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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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Merujuk Pasien STEMI: Kapan dan Kemana? Kurniawan Agung Yuwono
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.315

Abstract

Management of STEMI patients consist of initial recognition and diagnosis, early routine medication, and reperfusion therapy. Primary PCI has been set as default strategy for STEMI reperfusion in PCI-capable hospital. Unfortunately, only few STEMI patients can undergo primary PCI as reperfusion therapy, because the number of hospital with invasive capability is still low in many countries, including Indonesia. Because time is critical in reperfusion therapy, the emergency physicians in non-PCI capable hospital have to decide to hold or refer STEMI patients to a hospital with invasive capability. The reperfusion therapy options for STEMI patient presenting to a non-PCI capable hospital are fibrinolytic therapy, or refer to PCI-capable hospital, or both (pharmacoinvasive strategy). This review tried to summarize the evidences as a consideration in choosing the best reperfusion strategy for STEMI patients presenting to non-PCI capable hospital.
Pemeriksaan Hemodinamik Ekokardiografi pada Kasus Kegawatan dan Kritikal Jantung Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.316

Abstract

Akhir-akhir ini pemeriksaan ekokardiogra? semakin berperan untuk menilai kondisi hemodinamik pasien gawat dan kritis untuk membantu penatalaksanaan dan perawatan intensif agar lebih terarah dan tepat. Secara umum pemeriksaan ekokardiogra? yang dilakukan pada kasus kegawatan dan kritikal adalah pemeriksaan ekokardiogra? yang singkat, terfokus, dan sederhana agar dapat menjawab pertanyaan spesi?k mengenai kondisi hemodinamik pasien untuk kepentingan penatalaksanaan. Walaupun demikian, beberapa kondisi kritis memerlukan pemeriksaan ekokardiogra? yang lebih rinci dan akurat. 
Elevasi Segmen ST Varian Normal Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 33, No. 3 Juli - September 2012
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v33i3.317

Abstract

Elevasi segmen ST selalu menimbulkan dugaan adanya infark miokard akut. Walaupun sebenarnya tidak semua elevasi segmen ST berkaitan dengan adanya oklusi arteri koroner karena ada gambaran elevasi segmen ST yang hanya merupakan varian normal. Tulisan ini akan menyegarkan kembali pengetahuan tentang elevasi segmen ST varian normal.
Sinkop Berulang pada Perempuan Muda 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.v30i3.318

Abstract

Sinkop adalah ketidakmampuan mempertahankan postur tubuh akibat hilangnya kesadaran sesaat. Sinkop pada usia muda sering dikaitkan dengan kegagalan refleks vasovagal. Sinkop umumnya benigna walaupun pada subset pasien tertentu sinkop dapat merupakan gejala suatu kejadian yang mengancam jiwa. Oleh karena itu rawat inap karna sinkop sering terjadi akibat kesuliatan untuk segera mengetahui kausa sinkop, kurangnya kriteria baku untuk diagnosis dan kekhawatiran terhadap kemungkinan suatu aritmia yang berbahaya.
Penilaian Fungsi Ventrikel Kanan (2) Amiliana M Soesanto
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.v30i3.319

Abstract

Pada edisi sebelumnya telah dibicarakan beberapa cara penilaian praktis dan sederhana terhadap fungsi ventrikel kanan. Selanjutnya pada dalam artikel ini akan diuraikan kembali cara pengukuran funfsi ventrikel kanan yang agak lebih "advanced" yang mungkin hanya terbatas penggunaannya untuk kepentingan kasus khusus atau penelitian. Artikel ini dimaksudkan bukan untuk menjelaskan tentang teori dan latar belakang.
Patient-, Disease-, or Doctor-Centered Medicine Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.321

Abstract

Majelis Kehormatan dan Disiplin Kedokteran Indonesia (MKDKI) melaporkan bahwa terdapat peningkatan yang signifikan laporan tindak pelanggaran disiplin kedokteran. Sepanjang tahun 2012 terdapat 23 kasus pelanggaran disiplin sedangkan semester pertama tahun ini sudah terdapat 35 kasus yang dilaporkan ke MKDKI. Sebuah kemajuan dari perspektif kesadaran masyarakat tentang pelayanan kesehatan yang baik dan keberanian melaporkan kejanggalan pelayanan yang terjadi. Tetapi tentu saja tidak dapat dihindari adanya faktor lain yang turut berperan terhadap peningkatan laporan pelanggaran disiplin tersebut. Komunikasi dokter-pasien sering menjadi akar dari berbagai ketidakpuasan dalam pelayanan praktik kedokteran yang kemudian berujung pada pengaduan. Salah satu faktor yang turut mempengaruhi buruknya komunikasi dokter-pasien adalah belum dimilikinya konsep “patient-centered medicine” oleh sebagian praktisi kedokteran.
Korelasi Flow Mediated Dilation Brakial dengan Beratnya Stenosis Penyakit Arteri Koroner Erwin Mulia; Ismoyo Sunu; Andang H Joesoef,; Ganesja M Harimurti
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.323

