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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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Peran Gap Junction pada Patofisiologi Fibrilasi Atrial Alexander Edo Tondas; Yoga Yuniadi
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.v31i1.158

Abstract

Initiation of atrial fibrillation (AF) occurred when there is a combination of triggering factors (mainly originated from thoracic veins) and arrhytmogenic substrate, such as : reduction of effective refractory period (ERP), increase in refractory spatial dispersion, or abnormal atrial impulse conduction. Atrial fibrillation has an ability to maintain its own progression, so called ‘AF begets AF’. Prologed AF episodes will lead to structural and electrical remodeling, making the patient prone to the recurrent and sustained AF. Structural remodeling, detected in the late phase, involve changes in mitochodrial size, disorder of sarcoplasmic reticulum in subcellular level, and myocardial cell hypertrophy, fiber disarray and elevated collagen deposition in the tissue level. Meanwhile, electrical remodeling of AF will cause delayed effective refractory period, promoting reentry mechanisms. Changes in gap junction regulation and distribution has been noted as part of this remodeling process. Mutation of connexin40 gene, a component protein of gap junction, also has a role in some cases of lone AF.
A young man with typical STEMI presentation: A case of myocarditis A Cardiac MRI Diagnosis Saskia D Handari; Joseph B Selvanayagam
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.v31i1.159

Abstract

A 19 years old man, originated from Kongo, presented to a hospital with acute chest pain since several hours before admission. The pain was sharp in quality, distributed in the middle of left chest, not exercise related and not radiating. Although there were times in which the patient felt the pain was downgrading, it did not totally fade away. The patient was non-smoker with no risk factors of diabetic, hypertension and dyslipidaemia. He was oriented with temperature of 38.5 C, pulse was 110 tpm, blood pressure was 128/85 mmHg with fast and shallow respiration at the rate of 32 tpm. S1/S2 normal, no additional sound and significant murmur detected. Apart from minimal harsh respiratory sound at the basis of left lung, the examinations of JVP, lung and abdomen were unremarkable. Since 7 days before admission, the patient suffered cough, runny nose and throat pain with feverish but did not seek treatment for it. ECG showed sinus tachycardia with ST-elevation in inferior and anterolateral leads. Elevated cardiac enzymes CKMB 32 and Trop T 1,86.
Pemeriksaan Stenosis Mitral Akibat Proses Rheumatik Dengan Ekokardiografi Ario Soeryo Kuncoro
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.v31i1.160

Abstract

Stenosis mitral (SM) merupakan salah satu penyakit katup mitral yang paling sering dijumpai di negara-negara berkembang seperti di Indonesia ini. Diagnosis awal kecurigaan suatu SM tentunya ditegakkan dari pemeriksaan fisik, anamnesa yang baik dan pemeriksaan penunjang yang sederhana lainnya seperti elektrokardiogram ataupun roentgen toraks. Ekokardiografi berperan sebagai alat untuk menegakkan diagnostik pasti sekaligus memberikan arahan manajemen selanjutnya serta menentukan prognosis pasien ke depannya. Untuk itu metode pemeriksaan dan pelaporan katup ini memerlukan keseragaman dalam rangka memberikan informasi yang lengkap bagi pasien dan kardiolog yang menanganinya untuk menentukan manajemen berikutnya.
Suatu Variasi Takikardia QRS Sempit Regular Yoga Yuniadi
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.v31i1.161

Abstract

Seorang perempuan, 51 tahun datang ke UGD dengan keluhan utama berdebar dan sesak nafas. Sesak nafas makin memberat dalam satu minggu terakhir. Terdapat dyspnoe on effort dan orthopnoe. Keluhan berdebar sudah dirasakan sejak beberapa bulan sebelumnya. Pada pemeriksaan fisik didapatkan tanda-tanda gagal jantung dengan gambaran rontgen thorax yang menunjukkan CTR 65% dan tanda bendungan paru. Rekaman EKG di UGD diperlihatkan pada gambar 1.
Rehabilitasi Kardiovaskular Di Indonesia Basuni Basuni; Andang H Joesoef; Dede Kusmana
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.162

