2024-03-29T15:14:34Z
https://jurnal.ugm.ac.id/jaci/oai
oai:jurnal.ugm.ac.id:article/36632
2018-07-05T18:34:39Z
jaci:ART
Comparison of Predicted Significant Coronary Lesion by Duke Treadmill Score among Coronary Heart Disease Risk Factors in Patients with Positive Ischemic Response Treadmill Test
Rubiyaktho, David
Tjahjono, Cholid Tri
risk factors; coronary heart disease; Duke Treadmill Score
Background: According to Framingham Study, independent risk factors for coronary heart disease (CHD) are diabetes, hypertension, smoking, dyslipidemia, family history of CHD and obesity. Previous study reported cut-off value of Duke Treadmill Score (DTS) < -0.5 represents a significant coronary lesion with positive predictive value 88.4%. Objective: To compare the incidence of predicted significant coronary lesions by DTS among various risk factors for coronary heart disease. Methods: A cross sectional study was done on 292 patients age 18 to 74 years old who had positive exercise testing for CAD screening during period of June 1st 2016 until May 30th 2017. DTS was calculated from treadmill test as: exercise time - (5 x ST deviation in mm) - (4 x exercise angina). A coronary lesion was predicted significant with DTS cut off value < -0.5. Results: Subjects mean age was 57 years old, male were 60.4%. The risk factors for CHD were found sequentially from the most frequent were hypertension 51.9%, smoking 35.3%, diabetes mellitus 23.1%, dyslipidemia 11.9%, obesity 4.2% and family history of CHD 6.3%. It was found that diabetes was significantly different from its effect on DTS value with p value = 0.021, while hypertension, obesity, dyslipidemia and family history CHD had no significant effect. Logistic regression found consistently that diabetes was significant (p=0.019). Conclusion: Predicted significant coronary lesions by DTS developed more frequent in diabetes compared to, hypertension, smoking, dyslipidemia, obesity and family history of coronary heart disease.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36632
10.22146/aci.36632
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 1-8
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36632/21350
Copyright (c) 2018 David Rubiyaktho, Cholid Tri Tjahjono
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36633
2018-07-05T18:34:39Z
jaci:ART
The Characteristics and Distribution of Congenital Heart Disease in Outpatient Clinic and Inpatient Ward of RSUD Dr. Soedono Madiun East Java in Year 2015
Finariawan, Finariawan
Mahmud S.A., Syifa
congenital heart disease; characteristic distribution; children
Background: Congenital heart disease is a heart abnormality that presents at birth and fatal in the majority of the case. Congenital heart disease affecting up to 8-10 in every 1,000 newborn. Methods: This study was a descriptive research about the characteristics and distribution of congenital heart disease at ward and clinic of a government hospital in East Java for a year, by investigating medical record from 1 January 2015 – 31 December 2015. We classified and analyzed the patients based on the different groups of age, gender, type of congenital heart disease, the age of first diagnosed, nutritional status, co-morbidities of the disease, medical intervention, and the funding. Result: Total sample from this research was 49 subjects, consist of 53% male and 46% female. CHD was mostly diagnosed in the first year of life (75%), with acyanotic CHD as the most common type. Malnutrition was found in 51% of the subjects. Nonsurgical medical intervention was the most common management performed to treat the condition (97%). The funding with National Health Insurance (PBI or non-PBI) was used in more than half of the subjects (51%). Conclusion: As the conclusion, CHD was commonly found in the first year of life with noncyanotic type dominated the CHD patients. As the highly cost of this disease, it was surprising that only half of the subjects were covered by National Health Insurance. A good funding resource was really needed to make sure the treatment plan of the diseases was well executed.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36633
10.22146/aci.36633
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 9-14
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36633/21351
Copyright (c) 2018 Finariawan Finariawan, Syifa Mahmud S.A.
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36634
2018-07-05T18:34:39Z
jaci:ART
Correlation between Left Ventricular Eccentricity Index and Mean Pulmonary Arterial Pressure in Secundum Type Atrial Septal Defect Adult Patients
Fitria, Citra Dewi Wahyu
Nashar, Azhafid
Anggrahini, Dyah Wulan
Hartopo, Anggoro Budi
Mumpuni, Hasanah
Dinarti, Lucia Kris
eccentricity index; mean pulmonary arterial pressure; secundum atrial septal defect; pulmonary arterial hypertension
Background: Secundum type atrial septal defect (ASD) is the most common adult congenital heart disease. Hemodynamically, ASD result in a left-to-right shunt that causes right heart volume overload. This condition affects interventricular septal position and shape. Left ventricular (LV) eccentricity index (EI) suggests right ventricle (RV) overload when this ratio is >1.0. The aim of this study was to assess correlation between LV EI and mean pulmonary arterial pressure (mPAP) in secundum type ASD patients. Methods: We conducted a cross sectional study from ASD patients registry data. We enrolled subjects with secundum type ASD from the complete registry data. The LV EI was calculated from transthoracal echocardiography. The mPAP was measured by right heart catheterization as a gold standart. The correlation was performed by Spearman correlation test. Results: There were 40 adult secundum type ASD patients participated. The mean LV EI in enddiastolic was 1.55±0.39 and LV EI in end-systolic was 1.75±0.58. The median value of mPAP was 29 (12-99) mmHg. There was a moderate strength, positive and significant correlation between LV EI in end-diastolic and mPAP (r=0.37, p=0.018). The correlation was more significant and stronger between LV EI in end-systolic and mPAP (r=0.52, p=0.001). Conclusion: There was sufficiently strong and significant correlation between LV EI in both end-diastolic and end-systolic phase with mPAP in adult secundum type ASD.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36634
10.22146/aci.36634
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 15-21
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36634/21352
Copyright (c) 2018 Citra Dewi Wahyu Fitria, Azhafid Nashar, Dyah Wulan Anggrahini, Anggoro Budi Hartopo, Hasanah Mumpuni, Lucia Kris Dinarti
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36635
2018-07-05T18:34:39Z
jaci:REV
The Shared Pathogenesis of Pulmonary Artery Hypertension
Hartopo, Anggoro Budi
Dinarti, Lucia Kris
pulmonary artery hypertension; pathogenesis; pulmonary vascular remodeling
Pulmonary artery hypertension is defined as an increased in pulmonary artery pressureexceeding 25 mmHg with normal pulmonary wedge pressure. The pathogenesis of pulmonaryartery hypertension involves interaction among vascular, cellular and biomarker componentsin the pulmonary tissue; with eventual result is elevated pulmonary artery pressure. Vascularcomponents are remodeling of intimal, medial and adventitial layers. Cellular components areplayed by apoptosis-resistant endothelial cells, proliferative-prone pulmonary artery smoothmuscle cells, fibroblasts and inflammatory cells. The functional biomarkers are produced andmediated by these cellular changes, mainly endothelin-1, thromboxane, serotonin, nitric oxide,and prostacyclin. The pulmonary vascular remodeling in pulmonary artery hypertension arediverse and may present in various severity based on underlying etiology. Understanding theshared pathogenesis in pulmonary artery hypertension is of paramount importance in order toimprove the disease management and treatment approach.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36635
10.22146/aci.36635
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 22-27
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36635/21353
Copyright (c) 2018 Anggoro Budi Hartopo, Lucia Kris Dinarti
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36636
2018-07-05T18:34:39Z
jaci:CR
Obesity in Patient with Grown Up Congenital Heart Disease Ventricular Septal Defect with Pulmonary Hypertension in Sanglah Hospital, Bali, Indonesia
Natasya, Nabila
Wijaya, Maya Paramita
Kusuma, Yosi
Antara, I Made Putra Swi
supracristal VSD; GUCH; pulmonary hypertension; obesity
Ventricular septal defect (VSD) is a congenital heart disease (CHD) which characterized bya hole in the wall that separate between the right and left ventricle. There are several typesof VSD based on its location, which are perimembranous/conoventricular, subpulmonary/conotruncal, supracristal/doubly commited, muscular and atrioventricular canal/inlet. AVSD is one of the most common CHD which occurs in approximately 2-6 of every 1,000live births and accounts for more than 20% of all CHDs. However, the population of VSDpatients with grown up congenital heart disease (GUCH) is still uncertain. We are presentinga rare case of a 19 year old patient with congestive heart failure NYHA functional class IVdue to uncorrected left-to-right shunt supracristal VSD with body mass index of 35.5 kg/m2. He presented in the emergency room with acute decompensated heart failure profileB. Echocardiography revealed decreased left ventricle (LV) systolic function, normal rightventricle (RV) systolic function, decreased LV diastolic function, and dilated left atriumand LV. We plan to perform right heart catheterisation and pulmonary artery oxygenresponsiveness test followed by VSD closure in this patient. Another explanation will bediscussed in this paper.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36636
10.22146/aci.36636
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 28-35
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36636/21355
Copyright (c) 2018 Nabila Natasya, Maya Paramita Wijaya, Yosi Kusuma, I Made Putra Swi Antara
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36637
2018-07-05T18:34:39Z
jaci:CR
Atrial Fibrillation in Dengue Infection: A Self-limiting Phenomenon? (Two Case Reports)
Pranata, Raymond
Wiharja, Wendy
Damay, Vito
atrial fibrillation; dengue infection; electrocardiography; dengue fever; reversible; tropical infection
Dengue fever (DF) is highly prevalent in Indonesia as evidenced by 129,650 cases in 2015.Atrial fibrillation (AF) in dengue is exceptionally rare and usually self-limiting with resolution after recovery of illness. The aim of this case report is to depict two patients with AF in DF which resolves spontaneously in one and persists after infection in the other. Case 1 was 50 years old male presented with fever since 4 days before admission. NS1 antigen and IgM anti-Dengue virus were positive. An electrocardiogram (ECG) showed AF with rapid ventricular response (AFRVR). Case 2 was 53 years old male presented with dyspnea and palpitations 1 hour before admission. Patient had fever since 5 days before admission. Laboratory exams showed leukopenia, thrombocytopenia and positive IgM anti-Dengue virus. An electrocardiogram showed AFRVR. Intravenous fluids (normal saline), paracetamol, and digoxin were administered in both patients. They were admitted for close monitoring. Pre-discharge ECG of Case 1 showed resolution of AF. However, in Case 2, AF persists in pre-discharge ECG. In conclusion, physicians should be aware that a potentially reversible atrial fibrillation might be caused by this infection. It should be ensured that in those persisting cases, they should not be dismissed as just an ‘irreversible’ AF and progress into full-blown heart failure.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36637
10.22146/aci.36637
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 36-40
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36637/21369
Copyright (c) 2018 Raymond Pranata, Wendy Wiharja, Vito Damay
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/36638
2018-07-05T18:34:39Z
jaci:CR
Pulmonary Artery Hypertension Associated with HIV Infection in Nine Year-Old Child
