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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 725 Documents
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The Role of Inspiratory Muscle Training for Enhancing Functional Capacity in Post Heart Valve Surgery Patients: A Scoping Review Wahyudi, Heru; Sari, Dian Marta; Arisanti, Farida; Dharmawan, Muhammad Luthfi
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1885

Abstract

Background: Valvular Heart Disease (VHD), particularly Rheumatic Heart Disease (RHD), is a major health burden in Indonesia, often requiring heart valve surgery. Post-operative respiratory muscle dysfunction and reduced functional capacity hinder recovery. Inspiratory Muscle Training (IMT) is a non-invasive intervention that improves respiratory muscle strength and functional outcomes. This scoping review evaluates the role of IMT in enhancing functional capacity among patients after heart valve surgery.Methods: A systematic search of PubMed and Scopus identified Randomized Controlled Trials (RCTs) and cohort studies involving adult patients who underwent IMT interventions after heart valve surgery. The search strategy combined controlled vocabulary (Medical Subject Headings [MeSH]) Key terms included: (“heart valve surgery” OR “valve replacement” OR “valvular heart disease”) AND (“inspiratory muscle training” OR “respiratory muscle training”) AND (“functional capacity” OR “exercise capacity” OR “respiratory muscle strength” OR “pulmonary function”). Outcomes included functional capacity, respiratory muscle strength, pulmonary function, Post-operative Pulmonary Complications (PPCs), and hospital Length of Stay (LOS). Data were synthesized narratively.Results: Four RCTs (273 patients) showed IMT significantly improved Maximal Inspiratory Pressure (MIP), Six-Minute Walk Distance (6MWD), and pulmonary function [Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV₁)]. Interventions of 4–12 weeks reduced PPCs and LOS. Optimal benefits were observed with 8–12-week protocols.Conclusion: IMT enhances functional capacity, respiratory muscle strength, and pulmonary function post-heart valve surgery, with the potential to reduce complications and costs. Its integration into rehabilitation programs is recommended, particularly in regions with high RHD prevalence, such as Indonesia. Further studies should standardize protocols and assess long-term outcomes.
Gulf of Tomini Cardiac Arrhythmia Research and Exploration (G-CARE): A Multicenter Hospital-Based Outpatient ECG Study Siregar, Muchtar Nora Ismail; Yusuf, Zuhriana K.; Iman, Dian Pratiwi; Djakaria, M. Yusril Ihza
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1888

Abstract

Introduction: Cardiac arrhythmias pose a significant burden on global health, especially in underserved regions with limited access to diagnostics. In Indonesia, particularly in the Gulf of Tomini, epidemiologic data on arrhythmia prevalence are scarce. Methods: The G-CARE (Gulf of Tomini Cardiac Arrhythmia Research and Exploration) study was a hospital-based, multicenter, cross-sectional study conducted from 2023–2025 across four referral centers in Gorontalo Province. Adults aged ≥18 years who underwent 12-lead ECG examination were included through purposive sampling. ECGs were interpreted by board-certified cardiologists and classified by arrhythmia type. Results: A total of 3,177 patients were included (mean age: 53.9±14.9 years; 54.6% female). Normal ECGs were found in 43.4%. The most common abnormalities were ischemic ST-T changes (18.9%, 95% CI: 17.5–20.3), QTc prolongation (15.5%, 95% CI: 14.2–16.8), and left ventricular hypertrophy (10.1%, 95% CI: 9.1–11.2). Atrial fibrillation/flutter occurred in 3.5% (95% CI: 2.8–4.3), AV block in 3.7% (95% CI: 3.0–4.5), and Brugada Pattern in 0.4% (95% CI: 0.2–0.8). Age-related increases were observed for AF, AV block, and QT prolongation. PVC morphology showed high-risk features (QRS >160 ms, coupling interval <300 ms) in young adults. Conclusion: The G-CARE study identifies a high prevalence of electrocardiographic abnormalities among adults undergoing ECG in outpatient settings within the Gulf of Tomini region. Because the study used hospital-based, purposive sampling of patients who had an ECG ordered as part of routine clinical care, these estimates may be amplified by selection bias and do not directly represent the general population. Rather than serving as definitive evidence to support mass, population-level ECG screening, our findings should be considered hypothesis-generating and supportive of conducting a properly designed population-based study (with probability sampling) to determine the true community burden and to inform screening policy.
Non - Fluoroscopic Transesophageal Echocardiography Guided Transcatheter Closure of Atrial Septal Defects: Single Centre Experience in The North of Sumatra Island, Indonesia Nasution, Ali Nafiah; Napitupulu, Bertha Gabriela; Ardini, Tengku Winda; Purba, Joy Wulansari; Andra, Cut Aryfa; Lubis, Anggia Chairuddin; Siregar, Abdullah Afif
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1985

