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Raymond Pranata
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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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Intimal Media Thickness Karotis Pada Penderita Gagal Jantung Kronik Sutomo Kasiman
Jurnal Kardiologi Indonesia Vol. 30, No. 3 September - Desember 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i3.279

Abstract

Pada studi kohort resiko kematian penderita gagal ginjal kronik (GGK) lebih berhubungan dengan faktor resiko tradisional seperti hipertensi dan diabetes mellitus dibanding dengan faktor resiko yang lebih baru seperti C-reactive protein (CRP) dan fibrinogen. Faktor resiko konvensional didasarkan pada faktor-faktor yang biasa digunakan dalam stratifikasi resiko penyakit kardiovaskular seperti pada kohort Framingham, yaitu: usia tua, laki-laki, hipertensi, diabetes, merokok, dislipidemia dan LVH. Faktor resiko non-konvensioanl tidak didasari pada faktor aterosklerosis pada umumnya, namun faktor resiko yang dapat meningkat pada saat menurunnya fungsi ginjal, seperti inflamasi atau hal yang khusus yang berkaitan dengan pasien GGK seperti anemia.
Implantable Cardioverter Defibrillator Dicky Armen Hanafy
Jurnal Kardiologi Indonesia Vol. 30, No. 3 September - Desember 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i3.280

Abstract

Ide penggunaan Implantable Cardioverter Defibrillator (ICD) untuk pencegahan kematian jantung mendadak pertama kali dicetuskan oleh Dr. Michel Mirowski pada tahun 1970. Sejak itu ICD berkembang dari sebuah prototipe yang dicoba pada binatang menjadi alat yang canggih yang ada saat ini dan diimplantasi pada manusia pada tanggal 4 Februari 1980. Sejak itu teknologi defibrillator berkembang sangat pesat dan ICD sekarang dianggap sebagai pilihan utama untuk pasien yang selamat dari henti jantung dan untuk prevensi primer pada pasien yang beresiko tinggi.
Takikardia QRS Lebar Regular: Apa Mekanismenya? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 30, No. 3 September - Desember 2009
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v30i3.281

Abstract

Seorang pria, 66 tahun, datang ke UGD Pusat Jantung Nasional Harapan Kita (PJNHK) dengan keluhan palpitasi. Tidak ada angina pectoris. Pasien dikenal sebagai pasien lama PJNHK dengan penyakit jantung koronek (PJK) dan riwayat dilakukan CABG. Hemodinamik cukup stabil dengan TD 110/60 mmHg. Rekaman EKG sadapan diperlihatkan pada Gambar 1: Apakah mekanisme takikardia di atas?
Korelasi Antara Kadar Lp-PLA2, MDA, F2-Isp di Serum dan Jaringan Aorta dengan Jumlah Sel Busa dalam Proses Aterogenesis pada Tikus Wistar Retno Susilowati; Djanggan Sargowo; Rasjad Indra; Askandar Tjokroprawiro; Sri Widyarti
Jurnal Kardiologi Indonesia Vol. 33, No. 4 Oktober - Desember 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i4.288

Abstract

Background. Atherogenesiswas initiated by cholesterol deposits on foam cell in sub intimae of blood vessel stress oxidation. Atherogenesis in non- hypercolesterolemiausually undergoes an increased level of Lp-PLA2. It, therefore, needs to evaluate the role of Lp-PLA2in the foam cell formation. Aims. To explain the role of Lp-PLA2 in the foam cell forming, to correlate the level of Lp-PLA2 ,MDA, F2-Isp in aorta with foam cell number (FCs) as well as to correlate the level of Lp-PLA2 , MDA, F2-Isp contents in serumwith their contents in aorta and the correlation with FCs.Methods. 30 rats aged 2 months, with their weight averaging from 150-200g,were divided into the control group and the treatment one where the latterwas fed hyperlidemia for 2,8 and 12 weeks. The measurement level of LDL-C,MDA, F2-isp and Lp-PLA2in serum was performedas well as aorta and FCs. Data was analysed using anova, t-Test, path analysis and correlation. Results. Research result indicated that: (1) The level of MDA(a), F2-Isp(s) and Lp-PLA2(s) positively correlated with FCs, Lp-PLA(s)having the highestcorrelation value. (2) Lp-PLA2(a),MDA(s) and F2-Isp(s,a)did not correlate withFCs. (3) There was a positive correlation between Lp-PLA2 with MDA andF2-Isp in both serum and aorta.Conclusion. The enzyme of Lp-PLA2 acts as an activator in forming thefoam cell with stimulated stress oxidation.
Tata Laksana Perioperatif Pada Single Ventricle Riza Cintyandy; Cindy E Boom
Jurnal Kardiologi Indonesia Vol. 33, No. 4 Oktober - Desember 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i4.293

