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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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Ablasi Takikardia Ventrikular dengan Pemetaan Elektro-Anatomikal 3 Dimensi Yasmin Tadjoedin; Yoga Yuniadi; Isman Firdaus; Ganesja M Harimurti; Muhammad Munawar
Jurnal Kardiologi Indonesia Vol. 28, No. 2 Maret 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i2.258

Abstract

Tingginya keberhasilan serta rendahnya morbiditas, telah menjadikan ablasi frekuensi radio transkateter sebagai terapi lini pertama pada beberapa jenis aritmia. Angka kesuksesan pada aritmia stabil dengan lokasi anatomis yang dapat diprediksi atau gambaran elektrogram intrakardiak yang khas seperti takikardia ventrikular idiopatik, atau atrial flutter yang bergantung pada ismus telah mencapai 90%.Namun, ablasi dari beberapa aritmia yang lebih kompleks seperti beberapa takikardi atrial, atrial fibrilasi, serta kebanyakan takikardia ventrikular masih merupakan tantangan besar. Hal ini disebabkan antara lain oleh keterbatasan teknik pemetaan kateter konvensional secara fluoroskopi dalam melokalisasi substrat aritmogenik. Ketidak-mampuan untuk menghubungkan secara akurat EKG intrakardiak dengan lokasi endokardium yang spesifik karena gerakan ujung kateter, juga membatasi reliabilitas pemetaan.
“Endovascular Stent Graft” pada Diseksi Aorta Tipe B Dendi Wahyudi; Iwan Dakota; RWM Kaligis; Ismoyo Sunu
Jurnal Kardiologi Indonesia Vol. 28, No. 2 Maret 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i2.259

Abstract

Pada tahun 1970, Nicholls, seorang dokter kerajaan Inggris, melakukan otopsi terhadap King George II yang mengalami kematian mendadak. Ternyata penyebab kematian sang Raja adalah efusi masif perikardium, rongga perikard dipenuhi bekuan darah, akibat robekan dinding aorta. Hirs dkk (1958) pernah membuat penelusuran terhadap 505 penderita dengan gejala klinis serupa, ia memperlihatkan tingginya angka kematian serta sulitnya menegakkan diagnosis, sehingga pasien umumnya meninggal. Kemajuan modalitas pencitraan berperan sangat penting dalam mendiagnosis diseksi akut aorta secara dini, dan kemajuan teknik terapi akhirnya mampu meningkat-kan harapan hidup pasien dengan kelainan ini.
Efusi Perikard Hemoragik pada Penderita Leukimia Mielo-Monoblastik Akut I Made Windutama; Ali Aspar Mappahya; Tutik Harjianti; Fachruddin Benyamin
Jurnal Kardiologi Indonesia Vol. 28, No. 2 Maret 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i2.260

Abstract

A case of a 23 year-old man with haemorrhagic pericardial effusion has been reported. The man came to the hospital due to chest pain, shortness of breath and fever for 5 days. A pericardial effusion was suggested by observing ECG and chest X-ray, later it was proved by echocardiography. Pericardiocentesis was performed, and 650 cc of haemorrhagic fluid was taken out; his condition im-proved dramatically. Acute leukemia has been suggested as the cause, due to high level of White Blood Count. Diagnosis of Acute Myelomonoblastic Leuke-mia (AML) was confirmed by peripheral blood stain and bone marrow aspiration examination. From patient’s history, physical examination, and other tests, no other diseases could suspected as the cause of this hemorrhagic pericardial effu-sion. Chemotherapy of daunorubicin and cytosine-arabinoside was planned for the treatment, but the patient rejected. He was discharged in relatively good condition although the prognosis is still bad.
Patogenesis dan Terapi Sindroma Metabolik Mohammad Saifur Rohman
Jurnal Kardiologi Indonesia Vol. 28, No. 2 Maret 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i2.261

Abstract

Arus globalisasi tidak hanya membawa dampak positif di segala bidang seperti informasi dan teknologi, namun sangat berpengaruh pada pola hidup terutama pola aktivitas dan makan. Produk dari teknologi dan informasi sebagian telah terbukti bermanfaat untuk mempermudah manusia (tidak banyak keluar tenaga), seperti mobil dan sarana transportasi lainnya, eleva-tor/lift, remote kontrol, traktor dan teknologi pertanian lainnya. Namun disisi lain, kemudahan-kemudahan tersebut mengakibatkan pola hidup sed-entary. Disamping itu, makanan tinggi kalori dan cepat saji kini mudah didapat di setiap tempat, amat membantu disela kegiatan rutin yang padat. Dengan demikian terciptalah asupan kalori yang tinggi dengan pemakaian energi yang rendah, lalu sisanya tersimpan dalam bentuk lemak. Sehingga mudah dipahami bahwa, saat ini sudah terjadi epidemi global overweight dan obesitas.
Takikardia dengan QRS lebar dan sempit Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 28, No. 2 Maret 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i2.262

