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Original Articles 原来的文章
Pub Date : 2020-10-24 DOI: 10.30701/ijc.1074
Asmiha Indonesian Heart Association
Abstracts of the 29th Annual Scientific Meeting of the Indonesian Heart Association (ASMIHA) 1st ASMIHA Digital Conference, 23-25 October 2020
印度尼西亚心脏协会(ASMIHA)第29届年度科学会议摘要第1届ASMIHA数字会议,2020年10月23日至25日
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引用次数: 0
Young Investigators Award Session 青年调查员颁奖典礼
Pub Date : 2020-10-24 DOI: 10.30701/ijc.1077
Asmiha Indonesian Heart Association
Abstracts of the 29th Annual Scientific Meeting of the Indonesian Heart Association (ASMIHA) 1st ASMIHA Digital Conference, 23-25 October 2020
2020年10月23日至25日,印度尼西亚心脏协会(ASMIHA)第29届年度科学会议摘要
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引用次数: 0
Incidence and outcome of no flow after primary percutaneous coronary intervention in acute myocardial infarction 急性心肌梗死经皮冠状动脉介入治疗后无血流的发生率和转归
Pub Date : 2020-08-31 DOI: 10.29328/journal.jccm.1001102
G. Datta
  Background: Mechanical revascularization of the infarct-related artery (IRA) is the most effective treatment modality in ST-segment elevation myocardial infarction (STEMI).No flow occurs in ∼8.8-10% of cases of primary percutaneous coronary intervention(PCI) in STEMI patients. Our aim was to study     actual incidence and outcome of no flow patients. Methods: Five hundred and eighty primary PCI patients were studied over a period of two years i.e. January 2016 to December 2017. Drug eluting stents were used in all cases. Majority of our patients(>90%) came  6 hours  after onset of chest pain. There were many patients where there was  no flow even after mechanical thrombus aspiration and pharmacological vasodilator therapy. We have studied primary outcome(mortality) of no flow in those patients.                                                                                                                 Results: There were 44 cases of  no flow in our series(7.75%). Left anterior descending artery(LAD )was involved in eighteen patients. Right coronary artery(RCA) was culprit in twenty four cases. Only two cases were seen in LCX territory. One month mortality rate in no flow group was 50% and 6.25% in successful recanalization group. One year mortality was 12.5% in successful recanalization group and 66% in no flow group. Conclusion: Refractory no flow during primary PCI in STEMI is associated with high mortality and morbidity. There is no established strategy to solve this phenomenon.    
背景:梗死相关动脉(IRA)的机械血运重建是ST段抬高型心肌梗死(STEMI)最有效的治疗方式。在STEMI患者中,约8.8-10%的初次经皮冠状动脉介入治疗(PCI)病例没有发生血流。我们的目的是研究无血流患者的实际发病率和结果。方法:对580名原发性PCI患者进行为期两年的研究,即2016年1月至2017年12月。所有病例均使用药物洗脱支架。我们的大多数患者(>90%)出现在胸痛发作后6小时。许多患者即使在机械血栓抽吸和药物血管舒张治疗后也没有血流。我们研究了这些患者无血流的主要转归(死亡率)。结果:本组44例(7.75%)无血流,18例左前降支受累。在24例病例中,右冠状动脉(RCA)是罪魁祸首。LCX地区仅发现两例病例。无血流组1个月死亡率为50%,再通成功组为6.25%。再通成功组一年死亡率为12.5%,无血流组为66%。结论:STEMI经皮冠状动脉介入治疗期间顽固性无血流与高死亡率和高发病率相关。目前还没有解决这一现象的既定战略。
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引用次数: 1
Effect of Exercise Duration Toward Heart Rate Recovery in Elderly 运动时间对老年人心率恢复的影响
Pub Date : 2020-08-17 DOI: 10.30701/IJC.1025
Arie Ramdhiani Mahassa, M. R. Akbar, S. Y. Sari
Background: Age-related change in autonomic nerves covers parasympathetic function decrease that hampers heart rate (HR) control. The effective attempt to improve autonomic nervous function for elderly is routine exercise, however exercise duration among elderly is not always standardized. This study is aimed to compare the effect of different exercise duration to post-exercise Heart Rate Recovery (HRR) between two elderly groups with the same frequency, intensity, type criteria of routine exercise. Methods: Method was cross-sectional study which compared exercise duration of standardized group (3x90 minutes/week) and unstandardized group (3x30 minutes/week). Group 1 was elders with standardized duration from Healthy Heart Club and Group 2 was elders who take unstandardized