Abstract

Single Ventricle (SV) was a terminology for a condition when one of theventricles is hypoplastic or absent. These patients often require a seriesof procedures to provide effective palliation. Surgical therapy commitsthe single ventricle to the delivery of oxygenated blood to the systemiccirculation and deoxygenated blood is directed to the pulmonary circulationbypassing the ventricle. There are three phases of palliation procedures: (1)placement of shunt, (2) Bidirectional Glenn Shunt and (3) Fontan procedure.There are different physiologies in each phase. With improved surgicaltechniques and medical care, SV patients are living longer. Many SV patientsappear in need of anesthesia for routine general and obstetric procedures.Anesthesiologists, general practitioners, and subspecialists alike increasinglymay encounter the patient with SV physiology.
Pencitraan Resonansi Magnetik Kardiovaskular pada Penyakit Jantung Bawaan Oktavia Lilyasari
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.297

Abstract

Pencitraan merupakan suatu hal yang fundamental dalam diagnosis Penyakit Jantung Bawaan (PJB). Pencitraan Resonansi Magnetis Kardiovaskular (Cardiovascular Magnetic Resonance/CMR) menjadi teknik penting dalam diagnosis dan tatalaksana penyakit kardiovaskular. Data contagious 3D yang merupakan kekuatan CMR sangat efektif memberikan gambaran lengkap patologi anatomi PJB sederhana ataupun kompleks. CMR dapat menyajikan gambar tiga dimensi dengan resolusi tinggi dan memungkinkan untuk rekonstruksi visualisasi kelainan jantung yang kompleks.Saat ini pencitraan dengan menggunakan CMR menjadi tekhnik penting dan adekuat dalam menilai fungsi ventrikel, aliran dinamis intra kardiak, termasuk regurgitasi dan stenosis katup, aliran pembuluh darah besar, karakterisasi anatomi kelainan bawaan yang kompleks, terutama yang berhubungan dengan vena sistemik dan pulmonal, hubungan antar ruang jantung (atrioventricular connection, ventriculo-arterial connection). CMR juga dapat mengurangi jumlah prosedur kateterisasi diagnostik untuk evaluasi pre dan post tindakan intervensi bedah maupun non bedah, sehingga dapat meminimalisasi efek radiasi yang ditimbulkan oleh prosedur kateterisasi.Beberapa kesulitan timbul saat melakukan pemeriksaan CMR pada anak yang kecil. Diperlukan beberapa penyesuaian untuk menghasilkan kualitas gambar yang optimal, karena ukuran struktur jantung yang lebih kecil, frekuensi nadi yang lebih cepat, kesulitan atau ketidakmampuan untuk mengikuti komando tahan nafas dan kurangnya kerjasama pasien.Penggunaan klinis CMR tergantung dari usia dan kondisi klinis pasien. Pencitraan Resonansi Magnetik Kardiovaskular menjadi teknik utama terutama pada anak-anak yang cukup besar, remaja atau dewasa pada kelainan anatomi yang kompleks, dan evaluasi post operasi.
Keberhasilan Jangka Panjang Ablasi Radio Frekuensi Takikardia Right Ventricular Outflow Tract Hauda El Rasyid; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.298

Abstract

Background. Right Ventricular Outflow Tract (RVOT) tachycardia is frequentlyfound in clinical practice. Despite of its good prognosis no need itusually affects the reproductive age (20-40 years) and can be very symptomatic.Radio frequency ablation (RFA) is a recommended therapeuticoption of RVOT tachycardia. The aim of this study is to evaluate longtermresultsof RFA in National Cardiovasxular Center Harapan Kita.Method. A retrospective cohort study conducted to subjects with RVOTtachycardia who underwent RFA during period of 2005-2011. Clinicalcharacteristics are revealed from medical record and electrophysiologycharacteristics are revealed from electrophysiology recording system(PruckaTMandWorkmateTM). ECG morphology assessed by 2 observersusing digimatic calliper MitutoyoTM. Patients that received pharmacologicaltherapy act as control group. All patients are observed up to 1 year.Results. Sixty two patients underwent RFA (mean age of 43,56 ± 11,77year,46 female). ECG morphologies are all left bundle branch blok (LBBB),inferior axis, transtitional zone ? V4. Based on ECG morphology, septal siteare majority of cases. Mean EA (earliest activation) is 41,26 ± 16,94 ms,median 39,50 ms. An acute successful rate of RFA is 79%.Long termsuccessrate is 83,9 % as compare to only 40,9% in medical therapy group(RRR77%, p=0.001). Septal origin site is an independent factor of success ofRFA RVOT tachycardia.Conclusion. RFA of RVOT tachycardia is safe and effective with betterlongterm result as compare to pharmacological therapy.
Kajian Rasio EPC dan Ce c Sebagai Prediktor Disfungsi Endotel pada Pasien dengan Kelompok Risiko Tinggi Berdasarkan Framingham Risk Score 10 Years Wiwit Nurwidyaningtyas; Djanggan Sargowo; Achdiat Agoes; Titin Andri W; S Satuman
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.299

