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Yudi Her Oktaviono
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Cardiovascular and Cardiometabolic Journal (CCJ)
Published by Universitas Airlangga
ISSN : 27466930     EISSN : 27223582     DOI : 10.20473/ccj.v1i2.2020.31-37
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology
- Adult cardiac surgery - Atherosclerosis - Cardiac imaging - Cardiac prevention - Cardiac rehabilitation - Cardiomyopathy - Cardiovascular immunology and infection - Congenital heart disease - Diabetes mellitus - Dyslipidaemia - Electrophysiological heart disease and arrhythmias - Extracorporeal circulation and cardiac perfusion - Heart failure - Hypertension and hypertensive heart disease - Ischaemic heart disease and coronary artery disease - Metabolic disorders and its linked to cardiovascular diseases - Pediatric cardiac surgery - Pericarditis and pericardial disease - Reactive oxygen species - Rheumatic valvular disease - Vascular disease
Arjuna Subject : Kedokteran - Cardiology and Cardiovascular Medicine
Articles 54 Documents
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Acute Coronary Syndrome in Well Trained Young Adult: A Rare Cases Aprila Aqmarina Indah; Praditya Virza Ramadhan; Vireza Pratama; Haikal Haikal; Irnizarifka Irnizarifka
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.69-76

Abstract

Acute Coronary Syndrome (ACS) has been observed in the older population (>40 years old), sedentary lifestyle and unhealthy behavior. Recently, there is an increase of ACS reported in the younger population even without a sedentary lifestyle. We report a case of a well-trained 25-years old man that came with late presentation of ST elevation myocardial infarction (STEMI) occurred 10 minutes after vigorous exercise. His traditional risk factor was a smoker. Electrocardiogram (ECG) showed a pathological Q wave in anteroseptal lead and T wave inversion in anterior lead with elevated cardiac biomarker. Primary percutaneous coronary intervention (PPCI) was performed due to prolonged chest pain and it showed subtotal occlusion in mid left anterior descending artery (LAD) with high thrombus burden. Drug eluting stent (DES) was implanted at mid LAD and GPIIb/IIIa inhibitor and low molecule weight heparin was given with good clinical result.
Electrical Cardioversion of Supraventricular Arryhthmia Patient with Septic Shock Ayu Pramitha
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 1 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i1.2020.13-16

Abstract

Supraventricular arrythmia (SVA) is a very common cardiac rhythm problem experienced by patients in intensive care unit (ICU), which both pharmacological and non-pharmacological treatment could treat. Recently, electrical cardioversion has been proven in improving haemodynamic and functional status. We report a case of 59 years old female patient with VA and septic shock with unstable haemodynamic that was immediately improved after electrical cardioversion. The electrical cardioversion (preferably biphasic) is identified in the patient with an absence of oppositions and is more suitable in combination with antiarrhythmic agent.
Moderate Cardiovascular Risk Factor among Indonesian: Do Carotid Intima-media Thickness (CIMT) Predict Further? Rina Mawarti; Denny Suwanto; Johanes Nugroho Eko Putranto; Djoko Soemantri
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.38-44

Abstract

Background. Determining management strategies in an individual with intermediate cardiovascular risk represent a great challenge. The impact of increased CIMT to improve estimated cardiovascular disease (CVD) risk score in individual at intermediate cardiovascular risk has not yet been fully elucidated. Aims. For this reason, we sought to determine the association between CIMT increment and incident of CVD. Methods. We conducted a longitudinal retrospective cohort study involving 28 patients with intermediate cardiovascular risk (Framingham risk score 10% - 20%). Subjects with criteria fulfillment had their data collected through history taking, physical examination, and CIMT re-measurement using echocardiography. Results. Bivariate analysis with regression logistic showed significant correlation between increased CIMT with CVD event (p= 0.016). CIMT measurement is a plausible noninvasive method to predict subclinical cardiovascular disease to further promote more aggressive management.
Lymphatic Disease in Cardiology: The Forgettable One Sidhi Laksono Purwowiyoto; Novi Anggriyani; Steven Philip Surya
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.77-81

