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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. 34, No. 2 April - Juni 2013" : 12 Documents clear
Patient-, Disease-, or Doctor-Centered Medicine Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.321

Abstract

Majelis Kehormatan dan Disiplin Kedokteran Indonesia (MKDKI) melaporkan bahwa terdapat peningkatan yang signifikan laporan tindak pelanggaran disiplin kedokteran. Sepanjang tahun 2012 terdapat 23 kasus pelanggaran disiplin sedangkan semester pertama tahun ini sudah terdapat 35 kasus yang dilaporkan ke MKDKI. Sebuah kemajuan dari perspektif kesadaran masyarakat tentang pelayanan kesehatan yang baik dan keberanian melaporkan kejanggalan pelayanan yang terjadi. Tetapi tentu saja tidak dapat dihindari adanya faktor lain yang turut berperan terhadap peningkatan laporan pelanggaran disiplin tersebut. Komunikasi dokter-pasien sering menjadi akar dari berbagai ketidakpuasan dalam pelayanan praktik kedokteran yang kemudian berujung pada pengaduan. Salah satu faktor yang turut mempengaruhi buruknya komunikasi dokter-pasien adalah belum dimilikinya konsep “patient-centered medicine” oleh sebagian praktisi kedokteran.
Korelasi Flow Mediated Dilation Brakial dengan Beratnya Stenosis Penyakit Arteri Koroner Erwin Mulia; Ismoyo Sunu; Andang H Joesoef,; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.323

Abstract

Background. Endothelial dysfunction precedes the development of morphological changes and contributes to atherosclerotic lesion development and progression. Evaluation using non invasive method such as brachial FMD (flow mediated dilation) has given inconsistent information for extension and coronary atherosclerotic severity regarding endothelial dysfunction. This research will evaluate the correlation between brachial FMD and severity of coronary artery disease (CAD) stenosis.Methods. It was a cross sectional study. Evaluations were performed in 85 patients who had followed elective coronary angiography and fulfilled inclusion criteria in National Cardiovascular Center Harapan Kita since January until October of 2012. Correlation between brachial FMD and severity of CAD stenosis (Gensini score) was evaluated using linear regression analysis.Results. Brachial FMD had negative correlation with Gensini score (R= -0,227; P= 0,037). Hypertension had negative correlation with brachial FMD (R= -0,235; P= 0,032). Male gender had positive correlation with brachial FMD (R= 0,220; P= 0,040).Conclusion. There was weak negative correlation between brachial FMD and Gensini score.
Seeing the Inner from Outer Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.324

Abstract

Since Furchgott et al1 showed that acetylcholine requires the presence of endothelial cells to induce vasodilation, the importance of the endothelial cell layer for vascular homeostasis has been increasingly appreciated. Endothelial dysfunction was initially identified as impaired vasodilation to specific stimuli such as acetylcholine or bradykinin. A broader understanding of the term would include not only reduced vasodilation but also a proinflammatory and prothrombic state associated with dysfunction of the endothelium.2 Figure 1 describe regulation function of endothelium during normal and dysfunction condition.3 In human, endothelial dysfuntion was first described in forearm of hypertensive patient.4 Dysfunction of the endothelium has been attributed to the pathophysiology of different forms of cardiovascular disease, including hypertension, coronary artery disease, chronic heart failure, peripheral artery disease, diabetes, and chronic renal failure.2
Interval Elektromekanikal Atrium Menggunakan Doppler Jaringan Sebagai Prediktor Kejadian Fibrilasi Atrium Pasca Operasi Bedah Pintas Arteri Koroner Ignatius Yansen; Amiliana Mardiani; Poppy S Roebiono
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.325

Abstract

Background. Atrial fibrillation (AF) is the most common arrhythmia complication in patient undergone coronary artery bypass grafting (CABG) with the incidence of 20-50% according to different studies. Although this complication is temporary but can be life threathening, and increased the number of mortality and morbidity. Thus, it is very important to identified factors that can predict the occurance of AF post CABG. This study use atrial electromechanical interval and interval dispertion as predictor of AF post CABG.Methods. One hundred and eight patients were included in this case control study. Samples were taken consecutively from May to September 2012 among patients with coronary artery disease undergoing CABG at the National Cardiovascular Center Harapan Kita Jakarta. The patients underwent a preoperative transthoracic echocardiography with tissue doppler evaluation. We measured the atrial electromechanical interval in the lateral of left atrium, septal and lateral of right atrium also inter and intra atrial interval dispertion. Patients was monitored thorugh out hospitalization for the occurance of AF.Result. In our study, 27 out of 108 (25%) patients developed AF post CABG. There are 3 independent parameters that can predict AF post CABG. These parameters are electromechanical interval in lateral left atrium, left atrial volume index, and post operative beta blocker. There are longer electromechanical interval in lateral left atrium in patients with AF post CABG (81,12±9,84 ms vs 64,43±13,53 ms, P=0.00). Patients with AF had bigger left atrial volume index (37,31±9,50 ml/m2 vs 30,28±8,19 ml/m2, P=0.037) and more beta blocker post CABG (20 (74,1%) vs 72(88,9%), P=0.026). There are no difference intra and interatrium dispertion of electromechanical interval.Conclusion. The interval of Electromechanical in the lateral left atrium using tissue dopper echocardiography can predict the occurrence of AF post CABG.
Hubungan mean platelet volume dengan miocardial blush kuantitatif pada pasien ima-est yang menjalani intervensi koroner perkutan primer Sri Murdiati; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.326

