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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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Parameter Pengukuran Ventrikel Kiri menggunakan Ekokardiografi Bagian 2 Ario Suryo
Jurnal Kardiologi Indonesia Vol. 36, No. 4 Oktober - Desember 2015
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v36i4.507

Abstract

1. Fungsi regional ventrikel kiriModel pembagian segmen Vki digunakan dalam praktek klinis sehari-hari. Model pembagian menjadi 17 segmen direkomendasikan untuk menilai perfuso miokardial dengan menggunakan ekokardiografi dan teknik atau modalitas pencitraan lainnya . ( PET Scan atau Cardiac MRI). Model ini dapat dilihat pada gambar 4Model 16 segmen direkomendasikan dipakai secara rutin untuk menilai gerakan dinding Vki karena gerakan endokardial dan penebalan pada bagian apeks Vki sulit untuk bisa dideteksi. Untuk menilai gerakan dinding ini , setiap segmen sebaiknya di dievaluasi menggunakan berbagai pandangan dan 4 tingkatan penilaian digunakan yaitu (1) normal atau hiperkinetik, (2) hipokinetik, (3) akinetik (tidak adanya penebalan miokard atau penebalan minimal), dan diskinetik (penipisan saat sistolik atau penipisan).
Intermitten PR Interval Changes Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 36, No. 4 Oktober - Desember 2015
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v36i4.508

Abstract

Seorang anak perempuan usia 10 tahun dikonsulkan ke Divisi Aritmia dengan keluhan palpitasi berulang. Ekokardiografi menunjukkan anatomi dan fungsi jantung yang normal. Rekaman EKG diperlihatkan pada gambar 1.Takikardia QRS sempit dengan pola P-QRS-T yang menetap dapat merupakan suatu atrial atau sinus takikardia. Perhatikan bahwa gelombang P pada saat takikardia sama sekali berbeda dengan morfologi gelombang P saat irama sinus. Hal ini lebih menunjukkan suatu atrial takikardia daripada suatu irama sinus.Atrial takikardia bisa merupakan suatu fokal atau makroreentri. Suatu atrial makroreentri atau atrial flutter umumnya mempunyai panjang siklus antara 200–150 mdet, sedangkan pasien ini mempunyai panjang siklus (interval PP) sekitar 380 mdet sehingga suatu atrial takikardia yang fokal lebih memungkinkan. Di antara mekanisme atrial takikardia fokal dapat berupa otomatisasi, mikroreentri atau bahkan triggered activity. Perhatikan pola terminasi dan induksi
Gagal Jantung Kongestif dan Fibrilasi Atrium: Apa Terapi Terbaik? Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.549

Abstract

Gagal jantung bukan menurun bahkan meningkat prevalensinya.1 Terapi sindrom koroner akut yang lebih baik dan makin banyaknya populasi manula ditengarai sebagai penyebab peningkatan tersebut. Gagal jantung sistolik menimbulkan peningkatan tekanan akhir diastolik ventrikel kiri yang akhirnya akan meningkatkan pula tekanan atrium kiri sehingga terjadi remodeling atrium yang kemudian menyebabkan terjadinya fibrilasi atrium (FA). Sebaliknya FA dengan respon ventrikel yang cepat dan tidak terkontrol juga akan menyebabkan remodeling ventrikel yang berujung pada gagal jantung. Selain itu FA juga meningkat pada manula, sejalan dengan peningkatan kejadian gagal jantung.
Apolipoproten B , LDL Kolesterol dan apoB / apoA -I Rasio Pasien Angina Stabil Olivia Handayani; Djanggan Sargowo
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.550

