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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kedokteran Diponegoro Jurnal Penyakit Dalam Indonesia
Andreas Arie Setiawan, Andreas Arie
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Health Professions Medicine & Pharmacology

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GAMBARAN GANGGUAN IRAMA JANTUNG YANG DISEBABKAN KARENA HIPERTIROID Widjaja, Daniel Karen; Setiawan, Andreas Arie; Ariosta, Ariosta
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 6, No 2 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.873 KB)

Abstract

Latar belakang :Aritmia adalah variasi – variasi di luar irama normal jantung berupa kelainan pada kecepatan, keteraturan, tempat asal impuls, atau urutan aktivasi, dengan atau tanpa adanya penyakit jantung struktural yang mendasari. Prevalensi penyakit jantung di Indonesia pada populasi usia 15 tahun ke atas adalah 9,2%, dimana 5,9 % diantaranya mengalami gejala aritmia.Hormon tiroid memiliki hubungan secara langsung dan tidak langsung terhadap miokardium dan mempengaruhi sistem saraf otonom pada jantung yang menyebabkan terjadinya gangguan irama jantung.Tujuan :Mendapatkan informasi tentang gambaran aritmia yang disebabkan oleh hipertiroid.Metode :Penelitian menggunakan metode deskriptif retrospektif. Data diambil dari catatan medik pasien dengan hipertiroid yang dirawat di RSUP Dr. Kariadi Semarang pada tahun 2013 dan telah menjalani pemeriksaan penunjang elektrokardiografi.Subjek penelitian berjumlah 21 orang dan didapatkan secara consecutive sampling.Hasil : Gambaran gangguan irama jantung pada pasien hipertiroid adalah 6 orang atrial fibrilasi respon cepat, 4 orang sinus takikardi, 3 orang atrial fibrilasi respon normal, 3 RBBB, 2 VES benigna, 1 SVES, 1 atrial flutter, dan 1 RBBB dengan sinus takikardi.Kesimpulan : Gambaran gangguan irama jantung pada pasien hipertiroid adalah atrial fibrilasi respon cepat, sinus takikardi, atrial fibrilasi respon normal, RBBB,VES Benigna, SVES, atrial flutter,RBBB dengan sinus takikardi  .
HUBUNGAN DERAJAT KEPARAHAN GAGAL GINJAL KRONIK DENGAN KEJADIAN PENYAKIT JANTUNG KORONER Sagita, Tiffany Christine; Setiawan, Andreas Arie; Hardian, Hardian
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 2 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.431 KB) | DOI: 10.14710/dmj.v7i2.20689

Abstract

Latar Belakang: Penyakit Jantung Koroner (PJK) adalah salah satu komplikasi gagal ginjal kronik (GGK). Beberapa penelitian sebelumnya telah meneliti hubungan antara gagal ginjal kronik (GGK) dengan kalsifikasi pada arteri koroner namun hubungan antara derajat keparahan gagal ginjal kronik (GGK) dan dampak terhadap atherosklerosis masih belum jelas.Tujuan: Menilai hubungan antara derajat keparahan gagal ginjal kronik dengan penyakit jantung koroner.Metode:  Penelitian ini adalah penelitian observasional analitik cross sectional di RSUP Dr. Kariadi Semarang pada periode 2013-2016. Subyek penelitian adalah 146 pasien GGK. Data yang dikumpulkan adalah usia, jenis kelamin, diganosis kerja, gula darah, profil lipid, tekanan darah, dan riwayat merokok.Hasil: Derajat keparahan GGK adalah derajat I 6 orang (4,11%), II 12 (8,22%), III 29 (19,86%), IV 21 (14,38%), dan V 78 orang (53,42%). Kejadian PJK dijumpai pada 72 orang (49,32%). Hasil uji korelasi terdapat hubungan yang bermakna antara kejadian PJK dengan derajat keparahan GGK (p<0,001). Rasio Prevalensi untuk kejadian PJK pada GGK II 1,2 (95% IK=0,1 s/d10,7), III 2,3 (95% IK= 0,3 s/d 15,5), IV 4,7 (95% IK =1,3 s/d 16,7), V 4,0 (95% IK =1,2 s/d 14,0).Kesimpulan:  Semakin berat derajat gagal ginjal kronik maka semakin tinggi kejadian penyakit jantung koroner.
Factors Affecting Glycemic Control in Diabetes Mellitus Patients Wireno, Eros Hanif; Setiawan, Andreas Arie; Hendrianingtiyas, Meita; Pramudo, Setyo Gundi
Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 12, No 2 (2021): July-December 2021
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.192 KB) | DOI: 10.30659/sainsmed.v12i2.7620