Abstract

Pasien datang dengan keluhan berdebar berulang, rekaman EKG terlihat seperti pada Gambar 1. Bagaimana mekanisme takikardia dengan QRS lebar dan sempit? Perhatikan segmen EKG yang memiliki kompleks QRS sempit. Tampak QRS reguler, dan tidak terlihat adanya gelombangP maupun pseudo r pada setiap antaran (lead). Gambaran yang cukup khas untuk suatu atrioventricular reentrant tachycar-dia (AVNRT).
Natrium Urin Petanda Surrogate Brain Natriuretic Peptide Plasma Pasien Infark Miokard dengan Elevasi ST? Januar W Martha; Hariadi Hariawan; S Taofan; Nani Hersunarti; Bambang B Siswanto
Jurnal Kardiologi Indonesia Vol. 28, No. 1 Januari 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i1.263

Abstract

Background. High level of Brain Natriuretic Peptide (BNP) was suspected as a predictor of adverse events in acute ST Elevation Myocardial Infarc-tion (STEMI). Unfortunately, the cost and availability of BNP assay had hampered its use. Natriuresis is one of the hallmark effect of raised BNP and measuring urinary sodium might offer insight to the plasma BNP. This study aims to search for any correlation between measured plasma BNP and urinary sodium in patients presenting with acute STEMI.Methods. In an observational descriptive analytic study, we selectively in-cluded patients presenting with acute STEMI and checked for plasma BNP and urinary sodium. All patients had no symptoms or therapy of heart failure prior to admission, had no prior MI, had no valvular abnormalities, and had normal renal function. Plasma BNP was tested using immunoassay method from Abbot Diagnostics, while urinary sodium with ionic specific electrode method. Specimen for plasma BNP were taken at the admission while urinary sodium in the next morning, taking account of urine volume. Results. There were 17 patients, 15 were (82.4%) men, with age 55.1+8.2 years old, onset of STEMI 18.6+2.3 hours, and left ventricular ejection fraction (LVEF) 47.6+11.6%. The urinary sodium was 85.1+34.3 mEq/L, and plasma BNP 449.7+48.8 pg/ml. Pearson’s correlation and linear re-gression analysis showed positive correlation between urinary sodium and plasma BNP (r = 0.71). In multivariate analysis, plasma BNP (p<0.01) and LVEF (p<0.05) were the major influencing factors for urinary sodium level.Conclusion.This study revealed a strong correlation between plasma BNP and urinary sodium in patients presenting with acute STEMI. While mea-surement of urinary sodium cannot replace plasma BNP, it might actually reflect plasma BNP level.
Kadar Ischemia Modified Albumin pada pasien Angina Pektoris Stabil yang menjalani Percutaneous Coronary Intervention Hariadi Hariawan; Otte J Rachman; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 28, No. 1 Januari 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i1.264

Abstract

Background. Ischemia Modified Albumin (IMA) is a biomarker of myocardial ischemia. Blood levels of IMA rise in patients who develop ischemia during percutaneous coronary intervention (PCI). This study evaluated the relation between IMA levels and variables of procedure during coronary angioplasty such as number of balloon inflations, inflation pressure and duration of inflations in patients with stable angina pectoris who underwent PCI. Methods and results. Twenty three consecutive patients (21 men and 2 women), range of age 41 to 80 years old with stable angina pectoris underwent elective PCI between March to April 2006. Blood samples were drawn from femoral or radial artery sheath 10 minutes before PCI and 10 minutes after the last balloon inflation for IMA levels measurement. IMA levels increased positive from 95.26+8.44U/mL before PCI to a level 135.07+18.80U/mL after PCI (p<0.0001). All of the patients used stents except in 2 cases. There are significant correlation between elevation of IMA levels with number of balloon inflation (r=0.59;p=0.003), total pressure inflation (r=0.48;p=0.02) and total duration of balloon inflation (r=0.48;p=0.02).Conclusion. Ischemia Modified Albumin (IMA) levels significantly elevated after percutaneous coronary angioplasty (PCI). There were positive correlation between numbers of inflations, total pressure and total duration of balloon inflations.
Distorsi Terminal Komplek QRS pada Infark Miokard Akut Inferior sebagai prediktor kejadian High-degree AV Block A Sewianto; M Kasim; M Yusak
Jurnal Kardiologi Indonesia Vol. 28, No. 1 Januari 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i1.265

