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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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Peran Fibrinogen dan hs-CRP sebagai biomarker pada Penyakit Jantung Koroner Otte J Rachman
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.370

Abstract

Sindroma Koreoner Akut (SKA) yang merupakan penyebab kematian utama dari Penyakit Jantung Koroner (PJK) adalah suatu sindroma yang kompleks dengan penyebab multiple, sehingga upaya pengobatan akan lebih efektif jika ditujukan pada penyebab yang mendasarinya. Penyebab utama SKA meliputi: (1) adanya rupture plak disertai trombosis akut, (2) obstruksi mekanik yang progresif, (3) inflamasi, (4) adanya angina tak stabil sekunder dan (5) adanya obstruksi yang dinamik (vaso-konstriksi).1 Masing-masing penyebab ini saling menyumbang dan memberikan gambaran klinis yang berbeda satu sama lain sesuai dengan variasi kombinasi penyebab. Keadaan itu mempengaruhi strategi pengobatan yang berbeda pula. Pemberian vasodilator seperti nitrat, obat penyekat kalsium amat berguna jika penyebab utamanya suatu vasokonstriksi dinamik. Pemberian statin yang berfungsi sebagai antiinflamasi mungkin dapat berguna pada penderita dengan komponen inflamasi yang dominan.
Pengaruh Tingkat Keparahan Stenosis Mitral Terhadap Kadar Soluble Vascular Cell Adhesion Molecule-1 dan Soluble Intercellular Adhesion Molecule-1 Pramono Sigit; Yoga Yuniadi; Indriwanto Sakidjan
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.371

Abstract

Background: Blood Soluble Vascular Cell Adhesion Molecule-1 (sVCAM-1) and Soluble Intercellular Adhesion Molecule-1 (sICAM-1) levels are increased in Mitral Stenosis (MS) patients, but whether this phenomenon is due to chronic rheumatic inflammation process or because of hemodynamic effect of mitral stenosis severity is not clear yet.Objective: This research aims to study the effect of mitral stenosis severity on blood sVCAM-1 and sICAM-1 levels.Method: This study is a cross sectional study. Research subjects were divided into 3 groups: control patients, pre BMV (Baloon Mitral Valvulotomy) group, and post BMV group (patients who have already undergone BMV for ? 1year). Blood sVCAM-1 and sICAM-1 were measured using quantitative sandwich immunoassay method in all groups, and echocardiographic study to evaluate MS severity (MVA (Mitral Valve Area), mMVG (mean Mitral Valve gradient), TVG (Tricuspid Valve Gradient), mPAP (mean Pulmonary Artery Pressure), and LAVI (Left Atrial Volume Index) were performed to pre BMV and post BMV group at the same day with the blood sample collections.Results: There were 23 normal subjects, 26 patients in pre BMV group, and 27 patients in post BMV group. The sVCAM-1 and sICAM-1 levels in patients with MS (pre BMV and post BMV group) were higher than normal control subjects (536,87 ± 251,68 ng/ml vs 536,87 ± 149,22 ng/ml; p<0,001 and 270,04 ± 111,67 ng/ml vs 216,43 ± 50,60 ng/ml; p=0,006), meanwhile there were no differences of sVCAM-1 and sICAM-1 levels between pre BMV and post BMV group (854,67 ± 227,26 ng/ml vs 809,22 ± 275,63 ng/ml; p=0,515 dan 279,98 ± 114,39 ng/ml vs 260,49 ± 110,38 ng/ml; p=0,539). There were also no significant correlation between mitral stenosis severity (MVA, mMVG, TVG, mPAP dan LAVI) with sVCAM-1 and sICAM-1 levels (p>0,05).Conclusion: There were no correlation between mitral stenosis severity with blood sVCAM-1 and sICAM-1 levels
Hubungan Inhibisi Agregrasi Platelet setelah Pemberian Eptifibatide dengan Kejadian Kardiovaskular Mayor pada Pasien Infark Miokard Akut Elevasi Segmen ST yang Menjalani Intervensi Koroner Perkutan Primer Elisa Feriyanti Pakpahan; Sunarya Soerianata; Nur Haryono
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.372