Abstract

Aim: To acknowledge the nature of correlation between apolipoprotein B concentrations and LDL cholesterol levels in patients with stable angina pectoris and also to show that the ratio of apoB/apoA-I may be a promising predictor for the risk of cardiovascular disease.Methods: This is an observational study with cross-sectional approach of 34 patients with stable angina pectoris. Prior to the study, patients were advised to fast for 10-12 hours and must complete the informed consent. Patients underwent physical examination and anthropometric measurements (height, body weight, waist circumference), blood test, and ECG check.Results: From 34 patients, the prevalence of high levels of total cholesterol (>200 mg/dl) in men and women are 45.5% and 47.8%, respectively; and 90.9% men and 87% women with increased LDL-C (?100 mg/dl). Low value of apoA-I was determined in 5 men (45.5%) and 4 women (17.4%); and high value of apoB was found in 7 men (63.6%) and 11 women (47.8%), whereas 13 subjects with unfavorable apoB/apoA-I ratio. Six subjects had low levels of apoA-I along with high levels of apoB. ApoB/apoA-I ratio above 0.9 was found in 6 or 11 men (54.5%) and 7 of 23 women (30.4%).Conclusion: We found that in 34 patients with stable angina, 18 of them (52.9%) showed high plasma apoB concentration. This is parallel to 30 subjects (88.2%) with high LDL cholesterol levels, and also 13 subjects (38.2%) with high apoB/apoA-I ratio. It can be concluded the higher the ratio of apoB to apoA-I, the greater the risk of cardiovascular disease. Lifestyle management and pharmacological intervention in dyslipidemia is important in reduction of cardiovascular events.
Kadar Gula Darah Lebih Tinggi pada Pasien Hipertensi dengan Delesi Intron 16 Gen Ace Lowry Yunita; Mohammad Saifur Rohman; Bagus H Kuncahyo; Mifetika Lukitasari; Arina Madjidi; Maulidiyatun Nuril Faizah; Nashi Widodo
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.551

Abstract

Background Renin Angiotensin Aldosteron System plays major role in hypertension pathophysiology. Has been proposed that half of individuals with essential hypertension are considered insulin resistant. Angiotensin Converting Enzyme gene polymorphism taking the control of ACE level in human plasma. There might be a correlation between ACE gene polymorphism and plasma glucose level.Objective This study sought to investigate ACE gene polymorphism insertion/deletion in hypertensive patients and its correlation with plasma glucose level.Method A total of 100 hypertensive patients at Saiful Anwar cardiovascular outpatients clinic who received ACEi at least 8 weeks were included. ACE genotype were determined by polymerase chain reaction method, and plasma glucose level was measured by enzymatic colorimetric assay method.Result The II, ID, and DD genotype were observed in 48%, 29% and 23% of participant, respectively. The fasting and 2 hours post prandial plasma glucose were significantly higher in DD genotype patients. The insertion/deletion polymorphisms were not related significantly to age, sex, cough, and controlled blood pressure of those patients.Conclusion This study showed that 23% of hypertensive patients had DD genotype with higher plasma glucose level as compare to those of II and ID genotype.
Sistem Skoring Diagnosis Fibrilasi Atrium pada Kasus Stroke Iskemik Erick Hoetama; Bambang Hermawan Hermawan; I Gusti Made Sunia
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.552

Abstract

Background & Objectives. Atrial Fibrillation (AF) is the most common arrhytmia that is found in daily practices. Patients with AF have four- to five-fold increased risk of developing ischemic stroke compared to normal population. Diagnosing AF can sometimes be quite difficult especially in the setting of paroxysmal AF. Moreover, paroxysmal AF can also increase the risk of thromboembolic complications. Some cases of cryptogenic stroke are believed to be cardioembolic in origin which caused by occult AF. This study aimed to develop a simple scoring system to detect patients with ischemic stroke most likely to have AF, so that recurrent stroke can be prevented.Methods. We conducted diagnostic study using cross sectional design. Total 173 subjects were gathered. Those subject were patients with ischemic stroke admitted in Belitung or Ruteng General Hospital from January 2014 until August 2015. Data collected were subjects’ characteristics, hypertension, diabetes, obesity, dyslipidemia, smoking history, congestive heart failure (CHF), alcohol consumption, valvular heart disease, chronic obstructive pulmonary disease, myocardial infarct history, previous stroke, Modified National Institutes of Health Stroke Scale (mNIHSS) score, and left atrial diameter (LAD). We analyzed those data using bivariate and logistic regression multivariate analysis.Results. Multivariate analysis showed significant relationship between AF and some of the variables, which are hypertension, diabetes, obesity, CHF, left atrial enlargement, age and mNHISS score. We developed 7-point scoring system derived from those variables. A cutoff score of 3 or higher has sensitivity 97,1% and specificity 54,3%. Also, this scoring system has Area Under the Curve (AUC) value of 88,9% (IK95% 83,1% - 94,7%).Conclusion. This scoring system uses only clinical and echocardiographic profile that are easy to do, so it can be utilized as a simple diagnostic tool to identify ischemic stroke patient who is likely to have AF. Future studies are needed to determine another possibly related parameters.
Ventrikel Kiri dengan Jalan Masuk dan Keluar Ganda, Trasnposisi Arteri Besar, Duktus Arteriosus Paten Defek Septum Ventricle Inlet Sylvie Sakasasmita; Ganesja M. Harimurti; Dicky Fakhri; Venty Venty
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.553