Prabowo, Baskoro Adi
Wahab, Abdus Samik
Mumpuni, Hasanah
pulmonary arterial hypertension; HIV infection
Pulmonary arterial hypertension (PAH) is a serious life threatening and severe complication ofHIV infection. A PAH presentation in patient with HIV tends to non specific, result in recognizeddiagnosis at a later stage. A 9 year-old HIV patient came to Pediatric Clinic with a chief complaint of worsening dyspneu for 1 month, leg edema and difficulty lying on a flat bed. Patient showed signs and symptoms that lead to pulmonary hypertension. An ECG findings were sinus rhythm, right axis deviation, and right ventricular hypertrophy. Echocardiography findings showed rightventricular and atrial enlargement, and high probability of pulmonary hypertension. Blood examination showed CD 4 was 84 cells/μL. The patient was managed as pulmonary arteryhypertension associated with HIV (HIV-PAH) infection.The patient was admitted for 3 weeksand eventually discharged with relieve condition.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-07-06
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/36638
10.22146/aci.36638
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (2018); 41-45
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/36638/21362
Copyright (c) 2018 Baskoro Adi Prabowo, Abdus Samik Wahab, Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38738
2018-09-12T18:56:32Z
jaci:COM
The Committee of The 2nd JINCARTOS 2018
of JINCARTOS 2018, Committee
The Committee of The 2nd JINCARTOS 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38738
10.22146/aci.38738
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38738/22073
Copyright (c) 2018 Committee of JINCARTOS 2018
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38739
2018-09-12T18:56:32Z
jaci:SL
List of Speakers
Speakers, List of
List of Speakers The 2nd JINCARTOS 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38739
10.22146/aci.38739
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38739/22074
Copyright (c) 2018 List of Speakers
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38740
2018-09-12T18:56:31Z
jaci:FOR
Foreword
Foreword, Foreword
Foreword The 2nd JINCARTOS 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38740
10.22146/aci.38740
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38740/22075
Copyright (c) 2018 Foreword Foreword
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38744
2018-09-12T18:56:32Z
jaci:PO
Abstracts of Research Posters
Posters, Research
Abstracts of Original Research Posters
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38744
10.22146/aci.38744
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38744/22078
Copyright (c) 2018 Research Posters
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38746
2018-09-12T18:56:32Z
jaci:Symp
Abstracts of Symposium II: Acute Coronary Syndrome: The Obstructive Plug
Acute Coronary Syndrome: The Obstructive Plug, Symposium II:
Abstracts of Symposium II: Acute Coronary Syndrome: The Obstructive Plug
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38746
10.22146/aci.38746
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38746/22080
Copyright (c) 2018 Symposium II: Acute Coronary Syndrome: The Obstructive Plug
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38747
2018-09-12T18:56:32Z
jaci:Symp
Abstracts of Symposium I: Stable Coronary Artery Disease: The Stable Plaque
Stable Coronary Artery Disease: The Stable Plaque, Symposium I:
Abstracts of Symposium I: Stable Coronary Artery Disease: The Stable Plaque
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38747
10.22146/aci.38747
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38747/22081
Copyright (c) 2018 Symposium I: Stable Coronary Artery Disease: The Stable Plaque
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38748
2018-09-12T18:56:33Z
jaci:PO
Abstracts of Case Posters
Posters, Posters
Abstracts of Case Posters
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38748
10.22146/aci.38748
ACI (Acta Cardiologia Indonesiana); Vol 4, No 1 (S) (2018): Supplement, Abstract The 2nd Jogja INternational CARdiovascular TOpic Series (JINCARTOS) 2018
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38748/22082
Copyright (c) 2018 Posters Posters
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38778
2018-09-13T21:02:13Z
jaci:PL
Plennary Lecture
Lecture, Plennary
Plennary Lecture JCU 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38778
10.22146/aci.38778
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38778/22090
Copyright (c) 2018 Plennary Lecture
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38779
2018-09-13T21:02:13Z
jaci:Symp
Abstracts of Symposium Day I
Day 1, Symposium
Abstracts of Symposium Day I JCU 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38779
10.22146/aci.38779
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38779/22091
Copyright (c) 2018 Symposium Day 1
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38780
2018-09-13T21:02:14Z
jaci:Symp
Abstracts of Symposium Day 2
Day 2, Symposium
Abstracts of Symposium Day 2 JCU 2018
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38780
10.22146/aci.38780
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38780/22092
Copyright (c) 2018 Symposium Day 2
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38781
2018-09-13T21:02:14Z
jaci:PO
Abstracts of Research Posters Day 1
Research Day 1, Posters
Abstracts of Research Posters Day 1 (JCU 2018)
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38781
10.22146/aci.38781
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38781/22093
Copyright (c) 2018 Posters Research Day 1
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38782
2018-09-13T21:02:14Z
jaci:PO
Abstracts of Research Posters Day 2
Research Day 2, Posters
Abstracts of Research Posters Day 2 (JCU 2018)
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38782
10.22146/aci.38782
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38782/22094
Copyright (c) 2018 Posters Research Day 2
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38783
2018-09-13T21:02:14Z
jaci:PO
Abstracts of Case Report Posters Day 1
Case Report Day 1, Posters
Abstracts of Case Report Posters Day 1 (JCU 2018)
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38783
10.22146/aci.38783
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38783/22095
Copyright (c) 2018 Posters Case Report Day 1
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/38784
2018-09-13T21:02:14Z
jaci:PO
Abstracts of Case Report Posters Day 2
Case Report Day 2, Posters
Abstracts of Case Report Posters Day 2 (JCU 2018)
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-09-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/38784
10.22146/aci.38784
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (S) (2018): Supplement, Abstracts of Jogja Cardiology Update 2018 (JCU 2018)
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/38784/22096
Copyright (c) 2018 Posters Case Report Day 2
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40849
2018-11-12T19:51:14Z
jaci:ART
Correlation between Tp-Te Interval and Myocardial Blush Grade Value in Anterior ST Elevation Myocardial Infarction Patient
Kaneko, Rio Probo
Maharani, Erika
Taufiq, Nahar
Tp-Te Interval; myocardial blush grade; anterior STEMI
Background: Clinical manifestations of coronary herat disease (CHD) may be an ST-Elevation Myocardial Infarction (STEMI). In STEMI condition, there is a metabolic disorder and ion exchange disturbance which causes dispersion of transmural repolarization, as well as micro coronary circulation disturbance involving mechanism of microvascular dysfunction. The Tp-Te interval is an electrocardiogram paramener that could be described as the transmural dispersion of repolarization. Assessment of Myocardial Blush Grade (MBG) is a coronary angiography densitometry method that can be used to assess microvascular dysfunction. This study aims to examine the correlation between Tp-Te interval and MBG in anterior STEMI.Methods: The research desgin is cross sectional. Data were taken consecutive from August to November 2017. The Tp-Te interval assessment was performed on the basis of an electrocardiogram record from the subjects. The MBG value assessment was performed using a Quantitative Blush Evaluator (QuBE) computer program based on coronary angiography. The Tp-Te interval is divided into 2 groups: Tp-Te interval > 94 ms and Tp-Te interval ≤ 94 ms. The MBG values are divided into 3 groups: MBG QuBE 1, MBG QuBE 2 and MBG QuBE 3. The assessment of Tp-Te interval and MBG value was performed by observer in intra-observer which were acknowledged based on Kappa and blindness conformity test results against patient clinical data. Pearson correlation test was used to analyze the correlation between Tp-Te interval and MBG value, while logistic regression test was used for multivariate test.Results: Of the total 32 study subjects, there were 23 subjects with Tp-Te interval >94 ms and 9 subjects with Tp-Te interval ≤94 ms. There was a negative correlationwith moderate strength between the Tp-Te interval and the MBG value in the anterior STEMI patients (r =-0.501, p =0.004). There was a prevalence ratio of 4.304 between Tp-Te interval >94 milliseconds against MBG QuBE 1 (95%CI: 1.264-14.658, p <0.001). Multivariate tests showed Tp-Te intervals consistently as independent risk factors for MBG values in subjects with anterior STEMI.Conclusion: There is a negative correlation with moderate strength between the Tp-Te interval and the MBG value in the anterior STEMI patients.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40849
10.22146/aci.40849
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 65-72
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40849/22776
Copyright (c) 2018 Rio Probo Kaneko, Erika Maharani, Nahar Taufiq
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40851
2018-11-12T20:10:25Z
jaci:ART
Correlation between Mitral Valve Area and Right Ventricle Function based on TAPSE (Tricuspid Annular Plane Systolic Excursion) Parameter in Mitral Stenosis Patient
Zulfa, Hashina
Maharani, Erika
Mumpuni, Hasanah
mitral stenosis; mitral valve area; right ventricle function; TAPSE.
Background: Mitral stenosis is the most common mitral valve disease found in Indonesia. Mechanical obstruction of blood flow from left atrium to left ventricle is compensated by pressure elevation in the left atrium and pulmonary circulation. It leads to right ventricle dysfunction which can be scored using TAPSE (Tricuspid Annular Plane Systolic Excursion) Parameter.Aim: The goal of this study is to assess the relationship between mitral valve area and right ventricle function based on TAPSE parameter in mitral stenosis patient.Methods: This study was conducted in Dr. Sardjito Hospital from May until July 2017. This was a part of mitral stenosis registry study. The parameter used was planimetry mitral valve area and TAPSE from echocardiography. The relationship between mitral valve area and TAPSE score we reanalyzed using Spearman correlation test in SPSS software.Results: The total sample included in this study was 132 people, consisted of thirty-eight (28.79%) males and ninety-four (71.21%) females. The range of the subjects’age was 18 68 year oldand the mean was 43.31±11.13 year old. The body mass index median was 21.24 (14.24–35.38) kg/m2. The subjects were dominated by severe degree mitral stenosis patients, those were ninety-three (70.45%) people, followed by moderate degree patients, those were thirty-two (24.24%) people, and mild degree patients, those were seven (5.30%) people. Twenty-eight (21.21%) people had isolated mitral stenosis. The mitral valve area median was 0.8 (0.27–1.90) cm2. The TAPSE score range was 6–30 mm and the mean was 17.48±4.58 mm. The result from Spearman correlation test showed that the relationship strength between mitral valve area and TAPSE score were very weak (r=0.167) with significant p-value (p=0.028).Conclusion: There is a statistically significant positive relationship with very weak strength between mitral valve area and TAPSE score as a right ventricle function parameter in mitral stenosis patients (r = 0.167, p = 0.028).
