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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 12 Documents
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Search results for , issue "Vol. 32, No. 2 April - Juni 2011" : 12 Documents clear
Salt, Hypertension and Cardiovascular Disease: the Connection Arieska Ann Soenarta
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.101

Abstract

Hypertension (HT) the most important risk factor of cardiovascular disease (CVD), is a heterogeneous disease; the underlying cause is unknown. Genetic back-ground and environmental influences are both involved. The most important environmental fac-tors are physical inactivity and dietary factors, particularly salt and potassium intake.There is a relationship between Blood Pressure (BP) and natriuresis which maintains sodium bal-ance and extra cellular fluid volume. An impaired ability of the kidney to excrete sodium, requires an increase in BP to increase natriuresis and correct sodium balance resulting in HT. Much evidence suggests, that in those who develops high BP, there is an underlying defect in the ability of the kidney to excrete salt and that the greater compensatory response required to restore sodium balance is the cause for the increase in BP.Epidemiological, mi-gration, intervention, treatment, genetic and animal studies have shown that dietary salt (sodium chlo-ride) plays an important role in BP regulation. The INTERSALT study, the EPIC-Norfolk study and many other studies have shown that BP was higher among subjects with a high sodium intake.
Intervensi Koroner Perkutan Primer untuk Infark Miokard Elevasi ST di Pusat Jantung Pemula di Indonesia: 100 pasien pertama Yahya Juwana; Jan Paul Ottervanger; Jan-Henk Dambrink; Arnoud van’t Hof; Menko-Jan de Boer; Jan Hoorntje; Harry Suryapranata
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.102

Abstract

Background: The benefits of Primary percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) have been demon-strated, but most studies were conducted in experienced centres in western world. Experience, logistics and patient characteristics may differ in other parts of the world, particularly in a starting center.Methods: Data on all consecutive STEMI patients treated with primary PCI in Cinere hospital, Jakarta, Indonesia were collected in a prospective database.Results:,Between July 2006 and December 2008, a total of 100 patients with STEMI were treated by primary PCI. Mean age was 56.9 ±10.4 years (range 37-82), 88% was male. Mean time between onset of chest pain and admission was 369 ± 388 minutes. The mean time between admission and balloon inflation was 258 minutes. Before PCI, 50% of patients had TIMI 0 flow. After primary PCI 94% of patients had TIMI 2/3 flow. There were no deaths in the catheterisation room, and no emergency coronary bypass surgery was needed as a result of PCI complications. Mean left ventricular ejection fraction as measured by echocardiography after 1 day was 48 ± 12 %.Conclusions: Outcome after primary PCI at a starting center is excellent in this series. Primary PCI was effective in restoration of TIMI flow, without complications. Time delay between symptom onset, admission and balloon inflation was long and all efforts should be encouraged to shorten this.
Seeking the difference between starting and established PCI center Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.103

Abstract

The study by Juwana et al is looking for primary PCI results that were conducted in a starting PCI center. The authors thought that as PCI results depend on center experience then it is mandatory to study how good it is when performed in a new or starting PCI center. The question arise is whether primary PCI re-sults would really be differed? If it is so, what make it difference? Some variables need to be elaborated in this regard that mainly comprised of operator, paramedics, tools and devices. Though a study by Politi et al suggest that expertise and experience of the whole professional team, rather than just of the individual operator, play a major role of PCI outcome, most of studies indicate the operator experience is the main issue. It is why that ACC/AHA guideline strictly stated that only operator who has sufficient experience i.e. 75 PCI per year allowed to do primary PCI. In ad-dition, it is recognized that there are limitations in the application of the risk-adjustment methodology in the evaluation of rare events and of low-volume operators, and that there might be substantial varia-tions in the volume–outcome relationship.
Perbandingan Komplikasi Vaskular Antara Pendekatan Arteri Radial dengan Femoral Pada Intervensi Koroner Perkutan Primer yang Memakai Eptifibatide Surya Hafidiansyah; Yoga Yuniadi; Sunarya Soerianata
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.104

