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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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Profil Pemulihan Laju Jantung Orang Terlatih Adhantoro Rahadyan; Yasmin Tajoedin; Basuni Radi
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.198

Abstract

Background. A faster recovery of heart rate after exercise has long been associated with higher level of fitness and prognosis. Recent studies have suggested that the rate in which heart rate recovers from exercise or heart rate recovery (HRR) is mediated by autonomic factors, particularly the rate at which vagal tone is reactivated. Several studies were published addressing the diagnostic and prognostic utility of HRR in patients with cardiac disease. This study was to obtain the value of HRR of well-trained men. Methods. It was an observational study that involved well-trained men who underwent medical examination included treadmill stress test in Saryanto Institute of Aerospace Medicine Jakarta.The value of the HRR was defined as the decrease of heart rate from peak exercise to second minute of recovery period. Results. One hundred and twenty eight subjects participated in the study. Thirty five were excluded due to incomplete data. The mean age was 22 ± 1.0 years. Mean heart rate recovery at 2 minutes was 57 ± 10 beat per minute. No different between those with resting heart rate of less than 60 and more than 60 (55 ± 10 vs 58±10 bpm; p:0.1) and amongs different fitness levels (Q1 vs Q4 : 56 ± 11 vs 59 ± 7 bpm, p:0.3)Conclusion. Heart rate recovery at 2 minutes in well-trained men was 57 ± 10 beat per minute.
Drug Induced Long QT Januar Wibawa Martha
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.199

Abstract

A 54 years old cattle-farm owner was found un-conscious by his daughter at his living room. After she repeatedly shook his body, he regained consciousness without any impairment. He told his daughter that before collapse he suddenly felt weakness all over his body, a bit lightheaded and a brief period of palpitation. On the next day he experienced the same symptom, and this time he fainted at the farm. He was rushed to 24-hour infirmary, but he recovered before reaching the clinic. He afterwards was seen by a doctor and was told to have a mild stroke. He was referred to emergency department at a nearby hospital where he passed out for the third time; but this time was witnessed by his daughter. She noted that before he fell down, he was having a short period of seizure. A neurologist was among the first physician who saw him and noticed that the patient had a very slow pulse. He accordingly consulted the patient to cardiologist due to bradycardia.
Stroke Iskemik Pasca Terapi Fibrinolitik Z Zulkarnaini
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.200

Abstract

Reperfusi dini dengan fibrinolitik merupakan kemajuan besar dalam menurunkan morbilitas dan mortalitas pasien infark miokard akut (IMA) dengan elevasi seg-men ST (ST Elevation Myocardial Infarction/STEMI). Selain secara signifikan menurunkan angka mortalitas jangka pendek dan jangka panjang, juga terbukti menin-gkatkan kualitas hidup.Namun, terapi fibrinolitik juga dapat meningkatkan risiko stroke, dilaporkan angka kejadiannya mencapai 0,5-1%. Bila stroke terjadi, angka mortalitasnya sangat tinggi tinggi, yakni 45-75%.3.Di Pusat Jantung Nasional Harapan Kita (PJN-HK), pada tahun 2004 tercatat 3 kasus stroke setelah terapi fibrinolitik dan salah satunya meninggal, se-dangkan pada tahun 2006 ditemukan satu kasus lagi. Oleh karenanya, penting untuk difahami faktor risiko, penyebab serta upaya-upaya yang dapat dilakukan untuk menghindari terjadinya komplikasi tersebut. Tujuan dari presentasi kasus ini adalah untuk mendiskusikan kejadian stroke iskemik pasca terapi fibrinolitik.
Rhabdomyoma Penyebab Obstruksi Ventrikel Kiri Pada Neonatus Umur Dua Hari S Suryono; Mahrus A Rachman; Teddy Ontoseno
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.201

Abstract

Tumor intrakardiak pada pediatri sangat jarang ditemukan, kejadiannya hanya mencapai 0,001% sampai 0,003% dari semua kasus yang diterima di rumah sakit rujukan. Rhabdomyomamerupakan tumor jinak intrakardiak yang ditemukan pada bayi di bawah usia satu tahun, kejadiannya mencapai lebih dari 75% dari keseluruhan kasus tumor jantung dengan distribusi sama antara pria dan wanita.Rhabdomyomabiasanya multiple, berukuran antara beberapa millimeter hingga beberapa sentime-ter; lokasinya dapat intramural pada dinding, septum bahkan pada rongga ventrikel. Gambaran klinisnya dapat berupa : obstruksi ventrikel, aritmia dan kematian mendadak.Obstruksi ventrikel kiri (left ventricle/LV) yang ditandai dengan gagal jantung merupakan mani-festasi klinis Rhabdomyomayang sangat langka.Diagnosis dini tumor jantung (Rhabdomyoma) pada LV merupakan hal penting karena tindakan be-dah diharapkan dapat memberikan perbaikan klinis dan harapan hidup lebih panjang, meskipun reseksi sempurna tidak selalu tercapai.
Enhanced External Counterpulsation (EECP) dan Arah Masa Depan Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.202