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40851
10.22146/aci.40851
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 73-79
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40851/22777
Copyright (c) 2018 Hashina Zulfa, Erika Maharani, Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40852
2018-11-12T20:27:24Z
jaci:ART
Association Between Neutrophil to Lymphocyte Ratio and Left Ventricle Global Longitudinal Strain in Acute Myocardial Infarction
Nursidiq, Alfa Alfin
Purwaningtyas, Niniek
Wasyanto, Trisulo
neutrophil to lymphocyte ratio; global longitudinal strain; acute myocardial infarction.
Background: High neutrophil to lymphocyte ratio (NLR) is independently associated with lower EF, in hospital complications, and higher mortality rates in acute myocardial infarction (AMI). Global longitudinal strain (GLS) measurement after AMI demonstrated specific benefit compared with LVEF in evaluation of the extent of post MI left ventricular myocardial injury. The aim of this study was to determine the association between NLR and left ventricular GLS in AMI patients.Methods: An analytic observational study was conducted on August-December 2017 to patients who admited to Dr. Moewardi General Hospital which diagnosed STEMI or NSTEMI. Blood examination and transthoracic echocardiography were performed. They were divided into two groups according to GLS measurement result, GLS>-13.8% and GLS≤-13.8%. The cut-off value of NLR to predict GLS>-13.8%was determined by ROC curve analysis. Bivariate and multivariate analysis to assess whether high NLR was associated with GLS>-13.8% were performed.Results: As many as 57 patients were included in this study, 24 patients (mean age 56,21±9,43) in GLS ≤-13.8% group and 33 patients (mean age 56.67±8.24) in GLS >-13.8%. NLR was significantly higher in GLS>-13.8% group 6.06 (5.36-6.86) compare 4.20 (3.49-5.04),in GLS≤-13.8%, p=0.001. The cut-off value of NLR was 4.69. The bivariate analysis showed that NLR>4.69 associated with GLS>-13.8%, OR 2.70 (CI 95% 1.41-5.17, p=0.001). Multivariate analysis shown that higher NLR have more probability to develop GLS>-13.8%, OR 8.53 (CI 95% 2.38-30.60, p<0.001).Conclusion: There is an association between NLR and left ventricular GLS in AMI patients. AMI patients with high NLR are more likely to have worse GLS.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40852
10.22146/aci.40852
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 80-87
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40852/22778
Copyright (c) 2018 Alfa Alfin Nursidiq, Niniek Purwaningtyas, Trisulo Wasyanto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40853
2018-11-12T20:52:30Z
jaci:ART
Addition of Risk Factors of Coronary Heart Disease in Diagnostic Value of Treadmill Score for Detecting Complexity of Coronary Arterial Lesions
Nasution, Mariyetty K.S.
Siregar, Abdullah A.
Hasan, Harris
Mukhtar, Zulfikri
Raynaldo, Abdul H.
Akbar, Nizam
Duke Treadmill Score; risk factors; complexity of coronary arterial lesions; Syntax.
Background: Coronary heart disease (CHD) is still the leading cause of death in the world. There are various risk factors for atherosclerosis leading to CHD. Duke Treadmill Score (DTS) is known to demonstrate prognostic stratification and has a diagnostic value in predicting the number of coronary arteries involved in patient populations with ischemic heart disease. However, DTS does not describe the role of risk factors for coronary heart disease to the complexity of coronary artery lesions. This study aims to add risk factors for coronary heart disease on DTS to detect the complexity of coronary artery lesions with stable angina pectoris.Methods: This study was a cross-sectional study in stable angina pectoris patient who comes to Haji Adam Malik Hospital Medan from January 2017 until February 2018. Patients who have done treadmill test and coronary angiography, and fulfill inclusion and exclusion criteria are included in the study. ECG examination and recording of risk factors for coronary heart disease were done. DTS assessment was performed based on a treadmill test and Syntax score based on coronary angiography results. Diagnostic tests were performed to assess the sensitivity and specificity of the addition of CHD risk factors to detect the complexity of coronary artery lesions.Results: Of the 76 people with stable angina pectoris, 55 people were found with low SYNTAX and 21 people with high Syntax. DTS is divided into 3 groups: mild (> -10), moderate (-10 to - 13.5), and severe (≤-13.6) based on the cut off of the ROC curve. Risk factors for CHD are divided into 3 groups, mild (≤3 CHD risk factors), moderate (4-6 CHD risk factors), and severe (7 CHD risk factors) based on the cut off of the ROC curve, then assessed the relationship with Syntax which has been divided into 2 groups, low Syntax, and high Syntax. Diagnostic test shows the addition of risk factors of CHD to DTS to detect the complexity of coronary artery lesions have greater sensitivity and specificity than DTS without the addition of risk factors of CHD, 95%, and 89%.Conclusion: The addition of risk factors for coronary heart disease on DTS can detect the complexity of coronary artery lesions.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40853
10.22146/aci.40853
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 88-94
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40853/22779
Copyright (c) 2018 Mariyetty K.S. Nasution, Abdullah A. Siregar, Harris Hasan, Zulfikri Mukhtar, Abdul H. Raynaldo, Nizam Akbar
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40854
2018-11-12T21:06:49Z
jaci:ART
Correlation between Triglyceride/HDL Ratio with Severity of Coronary Artery Lesion in Non-Diabetic Stable Angina Pectoris Patients
Sudjana, Pramon Aditya
Achmad, Chaerul
Yahya, Achmad Fauzi
Martha, Januar W.
Akbar, M. Rizki
stable angina pectoris; TG / HDL ratio; small dense LDL; severity of coronary lesions; Gensini
Background: Triglycerides (TG) as a risk factor for coronary artery disease (CAD) is still a matter of controversy but when used as a single ratio with high density lipoprotein (HDL) the predictive value for CAD is better. The TG/HDL ratio is also associated with the presence of small dense LDL (sdLDL) in the body. SdLDL is a more atherogenic LDL subfraction and has been proven to be associated with CAD progression.Aims: This study aims to find the correlation between the TG/HDL ratio and the degree of coronary lesion severity based on the Gensini score in stable non diabetic angina pectoris patients.Methods: This study was a cross sectional study conducted at Dr. Hasan Sadikin Hospital and Hasna Medika Palimanan Hospital. Subjects were non diabetic stable angina pectoris patients ≥18 years old who underwent elective coronary angiography. Blood collection for TG and HDL examination was performed after coronary angiography. Gensini scoring system was used to assess the severity of coronary lesions. The relationship between the TG/HDL ratio and the Gensini score was analyzed using multiple linear regression tests against confounding variables.Results: This study involved 60 patients with stable angina pectoris with a mean age of 60±8 years. The mean TG/HDL ratio is 2.56 ± 1.04. The average Gensini score was 51 ± 36. The TG/HDL ratio was significantly associated with the Gensini score (R = 0.637; p <0.001). Analysis of confounding variables showed age, hypertension, and metabolic syndrome had a weak correlation with Gensini score (r values of 0.321, 0.270, and 0.333, p <0.05, respectively), while those correlating with TG/HDL ratios were men, hypertension, and metabolic syndrome (r values of 0.290, 0.287, and 0.362, p <0.05, respectively).Conclusion: TG/HDL ratio was significantly positively correlated significantly with the severity of coronary lesions based on Gensini score in non diabetic stable angina pectoris patients.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40854
10.22146/aci.40854
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 95-102
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40854/22780
Copyright (c) 2018 Pramon Aditya Sudjana, Chaerul Achmad, Achmad Fauzi Yahya, Januar W. Martha, M. Rizki Akbar
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40855
2018-11-12T21:27:06Z
jaci:ART
3 Dimensional Printing in Cardiology: Innovation for Modern Education and Clinical Implementation
Gharini, Putrika Prastuti Ratna
Herianto, Herianto
Arfian, Nur
Satria, Ferdinandus Bayu
Amin, Nur
heart anatomy; 3D printing; medical education
Medical uses of three-dimension (3D) printing have advantages for many importances, such as tissue and organ fabrication, creation of prosthetics, and model structural anatomy. Visualization of 3-dimensional structure of heart for the importance of examination, management or education is not fully comprehensive describe toward the complexity of anatomical structure and also toward the illustration of medical procedure. The aim of this study was to identify the potential application of heart’s 3D printing for the enhancement of case understanding for doctor, medical students or residents and also for patient and its family. A normal model of heart is used in this research to stimulate next 3D object in cardiology area.We retrieved data from patients’ CT scan performed in Gadjah Mada University Hospital, Yogyakarta from December 2017 to March 2018. Our focus is on normal heart anatomy. Data from CT scan results are exported into Digital Imaging and Communications format (DICOM), then dimension measurement and threshold segmentation are performed using Mimics Medical 20.0 (Materialise) application. Finally the file must be exported into STL format due to final process to cut the desirable parts using Mesh editing application. After the final model has been done, then it will be printed by fuse deposition method to make a 3D object.The making and implementing 3D printingof heart model has many advantages for medical education especially for the doctor, medical students or residents and also for the patient and its family to be more aware on the condition of the heart. This study may stimulate another trial of using this technique into several heart abnormalities
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40855
10.22146/aci.40855
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 103-109
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40855/22781
Copyright (c) 2018 Putrika Prastuti Ratna Gharini, Herianto Herianto, Nur Arfian, Ferdinandus Bayu Satria, Nur Amin
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40856
2018-11-12T21:36:01Z
jaci:CR
Pericardial and Pleural Effusion in Patient with Relapse Stage IV Breast Cancer: Same Pathology, Different Etiology?
