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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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Pemeriksaan trans-Esophageal Echocardiografi (I) Lucia Kris Dinarti; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 31, No. 2 Mei - Agustus 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i2.148

Abstract

Perkembangan Trans Esophageal Echocardiografi (TEE) merupakan penemuan besar dalam sejarah pencitraan jantung. TEE adalah cara pendekatan pencitraan jantung dengan menggunakan sebuah transducer khusus berfrekuensi 5 - 7,5 MHz yang diletakkan pada esophagus. Pendekatan ini menghasilkan pencitraan dari sisi posterior struktur jantung yang lebih sempurna oleh karena hantaran suara ultra dari transducer TEE tidak terganggu oleh struktur dinding dada atau jaringan paru (lihat gambar 1).
Takikardia Iregular: apa mekanismenya? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 31, No. 2 Mei - Agustus 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i2.149

Abstract

Seorang perempuan, 36 tahun mengeluh palpitasi berulang. Tidak ada riwayat sinkop. Pemeriksaan fisik dan penunjang lain tidak menunjukkan ke-lainan. Rekaman EKG terlihat seperti di bawah ini:Terlihat suatu takikardia irregular dengan durasi QRS terlebar hingga 120 mdet di sadapan III. Kemu-dian, perhatikan sadapan II panjang terlihat beberapa gelombang P yang jelas yang diikuti oleh kompleks QRS yang sempit. Apakah gambaran itu suatu Atrial fibrilasi (AF) atau ventrikel takikardi (VT)?
Pelatihan Intervensi Non-Bedah Otte J Rachman
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.150

Abstract

Sejak dimulainya upaya untuk melihat gambaran sistim vaskuler yang dipelopori oleh Forsman dengan memasukkan kateter kedalam pembuluh darah dan melakukan tindakan angiografi ventrikel dan kemudian angiografi yang lebih selektif pada pembuluh koroner oleh Sones, metoda perkutan oleh Seldinger, maka tindakan yang sifatnya invasif ini amat membantu dalam memberikan data pendukung untuk mengelola berbagai kelainan kardiovaskular melalui cara-cara pembedahan. Dengan berkembangnya teknologi untuk mendapatkan “gambaran” (image) yang lebih baik maka kemudian berkembang pula tindakan-tindakan yang sifatnya lebih kearah pengobatan baik paliatif maupun definitif yang komplementer dengan pembedahan.Inovasi dari teknologi yang lebih akurat dalam imaging serta berkembangnya alat-alat bantu dalam mengatasi berbagai kelainan kardiovaskular struktural (katup), bawaan (ASO = Amplatzer Septal Occluder, ADO = Amplatzer Duct Occluder, AVO = Amplatzer Ventricle Occluder), kelainan struktural lain terutama katup maupun koroner (PCI) maupun vaskular memerlukan pula keterampilan dari operator dalam mencapai hasil yang optimal.
Estimasi Tekanan Atrium Kanan Dengan Rasio Gelombang E/Ea Katup Trikuspid Yasmina Hanifah; Amiliana M Soesanto; Ismoyo Sunu; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.151