Abstract

“A process by which a person is restored to an optimal physical, medical, psychological, social, emotional, sexual, vocational and economic status.” Itulah definisi Cardiac Rehabilitation dari WHO tahun 1969, yang kemudian ‘disempurnakan’ pada saat ini dengan memperhatikan dasar penyakit, proses dan kondisi pasca sakit. Definisi tersebut dijabarkan dalam definisi terkini yaitu:“The rehabilitation of cardiac patients is the sum of activities required to influence favourably the underlying cause of the disease, as well as the best possible physical, mental and social conditions, so that they may by their own efforts, preserve or resume when lost, as normal a place as possible in the society”.
Kesesuaian Pengukuran Hemodinamik Secara Non-Invasif Dan Invasif: Apakah Aplikatif? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.163

Abstract

Upaya penyederhanaan pengukuran –pengukuran invasif dengan pengukuran non-invasif selalu menarik untuk diteliti. Jika pengukuran yang lebih sederhana dan non-invasif dapat memiliki akurasi mendekati baku emas pengukuran invasif tentu akan sangat bermanfaat bagi pasien. Pada jurnal ini Priyana dkk mencoba meneliti kesesuaian pengukuran tahanan vaskular sistemik (TVS) antara Swan-Ganz dengan ekokardiografi transtorakal .TVS adalah tahanan terhadap aliran darah oleh seluruh vaskularisasi sistemik di luar vaskularisasi paru. TVS kadang disebut juga sebagai total peripheral resistance(TPR). TVS ditentukan oleh faktor-faktor yang mempengaruhi tahanan vaskular pada setiap vascular beds. Mekanisme yang menimbulkan vasokonstriksi akan meningkatkan TVS, sementara mekanisme yang menyebabkan vasodilatasi akan menurunkan TVS. Sekalipun TVS secara primer ditentukan oleh perubahan diameter pembuluh darah, tetapi perubahan dalam viskositas darah juga berpengaruh terhadap TVS.
Kejadian Kardiovaskular Selamat Perawatan Pasca IMAInferior Dapat Diprediksi Dengan Rasio Tinggi Titik J/Gelombang R Sonny H Wicaksono; Yoga Yuniadi; Nani Hersunarti
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.164

Abstract

Introduction: Some patients with acute inferior ST-Elevation Myocardial Infarction (STEMI) experienced in-hospital events such as Brady-arrhythmias and hypotension after primary angioplasty. Those events have been associated with proximal lesion and larger final infarct size. Some variables associated with such conditions are ischemic preconditioning, hyperglycemia and patterns of initial ECG of J point/R wave ratio > 0,5. We sought to determine variables that can predict in-hospital cardiovascular events in patients with acute inferior STEMI after primary angioplasty.Methods: The present study is a case-control study involving patients with acute inferior STEMI underwent primary angioplasty, grouped based on presence of in-hospital cardiovascular event. Univariate and multivariate analyses were conducted to variables related with in-hospital cardiovascular events after primary angioplasty.Results: There were total 96 subjects (48 cases and 48 controls) with acute inferior STEMI underwent primary angioplasty recruited for this study. Multivariate analysis revealed ratio of J point/R wave >0,5 is significant predictor for in-hospital cardiovascular events after primary angioplasty (OR 9,532; 95% CI: 3,406-26,678; p<0,001). Conclusion: In-hospital cardiovascular events in patients with inferior STEMI after primary angioplasty can be predicted with initial ECG patterns ratio of J point/R wave > 0,5.
Rasio Tinggi Titik J/Gelombang R Sebagai Prediktor Kejadian Kardiovaskular Pasca IMA Inferior Anna Ulfah Rahajoe
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.165