Rosalinda, Vienna
Hartopo, Anggoro Budi
Anggrahini, Dyah Wulan
Irawan, Bambang
pericardial effusion; pleural effusion; malignancy; metastatic
Pericardial effusion associated with malignacy has poor prognosis. The prompt identification of etiology is mandatory, such that timely management can be performed and survival can be increased. However, difficulty in etiology determination is commonly encountered. In this case, we report female patient with relapse stage IV breast cancer who develop massive pericardial and bilateral pleural effusion. The similar characteristics were found in both effusion fluids, however the identification of etiology was not similar. Metastatic cells were found in pleural effusion, whereas they were absent in pericardial effusion.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40856
10.22146/aci.40856
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 110-116
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40856/22782
Copyright (c) 2018 Vienna Rosalinda, Anggoro Budi Hartopo, Dyah Wulan Anggrahini, Bambang Irawan
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/40857
2018-11-12T21:45:05Z
jaci:CR
Atrial Arrhythmia in Atrial Septal Defect Patient: A Case Report and Review of Literature
Paranita, Indah
Dinarti, Lucia Kris
Irawan, Bambang
atrial fibrillation ; atrial septal defect; atrial arrhytmia
Atrial fibrillation (AF) and atrial flutter are the most common cardiac arrhythmias associated with atrial septal defects (ASD) in adult patients. The incidence could be as high as 52% in patients ages 60 years or more.Patient with congenital heart disease who developed atrial arrhythmias had a >50% increased stroke risk. Nevertheless, studies regarding the pathophysiological mechanism underlying the high incidence of atrial fibrillation in adult patients with ASD remain relatively few. We reported a female 46 years referred to Sardjito hospital with chest discomfort and palpitation. ECG showed atrial flutter, 90 beat per minute, incomplete RBBB, RAD and RVH. Transthoracal echocardiography shown ASD left to right shunt with diameter 1.2 -1.8 cm, LA, RA and RV dilatation, with normal systolic function. From right heart catetherization, the result is ASD High Flow Low Resistance, with pulmonary hypertension (mPAP 44 mmHg).The consequences of left to right shunt across an ASD is RV volume overload and pulmonary overcirculation. Atrial arrhytmia are a common result of long standing right side heart volume and pressure overload. The idea of combining ASD closure and arrhythmia intervention is another approach to consider.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2018-10-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/40857
10.22146/aci.40857
ACI (Acta Cardiologia Indonesiana); Vol 4, No 2 (2018); 117-121
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/40857/22783
Copyright (c) 2018 Indah Paranita, Lucia Kris Dinarti, Bambang Irawan
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44544
2019-03-27T10:04:48Z
jaci:ART
Significance of Mitral M-Mode Vp (Velocity Propagation) for Estimating Mitral Valve Area and Severity in Mitral Stenosis
Napitupulu, Bertha Gabriela
Hasan, Harris
color Doppler; M-mode; mitral stenosis; velocity propagation
Background: Confirming mitral valve area (MVA) by planimetry is one of the standard procedures for assessing mitral stenosis but MVA were frequently need to be confirmed by other echocardiography parameters that only available in sophisticated centers. Our aim was to evaluate the significance of a simple mitral inflow color M-mode velocity propagation (Vp) for estimating MVA and MS severity.Methods: The best color view of MS jet were taken from apical 4 chamber, the nyquist limit were adjusted for aliasing the central highest velocity, then M-mode were applied to MV to calculate Vp by measuring the slope of the blue jet with the first aliasing velocity. MVA,PHT and mean transmitral gradient were analyzed with Pearson correlation and linear regression. Predictive discrimination value of Vp were analyzed by ROC.Results: Thirty one MS patients had mean MVA planimetry 0.99 ± 0.35 cm2 and mean Vp 64.49 ± 21.63 cm/s. Vp that were found to have a strong negative correlation with MVA (Spearman rho -0.865, p < 0.01). Vp had a good predictive discrimination value as from AUC 0.931. Vp were found to have a moderate correlation with MVA by PHT ( Spearman rho -0.621, p <0.01). Vp more than 55 cm/s had 93.8% sensitivity and 86.7% specificity to distinguish severe MS.Conclusions: By making use of the high temporal resolution of M-mode, a simple color Mitral M-Mode Vp were found statistically significant for estimating MVA severity in MS. Interventional decision for MS could also consider Vp for its strong correlation with MVA on MS, especially for helping on targeting moderate to severe MS in rural and limited centers.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44544
10.22146/aci.44544
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 1-9
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44544/24122
Copyright (c) 2019 Bertha Gabriela Napitupulu, Harris Hasan
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44546
2019-03-27T10:04:48Z
jaci:ART
Mean Platelet Volume as a Predictor of Atherosclerotic Severity in Non ST Elevation Acute Myocardial Infarction
Astuti, Yuli
Setianto, Budi Yuli
Taufiq, Nahar
NSTEMI; mean platelet volume; atherosclerosis; Syntax Score
Background: Acute myocardial infarction (AMI) is the leading cause of death in the world. AMI is classified into ST-elevation myocardial infarction (STEMI) and Non-ST elevation myocardial infarction (NSTEMI). Diagnosis and prediction of severity of atherosclerotic in NSTEMI is a challenge. Despite the risk stratification, 14-20% of patients that undergo coronary angiography have normal or non significant coronary artery disease. The role of platelet and the extent of atherotrombosis in patients with NSTEMI are interesting field of research. Mean platelet volume (MPV) reflects platelet size and reactivity. It can be used as a diagnostic marker and may have predictive value. This study aims to prove the role of MPV as a predictor of the degree of atherosclerotic based on Syntax score in patients with NSTEMI undergoing coronary angiography.Methods: This is a cross sectional study enrolled 86 subjects with NSTEMI. Blood samples were taken at the time of admission to the hospital. An MPV was measured by automated machine. Subsequent coronary angiography was performed using standardized method. Syntax score was determined to reflect the atherosclerotic severity. Statistical analysis was used to assess whether an MPV as a predictor of atherosclerotic severity based on Syntax score.Results: The chi-square analysis showed that high MPV could not be used as a predictor of the atherosclerotic severity based on Syntax score in NSTEMI patients (p value =0.5, prevalence ratio 1.15 (95% CI: 0.755-1.753). From multivariate analysis, only smoking factor had an independent relationship with Syntax score (p value =0.047; Odds ratio 2.531(95% CI: 1.012-6.328).Conclusions: High MPV cannot be used as a predictor of atherosclerotic severity based on Syntax score in NSTEMI patients.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44546
10.22146/aci.44546
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 10-18
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44546/24123
Copyright (c) 2019 Yuli Astuti, Budi Yuli Setianto, Nahar Taufiq
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44548
2019-03-27T10:04:48Z
jaci:ART
Functional Capacity Improvement Related to Inflammatory Marker Reduction After Phase II Cardiac Rehabilitation Program in Postrevascularization Coronary Artery Disease Patients
Tiksnadi, Badai B.
Aziz, Melisa
Chesario, Manda S.
Renaldi, Mochamad
Triadi, Ahmad
Sastradimaja, Sunaryo B.
Purnomowati, Augustine
Aprami, Toni M.
cardiac rehabilitation program; functional capacity; hs-CRP
Background: Improved functional capacity (FC) and inflammatory marker reduction is a good prognostic factor in post-revascularization cardiac patients. However, there is still limited study investigated association of functional capacity and inflammatory marker after cardiac rehabilitation program. We studied the effects of cardiac rehabilitation (CR) program in the improvement of FC and high-sensitive-C Reactive Protein (hs-CRP) reduction and association between those variables.Methods: This was quasi experimental study in post-revascularization CAD patients who attended phase II CR program at CR gymnasium, Dr. Hasan Sadikin General Hospital, Bandung, from October 2014 to May 2015. The CR program included additional education sessions and consistently strict program intensity on 50-80% heart rate reserve based on formula and Borg scale 11 to 15. Functional capacity and hsCRP were measured before and after the program. Functional capacity was assessed by maximal treadmill test through indirect VO2 max measurement.Results: A total of 37 patients aged 56.05±7.3 years old were analyzed in this study. They consisted mainly of men (81.1%) which 78.4% of them underwent percutaneous coronary intervention (PCI). Our study revealed significant FC improvement after completion of this newly-modified CR program from an average of 6.76 to 8.68 METs (28.4%) ( p<0.001). Hs-CRP reduction was also occurred from mean of 0.49 mg/L to 0.20 mg/L (59.2%) of log hs-CRP level (p= 0.005). Linear regression analysis showed the improvement of fitness was associated with baseline FC (p<0.001) and reduction of hs-CRP was associated with baseline hs-CRP (p<0.001), and not influenced by age, gender, ejection fraction and type of procedure. There is moderate correlation (rs= 0.636, p<0.001) between functional capacity improvement and hs-CRP reduction. Each 1 METs improvement can reduce 9.317 mg/L of transformed hs-CRP level (p=0.006, 95%CI 2.942,15.693).Conclusions: CR program significantly increased functional capacity and reduce hsCRP level in post-revascularization CAD patient, and more prominent in a patient with low baseline functional capacity and high hs-CRP level. Functional capacity improvement and hs-CRP reduction were moderately correlated.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44548
10.22146/aci.44548
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 19-34
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44548/24124
Copyright (c) 2019 Badai B. Tiksnadi, Melisa Aziz, Manda S. Chesario, Mochamad Renaldi, Ahmad Triadi, Sunaryo B. Sastradimaja, Augustine Purnomowati, Toni M. Aprami
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44550
2019-03-27T10:04:49Z
jaci:ART
Increasing Age, Diabetes Mellitus and Beta Blocker Influence Heart Rate Recovery Values in Patients Undergoing Exercise Treadmill Test
Nugraha, Adriyawan Widya
Tjahjono, Cholid Tri
Rizal, Ardian
risk factor; treatment; heart rate recovery; exercise treadmill test
Background: Heart disease is the number one cause of death globally. This disease is initiation affected by autonomic dysfunction which will cause disruption of the sympathetic-parasympathetic system. Heart Rate Recovery (HRR) is used to determineautonomic dysfunction.Objective: To determine the relationship of risk factors and cardiovascular treatment to HRR values of 1 minute and 2 minutes.Methods: Cross sectional study to measure HRR 1 and 2 minute undergoing exercise treadmill test for the screening of coronary heart disease in Saiful Anwar hospital in May 2016 until September 2017. Univariate analysis was performed to determine the frequency and proportion of HRR values classified into normal groups (HRR 1 minute > 12x / minute or HRR 2 minutes > 22x / minute) and abnormal groups (HRR 2 minutes ≤ 12x / minute or HRR 2 minutes ≤ 22x / minute).We also performed bivariate analysis using comparative test (Generalized Linear Model) and correlation test (Pearson, Spearman and Eta) and multivariate linear regression analysis.Results: This study found that age, hypertension and beta blocker were significantly associated with HRR abnormalities (p<0.05). HRR 1 and HRR 2 were significantly associated with diabetes mellitus (DM) (p=0.004 and p=0.039) and beta blocker (p=0.042 and p=0.039). Then looking at the relationship of multivariate correlations found a significant correlation between age (β=-0.133, p=0.000) and DM (β=-2.617, p=0.032) at 1 minute HRR and significant correlation with age (β=-0.165, p=0.004) and beta blockers (β=-2,947, p=0.017).Conclusion: increasing of age, diabetes mellitus and beta blockers correlate with decreasing of HRR. The most influential risk factors for HRR values of 1 minute were increasing age and DM, while for HRR values of 2 minutes were increasing age and beta blockers.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44550
10.22146/aci.44550
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 35-43
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44550/24125
Copyright (c) 2019 Adriyawan Widya Nugraha, Cholid Tri Tjahjono, Ardian Rizal
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44551
2019-03-27T10:04:49Z
jaci:ART
Significance of Electrocardiographic QTc Interval on Assessment of Left Ventricular Diastolic Dysfunction in Hypertensive Patient: A Simple Screening Tool
Putri, Sheila Dhiene
Hasan, Harris
Hasan, Refli
Siregar, A. Afif
Akbar, Nizam
Andra, Cut Aryfa
QTc interval; diastolic dysfunction
Background: Diastolic dysfunction as part of heart failure with preserved ejection fraction (HFpEF) has gain interests, due to the increasing prevalence rate and poor prognosis. Besides the mechanism is not fully understood, there are some difficulties in detecting the presence of diastolic dysfunction. Previous studies have shown correlation between some electrocardiographic parameters and diastolic function. Furthermore, the aim of this study is to assess the diagnostic value of the QTc interval in detecting left ventricular diastolic dysfunction.Methods: A cross sectional study was conducted on patients with clinical suspicion of heart failure. Electrocardiographic examination was performed to obtain QTc interval (msec) using the Bazett formula. Left ventricular diastolic function was assessed using Tissue Doppler Imaging by echocardiography. Using correlation test and ROC method, the relationships between QTc interval and LV diastolic function were investigated.Results: Of 82 patients analyzed, there were 62 patients (75.9%) known to have diastolic dysfunction. The QTc interval was found to be longer in the group with diastolic dysfunction compared to the normal group (442.9±27 vs. 402.1±18.2, p <0.001). There was a strong negative correlation between the QTc interval and diastolic function (r = -0.619; p <0.001). Using ROC analysis, the cut off point for QTc interval was 410 ms with 91% sensitivity, 70% specificity, and 90% positive predictive value.Conclusion: The QTc interval is an accurate, simple and highly feasible electrocardiographic parameter as a screening tool to determine the presence of left ventricular diastolic dysfunction.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44551
10.22146/aci.44551
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 44-53
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44551/24126
Copyright (c) 2019 Sheila Dhiene Putri, Harris Hasan, Refli Hasan, A. Afif Siregar, Nizam Akbar, Cut Aryfa Andra
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44552
2019-03-27T10:04:49Z
jaci:ART
Correlation between Leptin with Diastolic Function in Young Adult Obesity
Nugraha, Fauzi Akira
Akbar, M. Rizki
Aprami, Toni M.