Abstract

Before molecular medicine era, the lymphatic system was not getting enough attention in medicine world, especially in cardiovascular medicine. Our knowledge about lymphatic system is far left behind compare to vascular system. Many believes lymphatic function is isolated in regulate interstitial fluid hemostasis, fat transport, and immune transport. In deep investigation in lymphatic function shows that alteration in lymphatic vessel could disrupt normal cardiovascular function. Moreover, optimal cardiac lymphatic condition after post-heart tissue injury could enhance tissue regeneration. That is why in modern medicine era preserving optimal lymphatic condition and treat abnormal lymphatic condition might be beneficial in cardiovascular medicine.
Management of Pregnancy in 31-Year-Old Woman with Persistent Atrial Flutter After Cone Reconstruction for Ebstein’s Anomaly Eliana Susilowati
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 1 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i1.2020.17-25

Abstract

There is a growing number of mothers suffering innate heart disease which could potentially risk their gestation period. Ebstein’s anomaly refers to a rare innate disease in the heart which accounts for less than 1% of most cases of innate heart disease, and only 5% of the patients surviving beyond 50 years of age. Cone reconstruction (CR) is an option for the repairment of tricuspid valve in patients with Ebstein anomaly. However, persistent arrhytmia, such as AFL, is possible to occur after CR. This case report aims to opt suitable pregnancy management of patients with persistent atrial flutter (AFL) after Cone reconstruction for Ebstein’s Anomaly. We report a 31 year-old woman who consulted for pregnancy planning due to history of Ebstein’s Anomaly, and had undergone successful cone reconstruction. No recorded history of AFL is reported. Physical examination finding was tricuspid regurgitation murmur without signs and symptoms of right ventricular failure. Electrocardiography showed counter-clockwise typical AFL. Echocardiography finding demonstrated post Cone reconstruction (CR), mild tricuspid regurgitation, and EF of 76%.
Pulmonary Hypertension in Patient with Acyanotic Congenital Heart Defects in Abdul Wahab Sjahranie General Hospital, Samarinda from 2015-2016 Vivi Widianto Tjan
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.45-49

Abstract

Background. Congenital Heart Defects (CHD) is the most common congenital disease that affects 8 out of every 1000 births. CHD can be classified as cyanotic and acyanotic. Acyanotic is the most frequently diagnosed CHD. The most common complication in acyanotic CHD is pulmonary hypertension. Aims. This descriptive study was based on medical records of acyanotic CHD patients with pulmonary hypertension in RSUD Abdul Wahab Sjahranie Samarinda during 2015 to 2016 who were diagnosed by cardiologist and confirmed with echocardiography. Methods. There were 62 patients diagnosed with acyanotic CHD and pulmonary hypertension which 58% of patients were diagnosed with Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD) (21%), and Patent Ductus Arteriosus (PDA) (21%). Defect sizes distribution were mostly large (66%), then medium (29%), and small (5%). There were 56% patients diagnosed before 18 years old and 44% diagnosed after they reached 18 years old. There were 68% female patients and 32% male patients. Results. Pulmonary hypertension severity distribution were mild (52%), moderate (26%), and severe (22%). The most diagnosed acyanotic CHD was ASD. Defect size in acyanotic CHD was mostly large, and mostly found in female patients. The severity of pulmonary hypertension was mostly mild.
Potential of Flavonoid in Mahkota Dewa to Reduce Sistolic and Diastolic Blood Pressure in Patient with Hypertension Abed Nego Okhtara
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 1 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i1.2020.26-30

