Octavia Lilyasari
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/National Cardiovascular Center Harapan Kita, Jakarta

Published : 2 Documents
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In Hospital Atrial Fibrillation is a Predictor of Long Term Stroke Event among Patients with Acute Myocardial Infarction Kasim, Manoefris; Lilyasari, Octavia; Yuniadi, Yoga
Jurnal Kardiologi Indonesia Vol 32, No 4 (2011)
Publisher : Indonesian Heart Association

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Abstract

Background. Atrial fibrillation (AF) is a common arrhythmia after acutemyocardial infarction (AMI).Mortality in AMI patients with AF also beenshown to be up to twice as high as for those without AF. Nonhemorrhagicstroke occurs in 0.1% to 1.3%of patients with acute myocardial infarctionwho are treatedwith thrombolytic, with substantial associated mortalityandmorbidity. The aim of this study is toelaborate correlation between inhospital AF with long term stroke event inST-elevation myocardial infarction(STEMI) patients who treated with thrombolytic .Methods. Two hundred and thirty STEMI patients (27-72 yo) treated withthrombolytic agent were studied retrospectively. The study end point wasMajor Cardio-Cerebrovascular Event (MACCE) during 3 years follow up.Results. Eleven patients experience AF episode during STEMIhospitalization. During 3 years follow up 24 patients (10.4%) experiencedMACCE which comprised of : cardiac death 4 (1.7%), fatal infarction 2(0.9%), non fatal infarction 13 (5.7%) and stroke 5 (2.2%). Independentclinical variables were not significant as a predictor for the occurrence offuture stroke event, except atrial fibrillation episode (HR 13.4; p<0.005)that was encountered during hospitalization in the setting of AMI.Conclusion. In-hospital AF in STEMI patients treated with thrombolyticagent is a predictor of long term stroke.
Clinical presentation of myocarditis in pediatric: the role of cardiac magnetic resonance in diagnosis Natalia, Sisca; Lilyasari, Octavia; Wicaksono, Sony H.; Kasim, Manoefris
Medical Journal of Indonesia Vol 23, No 3 (2014): August
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1156.201 KB) | DOI: 10.13181/mji.v23i3.654

Abstract

Myocarditis is an inflammatory disease of myocard with varied onset and clinical presentation which lead to diagnosis difficulties. These difficulties often cause incoming patients with acute condition are not diagnosed as acute myocarditis that subsequently may lead to improper therapy. This circumstance will probably cause more severe myocardial injury and even sudden death. On another circumstance, patients may also come late in conditions of dilated cardiomyopathy (DCM) or aritmogenik cardiomyopathy (ARVD) due to complexities of myocarditis early detection. Therefore, myocarditis diagnosis is extremely important. This case shows how CMR is important and highly accurate in diagnosing myocarditis through a case whereby a boy had complaints of chest pain and his CMR examination showed normal cardiac morphology with normal function of right and left ventricular, but with myocardial edema and tissue fibrosis, which confirmed the diagnosis of myocarditis according to the Lake Louise Consensus criteria. CMR is an important and high accuracy non-invasive diagnostic tool in myocarditis diagnosis.