Indonesian Journal of Cardiology
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Hyperkalemia Mimicking Anteroseptal Myocardial Infarction: a Rare Feature that Confuses Clinicians
Get PDFIn “Hyperkalemia Mimicking Anteroseptal Myocardial Infarction: a Rare Feature that Confuses Clinicians” (Indonesian Journal of Cardiology, 44(1), 28-32. https://doi.org/10.30701/ijc.1297), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1297. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.
DOI of original article: https://doi.org/10.30701/ijc.129
The Incidence of Persistent Symptom and Echocardiographic Findings in Survivors of COVID-19 Infection with Mild Symptoms
Get PDFIn “The Incidence of Persistent Symptom and Echocardiographic Findings in Survivors of COVID-19 Infection with Mild Symptoms” (Indonesian Journal of Cardiology, 43(1), 9-15. https://doi.org/10.30701/ijc.1160), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1160. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.1160 
Validation and Comparison of Zwolle, TIMI, and GRACE Risk Scores for STEMI Patients Undergoing Primary Percutaneous Coronary Intervention in The Indonesian Population.
Get PDFIn “Validation and Comparison of Zwolle, TIMI, and GRACE Risk Scores for STEMI Patients Undergoing Primary Percutaneous Coronary Intervention in The Indonesian Population” (Indonesian Journal of Cardiology, 43(2), 56-63. https://doi.org/10.30701/ijc.1324), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1324. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.132
Factors Influencing Mortality of Thoracic Aortic Surgery in The Third World Country
Get PDFIn “Factors Influencing Mortality of Thoracic Aortic Surgery in the Third World Country” (Indonesian Journal of Cardiology, 44(2), 41-52. https://doi.org/10.30701/ijc.1494), there are several errors noted.An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1494. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.An error also appears in the affiliations section. In the original article, the affiliation for author Brian Mendel was incorrectly displayed as “Department of Cardiology & Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia”. The affiliation has been corrected to “Sultan Sulaiman Government Hospital, Serdang Bedagai, Sei Rampah, Indonesia”.The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.149
The Importance of Hyperthyroid Screening in Acute Decompensated Heart Failure with Persistent Tachycardia Despite Optimal Decongestion: A Case Report
Get PDFIn “The Importance of Hyperthyroid Screening in Acute Decompensated Heart Failure with Persistent Tachycardia Despite Optimal Decongestion: A Case Report” (Indonesian Journal of Cardiology, 43(3), 123-9. https://doi.org/10.30701/ijc.1328), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1328. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.132
Added Value of CHA2DS2-VASc Score to Safe Contrast Volume for Contrast Induced Nephropathy Prediction after Percutaneous Coronary Intervention
Get PDFIn “Added Value of CHA2DS2-VASc Score to Safe Contrast Volume for Contrast Induced Nephropathy Prediction after Percutaneous Coronary Intervention” (Indonesian Journal of Cardiology, 44(1), 1-9. https://doi.org/10.30701/ijc.1516), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1516. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.
DOI of original article: https://doi.org/10.30701/ijc.151
Predictors of Acute Kidney Injury in Critically Ill Patient at Intensive Cardiac Care Unit
Get PDFIn “Predictors of Acute Kidney Injury in Critically Ill Patient at Intensive Cardiac Care Unit” (Indonesian Journal of Cardiology, 43(4), 144-9. https://doi.org/10.30701/ijc.1322), there is an error noted.
An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1322. The error occurs only in the PDF; the DOI listed in the article metadata is already correct.The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.132
Invasive Physiologic Study Across Various Spectrum of Coronary Artery Fistulas with Concomitant Coronary Artery Stenosis
Get PDFBackground: Most CAFs are asymptomatic but it might have serious hemodynamic consequences causing signs and symptoms of myocardial ischemia and heart failure prompting intervention, be it percutaneous or surgical, to manage the hemodynamic burden. Currently, there’s no widely accepted guidelines or consensus to manage patients with CAFs. The decision to undergo intervention is usually based on the presence of symptoms, size and also the anatomic features of the fistula.
Case Illustration and Discussion: We presented 5 patients with CAFs undergoing FFR/iFR in our institution. Of all patients, only one showed significant iFR suggesting significant hemodynamic burden, probably due to stealing phenomenon. Number of fistulas varied from 1 – 3 with most fistula arose from left anterior descending and terminated in pulmonary artery. Only one patient underwent RHC showing relatively normal flow ratio supported by normal iFR reading across different coronary artery segments. One patient presented with patent stents in LAD and OM2 despite existing subtotal occlusion in proximal PDA, the other one presented with insignificant stenosis in RCA, and the other two presented with no concomitant stenosis. We underwent no further intervention for 4 patients with normal FFR/iFR reading but we underwent stent implantation for one patient with significant FFR/iFR reading. Upon 1-year-follow up, all patients are currently doing well with no significant complaints of chest pain or dyspnea.