Martha, Januar W.
leptin; left ventricle diastolic function; obesity; tissue Doppler imaging
Background: Obesity is one of the global health problems with increasing prevalence, and the complication is related to the alteration of the left ventricle. An obese person without symptoms has impaired diastolic function compares to a normal population, but the mechanism is still unclear. One of the evolving theories is caused by chronic inflammation, characterized by the increase of proinflammatory adipocytokines in an obese person. Leptin is a chronic inflammatory marker which is synthesized by all adipose tissues and has a positive correlation with the body mass index. Leptin level are influenced by age except young adult group. The aim of this study is to investigate the correlation between leptin level and diastolic function of the left ventricle in youngadult obese.Method: This study was conducted in a single centre with cross-sectional design. The subject of this study consists of all young adult obese, worked in Dr. Hasan Sadikin General Hospital, between June-August 2018. The diastolic function of the left ventricle was measured by examining the ventricle relaxation (E/mean e’) by tissue doppler imaging method. The examination of leptin level was done by sandwich-ELISA testmethod. Pearson correlation test was done to assess the correlation between those two.Result: This study consisted of 38 patients with the mean of age 30.75±7.25 years old, 68% were males. The mean score of E/mean e’ was 6.49±3.02 ng/mL and the median of leptin was 13.95 (9.1–25.4) mg/L. After data log transformation of leptin was done, there was a significant positive correlation (r= 0.5892, p<0.001) between leptin level and E/mean e’.Conclusion: There was a significant correlation between the level of leptin and diastolic function of the left ventricle in young adult obese.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44552
10.22146/aci.44552
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 54-61
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44552/24127
Copyright (c) 2019 Fauzi Akira Nugraha, M. Rizki Akbar, Toni M. Aprami, Januar W. Martha
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44553
2019-03-27T10:04:49Z
jaci:ART
Correlation between Level of Soluble Suppression of Tumorigenicity-2 (sST2) with Global Longitudinal Strain (GLS) of Left Ventricle in Patients with Acute Myocardial Infarction
Kusumastuti, Dyah Adhi
Taufiq, Nahar
Mumpuni, Hasanah
soluble suppression of tumorigenicity 2; global longitudinal strain; acute myocardial infarct; post-infarct remodeling
Background: Epidemiological data show that the incidence of heart failure after myocardial infarction is about 20%. The incidence of heart failure after acute myocardial infarction is also known to increase post-infarct mortality. The incidence of heart failure is related to the remodelling process after acute myocardial infarction. The acute remodelling process after acute myocardial infarction involves a mechanical mechanism in which there is a change in left ventricular geometry as an adaptive response to the incidence of infarction and then results in increased left ventricular wall stress. Increased left ventricular wall stress can be assessed by measuring global longitudinal strain (GLS) using echocardiography. On the other hand, mechanical overload in the myocardium is known to increase sST2 levels. The relationship between increased levels of sST2 and left ventricular GLS in patients with acute myocardial infarction has never been studied before.Methods: An analytic observational study with a cross-sectional design conducted from July to September 2018 at Dr Sardjito Hospital. Patients diagnosed with acute myocardial infarction and fulfilling the inclusion and exclusion criteria were included in the study. Measurement of sST2 levels and echocardiographic examination was performed on the first day after admission. Correlation test analysis was conducted to determine the relationship between sST2 levels and left ventricular GLS.Results: There were 72 subjects, with 62 STEMI subjects and 10 NSTEMI subjects. The mean level of sST2 in this study was 4,252 ± 198 pg / mL. Measurement of the left ventricular function obtained a mean ejection fraction of 47 ± 9%, LVIDd 45.79 ± 6.2 mm and GLS values of -9.3 ± 3.3%. Correlation test using Spearman test showed that there was no correlation between increased sST2 levels and decreased GLS values in patients with acute myocardial infarction (r = -0.133; p = 0.344).Conclusion: Increased sST2 levels were not correlated with decreased GLS values in patients with acute myocardial infarction.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44553
10.22146/aci.44553
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 62-70
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44553/24128
Copyright (c) 2019 Dyah Adhi Kusumastuti, Nahar Taufiq, Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44554
2019-03-27T10:04:50Z
jaci:CR
Functional Capacity Improvement on Patent Ductus Arteriosus with Pulmonary Arterial Hypertension: A Case Report and Literature Review
Rakhmawati, Annis
Arso, Irsad Andi
Hartopo, Anggoro Budi
Dinarti, Lucia Kris
pulmonary artery hypertension; functional capacity; 6-minute walk test
Pulmonary artery hypertension (PAH) is a pathophysiological disorder involving a wide range of clinical conditions. This can be a condition of complications from heart disease and respiratory system. Pulmonary arterial hypertension is defined as an increase in mean pulmonary arterial pressure (mPAP) ≥ 25 mmHg at rest assessed by right heart catheterization. The cardiovascular rehabilitation program is a set of efforts to improve the underlying cause of cardiovascular disease such that it can maintain or restore the best conditions and secondary prevention. Cardiac rehabilitation and physical exercise programs have the benefit of improving pulmonary vascular endothelial function, physical activity capacity and quality of life parameters for PAH patients. A 6-minute walk test can be used to assess the functional capacity of PAH patients.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44554
10.22146/aci.44554
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 71-79
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44554/24129
Copyright (c) 2019 Annis Rakhmawati, Irsad Andi Arso, Anggoro Budi Hartopo, Lucia Kris Dinarti
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/44555
2019-03-27T10:04:50Z
jaci:CR
Successful Balloon Mitral Valvuloplasty in 21-week Pregnant Patient with Severe Mitral Stenosis: A Case Report and Literature Review
Silitonga, Cynthia Yosephine
Taufiq, Nahar
Setianto, Budi Yuli
severe mitral stenosis; balloon mitral valvuloplasty; pregnancy
Mitral stenosis is the most common manifestation of rheumatic heart disease. Hemodynamic changes during pregnancy increase the burden of the heart in pregnant women with cardiac abnormalities. A 33 years old woman, G3P1A1 is 21 weeks pregnant came to our hospital with a shortness of breath during daily activity, which was worsened since 3 months of pregnancy. The patient has been diagnosed with severe mitral stenosis. The results of echocardiography examination was left atrial dilatation, normal global function and left ventricular with ejection fraction 51%, severe mitral stenosis Wilkin Score 8 with Mitral Valve area 0.53 cm2 and Mitral Valve Gradient 33 mmHg. Subsequently, Balloon Mitral Valvuloplasty was successfully performed. During and after the procedure there was no complication. The fetus was considered in stable condition.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-03-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/44555
10.22146/aci.44555
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (2019); 80-89
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/44555/24130
Copyright (c) 2019 Cynthia Yosephine Silitonga, Nahar Taufiq, Budi Yuli Setianto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47673
2019-07-17T22:13:37Z
jaci:Symp
Risk Stratification for Sudden Cardiac Death in Heart Failure
Bagaswoto, Hendry Purnasidha
Heart failure (HF) is a complex clinical syndrome in which structural / functional myocardial abnormalities result in symptoms and signs of hypoperfusion and/or pulmonary or systemic congestion at rest or during exercise. More than 80% of deaths in patients with HF recognize a cardiovascular cause, with most being either sudden cardiac death (SCD) or death caused by progressive pump failure. Risk stratification of SCD in patients with HF represents a clinical challenge. This review will give an update of current strategies for SCD risk stratification in HF.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47673
10.22146/aci.47673
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 1-7
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47673/24877
Copyright (c) 2019 Hendry Purnasidha Bagaswoto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47674
2019-07-17T22:13:37Z
jaci:Symp
Predicting and Preventing Sudden Cardiac Death in the Young
Maharani, Erika
Sudden cardiac death (SCD) is an unexpected death condition and occurs with unknown causes or cardiac condition. The SCD incidence at young age is a rare condition but when this condition happens it become traumatic event for both family and community. Incidence rate of death on 1-35 years old is around 0.8-2.8/100.000 each year. This number also varies according to age and sex. Death incidence on 1-4 years old is more common than on 5-10 years old group. This number is increasing after 15 years old, where age of 31-35 years has 10 fold risk of SCD compared to 1-10 years old group. Ratio of SCD in men and woman are 2: 1. Early detection of underlying heart disease is the most important action of preventio. If young people are known to have a risk of SCD, the lifestyle changing and appropriate medical therapy, including implantation of implantable cardioverter defibrillator, according to risk stratification must be done.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47674
10.22146/aci.47674
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 8-11
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47674/24878
Copyright (c) 2019 Erika Maharani