Abstract

Diperkirakan 6,4 juta pasien di USA menderita penyakit jantung koroner (PJK) simptomatik (Coronary Artery Disease/CAD), dan sekitar 400.000 kasus baru muncul tiap tahunnya. Meskipun telah diIakukan terapi medis optimal dan prosedur invasif seperti angioplasti dan bedah pintas koroner (coronary artery bypass graft/CABG), diperkirakan terdapat 300.000 – 900.000 pasien menderita angina pektoris refrakter (RAP). Sekitar 25.000 - 75.000 kasus baru RAP terdiagnosa tiap tahunnya.Saat ini ada beberapa terapi alternatif non farmakologis bagi pasien RAP dengan atau tanpa gagal jantung, yaitu : neurostimulasi (rangsangan listrik syaraf transkutaneus dan stimulasi medula spinalis), EECP (Enhanced External Counterpulsation), teknik revaskularisasi laser, terapi gen, dan prosedur intervensi terbaru seperti perkutaneus in situ koronari venous arterialisasi atau perkutaneus in situ coronary artery bypass. Dari modalitas-  modalitas terapi tersebut, EECP mewakili teknik yang benar-benar non-invasif. EECP dapat mengurangi gejala angina dan area iskemik miokard secara obyektif, serta memperbaiki fungsi sistolik maupun diastolik ventrikel kiri. Makalah ini akan meringkas bukti-bukti yang ada saat ini tentang penggunaan terapi EECP pada angina stabil dan gagal jantung. Juga dibicarakan arah pemakaian EECP di masa mendatang.
Gambaran Gigi Gergaji Pada Takikardia QRS Sempit Iregular Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.203

Abstract

Seorang laki-laki 53 tahun, dirawat dengan keluhan jantung berdebar cepat dan tak teratur. Dirasakan hilang timbul sejak 6 bulan yang lalu. Terdapat angina pectoris pada saat berdebar. Riwayat hipertensi yang terkontrol dengan terapi amlodipin 5 mg. Pasien diketahui menderita PJK pasca pemasangan drug eluting stent di RCA dan LAD.
Penilaian Disinkroni Kardiak Dengan Pemeriksaan Ekokardiografi Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 28, No. 6 November 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i6.204

Abstract

Penilaian disinkroni kardiak merupakan salah satu aspek penting dari pemeriksaan ekokardiografi dalam menilai fungsi jantung. Disinkroni (disinkroni mekanik) adalah suatu gerakan yang tidak sinkron atau tidak seragam dari otot jantung. Bila ditinjau dari periode dalam siklus jantung, disinkroni bisa terjadi pada saat sistolik maupundiastolik. Walaupun demikian, sampai saat ini baru disinkroni sistolik yang banyak diteliti dan diketahui implikasi klinisnya pada beberapa kelainan jantung.
Dynamic Interaction Between Organellas In the Management of Cytosolic Calcium Huvecs Exposed to 22 mM Glucose With Different Period Exposure Olly Indrayani PWM; Djanggan Sargowo; Mochammad Aris Widodo; Rully MA Roesli; S Sumarno
Jurnal Kardiologi Indonesia Vol. 28, No. 6 November 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i6.205