Abstract

Background. Right atrial pressure is one of hemodynamic parameter that can guide therapy for patients in intensive care unit. Right atrial pressure is also needed for calculation of other hemodynamic parameter such as pulmonary pressure and systemic vascular resistance. Estimation of right atrial pressure using E/Ea ratio is not much studied until now. There were only three studies with different result. This study objective is therefore to asses the correlation and agreement of estimation right atrial pressure by using ratio E wave (spectral doppler) and Ea wave (tissue doppler imaging) from tricuspid valve. Methods.This is a diagnostic test with cross sectional design study in patients in Cardiovascular Care Unit (CVCU) who had been inserted central venous pressure line (CVP line). E wave was taken from tricuspid inflow with pulsed wave spectral doppler and Ea wave was taken from the lateral tricuspid annulus with tissue doppler imagingat at early diastolic filling. Correlation analysis was performed to assess the correlation of E/Ea ratio with right atrial pressure from CVP line. The result of E/Ea ratio liner regrresion is analyzed with bland altman plot to asses agreement between E/Ea ratio and invasive methods of CVP line. Data was analyzed using SPSS 15.0.Results.There were 50 from 16 sample. As many as 20 data was also also measured by second observer for interobserver variability. There was a good precision for inter and intraobserver with ICC > 0,8. There was good correlation between E/Ea ratio with right atrial pressure, r = 0.728, p < 0,001. Cut off point E/Ea >3,95 could predict right atrial pressure = 10 mmHg (sensitvity 73,1% and specificity 70,8% and positive predictive value 73% and negative predictive value 73,9%). The agreement between E/Ea ratio and CVP line for measuring right atrial prssure was poor, with Intra-class Correlation(ICC) 24% and percentage error more than 30%. Based on this agreement right atrial pressure estimated by E/Ea ratio could have difference as much as 0,01 +3,53 mmHg. Conclusion.There were good correlation but poor agreeement for right atrial pressure estimation by using E/Ea ratio.
Estimasi Tekanan Atrium Budi Susetyo Pikir
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.152

Abstract

Ekokardiografi alat yang serbaguna dengan ketersedia-an dan mobililitas yang tinggi dapat digunakan pada penderita dengan keadaan gawat dengan nilai diagnosis yang cukup tinggi. Pada penelitian Hanifah dkk dibandingkan penilaian parameter diastolik (E/Ea, E/E’ atau E/e) secara non-invasif dan pemeriksaan CVP secara invasif. Pada penelitian seperti ini cara pengambilan sampel yang mudah ialah dengan purposive sampling yang dapat secara judgementatau quota. Cara terakhir yang sering digunakan dibidang kedokteran, setelah memenuhi kuota tertentu yang cukup secara statistik dengan memperhatikan kriteria inklusi dan eksklusi, penelitian diakhiri biasanya dengan pernyataan misalnya penelitian dilakukan antara periode September – November 2009 seperti pada penelitian ini.
Insidens Dan Faktor Risiko Fibrilasi Atrium Pasca Bedah Pintas Arteri Koroner Hasril Hadis; Yoga Yuniadi; Idris Idham
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.153

Abstract

Background.Atrial fibrillation (AF) is a frequent complication after coronary artery bypass grafting (CABG). It is associated with an increased risk of mortality and morbidity, predisposes patients to a higher risk of stroke, requires additional treatment, and increases the costs of the post-operative care. This study aimed to determine the incidence, timing, and risk factors for AF after CABG in National Cardiovascular Centre Harapan Kita.Methods.We conducted a retrospective cohort study in 138 consecutive patients with sinus rhythm who underwent CABG. The endpoint of study was new onset in hospital AF. Results.AF developed in 36 patients (26,1%). AF occurred 2,67 ± 1,91days (range 0–7 days) after CABG with a peak incidence on postoperative day 2 and 28 patients (77%) had AF within the first 3 day after CABG. Univariate analysis showed that age = 60 years (P<0.001) and number of graft > 3 (P=0.042) were associated with postoperative atrial fibrillation. In multivariate analysis, age = 60 years (P<0.001) RR 6.198 was found to be independent risk factor of AF following CABG.Conclusions.The incidence of post CABG AF is 26.1% and its independent risk factor is age = 60 years.
Fibrilasi Atrium Pasca-Bedah Pintas Koroner: Seberapa Pentingkah? Muhammad Munawar
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.154

Abstract

Fibrilasi atrium (FA) adalah salah satu komplikasi gangguan irama yang paling sering dijumpai pasca bedah pintas koroner. Menjadi sangat penting karena FA yang terjadi pasca-bedah pintas koroner mempunyai prognosis jangka panjang dan jangka pendek yang kurang baik. Filardo dkk telah melakukan penelitian kohort terhadap 6899 pasien pasca-bedah pintas koroner baru-baru ini dan mendapatkan bahwa angka ketahanan hidup selama 10 tahun pasien dengan FA yang ditemukan pasca-bedah pintas koroner adalah 52.3%, sedang pada pasien dengan irama sinus jauh lebih tinggi yakni 69.4%. FA yang terjadi pada pasca-bedah pintas koroner juga berhubungan denganembolic event seperti stroke, perdarahan gastro-intestinal dan perawatan kembali ke intensive care unit(ICU) serta bertambahnya lam perawatan di rumah sakit.
Perbedaan Luaran Klinis Jangka Panjang Komisurotomi Mitral Transvena Perkutan Berdasarkan Kriteria Keberhasilan Ekokardiografi Dan Kateterisasi Diah R Widowati; Yoga Yuniadi; Nani Hersunarti
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.155

