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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 7 Documents
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Search results for , issue "Vol. 37, No. 3 Juli - September 2016" : 7 Documents clear
Perkembangan Implikasi Biologi dan Klinis Proprotein Convertase Subtilisin-Kexin 9 Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.574

Abstract

Pada tahun 2003 Proprotein Convertase Subtilisin-Kexin 9 (PCSK9) berhasil diidentifikasi.1 PCSK9 berfungsi meningkatkan kadar LDL Cholesterol (LDL-C) melalui degradasi LDL Receptor (LDLR).2 Penemuan PCSK9 telah merevolusi serta merupakan perkembangan terpenting pada bidang riset kardiovaskular satu dekade terakhir, terutama dalam regulasi LDL-C. 1
Hubungan antara Perubahan Dispersi QT pada Uji Latih Treadmill dengan Derajat Keparahan Lesi Koroner pada Pasien Terduga Penyakit Jantung Koroner Stabil Bagus Andi Pramono; Erika Maharani; Bambang Irawan
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.575

Abstract

Background: QT Dispersion (QTd) is known as a spatial dispersion indicator during myocardial repolarization, and elongation of QTd is related with ventricular arrhythmia event and sudden cardiac death in ischemic heart disease. The increase of QTd happens in coronary heart disease during myocardial ischemia induced by treadmill test. There is no research linking changes of the QTd (?QTd) on exercise test with the severity of coronary lesions in patients with suspected stable coronary artery disease. The aim of this study was to determine the relationship between QTD changes on exercise test with the severity of coronary lesions in patients with stable coronary artery disease and to determine discriminatory value of QTD changes based on the degree of coronary lesions.Methods: This study was a cross-sectional study in Dr. Sardjito Hospital using data from January 1, 2012. Patients with positive exercise test result, already performed coronary angiography and meet the inclusion and exclusion criteria included in the study. QTd changes during exercise test were measured and Syntax scores were assessed based on the results of coronary angiography. Statistical analysis was performed to determine the relationship between two variables.Results: There were 76 patients with average of 56.64±7.41 years old, with 54 male subjects (71.1%). The most frequent risk factor were hypertension, there were 57 subjects (75%), followed by 32 subjects of dyslipidemia (42.1%), 27 subjects of DM (35.5%), 24 smoker (31.6%), and 2 subjects with family history of CHD (2.6%). Subjects with high Syntax score were 30 subjects (39.5%) and the low Syntax score were 46 subjects (60.5%). In this research, there was positive relationship with medium strength (r=0.531, p<0.001) between ?QTd and Syntax score. Value of QT dispersion changes of 44.78 milliseconds is optimal cut-off point that discriminates between high and low Syntax score.Conclusion: There were positive correlations between changes of QTd dispersion with degree of coronary lesion that was analyzed using Syntax with medium strength.
Kompleks QRS Terfragmentasi sebagai Prediktor Multivessel Disease pada Sindrom Koroner Akut Idar Mappangara; Abdul Hakim Alkatiri; Stefan Hendyanto
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.576

Abstract

Background: The incidence of multivessel disease in acute coronary syndrome (ACS) is expected to be identified as early as possible in order to perform optimal management. The presence of multivessel disease can lead to ischemia or myocardial infarction. Fragmented QRS complex (fQRS) is a new electrocardiography (ECG) parameter that has been proven to be caused by ischemia or myocardial infarction.Methods: A cross-sectional study. Patients with ACS that admitted at Dr. Wahidin Sudirohusodo Makassar since December 2014 - March 2015 who are eligible were enrolled in this study.Presence of fQRS evaluated on first 12-lead ECG at hospital admission. Presence of multivessel disease based on coronary angiography. Data were analyzed by logistic regression. Data was significant if the p-value<0.05.Results: There are 63 subjects (56 men and 7 women) included in this study. Older age, history of ACS before, presence of dyslipidemia, and presence of fQRS were significantly more often in group with multivessel disease. After analyzed with logistic regression, the fQRS was the only significant predictor of multivessel disease with p value 0.003 and odds ratio 13.28.Conclusion: Presence of fQRS in the first 12-lead ECG when admitted to the hospital was an independent predictor of multivessel disease in patients with ACS.
Faktor Risiko Tradisional Kardiovaskular terhadap Kejadian Disfungsi Ereksi pada Pasien Penyakit Jantung Koroner Heri Hernawan; Irsad Andi Arso; Erika Maharani
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.577