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47675
2019-07-17T22:13:37Z
jaci:Symp
Dealing with Sudden Cardiac Death: Who Deserves Device Implantation
Hanafy, Dicky Armein
en
Sudden cardiac death is one of the leading causes of death in the western industrial nations. Most people are affected by coronary heart disease (coronary heart disease, CHD) or heart muscle (cardiomyopathy). These can lead to life-threatening cardiac arrhythmias. If the heartbeat is too slow due to impulse or conduction disturbances, cardiac pacemakers will be implanted. High-frequency and life-threatening arrhythmias of the ventricles (ventricular tachycardia, flutter or fibrillation) cannot be treated with a pacemaker. In such cases, an implantable cardioverter-defibrillator (ICD) is used, which additionally also provides all functions of a pacemaker. The implantation of a defibrillator is appropriate if a high risk of malignant arrhythmias has been established (primary prevention). If these life-threatening cardiac arrhythmias have occurred before and are not caused by a treatable (reversible) cause, ICD implantation will be used for secondary prevention. The device can stop these life-threatening cardiac arrhythmias by delivering a shock or rapid impulse delivery (antitachycardic pacing) to prevent sudden cardiac death. Another area of application for ICD therapy is advanced heart failure (heart failure), in which both main chambers and / or different wall sections of the left ventricle no longer work synchronously. This form of cardiac insufficiency can be treated by electrical stimulation (cardiac resynchronization therapy, CRT). Since the affected patients are also at increased risk for sudden cardiac death, combination devices are usually implanted, which combine heart failure treatment by resynchronization therapy and the prevention of sudden cardiac death by life-threatening arrhythmia of the heart chambers (CRT-D device). An ICD is implanted subcutaneously or under the pectoral muscle in the area of the left collarbone. Like pacemaker implantation, ICD implantation is a routine, low-complication procedure today.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47675
10.22146/aci.47675
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 12-16
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47675/24879
Copyright (c) 2019 Dicky Armein Hanafy
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47677
2019-07-17T22:13:37Z
jaci:Symp
Role of Non-Vitamin K Oral Anticoagulants for Prevention of Stroke in Renal Impaired Atrial Fibrillation Patients
Setianto, Budi Yuli
Atrial fibrillation (AF) and chronic kidney disease (CKD) are highly prevalent, particularly with increasing of age and associated comorbidities, such as hypertension, diabetes, heart failure, and vascular disease. The relationship between AF and CKD seems to be bidirectional. CKD predisposes to AF while onset of AF seems to lead to progression of CKD. Stroke prevention is the cornerstone of AF management, and AF patients with CKD are at higher risk of stroke, mortality, cardiac events, and bleeding. Stroke prevention requires use of oral anticoagulants, which are either vitamin K antagonists (e.g. warfarin), or the non-vitamin K antagonist oral anticoagulants (NOAC). While NOAC have been shown to be effective in mild-to-moderate renal dysfunction, there are a paucity of data regarding NOAC in severe and end-stage renal dysfunction. The followingwill discuss the evidence for NOAC in CKD, and summarize the current knowledge regarding the efficacy and safety of NOAC to prevent AF-related stroke and systemic embolism in severe and end-stage renal disease.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47677
10.22146/aci.47677
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 17-25
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47677/24880
Copyright (c) 2019 Budi Yuli Setianto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47678
2019-07-17T22:13:37Z
jaci:Symp
Sympathetic Overdrive in Hypertension, The Role of Beta Blocker, Focus on Bisoprolol
Dinarti, Lucia Kris
Sympathetic neural factors played an important role in homeostatic blood pressure control. Dysregulation in sympathetic function may favor the development and progression of the hypertensive state. Beta-blocker, as one of antihypertensive drugs, provides several positive effects to hinder overactivity of sympathetic nerve in patients with hypertension.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47678
10.22146/aci.47678
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 26-30
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47678/24881
Copyright (c) 2019 Lucia Kris Dinarti
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47679
2019-07-17T22:13:38Z
jaci:Symp
Newest Update in Heart Failure Guidelines Recommendation
Mumpuni, Hasanah
Heart failure remains a global burden despite important progress that has been made in the management of heart failure. Guidelines from ESC and AHA are still widely used as a guidance for diagnosis and management of heart failure. We will discuss the new recommendation from ESC and AHA guideline for heart failure.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47679
10.22146/aci.47679
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 31-33
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47679/24882
Copyright (c) 2019 Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47680
2019-07-17T22:13:38Z
jaci:Symp
Navigating Your Acute Heart Failure Patient in Emergency and Pre-Discharge Phase
Setianto, Budi Yuli
Heart failure (HF) leads to frequent hospitalizations. The presence of re-hospitalization risk among patientshospitalized for heart failure is important, especially hemodynamic instability and neurohormonal over activation. ARNI is needed to restore the balance of neurohormonal system in HF. PARADIGM-HF study provide insight on long term benefit of ARNI (i.e. sacubitril/valsartan) in ambulatory setting. How is the evidence of ARNI use for in hospitalization phase of HF? PIONEER and TRANSITION showed that initiation of sacubitril/valsartan shortly after an ADHF event is feasible and well tolerated. In-hospital initiation of sacubitril/valsartan is associated with early and sustained improvements in biomarkers of cardiac wall stress and myocardial injury, indicating pathophysiological benefits in a wide range of HFrEF patients.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47680
10.22146/aci.47680
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 34-38
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47680/24883
Copyright (c) 2019 Budi Yuli Setianto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47681
2019-07-17T22:13:38Z
jaci:Symp
Is Plaque Rupture Always Responsible in Acute Coronary Syndrome?
Gharini, Putrika Prastuti Ratna
The majority cause of myocardial infarction is the atherothrombotic event, mainly cause by plaque rupture. Since the 20th century, it was found that the plaque rupture was not the solely condition responsible for the acute coronary syndrome. With the invention of more sensitive myocardial biomarker, a series of guideline was written as guideline for the definition of myocardial infarction. This review discuss about the consensus in the Universal Definition of Myocardial Infarction.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47681
10.22146/aci.47681
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 39-42
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47681/24884
Copyright (c) 2019 Putrika Prastuti Ratna Gharini
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47682
2019-07-17T22:13:38Z
jaci:Symp
Applicability of Recent Dyslipidemia Guidelines in Clinical Practice
Erwinanto, Erwinanto
Atherosclerotic plaque rupture is closely related to acute coronary syndromes.Stabilization of atherosclerotic plaque which slashes plaque rupture is as importantas regression ofplaque size for reducing cardiovascular events. Dyslipidemia therapy targeting to decrease LDL cholesterol reduces cardiovascular events such as acute myocard infarct, stroke, and death which are suggested to be the result of plaque stabilization. Dyslipidemia therapy also regress atherosclerotic plaque into a smaller volume. Plaque regression improves coronary flow responsible for the reduction of myocardial infarction incidence in patients with coronary heart disease (CHD).This paper consists of two parts. The first part discusses the evidence of cardiovascular event reduction with statin. The second part describes dyslipidemia management based on the 2017 Indonesian Heart Association (PERKI) Guideline on the Management of Dyslipidemia
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47682
10.22146/aci.47682
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 43-46
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47682/24885
Copyright (c) 2019 Erwinanto Erwinanto
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47683
2019-07-17T22:13:39Z
jaci:Symp
Distinct Mechanism between Arterial and Venous Thrombosis: Impact for Clinical Manifestations
Ismail, M. Taufik
Hemostasis is a complex physiological process aiming to keep the integrity of a closed circulatory system after an occurrence of vessel wall injury. Hemostasis involving the role of circulating platelets and coagulation cascade.1 There are two major pathways that act independently to activate the platelet. The first pathway is mediated by collagen and the other by tissue factor. After intimal layer injury, platelets are recruited through the interaction between platelet’s surface glycoprotein (GPVI and GPIb/V/IX) with collagen and von Willebrand factor. This process results in adhesion of platelets in the site of injury. Further recruitment of platelets is achieved by secretion of aggregatory mediators such as thromboxane A2 and adenosine diphosphate.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47683
10.22146/aci.47683
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 47-51
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47683/24886
Copyright (c) 2019 M. Taufik Ismail
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47684
2019-07-17T22:13:39Z
jaci:Symp
The Era of Endovascular Treatment in Venous Disease: What Can We Do and Who Gets Benefit?
