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All Journal Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan Jurnal Sains dan Kesehatan Prominentia Medical Journal
Sidhi Laksono
Fakultas Kedokteran Universitas Muhammadiyah Prof Dr Hamka, Tangerang, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Diseksi Spontan Arteri Koroner: Diagnosis dan Manajemen: Coronary Artery Spontaneous Dissection: Diagnosis and Management Sidhi Laksono; Yogi Subandra
Jurnal Sains dan Kesehatan Vol. 5 No. 1 (2023): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v5i1.1137

Abstract

Spontaneous coronary artery dissection (SCAD) is one of the rare causes of ACS cases but is increasing in incidence in young women with low cardiovascular risk assessment. In addition, SCAD has risk factors for pregnancy and fibromuscular dysplasia. Establishing the diagnosis of SCAD by coronary angiography is a challenge because the characteristics of SCAD are similar to other causes of ACS and often missed. It is hoped that SCAD can be a research concern to support diagnosis and management to produce better outcomes. Keywords: coronary artery spontaneous dissection, diagnosis, management, acute coronary syndrome Abstrak Diseksi spontan arteri koroner (Spontaneous Coronary Artery Dissection: SCAD) salah satu penyebab kasus SKA yang jarang tetapi meningkat insidensi pada wanita muda dengan penilaian risiko kardivaskular rendah. Selain itu SCAD memiliki faktor risiko terhadap kehamilan, dan penyakit fibromuscular dysplasia. Penegakan diagnosis SCAD dengan angiografi koroner menjadi tantangan dikarenakan karakteristik SCAD yang mirip dengan penyebab ACS lainnya dan sering kali terlewat. Diharapkan SCAD dapat menjadi perhatian penelitiaan untuk mendukung penegakan diagnosis dan manajemen guna menghasilkan keluaran lebih baik. Kata Kunci: diseksi spontan arteri koroner, diagnosis, manajemen, sindroma korone akut
GAGAL VENTRIKEL KANAN AKUT: PENEGAKAN DIAGNOSIS DAN MANAJEMEN TATALAKSANA Sidhi Laksono; Indira Khairunnisa Effendi
Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan Vol 5 No 2 (2023): Agustus
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v5i2.119

Abstract

Gagal ventrikel kanan akut merupakan sindrom progresif dengan kongesti sistemik akibat gangguan pengisian ventrikel kanan dan/atau penurunan output aliran ventrikel kanan. Saat gagal ventrikel kanan akut berkembang, terjadi regurgitasi trikuspid yang semakin menurunkan curah jantung. Etiologi gagal ventrikel kanan yang paling umum di unit perawatan intensif adalah kegagalan ventrikel kiri, iskemia ventrikel kanan, emboli paru akut, hipertensi pulmonal, sepsis, cedera paru akut, dan tamponade jantung. Diagnosis gagal ventrikel kanan akut yang efektif secara optimal dilakukan dengan kombinasi teknik termasuk ekokardiografi, pencitraan dan kateterisasi yang juga dapat digunakan untuk memantau respons pengobatan. Penatalaksanaan gagal ventrikel kanan akut berfokus untuk menstabilkan hemodinamik, mengoptimalkan kondisi pembebanan, dan mengobati potensi penyebab reversibel. Penanganan aritmia yang cepat juga penting untuk menghindari lingkaran setan hipotensi, iskemia, dan aritmia lebih lanjut. Artikel ini meninjau mengenai etiologi, patofisiologi, penegakan diagnosis dan manajemen tatalaksana pada kasus gagal ventrikel kanan akut.
NEUROKARDIOLOGI: INTERAKSI JANTUNG DAN OTAK Sidhi Laksono
Bahasa Indonesia Vol 3 No 2 (2022): Prominentia Medical Journal
Publisher : Universitas Ciputra Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37715/pmj.v3i2.3240

Abstract

The heart-and-brain axis is an important connection and is known as neurocardiology. This science combines the specialization of cardiology and neurology in dealing with cases of nervous and cardiovascular systems. Any dysfunction in one of the components will interfere with that of the other component. Abnormalities of the nervous system can result in different changes in the cardiovascular function and structure, ranging from temporary changes in the ECG to myocardial injury, cardiomyopathy, and even cardiac death. This article reviews the anatomy and physiology of the central nervous system (CNS) and autonomic nervous system (ANS) in relation to the control of cardiovascular function in physiological and pathological states. In conclusion, the interaction between the heart and the brain affects one another, therefore, any abnormalities in the brain may cause abnormalities in the heart. It is hoped that knowledge of the heart and brain axis can provide an overview of knowledge about heart abnormalities caused by neurological disorders.
GAGAL JANTUNG DENGAN FRAKSI EJEKSI SEDIKIT MENURUN: SUATU TINJAUAN PUSTAKA Sidhi Laksono
Bahasa Indonesia Vol 4 No 1 (2023): Prominentia Medical Journal
Publisher : Universitas Ciputra Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37715/pmj.v4i1.3517

Abstract

The European Heart Association (ESC) 2021 heart failure guidelines introduce a third ejection fraction (EF) category for heart failure with an EF of 40-49%, referred as heart failure with mildly reduced EF (HFmrEF). This category has not been explored much in comparison to heart failure with reduced EF (HFrEF; defined as EF < 40%) and heart failure with normal EF (HF preserved EF, HFpEF; defined as EF 50%). The prevalence of HFmrEF in the population of patients with HF was 10-25%. HFmrEF may be underdiagnosed, given the error and variability in EF measurements and the presence of milder symptoms in these patients compared to patients with HFrEF. The precise recognition and phenotyping of HFmrEF is important as it may support treatment recommendations based on available data. One study showed that survival rate in patients with HFmrEF or HFrEF is lower compared to patient with HFpEF. The characteristics of HFmrEF are more similar to HFrEF. Further studies are needed to fill the information gap in the case of HFmrEF.
Co-Authors Indira Khairunnisa Effendi Yogi Subandra