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ARKAVI [Arsip Kardivaskular Indonesia)
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Articles 5 Documents
Search results for , issue "Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia" : 5 Documents clear
Evaluation Post PTCA with Cardiac Exercise Stress Test Fahmi Adam; Hardja Priatna; Hidayani Fazriah
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Abstract

Coronary Heart Disease (CHD) is an imbalance condition of oxygen supply which causes hypoxic conditions in myocardium, the World Health Organization (WHO) estimates CHD to be the leading cause of death worldwide, with more than 80% occurring in developing countries. In compiling this scientific paper using descriptive methods, research was conducted by collecting data from September 2018 to May 2019 at Tangerang District General Hospital, describing the characteristics and subjects studied and making conclusions. The study began from September to May. Based on the study 2 of 11 patients had a positive exercise test. PTCA measures are able to improve fitness and reduce coronary arteries narrowing, the Load Heart Exercise Test is an appropriate initial method for post-PTCA evaluation, and is quite good in assessing ischemic responses after PTCA actions. Keywords: Coronary Heart Disease, Weight Training Exercise, Percutaneous Transluminal Coronary Intervention. Penyakit Jantung Koroner (PJK) merupakan suatu kondisi ketidak seimbangan suplai oksigen yang menyebabkan kondisi hipoksia pada miokardium, World Health Organization (WHO) mengestimasi PJK menjadi penyebab utama kematian diseluruh dunia ,dengan lebih dari 80% terjadi di negara berkembang. Dalam penelitian ini menggunakan metode deskriptif, penelitian dilakukan dengan pengumpulan data pada di Rumah Sakit Umum Kabupaten Tangerang, menggambarkan karakteristik dan subjek yang diteliti dan membuat kesimpulan. Penelitian dilakukan selama 8 bulan pengambilan data primer di Rumah Sakit Daerah diperoleh 11 pasien memiliki hasil uji latih yang positif. Tindakan PTCA mampu meningkatkan kebugaran dan mengurangi penyempitan pembuluh darah koroner,Uji Latih Jantung Beban adalah metode awal yang tepat untuk evaluasi pasca tindakan PTCA,serta cukup baik dalam menilai respon iskhemik setelah dilakukannya tindakan PTCA. Kata kunci: Penyakit Jantung Koroner, Uji Latih Jantung Beban, Percutaneous Transluminal Coronary Intervention.
Overview of Coronary Stenosis in Menopausal Women Based on Age and Risk Factors lalu ahmad Asmayadi
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Overview of Coronary Stenosis in Menopausal Women Based on Age and Risk Factors Cardiovascular diseases (CVDs) take the lives of 17,9 million people every year, 31% of all global deaths. CHD occurs because of atherosclerosis or plaque that builds up in the walls of arterial blood vessels in the heart called atherosclerosis. In elderly women, menopause is one of the factors that can exacerbate coronary heart disease. CHD patients performed percutaneous coronary angiography which is a major component in cardiac catheterization, show to all branches of the coronary arteries so that they can see the degree of the plaque stenosis, location and number of narrowing. The aim of this study to describe coronary stenosis in women based on age and risk factors. The methods of this study uses descriptive research method whose data is taken in cross sectional manner from February to April 2019 at the Tangerang District General Hospital. The results of the study were 19 patients menopausal women aged 45 years and over with risk factors. The age that is most affected by coronary heart disease is 50 years old between 44-54 years. The risk factors gained in menopausal women are 68% hypertension, diabetes mellitus (DM) 16%, and hypertension with DM 16%. Then, results of many narrowing in menopausal women is 1 VD (9 patients), 2 VD (6 patients), and 3 VD (4 patients). Menopausal women are most exposed to coronary heart disease at ages 50 years old (44-54) with a risk factor of hypertension as much as 68% and most narrowing one vessel disease (1VD). Keywords: Coronary Heart Disease, Risk Factors, Menopausal, Percutaneous Coronary Angiography Gambaran Stenosis Koroner Pada Wanita Menopause Berdasarkan Usia Dan Faktor Resiko. Penyakit Kardiovaskular (PKV) merenggut nyawa 17,9 juta orang setiap tahun, 31% dari semua kematian di dunia. Penyakit Jantung Koroner terjadi karena adanya plak aterosklerosis pada dinding pembuluh darah arteri jantung. Pada wanita usia lanjut, menopause adalah salah satu faktor yang dapat memperburuk penyakit jantung koroner. Pada pasien penyakit jantung koroner dilakukan tindakan angiografi koroner perkutan yang merupakan komponen utama dalam kateterisasi jantung, bertujuan untuk memeriksa keseluruhan cabang pembuluh darah koroner sehingga dapat melihat derajat stenosis, lokasi maupun banyaknya penyempitan. Penelitian ini bertujuan untuk mengetahui gambaran stenosis koroner pada wanita berdasarkan usia dan faktor resiko. Penelitian ini menggunakan metode penelitian deskripstif yang datanya diambil secara cross sectional pada bulan Februari sampai April tahun 2019 di Rumah Sakit Umum Kabupaten Tangerang. Hasil penelitian didapatkan 19 pasien wanita menopause usia 45 tahun keatas dengan faktor resiko. Usia yang paling banyak terkena penyakit jantung koroner adalah 50 tahun (44-54). Faktor resiko yang didapat pada wanita menopause adalah hipertensi 68%, diabetes mellitus (DM) 16% dan hipertensi dengan DM 16%. Kemudian, banyaknya penyempitan pada wanita menopause adalah 1 VD (9 pasien), 2 VD (6 pasien) dan 3 VD (4 pasien). Wanita menopause paling banyak terkena penyakit jantung koroner pada usia 50 tahun (44-54) dengan faktor resiko hipertensi 68% dan paling banyak penyempitan 1 VD. Kata Kunci: Penyakit Jantung Koroner, Faktor Resiko, Menopause, Angiografi Koroner Perkutan
Relations of left atrial appendage emptying flow velocity to left atrial appendage thrombus in Mitral Stenosis Patients by transesophageal echocardiography examination Debby Kurniawan
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v4i2.5547