Abstract

Background.The transfemoral approach for percutaneous coronary intervention (PCI) has the complications in vascular access site more than transradial approach. Risk of vascular complications will increase in using eptifibatide. Methods.. This is a prospective cross sectional study involving 52 STEMI patients qualified to primary PCI. 26 patients in transfemoral approaches and 26 patients in transradial approaches. In these two groups, we compare the incidence of vascular complications such as bleeding, arteriovenous fistula, pseudoaneurysm and artery occlusion.Results. From the 52 subjects of this study, found 94.2% men and 5.8% women, mean age 54.3 ± 9.9 years with the highest risk factors were smoking (67.3%), hypertension (51.9%), dyslipidemia (34.6%), diabetes (30.8%) and family history (11.5%). There were no significantly statistic relationship between duration of puncture and PCI procedures between the two groups. Incidence of vascular complications occurred in the femoral group (19.1% vs. 0), consist of arteriovenous fistula (11,5%), pseudoan-eurysm (3,8%), and minor bleeding (3,8%). Minor bleeding occurred in female subject with age 77 years.Conclusion. There was no significant difference in vascular complications between transfemoral approaches with transradial approaches on the Primary PCI
Perbandingan antara Intervensi Koroner Perkutan dengan Bedah Pintas Koroner pada Unprotected Left Main Coronary Artery Disease di Pusat Jantung Nasional Harapan Kita Jajang Sinardja; Yoga Yuniadi; Doni Firman
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.105

Abstract

Background. Despite many studies had been done comparing the outcome of Percutaneous Coronary Intervention (PCI) versus Coronary Artery By-pass Grafting (CABG) in Unprotected Left Main Coronary Artery Disease (ULMCAD), there is none such study in Indonesia.Aim. To compare the outcome of PCI versus CABG in ULMCAD patients at National Cardiovascular Centre Harapan Kita (NCCHK) Jakarta.Methods. A retrospective cohort study was done including 137 ULMCAD NCCHK patients who underwent PCI (n = 67) or CABG (n = 70) from July 2008 until March 2010. One-year Major Adverse Cardio Cerebrovascular Event (MACCE) outcome as defined by death, myocardial infarction (MI), stroke, and target vessel revascularization (TVR), were evaluated using Chi-square analysis, while Kaplan-Meier and Cox regression analysis were used to examine the survival curve of the mentioned intervention.Results. One-year risk of composite MACCE (death, stroke, and TVR) (hazard ratio (HR): 1.267; 95% confidence interval (CI): 0.567 – 2.829, p = 0.564), and the risk of death (HR: 1.080; 95% CI: 0.405 – 2.878, p = 0.878) were not significantly different for patients undergoing PCI versus CABG. Proportion of stroke was significantly higher in the CABG group (8.6% vs 0.0%; p = 0.014), while proportion of TVR was significantly higher in the PCI group (13.4% vs 0.0%; p = 0.001). No MI event was documented in both groups. Conclusion. During one-year follow up, PCI showed similar rate of composite MACCE and death, but higher TVR as compared to CABG in ULMCAD patients. Meanwhile CABG showed higher stroke rate as compare to PCI.
Penilaian Viabilitas Miokardium Dengan Dobutamine Stress Echo Ignatius Yansen; Amiliana Mardiani; Ario Soeryo Kuncoro
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.106

Abstract

The prevalence of left ventricular (LV) dysfunction and resultant heart failure is increasing in developing countries. Two thirds of cases of left ventricular dysfunction are the result of coronary artery disease (CAD). Although there have been significant advances in medical therapy for LV dysfunction and resulting symptoms of heart failure, the prognosis from heart failure remains extremely poor. Many of these patients had previous myocardial infarctions, the extent of remaining viable tissue is of clinical interest, and also related to prognosis. Thus assessing myocardial viability is very important in patient with left verntricuar dysfunction to choose the right management. Dobutamine stress echo is one of the most common tool that used to asses myocardial viability.A 67 years old patient with chronic heart failure because of old anterior and inferior MCI with low ejection fraction. It is very important to assess the viability in patients with advanced heart failure to know the future management because it is related to patient’s morbidity and mortality. With little viable myocard in this patient, the best management for this patient is conservative therapy with medical therapy. Dobutamine stress echocardiography therefore, may well provide complementary information in the assessment of myocardial viability. Future modalities are now being studied to give more objective measurement of myocardial viability with higher sensitivity and specificity.
Successful Radiofrequency Catheter Ablation of The Para-Hisian Accessory Pathway in A Patient with Wolf Parkinson White Syndrome Ismir Fahri; Yoga Yuniadi; Dicky A Hanafy; Hauda El Rasyid
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.107

