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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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Stratifikasi Risiko Kematian Jantung Mendadak pada Sindrom Koroner Akut Jusup Endang; Dewi H Suprobo; Radityo Prakoso; Yoga Yuniadi; Bambang B Siswanto; Nani Hersunarti
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.v34i2.327

Abstract

Sudden cardiac death is the leading cause of cardiovascular mortality in acute coronary syndrome. Risk stratification scoring tools are available to better identify patients at risk after acute myocardial infarction. In addition plenty of factors and treatment modalities modulate the risk of sudden cardiac death.A case of in-hospital SCD in a young woman with acute anterior STEMI is presented as a trigger to the importance of risk stratification and treatment according to guidelines in preventing SCD.
Diagnosis dan Tatalaksana Sindrom Marfan Andi Mahavira; Bambang B Siswanto
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.v34i2.328

Abstract

Background: Marfan syndrome is an autosomal dominant disorder of connective tissue, involving cardiovascular, ocular, skeletal and skin, pulmonary, and dura mater. Marfan syndrome is caused by mutations in the FBN1 gene on chromosome 15q21 encoding fibrillin-1, a glycoprotein in the extracellular matrix. Prevalence is ~2–3 per 10 000, and ~25–30% are new mutations. Morbidity and mortality mostly caused by dilation of the aortic root. Surgical therapy for aortic aneurysm can reduce life-threatening complication and also increase survival rate of Marfan syndrome. It is necessary to diagnose earlier and give appropriate medical therapy for optimal management of Marfan syndrome.Objective: to present a rare case, Marfan syndrome, viewed from diagnosis and management.Summary: A 32 year old woman diagnosed as severe AR was referred to NCCHK from Malang, East Java. According to several examination in clinic, this patient was diagnosed as severe AR on Marfan syndrome. Early diagnosis in Marfan syndrome will make better outcome. Bentall operation was done to this patient with a good result. Appropriate and continuous medical therapy are needed in post Bentall operation on Marfan syndrome patient.
Amiodaron dan Toksisitas terhadap Paru Kemalasari Nas Darisan; Jamal Zaini; 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.v34i2.329

Abstract

Amiodarone is an antiarrhythmic agent commonly used to treat supraventricular and ventricular arrhythmias. The drug prevents the recurrence of life-threatening ventricular arrhythmias and produces a modest reduction of sudden deaths in high-risk patients. This drug is an iodine-containing compound that tends to accumulate in several organs, including the lungs. It has been associated with a variety of adverse events. Of these events, the most serious is amiodarone pulmonary toxicity. Although the incidence of this complication has decreased with the use of lower doses of amiodarone, it can occur with any dose. Because amiodarone is widely used, all clinicians should be vigilant of this possibility. Pulmonary toxicity usually manifests as an acute or subacute pneumonitis, typically with diffuse infiltrates on chest x-ray and high-resolution computed tomography. Other, more localized, forms of pulmonary toxicity may occur, including pleural disease, migratory infiltrates, and single or multiple nodules. With early detection, the prognosis is good. Most patients diagnosed promptly respond well to the withdrawal of amiodarone and the administration of corticosteroids, which are usually given for four to 12 months. It is important that physicians be familiar with amiodarone treatment guidelines and follow published recommendations for the monitoring of pulmonary as well as extrapulmonary adverse effects.
Sedasi Analgesi Untuk Kardioversi Elektrik Di IGD Kurniawan Agung Yuwono
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.v34i2.330

Abstract

General practitioner assigned in emergency room must have ability to do electrical cardioversion either in emergency, urgent or elective setting. Analgetic sedation is mandatory to avoid severe pain during electrical cardioversion. Limited number of anesthesiologist and emergency setting that need prompt electrical cardioversion warrant of selecting and using of analgetic sedation agents by doctor in emergency room. Characteristics of those agents must have strong analgesic effect and rapid onset and offset, minimize pain and anxiety and maximize amnesia with minimal adverse effect. This paper reviews some randomized control trial of those agents.
Giant Coronary Artery Aneurysms in Kawasaki Disease Detected by Multi Detector Computed Tomographic Oktavia Lilyasari; Poppy S Roebiono; Radityo Prakoso; Anna Ulfah Rahajoe; Indriwanto Sakidjan; 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.v34i2.331

