ARKAVI [Arsip Kardiovaskular Indonesia]

Evaluasi Plak Arteri Karotis Menggunakan Dupleks Sonografi Pada Pasien Dengan Penyakit Jantung Hipertensi

Arum Lintang Lestari — 2025-07-31

Background: Hypertensive Heart Disease (HHD) is a condition characterized by increased blood pressure that causes disturbances in the heart's hemodynamic balance. One of its impacts is atherosclerosis, which can develop into the accumulation of hard fatty plaques in blood vessels. Early detection of atherosclerotic plaques can be performed through duplex sonography, a non-invasive imaging technique that allows for the evaluation of the structure and blood flow in the carotid arteries. Method: Case study on two patients with HHD. Results: In patient 1, B-mode duplex sonography examination showed stable plaques in the right and left carotid arteries with intima-media thickness (IMT) >2 mm. Meanwhile, in patient 2, unstable plaques were found in both carotid arteries with similar IMT values (>2 mm). Conclusion: Both patients with HHD showed the presence of atherosclerotic plaques in the carotid arteries with IMT >2 mm, indicating an increased cardiovascular risk. Duplex sonography can be an effective tool for detecting and monitoring the progression of atherosclerosis in patients with chronic hypertension.

Teknik Pengukuran Tingkat Keparahan Tricuspid Regurgitation (TR) Pada Pasien Dengan Pulmonary Hypertension (PH)

Bunga Fadila Sandi — 2025-07-31

Background: pulmonary hypertension (PH) is a condition where there is an increase in blood pressure in the pulmonary arteries caused by a blockage of blood vessels to the lungs. Increased pulmonary pressure indicates an increase in right ventricular afterload causing further valve problems, one of which is the occurrence of a leak in the tricuspid valve or often known as Tricuspid Regurgitation (TR). The severity of TR in patients with PH can be measured using echocardiography. Method: case study. Results: an echocardiographic examination was performed on PH patients with the measurement results of the vena contracta 0.6 cm, jet area TR 61 cm. The echocardiography examination procedure uses 3 modalities M-Mode, Color doppler, and Spectrum doppler. Conclusion: the echocardiographic examination procedure in TR patients with PH using 4 measurements obtained moderate and severe results.

Gambaran Duplex Ultrasonografi Ekstremitas Bawah Pada Pasien Peripheral Artery Disease

Adelia Ika Rahayu — 2025-07-31

Backgroud: Duplex ultrasound examination performed in peripheral artery disease (PAD). PAD is a condition of narrowing blood vessels caused by plaque buildup in arteries and resulting in decreased perfusion in the extremities. Method: Case Report, in PAD patients with lower extremity ultrasound duplex examination at Pasar Rebo Hospital Results: Lower extremity DUS examination technique was performed on patient, the first patient found plaque and sec/echogenic material in Poplitea, color Doppler partially filled color and monophasic Doppler spectrum. The second patient had sec in the femoral, B-Mode plaques were found in popliteal color Doppler partially filled color and monophasic Doppler spectrum. Conclusion: The duplex ultrasound examination procedure has been successfully performed on both patients with CAD and CHF. Procedures for preparing equipment, patients and examinations are carried out in accordance with operational standards at Pasar Rebo Hospital. B-Mode, color Doppler and Doppler spectrum according to PAD.

Peran Pemeriksaan Transthorachic Echocardiography Pada Evaluasi Pasien Post Coronary Artery Bypass Graft

Nandika Eki Kharisma — 2025-07-31

Background: Coronary artery bypass surgery (CABG) is a surgical procedure that aims to restore blood flow to the myocardium that is experiencing blockage or atherosclerosis. After CABG the patient may experience bleeding, pain, infection from the surgical wound, and peri-operative infarction which results in decreased heart function. Thus, examination of the patient is necessary to evaluate the success rate and complications of the CABG procedure. Methods: Literature Review. Analysis: evaluation in patients after CABG surgery was performed by transthoracic echocardiography (TTE) using 2D and motion mode modalities. Both can produce values from left ventricular ejection fraction, wall motion, dimensions of the cardiac chambers as well as hemodynamic assessments TTE examination also aims to determine the presence or absence of side effects from the operation (pericardial effusion, low cardiac output). Conclusion: TTE examination in patients after CABG surgery aims to determine the success rate of surgery, especially to determine whether there are significant changes in heart function (left ventricular ejection fraction, regional wall motion, dimensions of heart chambers, and cardiac output).

Pemantauan Hemodinamik Selama Tindakan Transcatheter Closure Pada Pasien Patent Ductus Arteriosus

Eviana Nurul Kusumawati — 2025-07-31

Background: Patent Ductus Arteriosus (PDA) occurs when the blood vessels connecting the aorta and pulmonary artery do not close after birth. Transcatheter closure using a PDA occluder is a first-line treatment, but hemodynamic monitoring is essential as patients may experience sudden declines during the procedure. Methods: A case study involving a 2-year-old female patient with patent ductus arteriosus who underwent transcatheter closure at the Dr Cipto Mangunkusumo National Central Public Hospital (RSCM). Results: Hemodynamic changes were found in patients who were planned for transcatheter closure. Pre-operatively the patient's hemodynamics were stable, but during the action the hemodynamic monitoring decreased and the patient's ECG experienced a change in bradycardia rhythm. Because there is no flow in the pulmonary arteries and reduced blood supply to the lungs when a PDA Occluder will be developed. The technician immediately informed the doctor and team that there was a decrease in hemodynamics and EKG. Doctor gives epinephrine 0.02 mcg IV to patient. Hemodynamics stabilized, the procedure was continued and the PDA occluder was successfully installed. Conclusion: Despite stable pre-operative hemodynamics, hemodynamic monitoring during transcatheter closure in patients with patent ductus arteriosus is essential and should not be neglected.