Abstract

Background. Balloon Mitral Valvuloplasty (BMV) can provides effectively the mechanical obstruction relief in mitral stenosis. Achieving a successful BMV based on echocardiographic criteria potentially increase mitral regur-gitation complication. In addition, long-term clinical outcome of a successful BMV based on catheterization criteria has not been widely elaborated. This study aims to compare the long-term clinical outcome of BMV based on the echocardiographic criteria and the catheterization criteria. Methods. A cross sectional study was conducted in mitral stenosis patients after BMV procedure. Patients was divided into 2 groups based on suc-cessful echocardiographic criteria (MVA = 1,5 cm 2vs MVA < 1,5 cm2). The long-term clinical outcome was evaluated using 6 minute walk test and SF-36 questionnaire. Results. Twenty two female patients were fulfilling study criteria with aged 38,8 ±12,0 years and 63,6% in atrial fibrillation. The characteristic between two groups were not significantly different. Six minute walk test results was not significantly different between two groups (6,6 ±0,8 vs 7,3±1,0 p = 0,103). SF-36 physical components summary was not significantly different between two groups (43,0±7,5% vs 42,1±6,7 p = 0,770). Also, SF-36 mental components summary was not significantly different between two groups (50,7±5,9 vs 53,9±8,9 p = 0,338).Conclusion. There was no significantly different of long-term clinical out-come between the echocardiographic criteria of successful BMV and the catheterization criteria of successful BMV.
Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty. What Is The Predictor? Dede Kusmana
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.156

Abstract

Penyakit Katup Jantung khususnya Penyakit Mitral Stenosis masih merupakan masalah yang harus ditanggulangi di negara berkembang termasuk Indonesia. Katup Mitral yang mengalami stenosis dan umumnya disebabkan oleh Penyakit Rheuma akan mengalami perburukan klinis dan hemodina-mik sebanding dengan makin mngecilnya orificium Katup Mitral. Secara hemodinamik tekanan atrium kiri akan meningkat , demikian selanjutnya tekanan Vena Pulmonalis Kanan (RVP-Right Pulmonary Vein ) meningkat.RVP diketahui merupakan faktor yang berperan dalam perjalanan natural penyakit SM dan dapat memengaruhi prognosis pasca tindakan intervensi baik pembedahan maupun intervensi non bedah dan bila terus meningkat maka gagal jantung kanan akan timbul. Penurunan luas katup, menjadi < 2,5 cm2, akan menyebabkan terjadinya peningkatan gradien tekanan. Gejala SM baru muncul ketika MVA telah mencapai 1,5 cm2 atau kurang.Upaya yang dilakukan secara rational menu-runkan tekanan dengan melebarkan diameter orificium katup Mitral melalui Baloon Mitral Valvuloplasty (BMP) atau komisurotomi katup Mitral per Kutan (KTMP).
Hiperviskositas Pada Penyakit Jantung Bawaan (PJB) Sianotik Febtusia Puspitasari; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 31, No. 1 Januari - April 2010
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v31i1.157

Abstract

Increased whole blood viscosity in adults with cyanotic congenital heart disease (CCHD) is an unavoidable result of secondary erythropoiesis and it showed a significant bleeding tendency. The most frequently disturbance of hemostasis are thrombocytopenia and defective platelet aggregation. Acute phlebotomy without volume replacement in patients with hypoxic polycythemia may result in vascular collapse, cyanotic spells, cerebral vascular accidents (CVA), or seizures and repeated phlebotomies may also increase the risk of a CVA by causing chronic iron deficiency.

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