ACI (Acta Cardiologia Indonesiana)
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Comparison of Predicted Complexity of Coronary Lesions with Duke Treadmill Score on Various Risk Factors for Coronary Heart Disease
No full textBackground: According to Framingham Study, independent risk factors for coronary heart....
Abnormal Heart Rate Recovery and Duke Treadmill Score as Predictor of Cardiovascular Mortality
No full textBackground: The Duke Treadmill Score (DTS) has been well validated and widely used for ....
Table of Content
No full textoai:journal.ugm.ac.id:article/17788Table of Content Acta Cardiologia Indonesiana Volume 1 Number 1 Year 201
Clopidogrel Resistance in Patients with Coronary Stent Thrombosis
No full textAntiplatelet drugs plays important role in the therapy of atherothrombosis. Dual antiplatelet therapy is recommended as a strategy for the prevention of stent thrombosis in patients who underwent Percutaneus Coronary Intervention (PCI). In combination with aspirin, tienoperidine is currently the drug of choice to prevent stent thrombosis. The issue of the high inter-individual variability ofresponse is clinically relevant, since poor responders are not adequately protected from major adverse cardiac events (MACE). We reported a 62-years old woman underwent primary PCI with implantation of BAS. She was later known to have in-stent thrombosis in the LAD after repeated angiography. The probable cause for the later cardiac event in this patient were overlapped stent, small vessel diameter, diabetes mellitus, and the patients also shown a persistent platelet reactivity despite clopidogrel therapy. We administered this patient with pasugrel as antiplatelet replacing clopidogrel and the patient was managed without ischemic symptoms afterwards
Right Heart Catheterization on Sinus Venosus Type of Atrial Septal Defect with Partial Anomalous Pulmonary Vein Drainage
No full textAtrial septal defect (ASD) is a non-cyanotic congenital heart disease characterized by the presence of defects on atrium septal wall. ASD is 10% of congenital heart disease. This defect is the third most common congenital heart disorder with an estimated incidence of 56 out of 100,000 live births. With the improved echocardiographic technique that can diagnose a defect in asymptomatic abnormalities, the estimated incidence is increased to 100 out of 100,000 live births. The disorder is more common in women than men with a ratio of male: female 1: 2
Prediction of Failed Fibrinolytic Using Scoring System in ST Elevation Myocardial Infarction Patients
No full textBackground: ST elevation myocardial infarction (STEMI) is the most common acute coronary syndrome in adults, and requiring immediate reperfusion. Primary percutaneous coronary intervention (PCI) is the main reperfusion therapy, but because of many limitations, fibrinolytic is often chosen. Fibrinolytic have high failure risk, so it is important to be able to predict whether this therapy will fail or not. This research aim to create a scoring system to predict failed fibrinolytic in STEMI patients. Methods: This is retrospective cohort study using medical records data from Dr. Sardjito General Hospital in Yogyakarta, recorded in June 2014-December 2015. The population was STEMI patients that reperfused with streptokinase regiment. Determination of failed fibrinolytic was using the difference in the ST segment elevation of the pre and post fibrinolytic electrocardiogram (ECG). The clinical variables of subjects were recorded. The statistical analysis was done and scoring system was constructed. Results: A total of 105 patients with mean age of 57.82±9.59 years were included in this study. Subjects with failed fibrinolytic was 53 patients (50.5%). Several variables were independently associated with failed fibrinolytis, i.e. the onset of ≥ 6 hours, hyperglycemia, and the location of anterior infarction (OR = 11.3, p = 0.000; OR = 6.11, p = 0.003 and OR = 10.5, p = 0.001, respectively). After scoring system was constructed, it was found that score ≥ 2 predict failed fibinolytic, with 53% sensitivity and 94% specificity. Conclusions : Scoring system consisting of onset ≥ 6 hours, hyperglycemia in arrival, and anterior infarct location, can be used to predict failed fibrinolytic in STEMI patients using streptokinase with 53% sensitivity and 94% specificity. Keywords: failed fibrinolytic scoring; fibrinolytic; STEMI; streptokinas
Bisoprolol Therapy and The Risk of Erectile Dysfunction in Stable Coronary Artery Disease Patients
No full textBackground :Bisoprolol is an anti angina and ischemic therapy in patient with stable coronary artery disease (CAD). Moreover it can decrease mortality and rehospitalization rate up to 34 % and 28 %. However it is also known to increase erectile dysfunction risk. Leydig cells has beta receptor which contribute in testosterone release. The blockade of beta receptor by bisoprolol can inhibit testosterone release and cause erectile dysfunction (ED) Method :This retrospective case control study was done by age matched paired method. Men with CAD as diagnosed by angiography were evaluated for ED. Erectile function was assessed by a 5-item version of the International Index of Erectile Function (IIEF-5). History of disease and medical record were evaluated to check history of bisoprolol therapy for the last 6 month. Depression was screened using Indonesian version of Hospital Anxiety and Depression Scale (HADS). Result : From 157 total subject, patients were divided into 105 patients in case group and 52 patients in control group. Ninety patients (85.7%) had history of bisoprolol therapy. The odd ratio of bisoprolol to have ED risk was 2, but there was not significant statistically (95% CI 0.85- 2.93; p= 0.262). From sub analysis result 5 mg bisoprolol therapy have significant statistic result to ED risk (OR 2.65, 95% CI 1.12-6.25; p=0.026). Diabetes was another confounding factor which have significant risk to ED from multivariate analysis result (OR 3.8, 95 % CI 1.65-8.88, p=0.002). Conclussion : Stable CAD patients with bisoprolol therapy have a higher risk of ED compare with stable CAD patient without bisoprolol, however it was not statistically significant.Keywords : Bisoprolol; erectile dysfunction; stable coronary artery diseas
Hypertension: The Cardiovascular Risk Continuum
No full textHypertension is established modifiable risk factor for cardiovascular diseases (CVD) and should ....
Correlation Between Six Minutes Walk Distance with Blood Glucose Level in Pilgrims at Saiful Anwar General Hospital Malang
No full textBackground: Chronic, metabolic and cardiovascular diseases are still have higher incidences ....
Pulmonary Hypertension In Indonesia: Where and How is the Data? What is the Gaps?
No full textPulmonary Hypertension In Indonesia: Where and How is the Data? What is the Gaps