duration from Elderly Home in Bandung city. Each group consisted of 43 elders and data were collected in July-August 2019. After one hour of medium intensity exercise, all respondents were examined for resting HR (HRrest), maximum HR (HRmax), one minute post-exercise HR, and four minutes post-exercise HR. HRR was obtained by subtracting HRmax by one minute post-exercise HR and normal if > 12 bpm. Analysis data was done by SPSS with Mann-Whitney U Test, Fisher Chi Square and Logistic regression. Results: Most of respondents were 60-69 years old and female. Respondents in unstandardized group were more low education, hypertension and smoking. The HRrest of both groups was categorized as normal but increased greater (30x/min) in standardized group. The result showed a significant difference in comparation of median HRR (p=0.001) and number of normal and abnormal HRR (p=0.001) between both groups. Gender, smoking and standardized duration of exercise associated with abnormality of HRR, elders who take unstandardized duration have 12.7 times risk to get abnormal HRR. Conclusion: Routine exercise for elderly is recommended in standardized duration with minimal 150 minutes per week in order to increase post-exercise HRR. (Indonesian J Cardiol. 2020;41:17-24)
背景:与年龄相关的自主神经变化涵盖了副交感神经功能的下降,阻碍了心率(HR)的控制。改善老年人自主神经功能的有效尝试是常规锻炼,但老年人的锻炼时间并不总是标准化的。本研究旨在比较两组具有相同频率、强度和常规运动类型标准的老年人不同运动时间对运动后心率恢复(HRR)的影响。方法:采用横断面研究的方法,比较标准化组(3x90分钟/周)和非标准化组的运动时长(3x30分钟/周)。第1组为健康心俱乐部标准化时长的老年人,第2组为万隆市敬老院非标准时长的老人。每组由43名老年人组成,数据收集于2019年7月至8月。中等强度运动一小时后,所有受访者都接受了静息HR(HRrest)、最大HR(HRmax)、运动后一分钟HR和运动后四分钟HR的检查。HRR是通过将HRmax减去运动后1分钟HR获得的,如果>12 bpm,则为正常。数据分析采用SPSS软件进行Mann-Whitney U检验、Fisher卡方检验和Logistic回归。结果:调查对象多为60-69岁女性。非标准组的受试者更多是低学历、高血压和吸烟。两组的HRrest均被归类为正常,但在标准化组中增加更大(30x/min)。结果显示,两组之间的中位HRR(p=0.001)和正常和异常HRR数量(p=001)的比较存在显著差异。性别、吸烟和标准化运动时间与HRR异常相关,服用非标准时间的老年人患HRR异常的风险是正常老年人的12.7倍。结论:建议老年人每周至少进行150分钟的标准化运动,以提高运动后的HRR。(印尼心脏病学杂志2020;41:17-24)
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引用次数: 0
Olahraga Rutin Untuk Meningkatkan Imunitas Pasien Hipertensi Selama Masa Pandemi COVID-19 在COVID-19大流行期间,定期锻炼以增强患者的高血压免疫力
Pub Date : 2020-06-30 DOI: 10.30701/IJC.1016
Badai Bhatara Tiksnadi, Nova Sylviana, Adityo Cahyadi, Alberta Claudia Undarsa
Hipertensi merupakan salah satu komorbid yang paling banyak ditemukan pada Coronavirus disease-19 (COVID-19) dan berasosiasi dengan prognostik buruk dari infeksi tersebut. Olahraga rutin ternyata dapat meningkatkan imunitas tubuh, sehingga dapat berperan dalam pencegahan infeksi COVID-19 selain efeknya terhadap penurunan tekanan darah. Olahraga tipe aerobik dengan intensitas sedang 30-60 menit, dengan cara tetap melakukan pembatasan jarak, ataupun dengan teknik home exercise dan virtual dengan daring, dapat dilakukan oleh penderita hipertensi dalam meningkatkan imunitas selama masa pandemi  COVID-19.
高血压是治疗病原病毒(COVID-19)中发现的最常见的同源疾病之一,并与感染的不良预测有关。经常锻炼会增加身体的免疫力,从而在预防COVID-19感染方面发挥一定作用,而这也有助于降低血压。在COVID-19大流行期间,高血压患者可以在网上进行30-60分钟的有氧运动,比如限制限制,或者在家练习,虚拟的在线锻炼。
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引用次数: 12
Pengaruh Gender dan Manifestasi Kardiovaskular Pada COVID-19
Pub Date : 2020-06-01 DOI: 10.30701/ijc.1004
Dyana Sarvasti
Manifestasi kardiovaskular berupa injuri miokard, dapat timbul pada pasien yang terinfeksi COVID-19. Data yang dikumpulkan dari berbagai laporan kasus pandemi COVID-19 menunjukkan bahwa laki-laki lebih sering mengalami injuri miokard dibandingkan perempuan. Hingga saat ini belum ditemukan mekanisme pasti yang mendasari kerentanan untuk mengalami injuri miokard akibat terinfeksi SARS-CoV-2 karena perbedaan gender. Beberapa teori yang diajukan adalah perbedaan jumlah kromosom X, pengaruh hormon seks dan perbedaan reaksi imun antara laki-laki dan perempuan. Perlu dilakukan penelitian lanjutan yang lebih mendalam tentang mekanisme manifestasi kardiovaskular dan pengaruh gender pada penyakit COVID-19. Kata kunci: Gender, manifestasi kardiovaskular, injuri miokard, COVID-19.