Conclusion: Due to limited literature covering the issue of CAFs and coronary artery stenosis, the decision which to intervene first between these two is currently still in the discretion of the attending physician. Whenever possible, further diagnostic work up should always be performed as an objective parameter of hemodynamic burden. FFR/iFR might be considered as one of many modalities to do so. Yet, further well-designed studies are needed to confirm the role of FFR/iFR hoping this modality might someday help in guiding decision-making in patients with CAFs.
Keywords: coronary artery fistula; coronary artery stenosis; free fractional reserve (FFR); instantaneous wave free ratio (iFR
Tekanan darah sistolik, indeks kardiak dan sindrome Eisenmenger merupakan prediktor kematian pada pasien hipertensi arteri pulmonal terkait penyakit jantung bawaan: analisis dari register COHARD-PH
No full textBackground: Pulmonary arterial hypertension (PAH) is a complication of left-to-right intracardiac shunt congenital heart disease (LtR-shunt CHD). There are several known predictors of mortality in PAH patients, however predictors of mortality in LtR-shunt CHD-associated PAH need to be validated.
Objectives: We aimed to investigate the predictors of mortality among adult LtR-shunt CHD-associated PAH patients.
Methods: This research was a retrospective cohort study that included adult patients with LtR-shunt CHD-associated PAH retrieved from the COHARD-PH registry. Several baseline variables were selected as potential predictors of mortality, namely (1) clinical data: WHO-functional class, SaO2, 6-min walking distance, systolic blood pressure, and Eisenmenger syndrome; (2) laboratory data: hemoglobin and NT-pro BNP levels; (3) echocardiography data: pericardial effusion, defect size, and TAPSE; and (4) hemodynamic data: right atrial pressure, cardiac output and index, SvO2, and flow ratio. The mortality outcome was assessed from the cohort registry.
Results: A total of 124 subjects with LtR-shunt CHD-associated PAH were included. Sixteen subjects (12.9%) died during the follow-up period. The baseline variables which showed significant association with mortality were lower systolic blood pressure, Eisenmenger syndrome, higher NT-pro BNP level, and lower cardiac output. The multivariable analysis showed that systolic blood pressure <100 mmHg (OR 10.99; 95% CI 2.54-47.51, p=0.001), cardiac index <2.5 L/min/m2 (OR 8.13; 95% CI: 1.59-42.28, p=0.011) and Eisenmenger syndrome (OR 3.87; 95%CI: 1.06-14.07) were the independent predictors for mortality.
Conclusions: The systolic blood pressure <100 mmHg, cardiac index <2.5 L/min/m2, and Eisenmenger syndrome were independent predictors of mortality among adults with LtR-shunt CHD-associated PAH
The effect of a physical exercise program on functional capacity in patients with pulmonary arterial hypertension at Dr. M. Djamil Padang Hospital
Get PDFBackground: Pulmonary arterial hypertension (PAH) has been known to cause a decreases functional capacity. The underlying mechanisms include right ventricular dysfunction, chronotropic incompetence, ventilation abnormalities, and skeletal muscle dysfunction. Although exercise training programs are recommended, there is currently no standardized exercise training program that is easy to implement in patients with PAH. We aimed to investigate the effect of exercise training program on functional capacity in patients with PAH.
Methods: This study was a non-randomized clinical trial in adult patients with PAH who were divided into intervention and control groups. Cardiopulmonary exercise test (CPET) results were assessed before and after a four-week supervised program (5 sessions/week).The program followed the FITT principle: frequency 5 times/week, intensity 60–85% of six minute walk test (6MWT) distance, time 25–30 minutes/session including warm-up and cool-down, type supervised indoor walking. Shapiro-Wilk normality test was performed before analyzing the numerical data, followed by the independent t-test or Mann-Whitney U test to determine differences between groups.
Results: This study included 26 patients with PAH, 14 in the intervention group, and 12 in the control group, consisting of 17 women (65%) and 9 men (35%) aged 18-54 years. Statistical analysis showed no significant differences in the baseline characteristics between the two groups (p >0.05). Characteristics of the CPET examination results before and after the exercise program. At baseline, there was no difference in VO2 peak in the intervention group and the control group (888.29 ± 435.99 (95% CI: 314-1823) vs 641.92 ± 231.98 (95% CI: 408 – 1111), p-value >0.05). After the physical exercise program, theintervention group showed a significant increase in VO2 peak (1047.71 ± 456.05 (95% CI: 413-2175) vs 656.5 ± 223.85 (95%CI: 401–1105), p-value < 0.05). Therefore, ΔVO2 peak in the intervention group was significantly higher (159.42 ± 209.32 (95%CI: -92 – 707) vs 14.5 ± 60.4 (95%CI: -77 – 148), p-value < 0.05)
Conclusion: A four-week structured walking exercise program significantly improved functional capacity in PAH patients