Abstract

Elektrokardiografi (EKG) merupakan alat yang paling sering digunakan untuk menegakkan diagnosis dini dan stratifikasi risiko pada pasien infark miokard akut (IMA). Iskemia derajat I digambarkan sebagai gelombang T yang tinggi disertai elevasi segmen ST < 0.1 mV. Pada iskemia derajat II terlihat elevasi segmen ST dengan gelombang T yang positif tanpa distorsi terminal QRS. Sedangkan pada derajat III tampak elevasi segmen ST, dengan gelombang T yang positif disertai distorsi bagian akhir kompleks QRS, yang berakhir dengan infark miokard lebih luas dan ancaman kematian yang lebih besar. Kejadian kardiovaskular yang sering menyertai IMA inferior adalah hipotensi, bradikardi, blok atrioventrikular (AV) derajat 3 (blok AV total), henti jantung, takikardi atau fibrilasi ventrikel. Semakin proksimal sumbatan, semakin luas infark yang terjadi, maka semakin tinggi pula angka kejadian kardiovaskular tersebut.
Contrast Induced Nephropathy Nurul R Ningrum; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.166

Abstract

Incidens of contrast induced nephropathy (CIN) ranging from 0 to 100% in retrospective cohort studies depend on its definition, method of investigation and subject characterization. In National Cardiovasculars Center Harapan Kita, CIN incidence after percutaneous coronary intervention was 25% using definition of 0.5 mg/dl increase of serum creatinine. Clinical spectrum of CIN is widely variably from only creatinine serum increment to acute renal failure.Pathogenesis of CIN is related to hemodynamic compromize of renal blood flow and direct toxic effect of contrast media. Some factors were identified as CIN risk factors such as previous renal status, diabetes mellitus, hidration status, contrast volume and osmality. Score system has been developed to predict CIN risk after percutaneous coronary intervention. The Society of Cardiovascular Angiography and Intervention (SCAI) proposed guideline to prevent CIN after percutaneous coronary interventions.
Revolusi Genomik dan Masa Depan Kardiologi (Preventif); Ilustrasi Kasus: Penyakit Jantung Koroner pada Kembar Identik Sunu Budhi Raharjo; Andang Hamiarsa Joesoef; Budhi Setianto
Jurnal Kardiologi Indonesia Vol. 30, No. 2 Mei - Agustus 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i2.167

Abstract

The Simon Dack Lecture, salah satu sesi paling bergengsi dari pertemuan ilmiah tahunan The American College of Cardiologysecara berturut-turut menampilkan tiga pembicara dengan latar belakang yang berbeda, tetapi memberikan pesan yang senada dan saling memperkuat. Diawali pada tahun 2003, Dr. Eugene Braunwald, mahaguru kardiologi, memberikan pandangannya mengenai Cardiology: The Past, The Present and The Future; kemudian tahun 2005, Dr. Eric Topol, ahli jantung intervensi dari California, memberikan kuliah dengan judul The Genomic Basis of Myocardial Infarction, dan pada tahun 2006, Dr. Elizabeth Nabel, Direktur NHLBI (National Heart Lung and Blood Institute), menyampaikan visinya dengan topik Genomic Medicine and Cardiovascular Disease. Ketiga dedengkot kardiologi Amerika itu ternyata memiliki visi yang serupa dalam melihat kardiologi di masa depan: bahwa revolusi genomik akan memberikan kontribusi yang signifikan dalam perkembangan ilmu dan praktek kardiologi di masa yang akan datang. Tulisan ini mencoba menyarikan perspektif ketiga tokoh kardiologi dunia tersebut, disertai ilustrasi kasus yang ada di tanah air untuk menggambarkan bahwa perspektif yang mereka berikan sangat relevan dengan situasi di tanah air, serta ditambah beberapa referensi terkini, untuk melihat masa depan kardiologi, utamanya kardiologi preventif.

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