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Kurnia Putra, Bagus Fitriadi
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Manajemen Syok Kardiogenik pada Diseksi Aorta Kurnia Putra, Bagus Fitriadi; Aminuddin, Muhammad
Cermin Dunia Kedokteran Vol 47, No 10 (2020): Optalmologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i10.1086

Abstract

Pendahuluan: Diseksi aorta merupakan kegawat daruratan akibat robekan tunika intima aorta yang menyebabkan perdarahan ke dalam tunika media. Komplikasi syok terjadi pada lebih dari 20% kasus dan akan meningkatkan mortalitas. Kasus: Wanita 72 tahun dirujuk ke IGD dengan keluhan nyeri dada dan rasa tidak nyaman di perut dan punggung, disertai lemas, gelisah, dan klinis syok. Pada foto toraks didapatkan kesan aneurisma aorta. CT scan menunjukkan diseksi aorta asenden, arkus aorta, aorta desenden, aorta abdominalis, berlanjut sampai ke arteri iliaka eksterna, dan trombus di arkus aorta. Pasien dan keluarga menolak tindakan operasi; pasien diterapi secara konservatif.Introduction: Aortic dissection is the result of aortic intima tear that leads to bleeding within the tunica media. Shock occurs in up to 20% patients and is associated with increased mortality. Case: A 72-year-old woman was referred to ED with chest pain and discomfort in the stomach and back, accompanied by weakness, anxiety, and clinical presentation of shock. Chest X-ray examination gave an impression of aortic aneurysm. CT scan showed dissection of the aorta ascendens, arcus aorta, aorta descendens, abdominal aorta, continues until the external iliac artery, and thrombus in the aortic arch. Patient and families reject surgical management; the patient was treated conservatively. 
Red Cell Distribution Width sebagai Prediktor Penyakit Kardiovaskular Kurnia Putra, Bagus Fitriadi; Bintoro, Ugroseno Yudho
Cermin Dunia Kedokteran Vol 46, No 11 (2019): Kesehatan Anak
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.792 KB) | DOI: 10.55175/cdk.v46i11.413

Abstract

Baru-baru ini, sejumlah besar penelitian telah menemukan hubungan independen di luar faktor risiko tradisional antara peningkatan RDW (anisocytosis) dan penyakit kardiovaskular. Red cell Distribution Width (RDW) adalah ukuran variasi ukuran dan indeks heterogenitas eritrosit. RDW juga dikaitkan dengan mortalitas penyakit kardiovaskular dan mortalitas umum pada populasi yang berbeda. Masih harus diteliti lebih lanjut, apakah RDW hanya suatu biomarker atau juga mediator patogen untuk penyakit kardiovaskular tertentu.Recently, a large number of studies have found an independent association beyond traditional risk factors between increased RDW (anisocytosis) and Cardiovascular Diseases (CVDs). Increased RDW has been associated with different CVDs such as coronary heart disease, stroke, heart failure, atrial fibrillation, peripheral artery disease, pulmonary arterial hypertension, and venous thromboembolism, also with overall and cardiovascular mortality in different populations. It remains to be determined whether RDW is only a biomarker or also a pathogenic mediator for certain CVDs.
Fibrilasi Atrium pada Hipertiroid Kurnia Putra, Bagus Fitriadi
Cermin Dunia Kedokteran Vol 44, No 9 (2017): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.556 KB) | DOI: 10.55175/cdk.v44i9.725

Abstract

Fibrilasi atrium (AF) adalah gangguan irama jantung yang paling sering terjadi pada hipertiroid dan dapat meningkatkan morbiditas dan mortalitas. Tinjauan ini membahas patogenesis, diagnosis, dan pendekatan terapi pasien hipertiroid dengan AF.Atrial Fibrillation (AF) is a heart rhythm disorder most often found in hyperthyroid and may increase morbidity and mortality. This review discusses the pathogenesis, diagnosis, and therapeutic approaches for hyperthyroid patients with AF.
Co-Authors Bintoro, Ugroseno Yudho Muhammad Aminudin