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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 712 Documents
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Mekanisme Atrial Fibrilasi pada Hipertiroid Wenny Fitrina Dewi; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.98

Abstract

Atrial fibrillation (AF) is the most common cardiac arrhythmia other than sinus tachycardia encountered in hyperthyroidism and representing an independent risk factor for cardiovascular event. Atrial fibrillation occurs in 10-15% of patient with hyperthyroidism, where as prevalence increase with advancing age. The heart is a major target organ for thyroid hormone action. Thyroid hormones exert their cardiovascular effects either directly at cardiomiosit through nuclear receptors (gen transcription) and extra nuclear (cellular) which is influence inotropic, chronotropic and dromotropic effect and indirectly by influencing sympatoadrenergic system and altering peripheral hemodynamic. Hyperthyroidism is associated with an increased supraventricular ectopic activity. Hyperthyroidism increases the rate of systolic depolarization and diastolic repolarization, decreases the duration of the action potential and refraction period of the atrial myocardium, as well as atrioventricular nodal therefore facilitated the occurrence of atrial fibrillation.
Ekokardiografi Aliran Vena Pulmonar Heru Sulastomo; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.99

Abstract

Saat ini penggunaan Doppler aliran vena pulmonar (AVP) semakin meningkat seiring dengan ber-tambahnya informasi tentang fungsi ventrikel kiri dan katup mitral yang bisa didapat dari pemeriksaan tersebut. Pemeriksaan ini juga dapat sebagai parameter keparahan regurgitasi mitral dan fungsi diastolik ventrikel. Penilaian pola AVP dapat dilakukan dengan baik dan reprodusibel, walaupun nilai normalnya memiliki rentang yang luas dan agak berbeda antara hasil pemeriksaan dengan ekokardiografi transtorakal (ETT) dan ekokardiografi transesofageal (ETE) karena perbedaan teknik dan hemodinamik.
Repetitive Monomorphic Ventricle Tachycardia: Apa dan bagaimana? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.100

Abstract

Seorang perempuan, 34 tahun datang ke poli aritmia Pusat Jantung Nasional Harapan Kita dengan keluhan palpitasi berulang. Tidak terdapat episode pingsan. Gambaran EKG seperti di bawah ini:Kemudian dilakukan rekaman Holter 24 jam di mana diperoleh gambaran episode ventrikel takikardia nonsustain yang sering. Berdasarkan pola di atas maka EKG pada pasien kita sesuai dengan suatu RMVT yang berasal dari aortic sinus cusp (ASC) kanan. Perhatikan bahwa zona transitional yang dini (V2) adalah tanda yang mudah diingat sebagai clue suatu ASC VPC pada morfologi LBBB dengan aksis inferior.
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.

Page 23 of 72 | Total Record : 712

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