Abstract

Kawasaki disease is an acute, self -limited vasculitis of unknown etiology that occurs predominantly in infants and young children. The major sequele of Kawasaki disease are related to the coronary arterial system. Cardiac imaging is a critical part in evaluation of all patients with suspected Kawasaki disease. Multi Detector CT (MDCT) provides a safe non-invasive approach to accurately delineate coronary artery anatomic structure. We report a case of a 6 years old boy with history of Kawasaki disease. Multi detector CT scan showed giant aneurysm at proximal LAD, proximal RCA and medium aneurysm at proximal LCX. Patient then treated with the anticoagulant therapy.
Interaksi Jantung–Paru Evaluasi dan Peran Ekokardiografi di Ruang ICCU Ario Soeryo
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.v34i2.332

Abstract

Istilah interaksi jantung-paru (heart-lung interactions) bukanlah merupakan istilah yang baru. Istilah ini sudah dikenal sejak sekitar tahun 1962. Hal ini dihubungkan dengan, salah satunya, tatalaksana pasien di ruang intensif (ICCU) dimana dokter harus menerjemahkan secara akurat hasil pemeriksaan hemodinamik dengan analisa gas darah pada kasus-kasus seperti acute respiratory distress syndrome (ARDS), serangan asma akut, penyakit jantung obstruktif kronis (PPOK) ataupun pasien dalam ventilasi mekanis.Ekokardiografi saat ini merupakan alat pemeriksaan yang sangat akurat, bahkan mungkin adalah yang paling akurat untuk mengevaluasi fungsi jantung secara langsung, denyut demi denyut dalam suatu siklus respirasi. Pemeriksaan ini tidak memerlukan persiapan khusus, alat yang “terlampau” canggih, namun hanya memerlukan “kesempatan” untuk menilai jantung dengan baik pada pasien dalam alat ventilator maupun napas spontan.
Takikardia QRS lebar dengan hemodinamik tidak stabil 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.v34i2.333

Abstract

KasusSeorang laki-laki, 56 tahun datang ke UGD RS daerah di Jawa Tengah dengan keluhan lemas yang sudah dirasakan sejak seminggu sebelum masuk RS. Pasien juga mengeluh berdebar dan muntah-muntah. PPemeriksaan fisik didapatkan TD 90/60, RR 24 kpm dengan laju nadi sulit dihitung karena terlalu cepat. Tanda fisik lain tidak menonjol kecuali terdapat edema di kedua tungkai. Rekaman EKG diperlihatkan pada gambar 1. Bagaimana bersikap terhadap keadaan klinis pasien ini?Gambar 1. Rekaman EKG 12 sadapan. Takikardia QRS lebar dengan gelombang P bebas (anak panah)
LAA Closure: Where we stand now? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 34, No. 3 Juli - September 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i3.334

