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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. 33, No. 3 Juli - September 2012" : 12 Documents clear
Sudahkah Saatnya Mengganti Warfarin? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.37

Abstract

Fibrilasi atrium (FA) merupakan kelainan irama yang paling banyak ditemui di klinik. Diperkirakan prevalensi FA akan terus meningkat, di Amerika pada tahun 2010 terdapat 6.7 juta penderita FA dan diproyeksikan meningkat menjadi 16 juta orang pada tahun 2050. FA merupakan suatu penyakit aging sehingga kejadiannya makin tinggi pada kelompok usia manula. Besarnya masalah FA di dunia sering disebut sebagai epidemi global.
Kajian Kemampuan Rosela (Hisbiscus Sabdariffa) Dalam Menghambat Peningkatan Tekanan Darah Melalui Respon Vasodilator Nitrit Oksida pada Wanita Lanjut Usia penderita Hipertensi I Yusni; M Syahrul
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.38

Abstract

Background. Herbal medication for hypertension is common in population. This study aims to seek the role of nitric oxide (NO) in the mechanism of blood pressure reduction after  administration of rosella tea (hisbiscus sabdariffa). Methods. A pre-post study was conducted in elderly hypertensive women at UPTD Rumoh Sejahtera Banda Aceh. Subjects were given 2 grams rosella tea after meal twice a day for 3 weeks.  Sistolic and diastolic blood pressure, and NO concentration were compare pre and post rosella administration between control and experiment groups.Results. Rosela group has lower systolic and diastolic pressure as compare to control group (140,00 ± 10,00 vs 142,85 ± 4.87 mmHg; 84,28 ± 5,34 vs 89,28 ± 4,87mmHg, p < 0.05  respectively). Systolic pressure reduction by rosella was 14,77% with average pressure reduction of 24,28 mmHg. Diastolic pressure reduction was 9,22% with averagepressure reduction of 8,57 mmHg. No significant difference of nitric oxide concentration between groups (4,85 ± 2,16 vs 4,55 ± 3,11 µM, p>0.05). Conclusion. Rosella reduce systolic and diastolic blood pressure of elderly hypertensive women with mechanism out of nitric oxide level.
Putting The Herbal Medicine into The Modern Anti-Hypertension Armamentarium: Hibiscus Sabdariffafor Hypertension? Anwar Santoso
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.39

Abstract

Herbal medicine has been moving from fringe to mainstream use with a substantial number of patients seeking remedies, which free from side effects caused by synthetic chemical  medicines. Recently, professional societies try to utilize eco-friendly and bio-friendly plant-based products for the prevention and cure of degenerative disease, such as: hypertension, diabetes and cancer. It has been known that synthetic chemical medicines used in the above generative disease is not free from adverse effects, let alone the usage of those medicines  should be long standing.
Disfungsi Endotel pada Perokok Pasif yang Sehat Badai Tiksnadi; Augustine Purnomowati; M Rizky Akbar
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.40

Abstract

Introduction. Passive smoking may have a deleterious effect to cardiovascular system and subsequent enormous public health implication. The sidestream cigarette smoke suggest impaired endothelial production of nitrit oxide. Since endothelial dysfunction is an early feature of atherogenesis, early detection on this become important and hopefully can prevents the subsequent atherosclerlotic events. There were only few studies have assessed the effects of passive smoking to human arterial wall. The objective of this study was to detect endothelial dysfunction in healthy passive smokers young adults.Methods. We studied 80 healthy subjects 20 to 35 years old,which were divided into two groups, consist of 32 passive smokers and 48 subjects as controls. Passive smokers were defined as non-smokers who had been exposed to environmental tobacco smoke for at least one hour daily for three or more years. Endothelial function was measured by response of flow-mediated  vasodilatation in brachial artery during reactive hyperemia.Result. There are no significant differences in baseline characteristics (age, sex and baseline diameter) between two groups. Flow-mediated dilatation response was significantly  impaired in the passive  smokers 8.7 (2.9) percent compared with 12.8 (6.7) percent in control subject, p =0.006.Conclusion. Passive smoking is associated with impairment of endothelium-dependent dilatation, suggesting early event in atherosclerosis.
Rokok, Perokok pasif, Kematian Kardiovaskular dan Jaminan Kesehatan Suko Adiarto
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.41