新冠肺炎感染患者可能出现心肌损伤的心血管表现。从新冠肺炎大流行病例的各种报告中收集的数据显示,男性比女性经历更多的心肌损伤。到目前为止,还没有发现基于性别差异导致的严重急性呼吸系统综合征冠状病毒2型感染引起的心肌损伤的明确机制。提出的一些理论是X染色体数量的差异、性激素的影响以及男性和女性免疫反应的差异。需要进一步研究心血管表现机制和性别对新冠肺炎疾病的影响。关键词:性别,心血管表现,心肌损伤,新冠肺炎。
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引用次数: 4
Minimal or No Touch Electrocardiography Recording and Remote Heart Rhythm Monitoring during COVID-19 Pandemic Era 新冠肺炎大流行期间的最小或无接触心电图记录和远程心律监测
Pub Date : 2020-06-01 DOI: 10.30701/ijc.1010
A. E. Tondas, Rolando Agustian Halim, Moza Guyanto
At the end of year 2019, the world faced an outbreak of a highly virulent novel Coronavirus disease (COVID-19), which changed the way physicians, including cardiologists, do their routine clinical practice. As distance limitation and efficient use of personal protective devices must be employed to prevent the pandemic spreading, even simple electrocardiogram (ECG) taking that involves directly placing electrode leads on a patient’s body may become riskier. This review will discuss the possibility of minimal or no touch EKG using the latest wireless technologies, beneficial in monitoring COVID-19 patients for cardiovascular problems or patients who seek cardiac care, but with posing risk of concomitant COVID-19. (Indonesian J Cardiol. 2020;41:133-141) Keyword: COVID-19, SARS-CoV-2, physical distancing, electrocardiogram, heart rhythm monitoring 1 Biomedicine Doctoral Program, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia 2 Cardiology & Vascular Medicine Department, Mohammad Hoesin General Hospital, Palembang,
2019年底,世界面临一种剧毒的新型冠状病毒疾病(新冠肺炎)的爆发,这改变了包括心脏病专家在内的医生的日常临床实践方式。由于必须采用距离限制和有效使用个人防护设备来防止疫情传播,即使是直接在患者身上放置电极引线的简单心电图也可能变得风险更大。这篇综述将讨论使用最新无线技术进行最小或无接触心电图的可能性,这有利于监测新冠肺炎患者的心血管问题或寻求心脏护理的患者,但会带来合并新冠肺炎的风险。(印度尼西亚《心脏病学杂志》2020;41:133-141)关键词:新冠肺炎,严重急性呼吸系统综合征冠状病毒2型,物理距离,心电图,心律监测1生物医学博士项目,医学院,斯里维贾亚大学,巴邻邦,印度尼西亚,
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引用次数: 4
Cardiomyopathy in Coronavirus Disease Survivors: Mechanism, Management and Prevention 冠状病毒病幸存者的心肌病:机制、管理和预防
Pub Date : 2020-05-31 DOI: 10.30701/ijc.1012
R. Sukmawan
Coronavirus disease (COVID-19) caused by infection of SARS-CoV-2 as of April 2020 has been confirmed  in more than 2.3 million people, with more than 150 thousands deaths across the globe. It has been known that COVID-19 patients with underlying cardiovascular diseases and its risks including: hypertension, diabetes, coronary artery disease, and cerebrovascular diseases may develop more severe respiratory track symptoms requiring intensive care. Some patients may presenting with myocarditis or acute cardiomyopathy, which has high mortality and morbidity. There was also evidence of myocardial Injury with an increase of troponin in one-third of those infected by covid-19.  It is conceivable that among those who recover from COVID-19 infection, there is a risk of developing further cardiomypathy once the pandemic receding in the future. It is important to pay attention to this survivor group since the pandemic may be lasting for longer period. Optimal medical treatment and comprehensive prevention should be taken to manage those high risk patients of developing cardiomyopathy during hospital care as well post discharge. These includes provide best available COVID-19 drugs, cardiovascular medications, and social preventive measures.