Abstract

Introduction: Indonesia ranked seventh in the prevalence of diabetes mellitus in the world. Improved glycemic control has been proven to prevent the diabetes and its complications. Adherence to treatment, weight regulation with benchmarks for Body Mass Index (BMI) indicators, activity or exercise habits, diet, and smoking history play an important role in glycemic control. Objective: The aim  of  this study was to identify factors affecting glycemic control in outpatient with diabetes mellitus.Methods: A cross sectional study  among 32 diabetes mellitus patients.This study was conducted from April 2019 to September 2019 at Rumah Sakit Nasional Diponegoro (RSND), Semarang. The glycemic control status were assesed by HbA1c. Factors such medication adherence, diet adherence, smoking status, and physical activity were assesed with a structured questionnaire. Anthropometric measurement done to get the BMI status. Data were analyzed with bivariat analysis with chi square test (p<0.05).Result: The factors that were significantly have relationship with glycemic control status are diet adherence (p=0.046), and medication adherence (p=0.040). Physical activity, smoking status and BMI doesn’t have significant relationship with glycemic control status.Conclusion: Factors affecting glycemic control of diabetes mellitus patients in this study were diet adherence and medication adherence. History of smoking, BMI, and physical activity were not factors that influenced the control status in diabetes mellitus patients in this study.
Five-Year Survival in Patients with 3-Vessels Coronary ArteryDisease and Diabetes Mellitus Undergoing Coronary ArteryBypass Graft, Coronary Percutaneus Intervention, or ReceivingPharmacological Therapy in Cipto Mangunkusumo Hospital Setiawan, Andreas Arie; Panggabean, Marulam; Yamin, M; Setiati, Siti
Jurnal Penyakit Dalam Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Revascularization results in patients with diabetes mellitus (DM) and coronary artery disease involving 3 vessels (CAD 3VD) undergo coronary artery bypass surgery (CABG) are better compared with those undergo percutaneous coronary intervention (PCI) or medical therapy. However, CABG is not always done despite being recommended in accordance with Syntax Score because some patients unwilling to undergo CABG or PCI . This trial determined whether the choice of revascularization affect 5-years survival. Methods. This was a retrospective cohort study with survival analysis to examine the 5-years survival rate of CAD 3VD DM patients undergoing CABG, PCI, or medical therapy. The study was conducted using secondary data of 126 CAD 3VD DM patients who underwent CABG, PCI, or medical therapy at Cipto Mangunkusumo Hospital in 2006-2007 and followed up to 2011-2012 if there any incident died. Results. Best survival was seen in the CABG group (93.5%). The largest proportion of death occured in the medical therapy group (36.1%). The CABG survival was significantly better than the IKP (p=0.01) and medical therapy (p=0.001). PCI group had better survival than medical therapy (69.5% vs. 63.9%). Although not statistically significant, but the proportion of complaints after revascularization in PCI group were found less than medical therapy group (52% vs. 38%). Syntax score that assesses the complexity of stenosis had a significant association with survival (p 0.039). Conclusions.5-years survival of CAD 3VD DM patients is best obtained in the group that underwent CABG. 5-year survival of CAD 3VD DM patients who underwent PCI better than medical therapy but was not statistically significant. Factor that affect the 5-years survival is the complexity stenosis viewed by the Syntax score.
Co-Authors Ariosta Ariosta Hardian Hardian Hendrianingtiyas, Meita M Yamin Marulam Panggabean, Marulam Pramudo, Setyo Gundi Sagita, Tiffany Christine Siti Setiati Widjaja, Daniel Karen Wireno, Eros Hanif