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INDONESIA
Jurnal Kardiologi Indonesia
ISSN : -     EISSN : 26204762     DOI : -
Core Subject : Health,
Indonesian Journal of Cardiology (IJC) is a peer-reviewed and open-access journal established by Indonesian Heart Association (IHA)/Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) [www.inaheart.org] on the year 1979. This journal is published to meet the needs of physicians and other health professionals for scientific articles in the cardiovascular field. All articles (research, case report, review article, and others) should be original and has never been published in any magazine/journal. Prior to publication, every manuscript will be subjected to double-blind review by peer-reviewers. We consider articles on all aspects of the cardiovascular system including clinical, translational, epidemiological, and basic studies.
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Articles 15 Documents
Search results for , issue " Vol.28 No.2 Mar 2007" : 15 Documents clear
Cara Menilai Reaktifitas Vaskular Pulmonal dengan Tes Oksigen Sakijan, Indriwanto
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Tujuan :Untuk menilai respon vaskuler pulmonal terhadappemberian oksigen (vasodilator) dengan menghitungPulmonal Artery Resistent Index dan Flow RatioIndikasi :Pada semua kelainan jantung bawaan dengan piraukiri ke kanan (left to right shunt) yang dicurigaiPulmonary Vascular Diseases. Agar hasil optimaldisarankan untuk tidak dilakukan pada pasien denganinfeksi paru / atelektasi.Cara :Pasien diberi penjelasan tentang prosedur yang akandilakukan, agar tidak terlalu tegang. Bila perlu sedasi,sebaiknya menghindari pemakaian golongan Ketamin.Untuk lebih akurat, gunakan ventilator.
Takikardia dengan QRS lebar dan sempit Yuniadi, Yoga
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Penyebab takikardia dengan QRS lebar dansempit. Sebagaimana telah disebutkan sebelumnya,QRS yang berubah-ubah pada takikardia ini diakibatkanoleh adanya abberansi. Abberansi adalahperubahan kecepatan konduksi pada salah satu cabangberkas His, karena rangsang impuls yang datang kecabang tersebut kecepatannya berbeda-beda. Perubahankecepatan impuls ini akan menyebabkanperlambatan atau bahkan blok pada salah satu cabangberkas His. Bila terjadi blok seperti pada kasus di atas,maka ventrikel kiri akan mengalami depolarisasi secaratranseptal dari ventrikel kanan
Patogenesis dan Terapi Sindroma Metabolik Rohman, Muhammad Saifur
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Arus globalisasi tidak hanya membawa dampak positifdi segala bidang seperti informasi dan teknologi,namun sangat berpengaruh pada pola hidup terutamapola aktivitas dan makan. Produk dari teknologi daninformasi sebagian telah terbukti bermanfaat untukmempermudah manusia (tidak banyak keluar tenaga),seperti mobil dan sarana transportasi lainnya, elevator/ lift, remote kontrol, traktor dan teknologipertanian lainnya. Namun disisi lain, kemudahankemudahan tersebut mengakibatkan pola hidup sedentary. Disamping itu, makanan tinggi kalori dan cepat saji kini mudah didapat di setiap tempat, amat membantu disela kegiatan rutin yang padat. Dengan demikian terciptalah asupan kalori yang tinggi dengan pemakaian energi yang rendah, lalu sisanya tersimpan dalam bentuk lemak. Sehingga mudah dipahami bahwa, saat ini sudah terjadi epidemi global overweight dan obesitas.
Endovascular Stent Graft pada Diseksi Aorta Tipe B Wahyudi, Dendi; Dakota, Iwan; Kaligis, RWM; sunu, Ismoyo
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Pada tahun 1970, Nicholls, seorang dokter kerajaanInggris, melakukan otopsi terhadap King George IIyang mengalami kematian mendadak. Ternyatapenyebab kematian sang Raja adalah efusi masifperikardium, rongga perikard dipenuhi bekuan darah,akibat robekan dinding aorta. Hirs dkk (1958) pernahmembuat penelusuran terhadap 505 penderita dengangejala klinis serupa, ia memperlihatkan tingginya angkakematian serta sulitnya menegakkan diagnosis,sehingga pasien umumnya meninggal. Kemajuanmodalitas pencitraan berperan sangat penting dalammendiagnosis diseksi akut aorta secara dini, dankemajuan teknik terapi akhirnya mampu meningkatkanharapan hidup pasien dengan kelainan ini.
