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All Journal Medical Journal of Indonesia Cermin Dunia Kedokteran
Nani Hersunarti
Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Journal : Medical Journal of Indonesia

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Chronic thromboembolic pulmonary hypertension in young woman with history of caesarian section Asbarinsyah, Nitia A.; Soerarso, Rarsari S.; Hersunarti, Nani; Siswanto, Bambang B.
Medical Journal of Indonesia Vol 23, No 4 (2014): November
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (732.569 KB) | DOI: 10.13181/mji.v23i4.1067

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is one of subgroups of pulmonary hypertension. This is a serious medical condition that severely under diagnosed. CTEPH is commonly underdiagnosed due to non specific symptoms and lack of diagnostic tools. The aim of this presentation is to discuss the etiology, risk factors, diagnosis and management of CTEPH. A 36-year-old woman presented with easily fatigue and dyspneu on effort since two years ago. The symptom occured about three months after she gave birth with caesarian section due to preeclampsia. Further history taking, physical examination, electrocardiography (ECG) and echocardiography were highly suggestive of pulmonary hypertension. No deep vein thrombosis (DVT) was found on vascular femoral sonography. It was found after the lung perfusion scintigraphy performed that she actually had CTEPH. This patient was categorized as inoperable because CT pulmonary angiography showed no thrombus. The patient got pulmonary vasodilator and oral anticoagulant for lifelong.
Case report of secondary hypertension due to renal artery stenosis in young patient Saragih, Wendy M.; Sulistiowati, Siska; Haryono, Nur; Siswanto, Bambang B.; Hersunarti, Nani; Soesanto, Amiliana M.
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (792.088 KB) | DOI: 10.13181/mji.v23i2.666

Abstract

Secondary hypertension is rare to occur, but should become suspicion in young age. Secondary hypertension must be appropriately diagnosed and treated. Renal artery stenosis is one of many causes of secondary hypertension. The aim of this case report is to describe diagnosis, pathophysiology and management of secondary hypertension due to renal artery stenosis in young patient. A 17 year old man with symptom of shortness of breath was diagnosed with hypertension stage 3 on his medical examination at Pasar Rebo Hospital, Jakarta. Abdominal CT scan examination revealed bilateral renal artery stenosis. Percutaneous transluminal angiography (PTA) of left renal artery was performed at National Cardiovascular Centre Harapan Kita. Stent was placed succesfully and the blood pressure was normalized.
Co-Authors Amiliana M. Soesanto Bambang Budi Siswanto Doni Firman Nitia A. Asbarinsyah Nur Haryono Prima Almazini Rarsari S. Soerarso Rarsari Soerarso Siska Sulistiowati Wendy M. Saragih