Abstract

Research background. Circulating Endothelial Cells (CEC) is a reflection of endothelial damage or endothelial stress, increasing of CEC amount depend on endothelial mechanism, edothelial adhesivity damage and cellular apoptosis as a result of decreasing sitoskleleton function. If higher exposure affects the increasing of CEC amount,VEGF other growth factor mediators will be reflected as endothelial stress manifestation which roles in the increasing of re-population and Endothelial Progenitor Cells (EPC) differentiation. Endothelial Progenitor Cells is a mononuclear cell (a part of stem cell) that could change to be mature endothel and roles in re-edothelialisation and neovascularisation. This research aimed to investigate the ratio of EPC : CEC in risk group through Framingham Risk Score (FRS) 10 years approach as endothelial dysfunction predictor.Research method and result. There were 55 research subjects whom taken by FRS scoring and devided into some risk groups and two control groups. They were control group I (health) and control group II (sick). Base blood was taken to every each of them to analyze their EPC and CEC with Flowcytometry. EPC was analyzed by CD34 Per CP Santa Cruz SC-19621 and CD 133 FITC (fluorescein isothiocyanate) Bioss bs-0395R-FITCmarker.WhileCEC was analyzed CD45 FITC Biolegend 202205 dan CD 146 PE Biolegend 134704 marker. Result showed, there was significant ratio differences of EPC : CEC in those six groups which was proven by p-value 0.032< ? (0.05). The higher ratio was in high risk group (139.06).Conclusion. Research showed that EPC amount was increase related to the increasing of high risk level according to FRS 10 years, but its increasing did not followed by its ability to homing in injury area as role part in re-endothelialisation process. It found that EPC amount was higher in high risk group than in low risk group.
Circulating Endothelial Progenitor Cells is a predictor in Atherosclerosis: Is it really a promising candle? Anwar Santoso
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.300

Abstract

Circulating endothelial progenitor cells (CEPC) are supposed to be a subset of bone marrow-derived peripheral blood mononuclear cells (PBMC), revealing immature surface markers common to hematopoietic stem cells, such as CD 34 and CD 133 and endothelial lineage markers. These cells can be isolated from peripheral, umbilical cord, and bone marrow blood. CD 34 represents a marker of immature stem cells that is commonly used to characterize CEPC together with other surface antigens. Though, as CD 34 is also expressed at lower levels on mature endothelial cells, most recent studies used CD 133, a marker of more immature hematopoietic stem cells that is now considered the best surface marker to define, identify and isolate the CEPC1. CD 133 (also known as AC 133 or prominin) is highly conserved antigen with unknown biological activity. It would be expressed on hematopoietic stem cells, but not on mature endothelial cell and monocytes. In order to reflect the endothelial cells, there is general agreement for the use of at least one additional marker, such as vascular endothelial growth factor receptor-2 (VEGFR-2 or KDR), while others are platelet-endothelial cells adhesion molecules-1 (PECAM-1), von Willebrand factor, c-kit, Tie-2, vascular endothelial-cadherin and VEGFR-12.
Interpretasi Hasil Pemeriksaan MRI Kardiak pada Penyakit Jantung Koroner Sony Hilal Wicaksono; Fachmi Ahmad Muslim; Vienna Rossimarina
Jurnal Kardiologi Indonesia Vol. 34, No. 1 Januari - Maret 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i1.301

Abstract

Seorang pasien dapat didiagnosis penyakit jantung koroner (PJK) melalui empat cara: kematian jantung mendadak, sindrom koroner akut, angina pektoris stabil paska revaskularisasi, dan hasil diagnostik noninvasif (Computed Tomography scan/CT scan koroner, Single Photon Emission Computed Tomography Myocardial Perfusion Imaging/SPECT MPI nuklir atau Magnetic Resonance Imaging/MRI)1. Pemeriksaan noninvasif memegang peranan penting, yaitu sebagai satu-satunya cara mendiagnosis PJK asimtomatik. Oleh sebab itu, pemahaman mengenai interpretasi hasil pemeriksaan noninvasif seperti CT scan koroner, SPECT MPI nuklir atau MRI kardiak dimasukkan dalam kompetensi dasar program pendidikan spesialis jantung dan pembuluh darah menurut Kolegium PERKI.

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