Efusi Perikard Hemoragik pada Penderita Leukimia Mielo-Monoblastik Akut Windutama, I Made; Mappahya, Ali Aspar; Harijanti, Tutik; Benyamin, A Fachruddin
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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A case of a 23 year-old man with haemorrhagic pericardial effusion has been reported. The man came to the hospital due to chest pain, shortness of breathand fever for 5 days. A pericardial effusion was suggested by observing ECG and chest X-ray, later it was proved by echocardiography. Pericardiocentesis wasperformed, and 650 cc of haemorrhagic fluid was taken out; his condition improved dramatically. Acute leukemia has been suggested as the cause, due tohigh level of White Blood Count. Diagnosis of Acute Myelomonoblastic Leukemia (AML) was confirmed by peripheral blood stain and bone marrow aspirationexamination. From patient’s history, physical examination, and other tests, no other diseases could suspected as the cause of this hemorrhagic pericardial effusion. Chemotherapy of daunorubicin and cytosine-arabinoside was planned for the treatment, but the patient rejected. He was discharged in relatively goodcondition although the prognosis is still bad.
Ablasi Takikardia Ventrikular dengan Pemetaan Elektro-Anatomikal 3 Dimensi Tadjoedin, Yasmin; Yuniadi, Yoga; Firdaus, Isman; Harimurti, Ganesja M; Munawar, Muhammad
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Tingginya keberhasilan serta rendahnya morbiditas,telah menjadikan ablasi frekuensi radio transkatetersebagai terapi lini pertama pada beberapa jenis aritmia. Angka kesuksesan pada aritmia stabil dengan lokasi anatomis yang dapat diprediksi atau gambaranelektrogram intrakardiak yang khas seperti takikardiaventrikular idiopatik, atau atrial flutter yang bergantung pada ismus telah mencapai 90%. Namun, ablasi dari beberapa aritmia yang lebih kompleks seperti beberapa takikardi atrial, atrial fibrilasi, serta kebanyakan takikardia ventrikular masih merupakan tantangan besar. Hal ini disebabkan antara lain oleh keterbatasan teknik pemetaan kateter konvensional secara fluoroskopi dalam melokalisasi substrat aritmogenik. Ketidakmampuan untuk menghubungkan secara akurat EKG intrakardiak dengan lokasi endokardium yang spesifik karena gerakan ujung kateter, juga membatasi reliabilitas pemetaan. Selain itu pemetaan secara konvensional juga dipengaruhi oleh variabilitas antar denyut jantung, karena pemetaan dilakukan dalam beberapa siklus jantung. Pemetaan dengan teknik konvensional juga tidak dapat dilakukan pada aritmia yang sesaat atau yangdisertai dengan hemodinamik tidak stabil.
The Effect Of Red Rosella Tea (Hibiscus sabdariffa Linn) on the Inhibition of NF-κB Activation, TNF-α and ICAM-1- Protein Expressions Following Treatment with Ox-LDL in HUVECs Sarbini, Dwi; Sargowo, Djanggan; Rohman, Mohammad Saifur
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Background. Atherosclerosis disease has been a global threat. Ox-LDL was one of major source of atherogenesis process, through the ROS formation which would then activate NF-KB and increase the expression of TNF-α and ICAM-1, leading to the occurrence of inflammation. Recent studies indicate that red Rosella tea is a tropical plant containing antioxidant (protocatechuic acid and antocyanin) and ascorbate acid. This tea is widely distributed in Indonesia. The mechanism of action of this tea on the inhibition of atherogenesis has not been largely known. This study aim to investigate the effect and mechanism of the red Rosella tea on the expression of NFKB, TNF-α and ICAM-1.Methods and results. Cultured endothelial cell, HUVECs (Human Umbilical Vein Endothelial), is used for a model of endothelial cells. There are 5 groups: 1) HUVECs culture without Ox-LDL as negative control; 2)HUVECs culture with Ox-LDL as positive control; and 3 groups given various dosages of the red Rosella tea (0.001 mg/ml, 0.005 mg/ml and 0.01 mg/ml) and Ox-LDL. OxLDL (40 mg/ml) is added on HUVECs to stimulate responds of endothelial cells mimicking dyslipidemia condition. The Red Rosella tea were given 2 h before Ox-LDL treatment. The NF-KB activaton,the protein expressions of TNF-α and ICAM-1 are detected by immunohistochemistry. Treatment with red rosella tea on Ox-LDL-treated HUVECs resulted inprevention of NF-KB activation which in turn inhibited the increased of TNF-α and ICAM-1 protein expressions. Spearman‘s correlation analysis showed that there is negative correlations between dosages of red tea with NF-KB activation, TNF-α and ICAM-1 protein expressions (p=0.01, Correlation Coeff= -1).Conclusions. This study indicates the benefit of red Rosella tea on the prevention and medication for atherosclerosis disease.