Abstract

Left atrial appandage emptying flow velocity is a measurement of the velocity of blood flow in left atrial appendage with pullsed doppler echocardiography modality, This examination were done in order for evaluate the clots which caused by mitral stenosis. Descriptive method in patients with mitral stenosis using 14 patients as the subject of this study. There is 14 patients who meet the criteria in the study, in this study the results obtained Left atrial appendage emptying velocity to left atrial appendage thrombus has no significant relation. There is no correlation with each other. Due to the value of a distant ratio. Keywords: Left atrial appendage emptying velocity, left atrial appendage, Mitral Stenosis. Left atrial appendage emptying velocity merupakan teknik pengukuran kecepatan aliran darah di left atrial appendage dengan modalitas pullsed doppler echocardiography, pemeriksaan ini dilakukan untuk mengevaluasi pembekuan darah yang di sebabkan oleh mitral stenosis. Metode dekriktif pada pasien Mitral Stenosis dengan menggunakan 14 pasien sebagai subjek penelitian. Didapat sampel penelitian sebanyak 14 pasien yang memenuhi kriteria pada penelitian. Pada penelitian ini hasil uji korelasi Left atrial appendage emptying velocity terhadap left atrial appendage thrombus Tidak bermakna. Pada penelitian ini tidak ada korelasi antara variabel Left atrial appendage emptying velocity dengan left atrial appendage thrombus. Dikarenakan nilai rasio yang jauh. Kata Kunci: Left atrial appendage emptying velocity, left atrial appendage, Mitral Stenosis.
Fadila Annisa Ablation in Patients with Idiopathic Fascicular Left Ventricle Tachycardia at Tangerang District General Hospital ABSTRACT Ventricular tachycardia (VT) originating from Fascicular LV usually occurs in patients without structural heart dis Fadilla Annissa
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

