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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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Hubungan Waktu Pemberian Ebtifibatide dengan TIMI Flow Infarct Related Artery pada Intervensi Koroner Perkutan Primer Abdul Hakim Alkatiri; Yoga Yuniadi; Dicky A Hanafy; Doni Firman; Sunarya Soerianata
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.118

Abstract

Background. Optimal administration timing of Glicoprotein IIb/IIIa inhibitor in STEMI patients undergoing Primary PCI is controversial. Several stud -ies have shown that early administration of eptifibatide, which is given to patients with pain awitan of < 90 minutes will improved TIMI grade flow of infarct related coronary artery (IRA). However, significant numbers of patient arrived in emergency room/PCI center with pain awitan of > 3 hours. This study was aimed to evaluated effect of eptifibatide administra-tion timing to TIMI grading flow in first angiographic IRA during primary PCI in patients with STEMI.Methods and result. Of 116 consecutive STEMI patients who underwent primary PCI, 79 patients received ebtifibatide < 90 minutes (Group 1) and 37 patients received eptifibatide > 90 minutes (Group 2) before first angiographic of IRA. There were no significant differences of TIMI 3 flow proportion after PCI between the groups (86.1% vs 83.8% for Group 1 and 2 respectively, p = 0.745). Group 2 showed more frequent TIMI 2 flow (18.9% vs 5.1%, p = 0.036) but tend to have less frequent TIMI 0 flow (56.8 % vs 67.1%, p = 0.281).Conclusion. Patients who received eptifibatide > 90 minutes before first angiographic IRA during primary PCI achieved more appropriate TIMI flow as compare to that received eptifibatide < 90 minutes.
Penghambat GPIIb/IIIa pada Intervensi Koroner Perkutan Primer: Kapan dan Dimana? Doni Firman
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.119

Abstract

Prosedur Intervensi Koroner Perkutan Primer (IKPP) merupakan prosedur pilihan pada pasien STEMI dengan awitan kurang dari 12 jam. Tetapi banyak hal yang masih belum terjawab di antaranya pada pasien dengan awitan dini (2 atau 3 jam) apakah pihannya langsung dirujuk ke RS dengan fasilitas IKPP tetapi dengan konsekuensi adanya keterlambatan atau langsung diberikan trombolitik. Masalah kedua adalah jenis terapi yang diberikan saat transportasi ke rumah sakit rujukan apakah antitrombin heparin, bivalirudin, penghambat GP IIb/IIIa atau trombolitik? Masalah ketiga adalah IKPP tidak selalu berhasil memberi reperfusi. Masalah lain adalah keberhasilan angiografis yang tidak disertai bukti reperfusi yang diharapkan pada pemeriksaan dengan modalitas imajing.
Intoksikasi Digoksin: Bagaimana Cara Mengenali Dan Penatalaksanaannya Dewi H Suprobo; Bambang B Siswanto; Yoga Yuniadi; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.120

Abstract

Background: Digitalis is the oldest compound in cardiovascular medicine that continues to be used in contemporary clinical practice. It is one of the most frequently prescribed medications and has historically been implicated as one of the most common causes of adverse drug reactions. Despite the fact that digitalis preparations have been used  therapeutically for more than 200 years, diagnosis of digoxin toxicity remains difficult. Signs and symptoms associated with toxicity are nonspecific, as are electrocardiographic changes, and the “therapeutic” and “toxic” concentrations overlap.Objective: to present a case report of digoxin intoxication and to review the diagnosis and management of the disease.Summary: We have reported a case related to intoxication of a drug that is one of the most frequently prescribed medications and has historically been implicated as one of the most common causes of adverse drug reactions. This fact is reasonable since digoxin has a narrow margin of safety, where at the therapeutic dosage digoxin could induce intoxication. Moreover the response to this drug is influenced by many factors. Although the general manifestation of digoxin intoxication is not specified, but in patient who are in digoxin therapy with clinical manifestation of digoxin intoxication, we have to put digoxin intoxication as one of our differential diagnosis. The diagnosis is supported by the ECG manifestation and confirmed by the examination of serum digoxin level. Eventhough, normal digoxin level could also induce intoxication. The initial management of digoxin intoxication is early recog -nition that a dysrhythmia and/or noncardiac manifestation may be related to digitalis intoxication and stop the digoxin therapy. Immunotherapy, in hemodynamically stable or unstable patients, is a first-line therapy.
Implantasi Pacu Jantung Permanen Melalui Vena Kava Superior Kiri Persisten Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.121

Abstract

Seorang anak perempuan, 5 tahun mengalami blok AV total pasca operasi VSD perimembranous besar sehingga direncanakan pemasangan pacu jantung permanen. Pada saat punksi vena subklavia kanan wire peelaway sheath tidak dapat masuk ke atrium kanan.Injeksi kontras melalui abocath memperlihatkan oklusi vena cava superior kemungkinan oleh thrombus yang terorganisasi. Samar-samar terlihat kontras mengisi vena kana superior kiri  persisten melalui kolateral dari vena kava superior kanan (Gambar 1). Maka diputuskan untuk melakukan pemasangan pacu jantung menetap (PJM) melalui vena subklavia kiri ke alur keluar ventrikel kanan (RVOT= right ventricle outflow tract) melalui vena kava superior kiri persisten.
Hubungan Obstructive Sleep Apnea dengan Kardiovaskular Debi Febriani; Faisal Yunus; Budhi Antariksa; Hananto Andrianto
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.122