Risk of Dyslipidemia in Adolescence Born with Low Birth Weight Aprami, Toni; Irmalita, dr
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Background. Abnormal lipid profile is an independent risk factor for coronary artery disease. Some studies have shown that small for gestational age (SGA) was associated with abnormal lipid profile in adolescence and adulthood. Since 16 years ago, district Tanjungsari (Sumedang-West Java) became a research area for cohort growth study of Frontier for Health Foundation, incooperation with Research Unit of Medical Faculty University of Padjadjaran - Bandung. This study aims to assess whether SGA children are more prone to have abnormal plasma lipid profile.Methods and results. This study was performed to cohort population in Kecamatan Tanjungsari Kabupaten Sumedang-West Java, who was born between 1988-1990. The criteria of SGA based on WHO criteria (term infants, gestational age of > 37 weeks with birth weight of < 2500 grams). Inclusion criteria were SGA and AGA with postnatal growth up to 36 month adequately, complete birth weight and birth length records up to 36 months as well and birth weight and birth length during 12-14 years of age, willing to accompany in this study. After lipid profile examination was performed, validity and stratification data of 871 subjects, 229 subjects were complied with including criteria. With the simple random, 105 subjects of dyslipidemia were decided as the group of cases and the same number of control group were included as matching. There was no difference in general characteristic of both group (age, gender, birth weight, and birth length) p > 0.05. No significant difference between total cholesterol and LDL cholesterollevel in subject with SGA compared with non-SGA, p > 0.05. Triglyceride level was higher found significant in subject with SGA compared with non-SGA, p=0.00004, however the HDL cholesterol level has a significant more less in subject with SGA compared with non-SGA, p=0.00004. Subject with SGA have an increase risk to develop of dyslipidemia compare with subject non SGA, odd ratio of 3.26, 95% CI 1.77-6.02; p=00003.Conclusions. Subject with prenatal growth retardation have an increase risk for dyslipidemia development.
Left Atrium Volume Index Profile in Diastolic Dysfunction Isnanijah, Herawati; soesanto, Amiliana Mardiani; Munawar, Muhammad
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Background. Diastolic dysfunction is frequently found in hypertension, usually accompanied with left ventricular hypertrophy. Several parameter was developed to assess the diastolic function including left atrial volume index, E/A, DT, IVRT, S/D, E/e’, and e’/a’. There is no data of left atrial volume index for normal subjects or subjects with hypertensive heart disease in Indonesian population. The aim of this study is to prove that left atrial volume index can be used as a parameter for left ventricular diastolic dysfunction in hypertensive heart disease.Methods and results. Fifty hypertensive heart disease patients with normal left ventricular systolic function, who were hospitalized in NCCHK between January-October 2006, and had follow up at the outpatient clinicwere examined. We evaluated the correlation between left atrial volume index and E/A ratio, S/D, E/e’, e’/a’. The left atrial volume index in normal subjects is 17.64 ± 1.35, in subjects with grade 1 diastolic dysfunction23.26 ± 2.55, while in subjects with grade 2 diastolic dysfunction 31.35 ± 2.87. Value among those groups differ significantly with p = 0.001.Conclusions. There is significant difference of left atrial volume index among normal subjects, subjects with grade 1 and grade 2 diastolic dysfunction.
Effect of Green Tea on Endothelial Function Assessed by the Flow Mediated Dilatation among Coronary Artery Disease Patients Basalamah, Faris; Basha, Adnil; Kusmana, Dede
Jurnal Kardiologi Indonesia Vol.28 No.2 Mar 2007
Publisher : Indonesian Heart Association

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Background. Endothelial dysfunction begins when atherosclerosis developed as what go through on hypertension, diabetes, hyperhomocysteinemia,and also what go through among smoker who hasn’thave CAD until end phase of atherosclerosis. Impairment of endothelial function depends on vasodilatation due to the decreasing of eNOS activity.Green tea has been proved to have positive effect in reversing endothelial dysfunction among healthy smoker. This study aim to prove that the shortterm green tea consumption improved flow mediated dilatation among coronary artery disease patients, thus reversed endothelial dysfunction.Methods and results. Twenty three coronary artery disease patients which had been confirmed by coronary angiography joined the study. The sample was divided into two groups, first was the group who took green tea, and the second was the group who took placebo (mineral water). Before treatment, the FMD of both two groups were measured and one hour and half after treatment. After 3-7 days of treatment, both groups were crossover. FMD among healthy group of age less than 25 years old was also measured as control group. There was no significant differences in baseline characteristic between the first and the second group (both received green tea but in different time). FMD after treatment was increased among group who took green tea (4.80±5.37 vs 8.68±6.00, p=0.026), while FMD among placebo group was decreased (5.87±3.89 vs 3.34±3.66 p=0.026). There was significant differences of FMD after treatment with green tea and after treatment with placebo (8.68±6.00 vs 3.35±3.66 p =0.002). There was no differences of brachial artery diameter in both groups (4.60±0.36 vs 4.57±0.41, p=0.8 and 4.57±0.41 vs 4.61±0.36, p=0.601). There was no significant differences on systolic and diastolic blood pressure as well as heart rate in both groups.Conclusions. Green tea had positive effect in reversing endothelial dysfunction among coronary artery disease patient by assessing flow mediated dilatation in short time. The group who took placebo showed the paradoxical effect.

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