Abstract

Radiofrequency catheter ablation of the accessory pathway in Wolff-Parkinson-White (WPW) syndrome is a highly successful mode of therapy. Sudden cardiac arrest survivors associated with WPW syndrome should undergo radiofrequency catheter ablation. Para-Hisian is one of unusual location accessory pathway in WPW syndrome associated with high risk complication of complete AV block during catheter ablation. Here we describe a case of patient who presented with history of palpitation due to WPW syndrome, electrophysiology study identified a para-Hisian accessory pathway so close to His bundle that discrete site between the pathway, the first ablation was unsuccessful and terminated due to the risk of complete AV block. The accessory pathway was successfully ablated in a second session using radiofrequency, although this entailed a great increase in the risk of causing complete atrioventricular block.
The incremental value of combination copeptin and troponin T for early diagnosis of acute myocardial infarction Daniel R Mulyono; Arfenda P Mustikawati; Galuh A Tyagitha; Anthony Wijaya; Irna C Wyrahardja; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.108

Abstract

Background: Copeptin is a protein that is released when the body experiences endogenic stress. The level of copeptin elevated very early and slowly decreases in myocardial infarction. Aim: to determine the incremental value of combination copeptin and troponin T for early diagnosis of Acute Myocardial Infarction.Methods: A search was conducted on PubMed and Cochrane. After screening title and abstract using inclusion and exclusion criteria, three articles were available as full text, but only 2 articles were considered useful by authors and were appraised based on its validity, importance and applicability. The other one article was excluded because the outcome of the study basically differentiates ACS and cardiomyopathy. Results: Both articles showthat the diagnostic value results are not so different. From the first article, a combination of copeptin and troponin T gives the results of sensitivity 87.4%, specificity 66.2%, PPV 46.9%, NPV 93.9%, pre-test probability 21.5%, post-test probability 40.8%, and AUC 0.91. The second article showed a combination of both gave sensitivity values of 98.8%, specificity 77.1%, PPV 46.2%, NPV 99.7%, pre-test probability 16.67%, and post-test probability 46.29%, and AUC 0,97. Conclusion: the combination of troponin T increase the sensitivity of diagnosis of AMI among patients suspected with acute coronary syndrome compared to troponin T alone. The combination of both can be considered as a test to diagnose AMI at early hours.
Anestesi Dalam Persalinan Pada Wanita Dengan Kelainan Jantung Cindy E Boom
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.109

Abstract

Insidensi penyakit jantung selama kehamilan hampir tidak berubah selama puluhan tahun dengan penyebab terseringnya adalah kehamilan pada ibu dengan penyakit jantung kongenital, diikuti oleh kehamilan pada ibu dengan penyakit jantung rematik. Angka kematian maternal menurun dari sebesar 6% pada tahun 1930-an hingga kini menjadi 0.5%-2.7%. Kehamilan akan meningkatkan resiko mortalitas maternal pada pasien dengan kelainan jantung dibandingkan dengan populasi normal. Kelainan jantung selama kehamilan juga akan meningkatkan morbiditas akibat kejadian gagal jantung, aritmia, dan stroke. Perkembangan sirkulasi uteroplasenter menginduksi perubahan besar dalam fisiologi kardiovaskular wanita hamil. Pada wanita hamil terdapat peningkatan volume intravaskular sampai 60%, penurunan tekanan darah, peningkatan denyut jantung sebesar 10%-20%, peningkatan curah jantung hingga 40%-50%, dan kejadian supine hypotensive syndrome10%-20%. Perubahan-perubahan ini dapat menyebabkan deteriorasi hemodinamik pada wanita hamil dengan kelainan jantung. Manajemen anestesi pada persalinan pasien dengan kelainan jantung bergantung pada kelainan jantung yang dideritanya. Pemberian anestesi pada sebagian besar wanita hamil dengan kelainan jantung umumnya dapat ditoleransi dengan baik. Persalinan pervaginam direkomendasikan pada sebagian besar kasus, kecuali pada beberapa keadaan khusus.
Peran Remodeling Atrium pada Fibrilasi Atrium Ignatius Yansen; Muhammad Munawar
Jurnal Kardiologi Indonesia Vol. 32, No. 2 April - Juni 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i2.110

Abstract

Atrial fibrillation (AF) is the most common arrhytmia. AF usually found at older age. AF means greater complication with higher morbidity and mor-talitiy. AF tends to be more frequent and severe. Patients with AF usually very difficult to maintain sinus rhytm after cardioversion. This phenom-enon shows that AF tends to be more severe after time. Atrial fibrillation can influence the condition in atrium so the atrium tends the withold the arryhtmia condition. Changes in atrium induced by atrial fibrillation that starts atrial fibrillation called atrial remodelling. This phenomenon is called AF begets AF. Respons can be miocyt growth, hyperthrophy, necrosis, and apoptosis, the disturbance of extracellular matrix composition, changes in the expression of ion channel, atrial hormon and return to fetal gen programe. These changes causing cascade of reaction that makes atrial remodelling with structural, functional and electrical effect.

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