Abstract

Background: Eptifibatide, an inhibitor of glycoprotein IIb/IIIa administered as adjunctive therapy to reperfusion therapy Primary PCI in STEMI patients. Persistently high platelet reactivity was found in patients who experienced recurrent atherothrombotic events during antiplatelet therapy.Objective: To evaluate the level of platelet inhibition after eptifibatide therapy and to assess the relation between level of platelet inhibition and Major Cardiaovascular event (MACE).Methods: Platelet function test by Multiplate analyzer was performed in STEMI Patients who undergone Primary-PCI, 10 minutes after a bolus of eptifibatide. MACE were prospectively monitored during hospitalization and the incidence of MACE correlated with the measured level of platelet inhibition.Results: From 99 subjects, approximately 55% of the subjects were non-responders (high platelet reactivity). 18 patients experienced MACE, most were heart failure (8 people), malignant arrhythmias (3 people), recurrent angina (2 people), stroke (2 people) and reinfarction, infections and major bleeding each 1 person. 12 subjects experienced MACE was from the non-responder group and 8 subjects from the responder grup. The study was found that the level of platelet inhibition wasn’t an independent predictor for the risk of MACE.Conclusion: Less achieved therapeutic effects of platelet Inhibition (non-responders) was found in the majority (55%) subjects. Different level of platelet inhibition wasn’t an independent predictor for the risk of MACE.
Myxoma Atrium Kiri pada Kehamilan: Tantangan dalam Diagnosis dan Tatalaksana Rony Mario Candrasatria,; Bambang Budi Siswanto; Nani Hersunarti; Rarsari Soerarso; BRM Ario S. Kuncoro; Amiliana M. Soesanto
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.373

Abstract

Primary tumors of the heart are rare where myxomas predominate as the most common type of primary cardiac tumors in all age groups. Even rarer, the incidence of myxomas during pregnancy is reported extremely low in the medical literature. The hemodynamic changes during pregnancy play an important role in influencing the clinical manifestation. The management is vary, depending on the week of gestation and risk assessment for both the mother and baby.We report a case of left atrial myxoma in 33-34 weeks of pregnancy. After judicious consideration, the patient was planned to have caesarian section at the full term pregnancy that will be followed one week after by tumor resection.
Dampak varian arteri radialis pada prosedur transradial Loretta C. Wangko; Bambang Budiono; Reggy L. Lefrandt
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.374

Abstract

Nowadays, transradial approach has become the most chosen procedure by the intervention cardiologists, either in diagnostic or coronary intervention. Possibilities of vascular variants of the radial artery and along the vascular axis until the aortic arch are not a reasonable challenge for not using this transradial approach. Complications due to the transradial approach are very rare and mostly are easier to be managed than due to the other approaches. Besides that, eary ambulation, comfortability and satisfaction of the patients, and a relative low cost lead it to be the most preferable one. Data and publication of variants along the axis of the radial artery to the aortic arch are very supporting to the procedure success. A thorough understanding and consideration about the variants can diminish the failure of this transradial approach or the crossover to another approach.
Penanganan Gagal Jantung Diastolik Starry H. Rampengan
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.375

Abstract

The diastolic heart failure also referred to as heart failure with preserved left ventricular systolic function (preserved ejection fraction). The difference between systolic and diastolic HFs is a pathophysiological one and isolated forms of left ventricular dysfunction are rarely observed. In diastolic HF left ventricular systolic function is normal or only slightly impaired, and the typical manifestations of HF result from increased filling pressure caused by impaired relaxation and compliance of the left ventricle. The management should include antihypertensive treatment, maintenanceof the sinus rhythm, prevention of tachycardia, venous pressure reduction, prevention of myocardial ischemia and prevention of diabetes mellitus. Treatment of diastolic HF is aimed to stop the progression of the disease, relieve its symptoms, eliminate exacerbations and reduce the mortality. The predisposing factors for diastolic dysfunction include elderly age, female sex, obesity, coronary artery disease, hypertension and diabetes mellitus. The European Society of Cardiology specifies the type of therapy in diastolic HF based on: angiotensin converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, non dihydropyridine calcium channel blockers, diuretics.
Coronary CT Angiography untuk deteksi plak rapuh, sebagai bagian dari usaha pencegahan Sindrom Koroner Akut Sonny Hilal Wicaksono
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.376