Hariawan, Hariadi
Venous system is very different and more complex than arterial system. To deliver blood against the forces of gravity, venous system rely on valve function and peripheral muscle pump. In acute venous disease, blood becomes stasis and leads to deep vein thrombosis. In chronic condition, clinical manifestation may vary from either venous obstruction or vascular incompetence. In general venous diseases are devided into venous thromboembolism and chronic venous insufficiency.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47684
10.22146/aci.47684
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 52-57
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47684/24887
Copyright (c) 2019 Hariadi Hariawan
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47798
2019-07-17T22:13:39Z
jaci:Symp
Neurohumoral Pathway in Heart Failure
Anggrahini, Dyah Wulan
Heart Failure is now considered as one of the leading cause for mortality and morbidity. It is affecting several organs and cause organ damages due to the myocardial failure to pump inadequate oxygenated blood to the body including metabolites, to end organs and peripheral tissues. Heart failure results from multifactorial mechanism including neurohumoral activations including increased activity of the sympathetic nervous system, renin-angiotensin aldosteron system, vasopression and the atrial natriuretic peptide. This neurohumoral pathway has significant contribution to the development of myocardial dysfunction that lead to clinical manifestation of heart failure. Some of the markers in these pathways have now been considered as an independent predictors of prognosis in heart failure patient.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47798
10.22146/aci.47798
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (P) (2019): Proceedings Jogja Cardiology Update 2019 (JCU2019); 58-62
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47798/24900
Copyright (c) 2019 Dyah Wulan Anggrahini
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47849
2019-07-18T22:28:19Z
jaci:CR
Moderated Case Reports
Reports, Moderated Case
Moderated Case Reports Presentation
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47849
10.22146/aci.47849
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (S) (2019): Supplements Jogja Cardiology Update 2019 (JCU2019); IC1-IC5
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47849/24911
Copyright (c) 2019 Moderated Case Reports
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47850
2019-07-18T22:28:19Z
jaci:ART
Moderated Research Presentation
Presentation, Moderated Research
Moderated Poster for Research Presentation
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47850
10.22146/aci.47850
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (S) (2019): Supplements Jogja Cardiology Update 2019 (JCU2019); MP1-MP5
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47850/24912
Copyright (c) 2019 Moderated Research Presentation
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/47851
2019-07-18T22:28:19Z
jaci:PO
Poster Presentation
Presentation, Poster
Abstracts of Poster Presentation
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-07-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/47851
10.22146/aci.47851
ACI (Acta Cardiologia Indonesiana); Vol 5, No 1 (S) (2019): Supplements Jogja Cardiology Update 2019 (JCU2019); PP1-PP68
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/47851/24913
Copyright (c) 2019 Poster Presentation
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50216
2019-10-08T06:05:00Z
jaci:ART
Relationship of P Terminal Force V1 on Electrocardiogram with Left Atrial Function in Chronic Kidney Failure Patients on Hemodialysis
Apshanti, Kartika
Gharini, Putrika Prastuti Ratna
Mumpuni, Hasanah
P Terminal Force V1; left atrial function; chronic kidney failure; hemodialysis
Background: Chronic kidney failure is a worldwide public health problem.Cardiovascular disease is a common complication and the main cause of mortality in this population.Impaired left atrial function is an early marker of cardiovascular involvement and a prognostic factor that correlated with mortality in chronic kidney disease patients. We aimto investigate the relationship between P terminal force V1 (PTFV1), an ECG parameter, with left atrial function in chronic kidney failure patients on hemodialysis.Method: This cross sectional study was done in chronic kidney failure patients on hemodialysis in Dr. Sardjito General Hospital Jogjakarta. Electrocardiogram and echocardiography were done after hemodialysis procedure. P terminal force V1 was measured by multiplying amplitude and duration of negative deflection of terminal P wave in V1. Abnormal PTFV1 was defined as PTFV1 value ≥ 40 mm.msec. Left atrial function was measured using left atrial peak global longitudinal strain (LA PGLS).Results: This study was done in 71 patients with mean age 50 years old. Forty three subjects (61%) were men. Sixty four subjects (90%) had hypertension. Forty four subjects (62%) had abnormal PTFV1 on ECG. Mean LA PGLS was 24.89 ± 8.23%. No significant correlation was found between PTFV1 value with LA PGLS (r= -0.178; p=0.138). By multivariate analysis, left ventricular ejection fraction, left atrial diameter and hemodialysis duration (in months) were variables that independently correlated with LA PGLS. In subanalysis, amplitude of negative deflection of terminal P wave in V1 was significantly correlated with LA PGLS(r= -0.257, p= 0.031).Conclusions: This study reveals no correlation between P terminal force V1 and left atrial function in chronic kidney failure patients on routine hemodialysis. There is significant correlation between amplitude of negative deflection of terminal P wave in V1 with LA PGLS.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50216
10.22146/aci.50216
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 90-100
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50216/25708
Copyright (c) 2019 Kartika Apshanti, Putrika Prastuti Ratna Gharini, Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50217
2019-10-08T06:05:01Z
jaci:ART
Hemoglobin Variability as Risk Factor of Left Ventricle Dilation in Chronic Kidney Disease Patient on Routine Hemodialysis
Maulana, Iqbal
Mumpuni, Hasanah
Arso, Irsad Andi
hemoglobin variability; left ventricle dilation; chronic kidney disease, hemodialysis
Background: Several patients with chronic kidney disease (CKD) undergoing routine hemodialysis (HD) have abnormalities of left ventricle (LV) morphology with feature LV dilation due to volume overload and chronic ischemia, which has high risk of mayor adverse cardiovascular event. Anemia causes LV dilation through high output state mechanism. Anemia management in CKD patients causes hemoglobin (Hb) fluctuations or hemoglobin variability (Hb-Var) which is thought to cause LV dilation through relative repetitive ischemia mechanisms. Research linking Hb-Var as risk factor for LV dilation has never been done.Method: Matched case-control study was carried out by taking echocardiographic data of CKD patients undergoing routine HD in HD Unit Dr. Sardjito hospital. The LV diameter is divided into samples with LV (+) dilated profile as a case group, and LV (-) dilated as a control group. Matching was done on variables of age, gender and HD frequency. The HbVar parameter was calculated by the residual SD method based on the Hb value in the last 6 months. Fisher-Exact hypothesis test was used to assess the relationship between Hb-Var and LV dilation, while the logistic regression test was used for multivariate testing.Result: Total of 79 subjects entered in this study, there were 23 subjects of case groups and 28 subjects of control group after matching and adjusting the control formula. The proportion of high Hb-Var in the group with dilated LV (+) and dilated LV (-) were 21.7% and 17.9%, respectively. The Fisher-Exact test shows that there is no relationship between HbVar and LV dilation, with OR 1.28 (95% CI 0.32-5.10). Logistic regression test shows that there are no variables that affect independently of LV dilation.Summary: CKD patients undergoing routine HD with high Hb-Var profiles do not have a higher risk of LV dilation than patients with low Hb-Var profiles.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50217
10.22146/aci.50217
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 101-110
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50217/25701
Copyright (c) 2019 Iqbal Maulana, Hasanah Mumpuni, Irsad Andi Arso
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50218
2019-10-08T06:05:01Z
jaci:ART
Correlation between HbA1c Levels with Carotid Intima Media Thickness in Newly Diagnosed Type 2 Diabetes Mellitus Patients
Pramayudha, Reza
Achmad, Chaerul
Erwinanto, Erwinanto
Martha, Januar W.
Akbar, M.Rizki
newly diagnosed type 2 diabetes mellitus; HbA1c; carotid intima-media thickness
Background: Type 2 diabetes mellitus (T2DM) is the most common chronic disease in the world. Macrovascular complications such as cardiovascular and cerebrovascular diseases can be detected early, one of them by using an ultrasound examination to assess carotid intima-media thickness (CIMT). HbA1c examination had a strong predictive value for the occurrence of T2DM complications. HbA1c levels are associated with CIMT in the non-DM group. In the T2DM group there was an increase in CIMT compared to the non DM group. HbA1c levels can be used as a predictor of the progression of CIMT improvement in the T2DM group, but there is no study on populations with newly diagnosed T2DM.Aims: This study was conducted to find out the correlation between HbA1c in newly diagnosed T2DM and CIMT.Methods: This was a cross-sectional study with correlation analysis carried out on newly diagnosed T2DM in four Primary Health Centers in the city of Bandung who were randomly selected from July to August 2018. HbA1c measurement was carried out at Dr. Hasan Sadikin hospital. The CIMT examination was done according to the Manheim Consensus by a cardiologist. Pearson correlation analysis was performed to assess the relationship between those two variables.Results: This study involved 32 subjects with a median age of 52 (40 - 60) years. The mean value of CIMT was 0.77±0.22 mm, while the median value of HbA1c was 6.7 (5.2- 12.3). Bivariate analysis showed a moderate positive correlation between HbA1c and CIMT in newly diagnosed patients with T2DM. (r= 0.567, p<0.001).Conclusion: There was a significant positive correlation between HbA1c in newly diagnosed T2DM and CIMT.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50218
10.22146/aci.50218
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 111-118
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50218/25709
Copyright (c) 2019 Reza Pramayudha, Chaerul Achmad, Erwinanto Erwinanto, Januar W. Martha, M.Rizki Akbar
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50219
2019-10-08T06:05:01Z
jaci:ART
Relationship between Carotid Intima-Media Thickness and Left Ventricular Hypertrophy
Saragih, Yusrina
Hasan, Harris
Safri, Zainal
Mukhtar, Zulfikri
Hasan, Refli
Akbar, Nizam
carotid intima-media thickness; left ventricle hypertrophy; left ventricle mass; hypertension
Background: Hypertension is a 50% cause of cardiovascular disease and stroke, 40% of cause of death in Diabetics, and is a major risk of kidney failure, pregnancy and dementia. Left ventricular hypertrophy (LVH) is a preclinical manifestation of cardiovascular disease and a strong predictor of cardiovascular morbidity and mortality. Examination of carotid intima-media thickness (CIMT) is one method that can be used to Evaluate the occurrence of coronary heart disease and in Several studies reported that CIMT is also associated with left ventricular function and hypertrophyMethods: This cross-sectional study conducted on hypertensive patients in the outpatient unit in Cardiac Center Haji Adam Malik General Hospital since March 2018-August 2018. Examination of Carotid B-Mode ultrasound was conducted to obtain CIMT values. LVH is assessed by left ventricle mass index (LVMI) as measured by M-mode method using the Cube formulas from echocardiography. Then the analysis is done using the Spearman correlation test to see the relationship between CIMT and LVHResults: The CIMT >0.5 mm have a positive correlation with LVM (r = 0.594, p <0.001), LVMI (r = 0.618, p <0.001), RWT (r = 0.364, p <0.001), and LVH (r = 0484, p <0.001). The CIMT >0.5 mm has a sensitivity of 83.6%, specificity 90.4%, PPV NPV 76% and 93.8%. The CIMT value of 0:55 mm is considered to be the optimal value in diagnosing LVH in hypertensive patients in our subjects based on the ROC curve with a sensitivity of 83.6% and specificity of 90.5%, and area under the curve of 0.9.Conclusion: There is a positive correlation between carotid intima-media thickness and left ventricular hypertrophy in hypertensive patients
