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All Journal Medical Journal of Indonesia

Dasnan Ismail

Division of Cardiology, Department of Internal Medicine Universitas Indonesia, Faculty of Medicine/Dr. Cipto Mangunkusumo Hospital, Jakarta.

Author-ID : 289375

Medicine & Pharmacology

Published : 8 Documents Claim Missing Document

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Articles

The correlation between high sensitivity C-Reactive Protein level and the Extent of Coronary Lesion and Cardiac Systolic Function in Coronary Heart Disease Suryadipradja, Miftah; Nasution, Sally A.; Ismail, Dasnan; Kasjmir, Yoga I.
Medical Journal of Indonesia Vol 12, No 4 (2003): October-December
Publisher : Faculty of Medicine Universitas Indonesia

To determine the mean value of high sensitivity C-Reactive Protein (hs-CRP), association between plasma level of hs-CRP with extent of disease and systolic function. A cross sectional study had been conducted to 106 coronary artery disease patients (90 stable angina pectoris, 11 unstable angina pectoris and 5 acute myocardial infarction). Plasma quantitative level of hs-CRP with cor angiography to determine extent of disease and ejection fraction were measured. The mean of hs-CRP levels in patients with SVD were 5,5 Â± 7,6 mg/L, DVD were 6,6 Â± 21,7 mg/L and TVD were 5,5 Â± 8,0 mg/L and p=0,056, respectively. There were no significant association between hs- CRP levels with extent of disease. Systolic function had negative correlation with levels of hs-CRP (p=0,015, r=-0,235). This study showed that plasma level of hs-CRP cannot reflect the extent of disease, and it had negative correlation with systolic function. (Med J Indones 2003; 12: 201-6) Keywords: high sensitivity C-Reactive Protein, extent of disease, systolic function, coronary artery diseases.

Does increased troponin-T in patients undergoing percutaneous transluminal coronary angioplasty have any clinical significance ? Ismail, Dasnan
Medical Journal of Indonesia Vol 9, No 3 (2000): July-September
Publisher : Faculty of Medicine Universitas Indonesia

[no abstract available]

Left ventricular diastolic dysfunction in type 2 diabetes mellitus patient without cardiovascular disease: the association with microalbuminuria Alwi, Idrus; Harun, S.; Soehardjono, Soehardjono; Nugroho, Nugroho; Waspadji, Sarwono; Rahman, A. M.; Ismail, Dasnan
Medical Journal of Indonesia Vol 14, No 3 (2005): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Twenty-eight cases of type 2 diabetes mellitus (DM) without any cardiovascular disease were recruited from the Department of Metabolic-Endocrine, Faculty of Medicine, University of Indonesia / Dr. Cipto Mangunkusumo General Hospital, Jakarta. Recruitment of the study began in October 2001 and was completed by December 2001. Participants were examined for echocardiography and microalbuminuria urinary examination. Diastolic dysfunction was found in 73.7% of type 2 diabetic patients without microalbuminuria and 66.7% in type 2 diabetic patients with microalbuminuria. Neither type 2 diabetic groups with nor without microalbuminuria indicated any significant association to the occurrence of diastolic dysfunction.Â (Med J Indones 2005; 14: 169-72)Keywords:Â microalbuminuria, diastolic dysfunction, type 2 diabetes mellitus

Left ventricular diastolic dysfunction in chronic renal failure patients on chronic hemodialysis in Dr. Cipto-Mangunkusumo Hospital : the association with left ventricular mass Alwi, Idrus; Harun, S.; Prabowo, H.; Soehardjono, Soehardjono; Trisnohadi, HB B.; Rahman, A M.; Ismail, Dasnan
Medical Journal of Indonesia Vol 15, No 2 (2006): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Fourty three patients with chronic renal failure undergoing chronic hemodialysis in Division of Nephrology and Hypertension, Faculty of Medicine, University of Indonesia/Cipto-Mangunkusumo Hospital, Jakarta, since October 2003 until February 2004, were examined for echocardiography (2-D, M-mode, Doppler imaging).Diastolic dysfunction was found in 58.1 % of chronic renal failure patients on hemodialysis. There was no significant difference between left ventricular mass in the group with or without left ventricular diastolic dysfunction. (Med J Indones 2006; 15:105-8)Keywords: Left ventricular mass, diastolic function, chronic renal failure, hemodyalisis

The level of C.pneumoniae, Cytomegalovirus, and H.pylori antibody in a patient with coronary heart disease Ismail, Dasnan
Medical Journal of Indonesia Vol 11, No 4 (2002): October-December
Publisher : Faculty of Medicine Universitas Indonesia