Abstract

Background. Endothelial dysfunction precedes the development of morphological changes and contributes to atherosclerotic lesion development and progression. Evaluation using non invasive method such as brachial FMD (flow mediated dilation) has given inconsistent information for extension and coronary atherosclerotic severity regarding endothelial dysfunction. This research will evaluate the correlation between brachial FMD and severity of coronary artery disease (CAD) stenosis.Methods. It was a cross sectional study. Evaluations were performed in 85 patients who had followed elective coronary angiography and fulfilled inclusion criteria in National Cardiovascular Center Harapan Kita since January until October of 2012. Correlation between brachial FMD and severity of CAD stenosis (Gensini score) was evaluated using linear regression analysis.Results. Brachial FMD had negative correlation with Gensini score (R= -0,227; P= 0,037). Hypertension had negative correlation with brachial FMD (R= -0,235; P= 0,032). Male gender had positive correlation with brachial FMD (R= 0,220; P= 0,040).Conclusion. There was weak negative correlation between brachial FMD and Gensini score.
Seeing the Inner from Outer Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.324

Abstract

Since Furchgott et al1 showed that acetylcholine requires the presence of endothelial cells to induce vasodilation, the importance of the endothelial cell layer for vascular homeostasis has been increasingly appreciated. Endothelial dysfunction was initially identified as impaired vasodilation to specific stimuli such as acetylcholine or bradykinin. A broader understanding of the term would include not only reduced vasodilation but also a proinflammatory and prothrombic state associated with dysfunction of the endothelium.2 Figure 1 describe regulation function of endothelium during normal and dysfunction condition.3 In human, endothelial dysfuntion was first described in forearm of hypertensive patient.4 Dysfunction of the endothelium has been attributed to the pathophysiology of different forms of cardiovascular disease, including hypertension, coronary artery disease, chronic heart failure, peripheral artery disease, diabetes, and chronic renal failure.2
Interval Elektromekanikal Atrium Menggunakan Doppler Jaringan Sebagai Prediktor Kejadian Fibrilasi Atrium Pasca Operasi Bedah Pintas Arteri Koroner Ignatius Yansen; Amiliana Mardiani; Poppy S Roebiono
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.325

Abstract

Background. Atrial fibrillation (AF) is the most common arrhythmia complication in patient undergone coronary artery bypass grafting (CABG) with the incidence of 20-50% according to different studies. Although this complication is temporary but can be life threathening, and increased the number of mortality and morbidity. Thus, it is very important to identified factors that can predict the occurance of AF post CABG. This study use atrial electromechanical interval and interval dispertion as predictor of AF post CABG.Methods. One hundred and eight patients were included in this case control study. Samples were taken consecutively from May to September 2012 among patients with coronary artery disease undergoing CABG at the National Cardiovascular Center Harapan Kita Jakarta. The patients underwent a preoperative transthoracic echocardiography with tissue doppler evaluation. We measured the atrial electromechanical interval in the lateral of left atrium, septal and lateral of right atrium also inter and intra atrial interval dispertion. Patients was monitored thorugh out hospitalization for the occurance of AF.Result. In our study, 27 out of 108 (25%) patients developed AF post CABG. There are 3 independent parameters that can predict AF post CABG. These parameters are electromechanical interval in lateral left atrium, left atrial volume index, and post operative beta blocker. There are longer electromechanical interval in lateral left atrium in patients with AF post CABG (81,12±9,84 ms vs 64,43±13,53 ms, P=0.00). Patients with AF had bigger left atrial volume index (37,31±9,50 ml/m2 vs 30,28±8,19 ml/m2, P=0.037) and more beta blocker post CABG (20 (74,1%) vs 72(88,9%), P=0.026). There are no difference intra and interatrium dispertion of electromechanical interval.Conclusion. The interval of Electromechanical in the lateral left atrium using tissue dopper echocardiography can predict the occurrence of AF post CABG.
Hubungan mean platelet volume dengan miocardial blush kuantitatif pada pasien ima-est yang menjalani intervensi koroner perkutan primer Sri Murdiati; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 2 April - Juni 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i2.326

Abstract

Background. Mean platelet volume is a marker of platelet, size and activation functions. Increased mean platelet volume showed a large and active platelet release more thromboxane A2 than smaller ones. A simple marker was detected using a fast and functional techniques will help approaches to inflammation caused by platelets. Thus MPV is an important examination of effective simple, easy, and low cost to be used and explored extensively, particularly in developing countries such as Indonesia, to predict the likelihood of complications to come.Methods and Results. Seventy-two patients (age minimum 30 years and maximum 80 years who came to the hospital with a presentation IMA-EST onset less than 12 hours were included in this study. Following primary percutaneous intervention coroner examined myocardial blush with Qube and see the relationship with the value mean platelet volume (MPV) in assessing myocardial flow. End point of this study is the lack of correlation between MPV values in the assessment of myocardial blush Qube post-reperfusion.Conclusion. MPV values in this population as the initial entry no relationship with Qube in assessing the value of post-reperfusion myocardial blush

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