Article Per Year (5 Year)
p-Index From 2019 - 2024
0
P-Index
This Author published in this journals
All Journal Majalah Kedokteran Nusantara The Journal Of Medical School Indonesian Journal of Cardiology
Refli Hasan
Unknown Affiliation
Health Professions Medicine & Pharmacology

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Nilai Skor CHA2DS2-VAS-HSF Sebagai Prediktor Kejadian Nefropati Yang Diinduksi Kontras Pada Pasien Sindroma Koroner Akut Yang Menjalani Prosedur Intervensi Koroner Perkutan Herman William Parlindungan; Refli Hasan; Cut Aryla Andra; Nizam Zikri Akbar; Ali Nafiah Nasution; Harris Hasan; Zainal Safri; Anggia C Lubis; Bertha Gabriella Napitupulu
Jurnal Kardiologi Indonesia Vol 39 No 2 (2018): Indonesian Journal of Cardiology: April-June 2018
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v39i2.766

Abstract

Background: Contrast-Induced Nephropathy (CIN) is a serious problem that can be found in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). The development of CIN in hospitalized patients even with coronary revascularization can immediately increase morbidity and mortality both during treatment and long-term outcomes. In a recent study, a CHA2DS2-VASC-HSF score was reported to predict coronary artery severity and major cardiovascular events (MACE) as well as CIN in AMI patients without atrial fibrillation. The purpose of this study was to investigate the CHA2DS2-VASC score as a predictor of CIN in AMI patients undergoing PCI procedures. Methods: This study was an ambispective cohort study of 53 AMI patients who were treated at cardiac care and underwent PCI procedures. The CHA2DS2-VASC-HSF score was calculated for each patient. From this study found 14 cases (26.4%) with a total CIN prevalence of 16.83%. CIN is defined as an increase in serum creatinine> 0.5 mg / dL or an increase in serum creatinine> 25% from baseline within 24 hours post PCI. Results: Through the analysis of the ROC curve, we established the CHA2DS2- VASC-HSF score cut point> 5 as a predictor of CIN with a sensitivity of 78.57% and specificity of 66.6 %% (AUC 0.818, 95%: CI 3.018-6.142, p <0.001). By getting the equation from the linear regression assessment we also found the probability of the occurrence of CIN in accordance with the CHA2DS2-VASC-HSF score. Conclusion: CHA2DS2-VASC score has a positive correlation with CIN. Therefore, this score can be used as a simple scoring system and can predict the incidence of CIN in AMI patients undergoing PCI procedures.
Perbandingan akurasi diagnostik kriteria cornell product dengan kriteria sokolow lyon dalam menentukan hipertrofi ventrikel kiri pada pasien hipertensi obese di RSUP H. Adam Malik, Medan Muhammad Azhari; Rahmad Isnanta; Zainal Safri; Refli Hasan
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction : LVH is an important cardiovascular risk factors in hypertensive patients.Accuracy of ECG criterias was relatively low in diagnosis LVH. Cornell product criteria are the criteria used in the diagnosis LVH in obesity because of easier application. The aim of this study was Determine the accuracy of the Cornell product and sokolow lyon in the detection of left ventricular hypertrophy in obese hypertensive patients at Adam Malik General Hospital.Methods : This cross sectional study from September to October 2015 on 61 cardiology policlinic patients and we did anamnesis, measurement of blood pressure, height, body weight, BMI, BSA, ECG and Echocardiography.Result : From61 patients admitted to cardiology policlinic, we found 34 male and 27 female. The result of echocardiography revealed 38 of hypertensive patients have LVH (62.3%). Sensitivity, specifity and accuracy of different ECG criteria for diagnosis LVH ranged from 31.6% (Cornell product and Romhilt estes) to 47.4% (Cornell Voltage), 65.2%(Cornell Voltage) to 95.8%(Sokolow Lyon), 50% (Cornell Product and Romhilt Estes)to 61.7% (Sokolow Lyon). Positive predictive value were ranged from 75% (Cornell & Romhilt Estes) to 92.9% (Sokolow Lyon) andNegative predictive value were ranged from 42.2%(Cornell Product and Romhilt estes) to 46.8% (Sokolow lyon).Conclusion :The accuracy of ECG criteria Cornell Product no better than lyon Sokolow criteria in terms of assessing LV hypertrophy in hypertensive patients with obesity.Key word : Leftventricular hypertrophy, Cornel product, sokolow lyon, hypertensive obese
Co-Authors Ali Nafiah Nasution Anggia C Lubis Bertha Gabriella Napitupulu Cut Aryla Andra Harris Hasan Herman William Parlindungan Muhammad Azhari Nizam Zikri Akbar Rahmad Isnanta Zainal Safri