At herosclerosis is still the chief cause of morbidity and mortality in developed nations. Even though in developed nations the modification of risk factors is able to reduce the prevalence rate of atherosclerosis, such reduction is starting to slow down. Such condition has stimulated researchers to identify environmental exposure, including infection, that can influence the process of atherosclerosis. This cross sectional study was conducted from March to August 1998, on 122 patients that clinically demonstrate coronary heart disease and have underwent cardiac catheterization, 92 males and 30 females with an average age of 55 years. Patients undergo clinical and laboratory evaluation (blood glucose, cholesterol, triglyceride, and antibody for C.pneumoniae. Cytomegalovirus, and H.pylori). We found a significant difference in cholesterol, triglyceride, and HDL levels in those with coronary stenosis and those without. However, we did not find a significant difference in the levels of C.pneumoniae, Cytomegalovirus, and H.pylori antibodies. This study is unable to conclude the influence of these antibodies on atherosclerosis, since in the non-stenosis group, we cannot eliminate the possibility of atherosclerosis, since the average age of study subject is 55 years. Studies on the interaction between infection and traditional risk factors as well as gender and nutrition is needed to find a clear answer of the influence of infection in atherosclerosis. (Med J Indones 2002; 11: 211-4)Keywords: Level of C.pneumoniae, Cytomegalovirus, H.pylori antibody, coronary heart disease.

Anti-thrombin III, Protein C, and Protein S deficiency in acute coronary syndrome Ismail, Dasnan; Harun, S.; Alwi, Idrus; Tambunan, Karmel L.; Effendy, Shufrie
Medical Journal of Indonesia Vol 11, No 2 (2002): April-June
Publisher : Faculty of Medicine Universitas Indonesia

The final most common pathway for the majority of coronary artery disease is occlusion of a coronary vessel. Under normalÂ conditions, antithrombin III (AT III), protein C, and protein S as an active protein C cofactor, are natural anticoagulants (hemostaticÂ control) that balances procoagulant activity (thrombin antithrombin complex balance) to prevent thrombosis. If the conditionÂ becomes unbalanced, natural anticoagulants and the procoagulants can lead to thrombosis. Thirty subjects with acute coronaryÂ syndrome (ACS) were studied for the incidence of antithrombin III (AT III), protein C, and protein S deficiencies, and the result wereÂ compare to the control group. Among patients with ACS, the frequency of distribution of AT-III with activity < 75% were 23,3% (7Â of 30), and only 6,7% ( 2 of 30 ) in control subject. No one of the 30 control subject have protein C activity deficient, in ACS withÂ activity < 70% were 13,3% (4 of 30). Fifteen out of the 30 (50%) control subjects had protein S activity deficiency, while protein SÂ deficiency activity < 70% was found 73.3.% (22 out of 30). On linear regression, the deterministic coefficient of AT-III activityÂ deficiency to the development ACS was 13,25 %, and the deterministic coefficient of protein C activity deficient to the developmentÂ of ACS was 9,06 %. The cut-off point for AT-III without protein S deficiency expected to contribute to the development of vesselÂ disease was 45%. On discriminant analysis, protein C activity deficiency posed a risk for ACS of 4,5 greater than non deficientÂ subjects, and AT-III activity deficiency posed a risk for ACS of 3,5 times greater than non deficient subjects. On binary logisticÂ regression, protein S activity acted only as a reinforcing factor of AT-III activity deficiency in the development of ACS. Protein CÂ and AT III deficiency can trigger ACS, with determinant coefficients of 9,06% and 13,25% respectively. Low levels of protein CÂ posed a greater risk of ACS than low levels of AT III. Protein S deficiency was a reinforcing factor on AT-III deficient to developmentÂ of ACS. The cut-off point of AT-III without protein S deficiency expected to give single vessel disease was 45%, and 9,5% for theÂ development of triple vessel disease. (Med J Indones 2002; 11: 87-92)Keywords: acute coronary syndrome, Anti-thrombin III, Protein C, Protein S

Primary coronary stenting for treatment of acute myocardial infarction Abdurahman, Nurhay; Santoso, Teguh; Trisnohadi, Hanafi B.; Wangge, Mikail N.T.; Ismail, Dasnan
Medical Journal of Indonesia Vol 7, No 2 (1998): April-June
Publisher : Faculty of Medicine Universitas Indonesia

[no abstract available]

Association of disease activity and pericardial effusion on systemic lupus erythematosus patients Abdurahman, Nurhay; Alwi, Idrus; Hakim, Lukman; Ismail, Dasnan; Soelistijo, Hardjanti
Medical Journal of Indonesia Vol 7, No 2 (1998): April-June
Publisher : Faculty of Medicine Universitas Indonesia

[no abstract available]

Co-Authors A M. Rahman A. M. Rahman A.A. Ketut Agung Cahyawan W H. Prabowo Hanafi B. Trisnohadi Hardjanti Soelistijo HB B. Trisnohadi Idrus Alwi Karmel L. Tambunan Lukman Hakim Miftah Suryadipradja Mikail N.T. Wangge Nurhay Abdurahman S. Harun Sally A. Nasution Sarwono Waspadji Shufrie Effendy Soehardjono Soehardjono Yoga I. Kasjmir

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