截至2020年4月,由SARS-CoV-2感染引起的冠状病毒疾病(新冠肺炎)已在全球230多万人中得到证实,超过15万人死亡。众所周知,患有潜在心血管疾病及其风险的新冠肺炎患者,包括高血压、糖尿病、冠状动脉疾病和脑血管疾病,可能会出现更严重的呼吸系统症状,需要重症监护。一些患者可能表现为心肌炎或急性心肌病,其死亡率和发病率较高。还有证据表明,在新冠肺炎感染者中,三分之一的人心肌肌钙蛋白升高,导致心肌损伤。可以想象的是,在那些从新冠肺炎感染中康复的人中,一旦未来疫情消退,就有进一步发展心脏病的风险。关注这一幸存者群体很重要,因为疫情可能会持续更长时间。在住院期间和出院后,应采取最佳的医疗治疗和综合预防措施来管理发展为心肌病的高危患者。其中包括提供最好的新冠肺炎药物、心血管药物和社会预防措施。
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引用次数: 1
Gangguan Kardiovaskular pada infeksi COVID 19 COVID感染中的心血管疾病19
Pub Date : 2020-05-29 DOI: 10.30701/ijc.v1i1.994
Dian Hasanah, Siti Elkana Nauli, Vebiona Kartini Prima Putri, Habibie Arifianto, Nanang Suryana, Lita Dwi Suryani, Wahyu Aditya, Paskariatne Probodewi
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) yang dikenal dengan COVID-19 adalah penyakit yang baru dan telah menyebar dengan cepat dari Wuhan (provinsi Hubei) ke provinsi lain di Cina dan seluruh dunia termasuk Indonesia. Secara umum, COVID-19 adalah penyakit akut yang bisa sembuh tetapi juga mematikan, dengan case fatality rate (CFR) sebesar 4%. Spektrum klinis pneumonia COVID-19 berkisar dari kondisi ringan sampai dengan berat. COVID 19 diduga memiliki risiko potensiasi proses patofisiologi terhadap timbulnya komplikasi kardiak, dan telah diketahui bahwa mekanisme penyakit kardiovaskular serupa dengan mekanisme jalur imunologi. Penyakit kardiovaskular adalah komorbid terbanyak pada pasien COVID 19, SARS, dan MERS. Prevalensi diabetes mellitus (DM) dan penyakit kardiovaskular pada SARS adalah 11% dan 8% dan membawa angka kematian meningkat 2 kali lipat. Pada kasus COVID 19, komorbid penyakit kardiovaskular lebih banyak menunjukkan kasus yang berat. Bagaimana mekanisme komorbid ini memperburuk keluaran pasien masih tidak jelas, namun beberapa hipotesisnya antara lain usia lanjut, gangguan sistem imun, peningkatan kadar ACE2 atau mungkin ada hubungan antara COVID 19 dengan penyakit kardiovaskular. Tinjauan pustaka ini akan menjelaskan berbagai gangguan kardiovaskular yang mungkin terjadi pada infeksi COVID 19 secara lebih mendalam.  
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)被称为新冠肺炎,是一种新的疾病,已从武汉(湖北省)迅速传播到中国的另一个省和包括印度尼西亚在内的世界各地。一般来说,新冠肺炎是一种可以治愈但也致命的急性疾病,病死率(CFR)为4%。新冠肺炎肺炎的临床表现从轻度到重度不等。预计新冠肺炎19具有对抗心脏并发症的潜在病理生理过程风险,并且已知心血管疾病机制与免疫途径机制相似。心血管疾病是COVID患者19、SARS和MERS中最高的合并症。SARS中糖尿病(DM)和心血管疾病的患病率分别为11%和8%,导致死亡率增加2倍。在2019冠状病毒病中,心血管合并症表现为更严重的病例。这种共病机制如何恶化患者的输出仍不清楚,但一些假设包括高龄、免疫系统紊乱、ACE2升高,或者新冠肺炎19与心血管疾病之间可能存在关系。这篇文库综述将更详细地解释COVID-19感染中可能发生的各种心血管疾病。
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引用次数: 5
Cardiovascular Implications of Coronavirus Disease 2019 2019冠状病毒病对心血管的影响
Pub Date : 2020-05-29 DOI: 10.30701/ijc.v1i1.1008
Rissa U. Setiani
The coronavirus disease-2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) that first appeared in Wuhan, China. COVID-19 was found to have significant connection with the cardiovascular system by causing complications such as myocarditis and arrhythmias. Furthermore, medications for COVID-19 have been shown to induce cardiovascular side effects. The emergence of COVID-19 spreading also raised questions on the need for modification of life support algorithms to protect vulnerable healthcare workers.  
2019冠状病毒病(新冠肺炎)是一种由严重急性呼吸综合征冠状病毒2(SARS-CoV2)引起的传染病,首次出现在中国武汉。新冠肺炎被发现与心血管系统有显著联系,会导致心肌炎和心律失常等并发症。此外,治疗新冠肺炎的药物已被证明会诱导心血管副作用。新冠肺炎传播的出现也引发了人们对修改生命支持算法以保护弱势医护人员的必要性的质疑。
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引用次数: 0
期刊
Majalah Kardiologi Indonesia
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