Abstract

Congenital heart disease is an interesting area which present a great various arrangement of the cardiac stucture. We present a rare case of 11 months old male with complex congenital heart disease consisted of Double Inlet Left Ventricle (DILV), Double Outlet Left Ventricle (DOLV) with Malposition of Great Arteries, Inlet Ventricle Septal Defect (VSD) and Patent Ductus Arteriosus (PDA).Patient was an eleven months old male who was admitted in our institution for cardiac operation. He was diagnosed with congenital heart disease since three days old with initial presentation of cyanosis when he was crying. His physical growth was retarded but his developmental Milestones was considered normal. On admission, his oxygen saturation was 88% with ambient air. The diagnosis was confirmed by echocardiography. He was planned to undergo staging surgery which would end to Fontan Procedure. Pulmonary Artery (PA) banding was performed to reduce blood flow to pulmonary circulation, distribute more blood from the left ventricle to aorta and systemic circulation and prepare for bidirectional Glenn Shunt procedure one year later and Fontan procedure a year after that.
Ruptur Aneurisma Sinus Valsava Ke Ventrikel Kanan: Peranan Ekokardiografi Primawati A; Krisdinarti L; Mumpuni H
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.554

Abstract

1% of the incidence of congenital cardiac anomalies. The most frequent complication is rupture into the right ventricle, causing a shunt from left to right or aortic valve insufficiency with congestive heart failure requiring immediate surgical management. Echocardiography is a diagnostic modality that can be used to help diagnose the presence of sinus Valsalva aneurysm and complications.Clinical case: A 35 years old man with complaints dating dyspnoea on exertion and swelling in both legs. Cardiac auscultation obtained their continuous noisy grade III / VI in the lower left sternal border. Electrocardiography showed sinus tachycardia tachycardia with right axis deviation, right ventricular hypertrophy, and ventricular extrasystoles. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) shows an overview of the sinus of Valsalva aneurysm rupture to the right of the right ventricle.Discussion: When on the clinical findings led to the suspicion rupur sinus of Valsalva aneurysm, the evaluation can be performed using TTE, TEE, Magnetic Resonance Imaging (MRI), maupunkateterisasi heart. Gold standard diagnosis of ruptured sinus Valsalva aneurysm is a cardiac catheterization, but with the advancement of a new generation of engines echocardiography, TTE and TEE has played an important role in the diagnostic confirmation of sinus of Valsalva aneurysm rupture.Conclusion: Echocardiography is the diagnostic modality that is quite helpful in making the diagnosis, complications and surgical therapeutic options in cases of ruptured sinus of Valsalva aneurysm.
Aktivasi Neurohormonal dan Remodeling Atrium Kiri pada Stenosis Mitral Vidya Gilang Rejeki; Bambang Budi Siswanto; Nani Hersunarti
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.555

Abstract

Mitral stenosis is closely related with the hemodynamic consequences of obstructed mitral leaflet. Definitive therapy in mitral stenosis is mechanical intervention. Late presentation of mitral stenosis patients to medical facilities due to limited health facilities and Indonesian’s demographic, often make patients’ condition deteriorates, in which intervention need to be delayed or even no longer suitable. Stretched left atrium and reduced cardiac output stimulate several neurohormonal activation; renin-angiotensin-aldosterone and symphatetic nervous system. Left atrial remodeling further worsen hemodynamic ststus. Renin-angiotensin-aldosterone and sympathetic blockage could improve mitral stenosis patients’ condition with close observation to hypotension status.
Alat Pacu Jantung Tanpa Kabel Albert Sudharsono; Dicky A. Hanafy; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 37, No. 1 Januari - Maret 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i1.556

Abstract

The development of health technology benefits in the treatment of heart rhythm abnormalities. Cardiac pacemakers with nonsurgical methods plays a critical role in the management of patients with heart rhythms disorders. The discovery of a leadless pacemaker provides many benefits compared to conventional pacemaker where the device can be implanted by transcatheter delivery. Various studies have been done and still continued to monitor the efficacy and safety of this device. In principle, Indonesia is ready to participate in the advance technology of leadless pacemaker. National Health Covarage policy will play an important role in this new technology in the future.

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