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Abstract

Ventricular tachycardia (VT) originating from Fascicular LV usually occurs in patients without structural heart disease , but it is not uncommon to produce incessant VT in the case of Tachycardiomyopathy. Catheter ablation is a very effective therapy for VT that is resistant to drug therapy or in patients who do not want to undergo daily therapy with the success of VT elimination estimated in> 90% of patients. The author uses descriptive method. The writing time was held in February 2018 with a total of 1 IFLVT patients. The results of this case study found one patient identified with IFLVT, with an ECG before ablation indicated a RBBB pattern and a left axis deviation axis indicated the classification of posterior IFLVT. and has been successfully ablated used radio frequency waves and tachycardia is noninducibility even with aggressive pacing. Purkinje Potentials and Diastolic Potentials are useful markers for successful ablation procedure because they participate in reentry circuits. Keyword: Ventricle tachycardia, IFLVT, AblationFadila Annisa Ablasi pada Pasien Idiopathic Fascicular Left Ventricle Tachycardia Ventrikel Takikardi (VT) yang berasal dari Fascicular LV biasanya terjadi pada pasien tanpa struktur jantung yang abnormal, Tetapi tidak jarang dapat menghasilkan VT yang bersifat incessant pada kasus Tachycardiomyopathy. Ablasi kateter merupakan terapi yang sangat efektif untuk VT yang resisten terhadap terapi obat atau pada pasien-pasien yang tidak mau menjalani terapi harian dengan keberhasilan eleminasi VT diperkirakan pada >90% pasien. Penelitian menggunakan metode deskriptif. Waktu penulisan dilaksanakan pada Februari 2018 dengan jumlah kasus sebanyak 1 pasien IFLVT. Hasil dari studi kasus ini didapatkan satu orang pasien yang teridentifikasi IFLVT, dengan EKG sebelum ablasi menunjukkan RBBB pattern dan sumbu deviasi aksis kiri yang menandakan klasifikasi dari IFLVT posterior, dan telah berhasil diablasi dengan menggunakan gelombang radio frekuensi kemudian takikardia tidak tercetus kembali bahkan dengan pemicuan yang agresif.. Purkinje Potentials dan Diastolic Potentials menjadi penanda yang berguna dalam prosedur ablasi yang sukses karena berpartisipasi dalam sirkuit reentry. Kata Kunci: Ventrikel takikardi, IFLVT, Ablasi
PROSEDUR TINDAKAN BALLOON MITRAL VALVULOPLASTY PADA PASIEN MITRAL STENOSIS Nn Ananda Rika
ARKAVI [Arsip Kardiovaskular Indonesia) Vol. 4 No. 2 (2019): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v4i2.3499

Abstract

Percutaneous Balloon Mitral Valvuloplasty (BMV) was introduced in 1984 by Inoue who developed the procedure as a logical extension of surgical closed commissurotomy. Since then, BMV has emerged as the treatment of choice for severe pliable rheumatic Mitral Stenosis (MS). With increasing experience and better selection of patient, the immediate results of the procedure have improved and the rate of complications declined. When the reported complications of BMV are viewed in aggregate, complications occur at approximately the following rates: mortality (0–0.5%), cerebral accident (1–2%), mitral regurgitation (MR) requiring surgery (1.6–3%). These complication rates compare favorably to those reported after surgical commissurotomy. Several randomized trials reported similar hemodynamic results with BMV and surgical commissurotomy. Restenosis after MBV ranges from 4% to 70% depending on the patient selection, valve morphology, and duration of follow-up. Restenosis was encountered in 31% of the author's series at mean follow-up 9 ± 5.2 years (range 1.5–19 years) and the 10, 15, and 19 years restenosis-free survival rates were (78 ± 2%) (52 ± 3%) and (26 ± 4%), respectively, and were significantly higher for patients with favorable mitral morphology (MES ⩽ 8) at 88 ± 2%, 67 ± 4% and 40 ± 6%), respectively (P < 0.0001). The 10, 15, and 19 years event-free survival rates were (88 ± 2%, 60 ± 4% and 28 ± 7%, respectively, and were significantly higher for patients with favorable mitral morphology (92 ± 2%, 70 ± 4% and 42 ± 7%, respectively (P < 0.0001). The effect of BMV on severe pulmonary hypertension, concomitant severe tricuspid regurgitation, left ventricular function, left atrial size, and atrial fibrillation are addressed in this review. In addition, the application of BMV in specific clinical situations such as in children, during pregnancy and for restenosis is discussed. The transseptal technique is the most common technique used to perform BMV. Keyword: Balloon Mitral Valvuloplasty

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