Abstract

Background. ST elevation in acute myocardial infarction can predict the size of infarction, response to reperfusion therapy, and prognosis. Birnbaum et al. showed that early QRS distortion is a reliable prediction of the devel-opment of advanced AV block among patients receiving thrombolytic therapy for inferior wall acute myocardial infarction. Distortion of the ter-minal portion of the QRS in inferior wall acute myocardial infarction based on J point / R wave ratio of more than 50% in at least two leads of the inferior leads (II, III, and aVF). Although transient, development of heart block during inferior infarction is associated with a high in-hospital mortal-ity rate, even they received thrombolytic therapy. Some studies showed ethnic differences in electrocardiogram amplitudes. The aims of this study is to evaluate the correlation between early QRS terminal distortion and high degree AV block among our patients with inferior acute myocardial infarction treated by thrombolytic.Methods and results. This study is a cross-sectional study on patients with inferior wall acute myocardial infarction treated by thrombolytic at National Cardiovascular Center – Harapan Kita, Jakarta during January 2000 until December 2004, that fulfill inclusion and exclusion criteria. They were divided into two groups, those with QRS distortion and without QRS dis-tortion. Correlation between the two groups were analyzed by t test, chi-square and multivariate regression analysis. There are 186 patients, ages between 37 until 72 years old, mostly men (89%) which are 93 patients with QRS distortion and 93 patients without QRS distortion. Those two groups were comparable. With univariate analysis, the group with QRS distortion have higher ST segment deviation (9,61±3,67 vs 7,76±3,53, p=0,001) and higher risk of failed thrombolytic (74,2%vs60,2%, p=0,042).With multivariate regression analysis, there is a significant correlation be-tween QRS distortion and high-degree AV block (OR 2,5; 95% CI 1,04-6,01; p=0,04), most AV block happened during hospitalization.Conclusions. Patients with distortion of the QRS terminal portion in in-ferior acute myocardial infarction and treated by thrombolytic have a higher risk of high-degree AV block during hospitalization, compared to patients without QRS distortion.
Prediktor Kegagalan Intervensi Koroner Perkutan pada Oklusi Total Koroner Kronik di Pusat Jantung Nasional, Indonesia I Gumiwang; Muhammad Munawar; RWM Kaligis
Jurnal Kardiologi Indonesia Vol. 28, No. 1 Januari 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i1.266

Abstract

Background. Percutaneous Coronary Intervention (PCI) in patients with Chronic Total Coronary Occlusion (CTO) is associated with higher rate of failure and higher rate of complication compared to non-CTO angioplasty. Improvement in technique, logistic and patient’s selection method lead to a better success rate. Identification of predictor of failure could be an important step in patient selection. The aim of the study is to know the predictors of failure of PCI in patients with CTO.Methods and results. A retrospective analysis of clinical and angiographic data of 78 consecutive eligible CTO patients who underwent PCI selected in series of 1205 total occluded vessel of 3654 angiographic patients in the year of 2005 in our catheterization laboratory. We analysed 25 variables, 12 clinical variables (age, sex, family history, smoking, diabetes mellitus, hypertension, history of myiocardial infarction, history of coronary bypass operation, age of occlusion >1 year, severe angina and poor left ventricle systolic dysfunction)and 13 angiographic variables (true CTO, CTO location, ostial lesion, calcification, tortousity, non-tapered type, side branch type, bridging collateral, diffuse disease, vessel diameter < 3mm, CTO length > 15mm, multi-lesion and multi vessel disease)by univariate and multivariate analysis (logistic regression) in association between 21 cases of procedural failure group and 57 cases of procedural success group. Procedural success was achieved in 57 patients (73%) and complication occured in one patient (1%). Majority of patients are male with mean age 55 year. Presence of calcification is the only predictor identified by univariate analysis (OR 3,28. p 0,04. 95%CI 1.05-10,18). Multivariate analysis identified multivessel disease (OR 7,1. p 0,07 .95%CI 0,85-59,21) and diffuse disease (OR 2,7. p 0,06 .95%CI 0,93-8,08) as predictors of procedural failure.Conclusions. We identified multivessel disease and diffuse disease as two predictors of procedural failure of PCI in our series of CTO patients with 73% success rate and 1% complication rate in the year of 2005.
Pengaruh Terapi Oksigen Hiperbarik terhadap kadar Vascular Endothelial Growth Factor (VEGF) pada pasien Ulkus Diabetik MR Akbar; RWM Kaligis; M Kasim
Jurnal Kardiologi Indonesia Vol. 28, No. 1 Januari 2007
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v28i1.267

Abstract

Background. Hyperbaric oxygen therapy (HBOT) increase endothelial oxygenation and stimulates vascular endothelial growth factor(VEGF) as the most specific and potent growth factor for angiogenesis, and increases wound healing process. The aim of the study is to know if five days HBOT can increase the level of VEGF in diabetic ulcer patients. Methods and results. Clinical experimental study was conducted on 12 diabetic ulcer patients who received HBOT 30 minutes, 3 times a day for 5 days (HBOT group) and 10 diabetic ulcer patients as a control group who did not receive HBOT (non-HBOT group). The VEGF level in both groups was measured on days 1 and 5. In HBOT group the mean level of VEGF on day 1 was 1241.325 + 237.6533 pg/ml and became 1244.458 + 264.5641 pg/ml (p = 0.583) on day 5, while in non-HBOT group the mean level of VEGF on day 1 was 1262.350 + 227.9603 pg/ml and became 1112.460 + 220.3795 pg/ml (p = 0.093) on day 5. There were no signifi-cant differentiation of VEGF level between HBOT group and non-HBOT group both on day 1 (p = 1) and day 5 (p = 0.872) Conclusions. Hyperbaric oxygen therapy for 5 days did not increase the VEGF level of diabetic ulcer patients.

Page 39 of 72 | Total Record : 712

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