Abstract

Background.In our previous research, when cell culture were exposed to high glucose, this will cause the increase of H2O2. At the exposure to 22 mM glucose on 3rd day, the increase of H2O2 that induced the activation of Phospholipase C (PLC) have caused 1P3 (Inositol tri-phosphate) mobilizing the release of Ca²+ from the depo Endoplasmic reticulum (ER). Thus, causing the increase of cytosolic Ca²+. Giving thapsigargin (TG) will cause significant increase in Cytosolic Ca²+ so that the most contribution to the increasing of Cytosolic Ca²+ derives from the ER . On the 7th day exposure, H2O2 played the same role as TG, causing direct incease in Cytosolic Ca²+ and an addition of Ca²+ free/buffer ethyleneglyco bis (ßaminoethyl ether).&NNN’N’– tetraacetic acid (EGTA) caused significant decrease of cytosolic Ca²+ basal and the greatest contribution to the increase of cytosolic Ca²+ on the 7th day, comes from extracellular. Administrating Cyclosporin A (CSA) 10 µM on the 9th day, caused significant decreasing on cytosolic Ca²+ basal, the ability of CSA in decreasing Ca²+ basal concentration was less than the 3rd and 7th days. At a high glucose condition with different length of exposure, a change of new cytosolic Ca²+ homeostatic regulation occurred and this enable a change in the dynamic interaction among ER, extracellular and mitochondria.Method.HUVECs culture exposed to 22 mM glucose for 3, 7 and 9 days. The cells were incubated with FURA2-AM. The evaluation of fluorescence cytosolic Ca²+ was done by epifluorescence Nikon digital camera-computerized analyser. To measure the cytosolic Ca²+ concentration we use Histogram Image Corel Draw Photo Paint 12.Result. Exposure to glucose 22mM on the 3rd day (65.4 ± 12.2) it showed the increase of cytosolic Ca²+ by giving Ca²+ free/EGTA 1 mM and CSA 10 mM caused the decrease of cytosolic Ca²+ (33.2 ± 4.47) TG1µM and CSA caused the decrease of cytosolic Ca²+ basal (53.07 ± 2.75) and Ca²+ -free/EGTA, TG and CSA (68.59 ± 5.71). On the 7th day exposure (92.74 ± 7.66) the decrease of cyto -solic Ca²+ basal occurred at the giving of Ca²+ -free/EGTA, TG (50.52 ± 9.23). EGTA and CSA (45.59 ±6.2). TG and CSA (73.55 ± 7.30), Ca²+ -free/EGTA and TG much more decrease the concentrate of cytosolic Ca²+ basal (17.58 ±4.5). On the 9th day of exposure to glucose (72.32 ±7.46), the giving of Ca²+ -free/EGTA, TG and CSA(35.76 ± 5.25) have caused the decrease of cytosolic Ca²+ basal. Conclusion.HUVECs culture exposed to 22mM glucose will cause the increase in H2O2and cytosolic Ca²+ basal. ER, mitochondria and extracellular regulate the Cytosolic Ca²+ and a dynamic interaction occurred among them to obtain a new homeostatic.
Hipertrofi Ventrikel Kiri Disertai Dengan Pembesaran Diameter Osteum Vena Pulmonal Radityo Prakoso; Erika Maharani; Mohammad Syaifur Rohman; Budiyanto Nagawidjaja; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 28, No. 6 November 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i6.206

Abstract

Background:Hypertensive heart disease, characterized with left ventricular hypertrophy (LVH), which is usually accompanied with left ventricular dysfunction, is prevalent in the community and associated with increased of ostial pulmonary vein diameter. We investigate pulmonary vein diameter in its relationship to left ventricular hypertrophy.Methods and Results: Ostial pulmonary veins divided into four parts, left superior (LS), right superior (RS), left inferior (LI), and right inferior (RI), were assessed by spiral multisliced computed tomography (MSCT) in 46 sinus rhythm subjects. LVH was analyzed by measuring the thickness of interventricular septum by MSCT. There were 23 patients with LVH, and the rest were normal. According to Pearson correlation analysis, we found a significant positive correlation between the degree of LVH and ostial diameter of RS, RI, and LS (p<0.05).Conclusion:Left ventricular hypertrophy is associated with right superior, right inferior and left superior pulmonary veins dilatation.
Sensitivitas Barorefleks pada Penderita Penyakit Jantung Koroner yang Menjalani Intervensi Koroner Perkutan Cholid Tri Tjahjono; Muhammad Munawar; RWM Kaligis; Idris Idham
Jurnal Kardiologi Indonesia Vol. 28, No. 6 November 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i6.207

Abstract

Background.Autonomic dysfunction contributes to incidence of ventricular arrhythmias and sudden cardiac death in patients with coronary artery disease (CAD). Revascularization, for example percutaneous coronary intervention (PCI), is intended to improve myocardial perfusion. Besides that, PCI is considered to improve autonomic dysfunction. This study is aimed at assessing baroreflex sensitivity (BRS) in patients with CAD before and after PCI.Methods. Patients with angiographically having coronary stenoses = 50% who underwent coronary angioplasty at the catheterization laboratorium of National Cardiovascular Center Harapan Kita, Jakarta, were included in this study. Baroreflex sensitivity was calculated by administering nitroglycerin 300 µg intra aortic before and after PCI.Results.Subjects comprise of 8 (42%) male and 11 (58%) female, aged 57.5 ± 9.3 year old. Most of subjects had dyslipidemia (57%), were smoker (42%), had hypertension (42%) and only 3 (16%) had diabetes mellitus. Nine (47%) of subjects had previous history of myocardial infarction. Medications suspected affecting baroreflex sensitivity, which were used by the time of study included nitrate (63%), beta-blockade (58%), and calcium antagonist (32%). Mean value of baroreflex sensitivity pre-PCI and post-PCI were 2,51+3,23 ms/mmHg and 1,96+1,61 ms/mmHg (p=0,412), subsequently. Multivariate analysis with logistic regression showed that nitrate has significant effect on decreased BRS soon after PCI (p=0,023; CI 95% 1,496-216,62;OR 18,00).Conclusion. In patients with Coronary Artery Disease, immediately after percutaneous coronary intervention, barorefelex sensitivity was decreased. Nitrate has significant effect on alteration of barorefelex sensitivity.

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