Abstract

Background: Non-fluoroscopic, transesophageal-guided percutaneous closure of Atrial Septal Defect (ASD) can be a first-line strategy to reduce radiation exposure and its cumulative effects. We report our experience as the first center located far from the capital city of Indonesia that routinely performs transcatheter closure of ASD under the guidance of Transesophageal Echocardiography (TEE) without fluoroscopy. Methods: We collected data of patients whose ASD was successfully closed percutaneously from May 2020 to August 2024. For a total of 116 patients of secundum ASD that are suitable for device closure, we routinely intend to do non-fluoroscopy transcatheter ASD closure guided by TEE. Results: The zero-fluoroscopy technique was successfully performed in 111 patients. The ASD diameter is 10-40 mm, and the mean size of the occluding device is 9-42 mm. The mean procedural times are 55.81 ± 22.7 minutes. The success rate is 95% with only one case of pericardial effusion. Five cases were excluded as they were finally assisted by fluoroscopy due to the limitation of the echocardiographic view. Conclusion: A thorough transcatheter ASD closure technique guided by TEE can routinely be performed without fluoroscopy.
Relationship Between Pre Operation Risk Factor Profiles With Clinical Outcomes In Post Isolated CABG Patients Treated In ICU Soeharto, Daondy Friarsa; Zahara, Rita; Herlambang, Bagus; Widyantoro, Bambang; Sugisman, Sugisman
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.2067

Abstract

Background: Atherosclerotic Cardiovascular Disease (ASCVD) causes around 31% death all over the world. This disease can be managed with Coronary Artery Bypass Graft (CABG). Although its success ratio continues to increase, patients tend to have more complex conditions, which complicate the results. Methods: This retrospective cohort study was conducted with samples consisting of ≥18 years old patients who underwent isolated CABG between January 2017 and June 2022 and were admitted to the Intensive Care Unit (ICU) afterward. Clinical outcomes measured were prolonged ICU and intrahospital mortality. A 77-hour post-procedural ICU treatment period is considered the standard of care. Result: A total of 2611 patients were included. The mean age was 59 years. Geriatric, overweight, obesity, kidney failure, Heart Failure with reduced Ejection Fraction (HFrEF), Cardiogenic Shock, Left Main Disease (LMD), and Pre Incision Intra-Aortic Balloon Pump (IABP) are associated with prolonged ICU care; while female gender, Family history of ASCVD, Diabetes, Hypertension, Acute Coronary Syndrome (ACS), Stroke, and history of cardiac surgery are associated with higher mortality. The lengthening of ICU care is also associated with higher mortality (OR 4.02; p<0.00). According to multivariate analysis, the factors associated with prolonged ICU are geriatric, obesity, kidney failure, stroke, HFrEF, Cardiogenic shock, very poor Ejection Fraction (EF), urgent procedure and pre incision IABP, meanwhile factors associated with mortality are female, diabetes, stroke, history of ACS<24H, poor and very poor EF, History of Cardiac Surgery, and prolonged ICU itself. Conclusion: In Indonesian isolated CABG patients, prolonged ICU stay and increased mortality are independently driven by specific demographic, comorbid, and clinical factors, necessitating targeted preoperative risk assessment to optimize outcomes.
A Model of Cardiac Preparticipation Screening for Sports Competition in Indonesia: Challenges and Future Perspectives Desandri, Dwita Rian; Aslani, Averina Octaxena
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.2156

Abstract

Sudden cardiac death (SCD) among athletes remains a preventable tragedy, yet Indonesia lacks a national registry, standardized protocols, and systematic data amid rising coronary artery disease prevalence and regional cardiovascular risks unique to the Asia-Pacific. While countries like Italy have reduced SCD by 89% through mandatory electrocardiogram-based screening, Indonesia's Law No. 11 of 2022 mandates athlete health services without specifying cardiac preparticipation screening (CPS) details, resulting in inconsistent implementations across events like the quadrennial Pekan Olahraga Nasional (PON). This editorial proposes a feasible, cost-effective CPS model—history, physical exam, and 12-lead ECG using 2017 International Criteria—for PON athletes, delivered via Indonesian Heart Association, national sports committee, and ministry partnerships. Piloted with trained general practitioners and cardiologists at training centres, it aligns with WHO screening criteria, costs per athlete, and reserves echocardiography for high-risk cases. By generating Indonesia's first athlete SCD data, enhancing provider training, and enabling scalable nationwide rollout, this framework promises to quantify risks, avert fatalities, and position Indonesia as a leader in equitable sports cardiology for resource-constrained settings, transforming competitive sport from potential peril to unalloyed benefit.

Page 73 of 73 | Total Record : 725

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