Abstract

Treating hypertension by using antihypertensive drugs and diuretics has many harmful side effects. Mahkota Dewa fruit can be used as alternative treatment with minimal side effects. As generallly known that blood pressure increases slowly with age, which makes hypertension a critical disease to the elderly. This disease could be treated using flavonoid compounds that is contained in Mahkota Dewa fruit because it is effective in reducing blood pressure.
Long Term Survival of Ventricular Septal Rupture (VSR) Closure Concomitant with CABG in Post-Acute Myocardial Infarction Patient Irien E. Hernawati
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.50-56

Abstract

Ventricular Septal Rupture (VSR) is a serious complication of acute myocardial infarction. This incidence continues to decline with the thrombolytic and PCI era, but the mortality rate is still high. VSR occurs most frequently after anterior AMI. VSR can occur in the apical, mid or basal of the septum. The most common location is in the apical portion of the septum. The timing of VSR closure surgery depends on the state of the patient's hemodynamic and VSR diameter. Various studies have suggested that VSR closure concomitant with Coronary Artery Bypass Grafting (CABG) provide a better outcome.
The Relationship Between Vegetarian Diet and The Risk of Coronary Heart Disease A. Andrianto; R. I. Gunadi
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 1 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i1.2020.1-5

Abstract

Background. Coronary heart disease (CHD) is a major cause of death in developed countries whereas most cases can be prevented by addressing behavioral risk factors, such as unhealthy diet. Vegetarian dietary patterns reduce CHD risk and mortality by 40%. The Framingham Heart Study on Hard CHD calculates a 10-year risk assessment with six predictors, two of which are lipid profile types. Aims. To discover the relationship between vegetarian diet and the risk of coronary heart disease, we did a cross-sectional analytical observation in North Jakarta using 30 healthy vegetarians and 30 healthy non-vegetarians aged of 20-34 years in 2010. Framingham Heart Study on Hard CHD 10-year risk assessments were done on both groups. Methods. Results were compared and analyzed using Mann-Whitney U and Spearman correlation tests. Results. Mann-Whitney U test showed significant differences on total cholesterol and total FHS risk points (p-value 0.000; pvalue 0.000). Spearman correlation analysis on total risk points confirms a moderate negative degree for vegetarian diet and CHD risk (r = -0.525, p-value 0.000). In conclusion, there is a significant relationship between vegetarian diet and a reduced risk of coronary heart disease in 20-34 years of age.
Difficult Atrial Fibrillation Rate-Control and Digitalis Toxicity in Mitral-Valve Prolapse Patient with Hyperthyroidism Suryo Ardi Hutomo; Agus Subagjo
Cardiovascular and Cardiometabolic Journal Vol. 1 No. 2 (2020): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v1i2.2020.57-68

Abstract

Rate-control is important management in patient with atrial fibrillation. The optimum rate control provides a decrease of symptoms, improves hemodynamics and prevents tachycardia-induced cardiomyopathy. Rate-control could be difficult to achieve because of  patient's comorbidities and special treatment strategy is needed to resolve it. A-46-yo. male, came to ER with palpitation. Holosystolic murmur was heard at apex, radiating to axilla. ECG showed atrial fibrillation, with rapid ventricular response 180 bpm. Echocardiography showed dilated LA and LV, false-normal LV function with EF 59% and anterior mitral-valve prolapse with moderate mitral regurgitation. Acute treatment was administration of digoxin and beta blockers, but ventricular rate wasn’t controlled, until 1.5 mg doses of digoxin was administered. Then patient develops acute digitalis intoxication. After toxicity management, rapid ventricular rate recurs. Patient reevaluation showed hyperthyroidism with low TSH and high T4. Methimazole and propranolol was given and rate-control was achieved shortly after euthyroid state, in 2 months treatment. This patient suffered difficult rate-control despite guidelines-based management. Digitalis intoxication was developed after administration of several therapeutic doses. The diagnosis of hyperthyroidism is central in management of this case. Coexistent of hyperthyroidism and mitral-valve prolapse may be explained by genetic, autoimmune, and thyroid hormone effects in myocardium.

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