Abstract

Breathing Disorders during sleep seen as potential factors for some Cardio -vascular diseases in last decade. Apnea syndrome during sleep divided into 3 types there are central type, obstruction type and mix type. Obstructive Sleep Apnea (OSA) is the most frequently encountered, marked with apnea episode and hypopnea. There are 4 mechanism relationship of OSA with cardiovascular disease those are mechanical, hemodynamic, neurohor -monal and inflammation. Cardiovascular disease that related to OSA are hypertension, heart failure, acute coronary syndrome, arythmias, stroke, sudden cardiac death. Proper management pro ven improve cardiovascular parameters and increase quality of life.
Gap Junctions pada Ischemia-Related Ventrikel Aritmia Berlian Idriansyah Idris; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.123

Abstract

Cardiovascular diseases are the leading cause of death worldwide, with isch-emic heart disease being the most common entity. Ventricular arrhythmia is one of the complications of ischemia that can result in sudden cardiac death. One of the underlying mechanisms of ischemia induced arrhythmia is closure of cardiac myocytes gap junctions, where gap junctions are channel-like structure between cells that allow passage of molecules and electrical current. During ischemia, gap junctions close incompletely, creating tissue impedance heterogeneity and conduction slowing, which provide substrate for ventricular arrhythmia. Conditions where gap junctions structure is altered, such as in heart failure, is associated with increased vulnerability of ischemia-induced ventricular arrhythmia.
Ekokardiografi pada Penilaian Hemodinamika Sirkulasi di Ruang Perawatan Intensif dan atau Unit Gawat Darurat, Seri I : Hipotensi dan Syok Ario Soeryo
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.124

Abstract

Topik ini akan membahas mengenai pemakaian alat ekokardiografi pada kasus-kasus yang berkaitan dengan kondisi atau keadaan di ruang perawatan intensif ataupun Unit Gawat Darurat (UGD).Tulisan ini hanya merupakan salah satu bagian dari beberapa seri topik mengenai peran ekokardiografi terutama pada penilaian hemodinamika sirkulasi kardiovaskular pada berbagai kondisi di lapangan.
Takikardia Iregular Dengan Kompleks QRS Lebar: Mekanisme dan Tatalaksana Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 1 Januari - Maret 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i1.125

Abstract

Seorang laki-laki, 35 tahun datang ke UGD sebuah rumah sakit pemerintah di Yogyakarta dengan keluhan near syncope. Keluhan seperti ini sudah beberapa kali dirasakan pasien dan umumnya didahului dengan debaran jantung yang cepat. Tidak didapatkan riwayat kematian jantung mendadak pada keluarga pasien.Rekaman EKG 12 sadapan saat datang di UGD terlihat seperti Gambar 1.
Intervensi pada Stroke Non-Hemoragik Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.126

Abstract

Stroke merupakan penyebab kematian tersering ketiga di Amerika dan merupakan penyebab utama disabili-tas serius jangka panjang. Delapan puluh lima persen stroke adalah non-hemoragik yang terdiri dari 25% akibat small vessel disease(stroke lakunar), 25% akibat emboli dari jantung (stroke tromboemboli) dan sisanya akibat large vessel disease.Riset kesehatan dasar tahun 2007 mendapatkan prevalensi stroke nasional sebesar 0.8%. Stroke juga menjadi penyebab kematian paling tinggi yaitu mencapai 15.9% pada kelompok umur 45 sampai 54 tahun dan meningkat jadi 26.8% pada kelompok umur 55 sampai 64 tahun.Stroke dikenal luas sebagai penyakit yang menimbulkan disabilitas permanen yang menyebabkan penderita kurang bah-kan tidak produktif lagi. ?al ini terjadi akibat kerusa- ?al ini terjadi akibat kerusa-kan permanen jaringan otak yang tidak tergantikan. Tetapi apakah mungkin menghindari disabilitas atau mencegah kerusakan permanen pada jaringan otak bila terjadi tromboemboli?
Penilaian Fungsi Ventrikel Kanan Menggunakan Metoda Ekokardiografi Speckle Tracking Pada Penyakit Paru Obstruktif Kronis Mochamad Arif Nugroho; Amiliana M Soesanto; Renan Sukmawan; Aryo S Kuncoro; Dewiana Kusmana; Poppy S Roebiono; M Munawar; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 31, No. 3 September - Desember 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i3.127

Abstract

Background In daily practice, evaluation of RV useful in patients with COPD because of its affect prognostic value. Invasive and non-invasive imaging in the evaluation of RV function has several limitations because RV geometry. Speckle tracking is a modality of echocardiography. Speckle tracking can determine strain of myocardium. When compared with strain derived Tissue Doppler, Speckle tracking strain independent of angle so that the measurement of strain to be more reliable. And so far RV assessment with Speckle tracking is still a less investigated. Is there any difference between RV function on echocardiography examination using Speckle tracking methods with varying degrees of COPD?Methods Cross-sectional study conducted in 59 people with COPD who had performed spirometry examination for the classification of severity COPD. Then the patient performed an echocardiography examination using Speckle tracking methods. Then Data will analyze by testing the difference between Speckle tracking and the severity of COPD and also between Speckle track-ing and pulmonary hypertension.Result There COPD subjects 10.2% and 37.3% mild COPD subject was, with men more than women. There were no significant differences between the severity of COPD and right ventricular function using Speckle tracking method. There is a global strain value was higher in non-pulmonary hyper-tension subjects when compared with pulmonary hypertension subjects but the difference was not significant (p = 0.09).Conclusion There were no significant differences between the severity of COPD and RV function using Speckle tracking methods.

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