarah pencitraan jantung. TEE adalah cara pendekatan pencitraan jantung dengan menggunakan sebuah transducer khusus yang ddiletakkan pada esopha-gus dengan cara dimasukkan melalui mulut pasien. Transducer khusus tadi dengan frekuensi berkisar 5-7 M?z, pada ujung gastroskop yang ditempatkan dari arah kerongkongan atau esophagus. Pendekatan ini menghasilkan pencitraan interior  dari struktur jantung yang lebih sempurna oleh karena haantaran suara ultra dari dank etransducer TEE terhindar dari bayangan dinding dada atau jaringaan paru.

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