Abstract

Peran rokok dalam menyebabkan kematian prematur akibat berbagai sebab/penyakit telah lama di-dokumentasi kan. Namun demikian, angka konsumsi rokok secara agregat masih terus meningkat.  Peto dan Lopez memproyeksikan, dengan pola konsumsi rokok saat ini, angka kematian akibat rokok di seluruh dunia pada tahun 2000-2050 akan mencapai 520 juta. Data dari berbagai penelitian epidemiologi menunjukkan sebagian besar kematian ini disebabkan oleh penyakit kardiovaskular dan secara demografis proporsi kematian dini akibat penyakit kardiovaskular ini  terjadi di Negara-negara berkembang di kawasan Afrika dan Asia Tenggara. Akibat yang sangat logis, mengingat data pada penelitian yang lain memperlihatkan bahwa lebih dari 80% prevalensi perokok di dunia berada di Negara dengan pendapatan perkapita rendah. Penelitian lain menunjukkan, di kawasan Eropa Timur, Asia Tengah dan Asia tenggara, sekitar 50% dari  seluruh penduduk berusia dewasa adalah perokok.
Pengaruh Pemberian Ekstrak Kulit Manggis (Garcinia Manggostana Linn) sebagai Penurun Lipid pada Tikus Model Dislipidemia Elok Erlita Nur Farradina; I Isbandiyah; Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.42

Abstract

Background. Dyslipidemia is a risk factor of atherosclerosis, characterized by increase total cholesterol (TC), trigliserida (TG), Low Density Lipoprotein (LDL) and decrease of High Density Lipoprotein(HDL). Previous study showed positive correlation between dyslipidemia with severity of atherosclerosis. Effect of pericap mangosteen contains Xanthonepresumed  could decreased the total cholesterol (TC), triglyceride (TG), and Low Density Lipoprotein(LDL) levels and increased High Density Lipoprotein(HDL) level from the blood of white mice  by activated the path of reverse cholesterol transport.Purpose. To prove that extract from pericap mangosteen decrease LDL, triglyceride, total cholesterol and increase HDL.Methode. Laboratory experiment with the post test only control group design. The samples strain wistar white rats were devided into 5 groups. The sample I : Negative control, II :  Positive control and the threeother groups were treated by extract from pericap mangosteen with variouse doses (200mg/day, 400mg/day, 800 mg/day). The data were analyzed by One Way Anova, Tukey test 5%, correlation test and linear regression test.Result. The result of this observation showed that efective dose of extract of pericap mangosteento decrease TC, TG and LDL level and increase HDL level is 800 mg/day. TC lowering in  group were trea ted with extract from pericap mangosteen 200mg/dayis= 39,667 400mg/day = 27,833  800mg/day = 19,333. TG lowering in group were treated with extract from pericap  mangosteen 200mg/dayis = 40,333 400mg/day = 34,333  800mg/day = 26,667. LDL lowering in group were treated with extract from pericap mangosteen 200mg/dayis = 45,433400mg/day = 32,467 800mg/day =  14,733. HDL raising in group were treated with extract from pericap man gosteen 200mg/day is = 13,833400mg/day = 11,500 800mg/day = 3,000.Coclusion. Oral administration (200, 400 dan 800 mg/day) of extract from pericap of mangosteen decreasing LDL, trygliseride, total cholesterol and increasing HDL of dyslipidemia male  white rate.
Tatalaksana Nonbedah Pada Penyempitan Pembuluh Darah Utama Koroner Kiri yang Terisolasi Kabul Priyantoro; Sunarya Soerianata
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.310