Abstract

Background: Erectile Dysfunction (ED) is defined as the inability to achieve or maintain an erection sufficient to permit satisfactory sexual intercourse. Erectile dysfunction affects more than 150 million men worldwide and impairs psychological well-being and personal relationships, hence quality of life. Recent studies have shown that ED is present in 42% to 76% of men with coronary artery disease (CAD). Epidemiological study showed clearly role of traditional cardiovascular risk factors such as diabetes, hypertension, dyslipidemia and smoking in CAD. Erectile dysfunction and vascular diseases share a similar risk factors and pathogenic involvement of nitric oxide (NO)-pathway leading to impairment of endothelium-dependent vasodilatation (early phase) and structural vascular abnormalities (late phase). This study was conducted to determine whether the stable CAD patients who have traditional cardiovascular risk factors has a higher risk for ED compared with stable CAD patients without traditional cardiovascular risk factors.Methods: We performed an age matched-paired case control study. Men with CAD documented by angiography were evaluated for ED. Erectile function was assessed by a 5-item version of the International Index of Erectile Function (IIEF-5). Traditional cardiovascular risk factors such as diabetes, hypertension, dyslipidemia and cigarette smoking were assesed. Depression and anxiety were screened using Indonesian version of Hospital Anxiety and Depression Scale (HADS). Basic demographic and other variables were also collected.Results: This study evaluated 127 men, 96.8% of them had traditional cardiovascular risk factors, 25.2% had diabetes mellitus, 77.2% had dyslipidemia, 55.9% had hypertension and 64.6% were smoker. Traditional cardiovascular risk factors was strongly associated with ED (OR=10.67 [1.25-232.83]). ED was independently associated with diabetes mellitus (OR=4.17 [1.14-15.24]), hypertension (OR=2.64 [1.07-6.49]) and cigarette smoking (OR=2.26 [1.01-5.75]).Conclusion: CAD patients with traditional cardiovascular risk factor had more risk for developing ED than those with no traditional cardiovascular risk factor.
Ablasi Frekuensi-Radio pada Takikardia Atrium Fokal di Sinus Koronarius Muhammad Reza; Dicky A A Hanafy; Yanuar B. Hartanto; Sunu B Raharjo; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.578

Abstract

Focal atrial tachycardia (AT) is defined as atrial activation originating from a discrete focus with centrifugal spread. Available information suggests that focal activity can be caused by automaticity, triggered activity, or microreentry. Generally, AT response poorly to medication but can be treated by radiofrequency ablation with high long-term success. Focal AT represents approximately 3% to 17% of the patients referred for supraventricular tachycardia (SVT) radiofrequency ablation (RFA). Electrophysiology study is important to correctly diagnose the mechanism of the SVT before RFA is performed. Observation and several pacing maneuver could be done to identify the mechanism of SVT.A 54 year old female came with chief complaint of palpitation. During palpitation her ECG showed narrow complex regular tachycardia with the P-wave that was difficult to ascertain clearly. Electrophysiology study showed VA interval 130 ms, differences between VA interval during tachycardia and VA interval during RV pacing was 55 ms, no advanced in atrial activation, difference between ventricular post pacing interval (PPI) and tachycardia cycle length (TCL) was 130 ms, ventricular pacing during tachycardia results in V-A-A-V response before tachycardia resumes, and showed concentric atrial activation with earliest point at CS 9-10, indicating an AT from coronary sinus origin. AT was terminated during the RFA.Electrophysiology study is important to correctly diagnose AT, especially when P-wave during tachycardia in the surface ECG is uncertain. Several pacing maneuver during electrophysiology study can be very helpful to verify the diagnosis of AT.
Prinsip 3Rs dan Pedoman ARRIVE pada Studi Hewan Coba Salva Reverentia Yurista; Rafi Andika Ferdian; Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.579

Abstract

The use of animals in research has concerned the general public and thoughtful researchers for a long time. For improved animal welfare and increased research quality, researchers have moral obligations to include the 3Rs. The Three Rs are basic principles of humane experimental technique that were first set out by Russell and Burch in 1959. They are now widely accepted within the international scientific community and in associated legislation and guidelines, as a means of avoiding or reducing animal use and suffering and helping to improve the quality of science. When reporting animal studies, it is recommended that manuscripts conform to the principals of the Animals in Research: Reporting In Vivo Experiments (ARRIVE) guidelines, incorporated the 3Rs principal.
Komplikasi Kardiovaskular dan Neurologis yang Berhubungan dengan Fibrilasi Atrium Raymond Pranata; Hadrian Deka; Bambang Budi Siswanto
Jurnal Kardiologi Indonesia Vol. 37, No. 3 Juli - September 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i3.580

Abstract

Atrial fibrillation (FA) is the most common type of sustained-arrhythmia and one of the leading causes of mortality and morbidity globally, with estimated five million incidents. FA was associated with increased all-cause mortality (RR 1.46), cardiovascular mortality (RR 2.03), major cardiovascular events (RR 1.96), stroke (RR 2.42), ischemic stroke (RR 2.33), dementia (HR 1.42) and cognitive decline, ischemic heart disease (RR 1.61), sudden cardiac death (RR 1.88), heart failure (RR 4.99), chronic kidney disease (RR 1.64), and peripheral artery disease (RR 1.31). Overall, all-cause and cardiovascular mortality increased. Cognitive decline and dementia are also a concern since they impair function and quality of life. Overall, FA has bidirectional association with other cardiovascular diseases hence it acts as a marker for them. Therefore, prevention and control of risk factors are of utmost importance.

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