Abstract

Tindakan Primary Percutaneous Coronary Intervention (PPCI) untuk pasien sindrom koroner akut (SKA) dengan ST elevasi (STEMI=ST elevation myocardial infarction) telah berjasa banyak dalam menurunkan mortalitas. Namun kerusakan jaringan miokard pasca PPCI tetap terjadi, akibat iskemia yang telah berlangsung sebelum reperfusi berhasil, atau kerusakan jaringan miokard akibat cedera reperfusi. Hal tersebut menimbulkan konsekuensi morbiditas akibat SKA berupa gagal jantung. Sehingga dikhawatirkan bila SKA tidak dicegah, di masa yang akan datang akan timbul epidemi gagal jantung. Oleh sebab itu strategi pencegahan terjadinya SKA perlu menjadi pengetahuan dasar bagi seluruh dokter spesialis jantung dan pembuluh darah (SpJP) agar epidemi gagal jantung dapat dicegah.Strategi pencegahan SKA tetap memegang 5 prinsip:1. Health Promotion2. Primary Prevention3. Early Detection and Prompt Treatment4. Secondary Prevention5. RehabilitationPoin pertama dan kedua dilakukan langsung ke tengah masyarakat di luar klinik atau rumah sakit, mulai dari poin ke-tiga, yaitu deteksi dini, dilakukan dalam praktek klinik.
Electrical Alternans Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 35, No. 1 Januari - Maret 2014
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v35i1.377

Abstract

Seorang perempuan, 50 tahun datang ke poli Aritmia dengan keluhan berdebar. Rekaman EKG 12-sadapan diperlihatkan pada gambar di bawah ini:Irama dasar rekaman EKG di atas adalah irama sinus yang dibuktikan dengan morfologi gelombang P yang berasal dari lokasi nodus sinoatrial yaitu negatif di aVR dan positif di sadapan II, III dan aVF. Perhatikan di sadapan aVF pada denyutan 1 interval PR memanjang hingga 280 mdet menunjukkan suatu blok AV derajat 1. Yang menarik adalah denyutan ke 2 dan ke 4 merupakan suatu atrial premature beat dengan morfologi QRS yang berbeda dari morfologi QRS pada denyutan 1. Sebaliknya denyutan ke 3 dan ke 5 yang merupakan denyut sinus pun memiliki kompleks QRS yang berlainan. Terlihat jelas bahwa perubahan morfologi QRS itu hanya tampak pada sadapan ekstremitas tetapi kurang terlihat pada sadapan prekordial.
Diagnostik Angiografi dan Intervensi Non-Invasif pada Tetralogy of Fallot (Tof) Radityo Prakoso; Danayu Sanni Prahasti
Jurnal Kardiologi Indonesia Vol. 34, No. 4 Oktober - Desember 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i4.378

Abstract

La Maladie Bleue yang dideskripsikan olehLouis Arthur Etienne Fallot pada tahun 1888,merupakan gambaran klinis dari fisiologiyang disebabkan malformasi anatomisPenyakit Jantung Bawaan (PJB) yang saat ini disebutdengan Tetralogy of Fallot (TOF).1 Gambaran utamakelainan ini terdiri dari hubungan interventrikularatau ventricular septal defect, hubungan biventrikulardari cabang aorta yang menaiki otot septum ventrikel,obstruksi aliran ventrikel kanan, dan hipertrofiventrikel kanan. Tiap komponen mempunyai derajatkeparahan yang bervariasi, dan mempengaruhimanifestasi klinis dan tatalaksana penyakit tersebut.1,2Perkembangan tatalaksana TOF dari paliatif menjadibedah korektif pada balita dan anak-anak diikuti denganberkembangnya peran intervensi transkateter.
Penurunan Fungsi Ventrikel Kanan pada Subjek dengan Obstructive Sleep Apnea Rony M Santoso; Anna U Rahajoe; Ismoyo Sunu
Jurnal Kardiologi Indonesia Vol. 34, No. 4 Oktober - Desember 2013
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v34i4.379

Abstract

An analytical design study on the systolic right ventricle (RV) functionwas done in Obstructive Sleep Apnea (OSA) patients who underwentpolisomnography procedure and compare it with normal subject. Theassessment of the RV function was performed using the Speckle trackingechocardiography method. Other RV function parameters such as TAPSE,Tissue Doppler Imaging (TDI), dan Myocardial Performance Index (MPI)were also measured.The results showed RV dysfunction in OSA patients compared with normalsubject, the decrease of RV function was significantly different betweenthe two groups. Factors that contributed to RV dysfunction in OSA patientswere higher Apnea-Hypopnea Index (AHI) and Nocturnal OxygenDesaturation.

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