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50219
10.22146/aci.50219
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 119-128
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50219/25858
Copyright (c) 2019 Yusrina Saragih, Harris Hasan, Zainal Safri, Zulfikri Mukhtar, Refli Hasan, Nizam Akbar
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50220
2019-10-08T06:05:02Z
jaci:ART
Comparison of TIMI Flow in STEMI Patients With and Without Resolution on Reciprocal ST Segment Depression Obtaining Fibrinolytic Alteplase Therapy
Adhitya, Aldino Satria
Hasan, Harris
Hasan, Refli
Siregar, A. Afif
Mukhtar, Zulfikri
Nasution, Ali Nafiah
resolution; reciprocal ST segment depression; TIMI flow; STEMI; fibrinolytic
Background: STEMI patients need revascularization to improve blood flow and myocardial reperfusion. Further information can be obtained from the ECG including infarct size and prognosis of STEMI patients. ST segment depression (STSD) in reciprocal leads isassociated with poorer prognosis. STEMI patients with STSD resolution have a better TIMI flow compared with no STSD resolution. The aim of this study was to look for TIMI flow for STEMI subjects who received fibrinolytic therapy with and without resolution of STSD shortly after fibrinolytic.Methods: This study is a prospective cohort study, in which 60 STEMI subjects, patients performed coronary angiography diagnostics to assess TIMI flow. The resolution on reciprocal STSD is defined as a decrease of 50% in the amount of reciprocal STSD in 90- minute after fibrinolytic therapy started.Results: Bivariate analysis showed that ejection fraction <40% with p = <0.001; QRS duration, p = <0.001; anterior STEMI with p = <0.001; are significant factors for STSD resolution. QRS Fragmentation with p = <0.001; STSD resolution with p = <0.001; ST elevation resolution with p = <0.001; are significant factors for TIMI Flow. In the TIMI Flow comparison with reciprocal STSD resolution; the resolution of reciprocal STSD has a better TIMI flow with OR 28 [(5.5-141.9), p = <0.001].Conclusion: There were differences in TIMI Flow in STEMI patients with reciprocal STSD resolution and without reciprocal STSD resolution who received fibrinolytic alteplase therapy, where STEMI patients with reciprocal STSD resolution had a better TIMI Flow compared with STEMI patients without reciprocal STSD resolution.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50220
10.22146/aci.50220
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 129-135
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50220/25857
Copyright (c) 2019 Aldino Satria Adhitya, Harris Hasan, Refli Hasan, A. Afif Siregar, Zulfikri Mukhtar, Ali Nafiah Nasution
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50221
2019-10-08T06:05:02Z
jaci:ART
Correlation between High-Sensitive C-Reactive Protein and HighSensitive Troponin I with 6-Minute Walk Distance in Acute Myocardial Infarction
Septiani, Putri
Sulastomo, Heru
Purwaningtyas, Niniek
6-minute walk distance; acute myocardial infarction; hsCRP; hsTroponin I
Background: Biomarker has a role in diagnosis and risk stratification of ischemic heart disease patients. Troponin has become the reference biomarker for acute myocardial infarction (AMI). However, some other biomarkers have benefit on prognostic value, such as C-Reactive Protein (CRP). Six-minute walk test (6MWT) could be performed to assess functional capacity in patients with heart disease.Aim: To assess the correlation between hsCRP and hsTroponin I with 6-minute walk distance (6MWD) in AMI patients.Method: This is an observational analytic study with prospective cohort design, conducted in August-September 2018. The subjects were AMI patients at Dr. Moewardi district general hospital, Surakarta. The hsCRP and hsTroponin I sampling was carried out on admission. 6MWT was performed before discharge. Statistical analysis was performed to assess the correlation. Then the ROC curve was used to determine the cut-off point, sensitivity and specificity.Result: 6MWD of 40 subjects was divided into 2 groups based on the mean distance (<378 m and ≥378 m). There was a significant negative correlation between hsCRP and 6MWD (r =-0.475, p =0.002), but no significant correlation between hsTroponin I and 6MWD (r =-0.048, p = 0.244). However, hsCRP together with hsTroponin I have a significant correlation with 6MWD (r =0.491, p =0.006). Using the ROC curve, obtained AUC of 0.725 and a cut-off point of 0.555 mg/l, as well as a sensitivity of 69.6% and specificity of 88.2%Conclusion: There was a significant negative relationship between hsCRP and 6MWD, but no significant relationship between hsTroponin I with 6MWD.HsCRP together with hsTroponin I have a significant correlation with 6MWD in AMI
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50221
10.22146/aci.50221
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 136-144
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50221/25704
Copyright (c) 2019 Putri Septiani, Heru Sulastomo, Niniek Purwaningtyas
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50222
2019-10-08T06:05:02Z
jaci:REV
The BMPR2, ALK1 and ENG Genes Mutation in Congenital Heart DiseaseAssociated Pulmonary Artery Hypertension
Hartopo, Anggoro Budi
Anggrahini, Dyah Wulan
Emoto, Noriaki
Dinarti, Lucia Kris
gene mutation; pulmonary artery hypertension; congenital heart disease– associated PAH
The gene mutation is one of the background underlie the pathogenesis of pulmonary artery hypertension (PAH). Several genes have been recognized to be responsible for the development of PAH. The mutation in transforming growth factor-β (TGF-β) pathway is considered to be major genotype background in heritable PAH. The genetic mutation in bone morphogenetic protein receptor-2 (BMPR2), activin receptor-like kinase 1 (ALK-1) and endoglin (ENG) are known to cause heritable PAH. In congenital heart disease–associated PAH (CHDAPAH), their mutation are also presence.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50222
10.22146/aci.50222
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 145-149
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50222/25705
Copyright (c) 2019 Anggoro Budi Hartopo, Dyah Wulan Anggrahini, Noriaki Emoto, Lucia Kris Dinarti
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50223
2019-10-08T06:05:03Z
jaci:CR
Non-ST-Elevation Acute Myocardial Infarction and Sustained Slow Ventricular Tachycardia due to Coronary Slow Flow Phenomenon: a Case Report
Faharani, Baiq Gerisa Rahmi
Hartopo, Anggoro Budi
Taufiq, Nahar
coronary slow flow phenomenon;ventricular tachycardia; non-ST-elevation acute myocardial infarction
Coronary slow flow is a phenomenon that is found in coronary angiography.It is a rare case and identified by the corrected TIMI frame count. The presence of a slow flow in the coronary arteries is associated with life-threatening arrhythmias, sudden death, andacute coronary syndrome. We aim to report a coronary slow flow phenomenon present with non-ST-elevation acute myocardial infarction and sustained slow ventricular tachycardia in 66-year-old male patient. Brief heparinisation and continued by oral acetosal, ticagrelor, bisoprolol and atorvastatin therapy successfully diminish the symptom.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50223
10.22146/aci.50223
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 150-156
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50223/25706
Copyright (c) 2019 Baiq Gerisa Rahmi Faharani, Anggoro Budi Hartopo, Nahar Taufiq
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50224
2019-10-08T06:05:03Z
jaci:CR
Two Cases of Acute Myocardial Infarction in Patients with Severe Aortic Stenosis and Normal Coronary Arteries
Abubakar, Megawati
Hartopo, Anggoro Budi
Ismail, M. Taufik
Marsam, Real Kusumanjaya
Irawan, Bambang
aortic stenosis; acute myocardial infarction
In patients with aortic stenosis (AS), the development of left ventricular systolic dysfunction and heart failure predicts poor prognosis. Myocardial ischemia, particularly of the circumferential sub endocardial region, commonly occurs in patients with severe AS duringhemodynamic stress, even in the setting of angiographically documented normal coronary arteries. We report two case patients who experienced of ischemic chest pain with ST-changes and undergoing a coronary angiography but we found normo coronary arteries and echocardiography with nomokinetic. These cases highlight the importance of the correlating between history taking, physical examination and other supporting examination, especially focused on bedside investigation like echocardiography in the management of patients presenting with chest pain.
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50224
10.22146/aci.50224
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 157-164
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50224/25707
Copyright (c) 2019 Megawati Abubakar, Anggoro Budi Hartopo, M. Taufik Ismail, Real Kusumanjaya Marsam, Bambang Irawan
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50367
2019-10-15T21:18:57Z
jaci:ART
Abstracts of Flash Talks
Flashtalks, Abstracts of
Abstracts of Flash Talks
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50367
10.22146/aci.50367
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50367/25843
Copyright (c) 2019 Abstracts of Flashtalks
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50369
2019-10-15T21:18:57Z
jaci:PO
Abstracts of Posters
Posters, Abstracts of
Abstracts of Posters
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50369
10.22146/aci.50369
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50369/25845
Copyright (c) 2019 Abstracts of Posters
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50389
2019-10-15T21:18:57Z
jaci:Symp
Abstracts Symposium Day 1
Symposium Day 1, Abstracts
Abstracts Symposium Day 1
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50389
10.22146/aci.50389
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50389/25846
Copyright (c) 2019 Abstracts Symposium Day 1
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50390
2019-10-15T21:18:57Z
jaci:Symp
Abstracts Symposium Day 2
Symposium Day 2, Abstracts
Abstract Symposium Day 2
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50390
10.22146/aci.50390
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50390/25847
Copyright (c) 2019 Abstracts Symposium Day 2
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50391
2019-10-15T21:18:57Z
jaci:ART
Abstracts of Oral Presentation
Oral Presentation, Abstracts of
Abstracts of Oral Presentation
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50391
10.22146/aci.50391
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50391/25848
Copyright (c) 2019 Abstracts of Oral Presentation
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50614
2019-10-15T21:20:01Z
jaci:FOR
Forewords
The 3rd JINCARTOS 2019, Forewords
The Forewords of The 3rd JINCARTOS 2019
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50614
10.22146/aci.50614
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50614/25887
Copyright (c) 2019 Forewords The 3rd JINCARTOS 2019
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50616
2019-10-15T21:20:02Z
jaci:SL
Speaker Lists of The 3rd JINCARTOS 2019
The 3rd JINCARTOS 2019, Speakers
The Speaker List of The 3rd JINCARTOS 2019
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50616
10.22146/aci.50616
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50616/25889
Copyright (c) 2019 Speakers The 3rd JINCARTOS 2019
http://creativecommons.org/licenses/by-sa/4.0
oai:jurnal.ugm.ac.id:article/50617
2019-10-15T21:20:02Z
jaci:FOR
Committee The 3rd JINCARTOS 2019
The 3rd JINCARTOS 2019, Committee
Committee The 3rd JINCARTOS 2019
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
2019-10-16
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
https://jurnal.ugm.ac.id/jaci/article/view/50617
10.22146/aci.50617
ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (S) (2019): Supplements, Abstracts of The 3rd Jogja INternational CARdiovascular TOpic Series 2019: In-depth with Heart Failure
2579-4345
2460-5700
eng
https://jurnal.ugm.ac.id/jaci/article/view/50617/25890
Copyright (c) 2019 Committee The 3rd JINCARTOS 2019
http://creativecommons.org/licenses/by-sa/4.0