Abstract

Background. Mean platelet volume is a marker of platelet, size and activation functions. Increased mean platelet volume showed a large and active platelet release more thromboxane A2 than smaller ones. A simple marker was detected using a fast and functional techniques will help approaches to inflammation caused by platelets. Thus MPV is an important examination of effective simple, easy, and low cost to be used and explored extensively, particularly in developing countries such as Indonesia, to predict the likelihood of complications to come.Methods and Results. Seventy-two patients (age minimum 30 years and maximum 80 years who came to the hospital with a presentation IMA-EST onset less than 12 hours were included in this study. Following primary percutaneous intervention coroner examined myocardial blush with Qube and see the relationship with the value mean platelet volume (MPV) in assessing myocardial flow. End point of this study is the lack of correlation between MPV values in the assessment of myocardial blush Qube post-reperfusion.Conclusion. MPV values in this population as the initial entry no relationship with Qube in assessing the value of post-reperfusion myocardial blush
Stratifikasi Risiko Kematian Jantung Mendadak pada Sindrom Koroner Akut Jusup Endang; Dewi H Suprobo; Radityo Prakoso; Yoga Yuniadi; Bambang B Siswanto; Nani Hersunarti
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.327

Abstract

Sudden cardiac death is the leading cause of cardiovascular mortality in acute coronary syndrome. Risk stratification scoring tools are available to better identify patients at risk after acute myocardial infarction. In addition plenty of factors and treatment modalities modulate the risk of sudden cardiac death.A case of in-hospital SCD in a young woman with acute anterior STEMI is presented as a trigger to the importance of risk stratification and treatment according to guidelines in preventing SCD.
Diagnosis dan Tatalaksana Sindrom Marfan Andi Mahavira; Bambang B Siswanto
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.328

Abstract

Background: Marfan syndrome is an autosomal dominant disorder of connective tissue, involving cardiovascular, ocular, skeletal and skin, pulmonary, and dura mater. Marfan syndrome is caused by mutations in the FBN1 gene on chromosome 15q21 encoding fibrillin-1, a glycoprotein in the extracellular matrix. Prevalence is ~2–3 per 10 000, and ~25–30% are new mutations. Morbidity and mortality mostly caused by dilation of the aortic root. Surgical therapy for aortic aneurysm can reduce life-threatening complication and also increase survival rate of Marfan syndrome. It is necessary to diagnose earlier and give appropriate medical therapy for optimal management of Marfan syndrome.Objective: to present a rare case, Marfan syndrome, viewed from diagnosis and management.Summary: A 32 year old woman diagnosed as severe AR was referred to NCCHK from Malang, East Java. According to several examination in clinic, this patient was diagnosed as severe AR on Marfan syndrome. Early diagnosis in Marfan syndrome will make better outcome. Bentall operation was done to this patient with a good result. Appropriate and continuous medical therapy are needed in post Bentall operation on Marfan syndrome patient.
Amiodaron dan Toksisitas terhadap Paru Kemalasari Nas Darisan; Jamal Zaini; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.329

Abstract

Amiodarone is an antiarrhythmic agent commonly used to treat supraventricular and ventricular arrhythmias. The drug prevents the recurrence of life-threatening ventricular arrhythmias and produces a modest reduction of sudden deaths in high-risk patients. This drug is an iodine-containing compound that tends to accumulate in several organs, including the lungs. It has been associated with a variety of adverse events. Of these events, the most serious is amiodarone pulmonary toxicity. Although the incidence of this complication has decreased with the use of lower doses of amiodarone, it can occur with any dose. Because amiodarone is widely used, all clinicians should be vigilant of this possibility. Pulmonary toxicity usually manifests as an acute or subacute pneumonitis, typically with diffuse infiltrates on chest x-ray and high-resolution computed tomography. Other, more localized, forms of pulmonary toxicity may occur, including pleural disease, migratory infiltrates, and single or multiple nodules. With early detection, the prognosis is good. Most patients diagnosed promptly respond well to the withdrawal of amiodarone and the administration of corticosteroids, which are usually given for four to 12 months. It is important that physicians be familiar with amiodarone treatment guidelines and follow published recommendations for the monitoring of pulmonary as well as extrapulmonary adverse effects.
Sedasi Analgesi Untuk Kardioversi Elektrik Di IGD Kurniawan Agung Yuwono
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.330

Abstract

General practitioner assigned in emergency room must have ability to do electrical cardioversion either in emergency, urgent or elective setting. Analgetic sedation is mandatory to avoid severe pain during electrical cardioversion. Limited number of anesthesiologist and emergency setting that need prompt electrical cardioversion warrant of selecting and using of analgetic sedation agents by doctor in emergency room. Characteristics of those agents must have strong analgesic effect and rapid onset and offset, minimize pain and anxiety and maximize amnesia with minimal adverse effect. This paper reviews some randomized control trial of those agents.
Giant Coronary Artery Aneurysms in Kawasaki Disease Detected by Multi Detector Computed Tomographic Oktavia Lilyasari; Poppy S Roebiono; Radityo Prakoso; Anna Ulfah Rahajoe; Indriwanto Sakidjan; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.331

Abstract

Kawasaki disease is an acute, self -limited vasculitis of unknown etiology that occurs predominantly in infants and young children. The major sequele of Kawasaki disease are related to the coronary arterial system. Cardiac imaging is a critical part in evaluation of all patients with suspected Kawasaki disease. Multi Detector CT (MDCT) provides a safe non-invasive approach to accurately delineate coronary artery anatomic structure. We report a case of a 6 years old boy with history of Kawasaki disease. Multi detector CT scan showed giant aneurysm at proximal LAD, proximal RCA and medium aneurysm at proximal LCX. Patient then treated with the anticoagulant therapy.

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