Abstract

Prevalence of Left Main Coroner Artery (LMCA) stenosis inpatients undergoing coronary angiography was 2.5 to 10 %, almosrt all patients suffer from concomitantatherosclerotic disease of other coronary branches. Incontrast, an isolated atherosclerotic lesion of LMCA is very rare. with iscidences 0.07 to 0.15 %. Coroner artery by pass graft surgery (CABG) has been recommended as the standard treatment in LMCA disease, however, percutaneous coronary interventions (PCI) on the LMCA remained in scope, as some patients with high risk or contra indications of CABG and very limited life expectancy, still had no other option than PCI.A 58th years old man with factor; smoker, dyslipidemia and hypertention, complain of chest discomfort, he was referred with diagnosis of APS CCS III and MSCT coroner revealed mild plaque burden with critical subtotal occlusion i n in LMCA, calcified plaque in LAD and other vessels were normal. He refuse CABG and went for PCI, angiography revealed significant isolated unprotected LMCA disease. Successful PCI using anchor wire technique and implantation of BMS in the lesion was done. Patient discharged on day 6 of hospitalization with no complication.   
Ekstraksi Lead Pacu Jantung dengan Kabel Seluruhnya Tertarik ke dalam Ventrikel Kanan Wishnu Aditya; Yoga Yuniadi; Erika Maharani; Farial Indra; Edrian Zulkarnaen; Yandi Arifiudin
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.312

Abstract

We are reporting a case of lead extraction from a woman who has been implanted permanent peacemaker (PPM), and later has a complication of a local site infection and infective endocarditis. She had multiple local debridement procedures, generator removal, and multiple cable amputation. Her PPM wire was free-floating inside the right ventricle (RV). Lead extraction was done successfully using a snare catheter and a long sheath.  
Implikasi Klinis Repolarisasi Dini Reza Octavianus; Yoga Yuniadi; Budhi Setianto
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.314

Abstract

Early repolarization described as J-point elevation with concaved ST segment, notch or slurred at terminal QRS complex on surface electrokardiography. This electrokardiography pattern that usually exists in young male population, for about 60 years has been concluded as benign normal variant electrokardiography. Klatsky in 2002, has strengthed this issues with his study with 1000 elecrokardiographies with early repolarization which were followed for 12 years. There was no significant case for hospitality or malignant ventricular arrhythmias among population with early repolarization comparared with normal elektrokardiography without early repolarization.But, recent studies with larger samples, show different thing, which is there was a correlation between early repolarization and malignat ventricular arrhythmias. So the issue is, whether we can still consider this early repolarization as a normal variant or not. And how about the management of asymptomatic population with early repolarization such as syncope or evidence of malignant ventricular arrhythmias.T-wave Alternans is a difference at amplitude or morphology of ST segment and T wave in every other heart beat. T-wave Alternans measurement is a non-invasive method to value cardiac cells hererogeneity. This examination has been proven to be useful as a risk stratification for malignant ventricular arrhythmias events in large studies. Higher T-wave Alternans value accompanied with higher risk for developing these arrythymias. T-wave Alternans measurement has been approved in the guideline for management of wide QRS complex tachyarrythmias for detection ventricular arrhythmias with I and IIa class of recommedantion. The more practical Modified Moving Average technicque which can be performed in healthy subjects with early repolarization is useful for risk stratification. Large studies have approved the use of Modified Moving Average for measure T-wave Alternans in these arrhythmias risk stratification.
Merujuk Pasien STEMI: Kapan dan Kemana? Kurniawan Agung Yuwono
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.315

Abstract

Management of STEMI patients consist of initial recognition and diagnosis, early routine medication, and reperfusion therapy. Primary PCI has been set as default strategy for STEMI reperfusion in PCI-capable hospital. Unfortunately, only few STEMI patients can undergo primary PCI as reperfusion therapy, because the number of hospital with invasive capability is still low in many countries, including Indonesia. Because time is critical in reperfusion therapy, the emergency physicians in non-PCI capable hospital have to decide to hold or refer STEMI patients to a hospital with invasive capability. The reperfusion therapy options for STEMI patient presenting to a non-PCI capable hospital are fibrinolytic therapy, or refer to PCI-capable hospital, or both (pharmacoinvasive strategy). This review tried to summarize the evidences as a consideration in choosing the best reperfusion strategy for STEMI patients presenting to non-PCI capable hospital.

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