Ketaren, Infan
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Dampak Coronavirus Disease 2019 terhadap Sistem Kardiovaskular Willim, Herick A.; Ketaren, Infan; Supit, Alice I.
e-CliniC Vol 8, No 2 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v8i2.30540

Abstract

Abstract: Coronavirus disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection has become a pandemic. Patient with cardiovascular comorbidity has a higher risk of suffering more severe manifestation of COVID-19 associated with a higher mortality. Although dominated by respiratory clinical manifestation, COVID-19 may also cause severe cardiovascular disorders. Angiotensin converting enzyme 2 (ACE2) acts as a receptor of SARS-CoV-2. Patients of COVID-19 with cardiovascular comorbidities may experience more severe clinical manifestations, presumably due to higher ACE2 expression in this population. Cardiovascular complications in COVID-19 may include myocardial injury, myocarditis, acute myocardial infarction, acute heart failure, thromboembolism, and arrhythmias. Therefore, optimization of conservative medical therapy needs to be prioritized in patients with cardiovascular comorbidities. Emergency intervention can be considered in certain cases with hemodynamic instability.Keywords: cardiovascular system, COVID-19, SARS-CoV-2, ACE2 Abstrak: Coronavirus disease 2019 (COVID-19) telah merupakan pandemi yang disebabkan oleh infeksi Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Pasien dengan komorbid kardiovaskular berisiko lebih tinggi untuk mengalami manifestasi yang lebih berat jika terinfeksi COVID-19 dan berhubungan dengan mortalitas yang lebih tinggi. Meskipun didominasi oleh manifestasi klinis respiratorik, COVID-19 juga dapat menyebabkan gangguan kardiovaskular yang berat. Angiotensin converting enzyme 2 (ACE2) berperan sebagai reseptor SARS-CoV-2. Diduga pasien dengan penyakit kardiovaskular dapat bermanifestasi klinis lebih berat karena ekspresi ACE2 yang lebih tinggi pada populasi ini. Komplikasi kardiovaskular pada COVID-19 dapat meliputi jejas miokardium, miokarditis, infark miokard akut, gagal jantung akut, tromboemboli, dan aritmia. Pada pasien dengan komorbid kardiovaskular, optimalisasi terapi medis konservatif perlu diprioritaskan. Tindakan intervensi darurat dapat dipertimbangkan pada kasus tertentu dengan instabilitas hemodinamik.Kata kunci: sistem kardiovaskular, COVID-19, SARS-CoV-2, ACE2
Diagnosis dan Tatalaksana Sindrom Brugada Willim, Herick Alvenus; Ketaren, Infan
Cermin Dunia Kedokteran Vol 46, No 5 (2019): Pediatri
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1043.923 KB) | DOI: 10.55175/cdk.v46i5.479

Abstract

Sindrom Brugada (SB) adalah abnormalitas listrik jantung bawaan yang langka. SB merupakan salah satu penyebab utama kematian mendadak pada usia muda tanpa penyakit jantung organik. SB dapat bersifat asimtomatik maupun simtomatik. Beberapa pasien dapat mengalami sinkop, bahkan aritmia yang mengancam nyawa seperti fibrilasi ventrikel. EKG menjadi kunci utama diagnosis SB. Diperlukan stratifikasi risiko dan strategi lanjutan untuk mencegah henti jantung mendadak.Brugada syndrome (BS) is a rare inherited abnormality of heart electrical activity. BS is one of the leading causes of sudden cardiac death among youth without underlying organic heart disease. BS can be asymptomatic or symptomatic. Some patients may experience syncope, even life-threatening arrhythmia such as ventricular fibrillation. ECG test is the main key of diagnosis. Risk stratification and further strategies are needed to prevent sudden cardiac death.
Tatalaksana Pasca Henti Jantung Alvenus Willim, Herick; Ketaren, Infan; Supit, Alice Inda
Cermin Dunia Kedokteran Vol 48, No 7 (2021): Infeksi - [Covid - 19]
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.612 KB) | DOI: 10.55175/cdk.v48i7.1448

Abstract

Sindrom pasca henti jantung merupakan keadaan kompleks dan kritis dengan mortalitas tinggi. Tatalaksana pasca henti jantung membutuhkan pendekatan multidisiplin meliputi stabilisasi status kardiopulmoner, penanganan penyebab, strategi neuroproteksi dini, dan pencegahan berulangnya henti jantung. Pendekatan multimodal diperlukan untuk prediksi keluaran neurologis.Post-cardiac arrest syndrome is complex and critical condition associated with high mortality. Post-cardiac arrest management needs multidisciplinary approach including stabilization of cardiopulmonary status, managing the underlying cause, early neuroprotective strategy, and prevention of recurrent cardiac arrest. Multimodal approach is needed to predict neurological outcome.