Abstract

  Insiden fibrilasi atrium diperkirakan akan makin meningkat dimasa yang akan datang. Stroke merupakan persoalan besar pada fibrilasi atrium dengan risiko hingga 5 kali lebih besar dibandingkan pasien tanpa fibrilasi atrium. Bahkan risiko stroke tersebut tidak berbeda baik pada fibrilasi atrium yang paroksismal maupun persisten. Terlebih lagi penderita fibrilasi atrium bila mengalami stroke umumnya mempunyai gejala yang lebih berat, disabilitas yang lebih parah serta rekurensi yang lebih sering dibandingkan pasien non fibrilasi atrium.  Oleh karena itu stratifikasi risiko stroke pada pasien fibrilasi atrium menjadi sangat penting untuk pencegahan stroke yang lebih baik dan terarah. Skor CHA2DS2VaSc terbukti efektif sebagai panduan pemilihan pasien fibrilasi atrium yang mendapat terapi antikoagulan. Antikoagulan baik antagonis vitamin K (warfarin) maupun antikoagulan oral baru (direct antithrombin atau anti faktor Xa) secara signifikan dapat menurunkan kejadian stroke dengan komplikasi perdarahan yang kecil.
Risiko Gagal Ginjal Akut Pasca Bedah Jantung yang memerlukan Terapi Pengganti Ginjal Kontinyu Juweni Joe; Zuswahyuda Samsu; April Retno; Rita Zahara; Ronggo Prakoso; Ardiyan A
Jurnal Kardiologi Indonesia Vol. 34, No. 3 Juli - September 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i3.335

Abstract

Background: Acute renal failure is a rare but serious complication followingcardiac surgery and associated with increased mortality and morbidity.Objective:To identify factors associated with mortality and mortality ofpatients with acute renal failure after cardiac surgery treated with continuousrenal replacement therapy.Method: This was a cohort retrospective study on cardiac surgery patientswho developed acute renal failure requiring renal replacement therapy aftersurgery in Harapan Kita National Cardiac Center between January 2011and April 2012. Data was retrieved from medical record and consistedof pre-operative, intra-operative, and post-operative variables. Risk factoridentification was done using multivariate logistic regression analysis,whereas relative risk analysis was applied to know the association betweenrisk factor and morbidity. Direct or indirect effect of variables on renal failurewas analyzed using Barttlet’s and anti-image correlation test.Results: A total of 110 cases were obtained during the study period; 70(63.3%) among them were men. Patients mean age was 57.6 years. Preoperativerenal failure, New York Heart Association Functional ClassificationClass (NYHA) class IV, critical condition, coronary revascularization surgeryand bleeding, post-operative anemia, bleeding and venous saturation <65%showed a trend of mortality and morbidity rate between 0.1 and 9.1. TheKeiser-Meyer-Olkin (KMO) value and Barttlet’s test showed that re-surgery,bleeding and low inotropic score resulted in 31.63% probability of havingpost-operative renal failure.Conclusion: Re-surgery, bleeding and inotropic use may result in postoperativerenal failure.
Skrining Oportunistik untuk Mendeteksi Diabetes Melitus yang Baru Terdiagnosis Sri R Paputungan; Fabiola MS Adam; John MF Adam
Jurnal Kardiologi Indonesia Vol. 34, No. 3 Juli - September 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i3.336

Abstract

Background. It is estimated that 50% of the diabetic patients are undiagnosed.Opportunistic screening is one of the screening method, to detectnewly diagnosed diabetes mellitus. The aim of this study is to detect theundiagnosed diabetes mellitus by screening in the clinical setting.Subjects and Methods. Subjects were form the EIDEG screening fordiabetes mellitus. The procedure is a two step screening, first using thereflectance meter for capillary blood sugar, followed by confirmation testin the laboratory. Capillary blood sugar was divided into 3 groups, < 100mg/dL as normal, 100-199 mg/dl possible diabetes, and ? 200 mg/dL suspecteddiabetes. For group two, an OGTT was performed, and for groupthree, only FPG. Diabetes mellitus was diagnosed if FPG ? 126 mg/dl andor 2 hour OGTT ?200 mg/dl.Results. During the screening, 4737 subjects can be screened, only 1654completed the screening. Diabetes mellitus was diagnosed in 240 subjectsor 14.5%. There were more females compared to males, 52,9% and 47,1%subsequently, most were at the age ?50 years. More diabetic patients werediagnosed by OGTT compared to FPG only.Conclusions. This study showed that opportunistic screening may detectmore diabetic patients. It is suggested that this screening procedure canbe used by every clinicians in their daily practice.

Page 44 of 72 | Total Record : 712

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