Ardiography data from subjects with chronic heart failure sufferers hospitalized at
Ardiography data from subjects with chronic heart failure sufferers hospitalized at Sardjito Common Hospital since April . HFrEF is defined as heart failure with an ejection fraction . ObjectivesAtrial Fibrillation (AF) may be the most common arrhytmia which is discovered in every day practices. Individuals with AF have 4 to fivefold increased danger of creating ischemic stroke in comparison with normal population. Diagnosing AF can in some cases be very hard especially in the setting of paroxysmal AF. In addition, paroxysmal AF also can enhance the risk of thromboembolic complications. Some cases of cryptogenic stroke are believed to be cardioembolic in origin which caused by occult AF. This study aimed to develop a very simple scoring system to detect patients with ischemic stroke probably to have AF, so that recurrent stroke may be prevented. MethodsWe conducted diagnostic study utilizing cross sectional design. Total subjects had been gathered. Those subjects had been individuals with ischemic stroke admitted in Belitung or Ruteng General Hospital from January until August . Data collected were subjects’ characteristics, hypertension, diabetes, obesity, dyslipidemia, smoking history, congestive heart failure (CHF), alcohol consumption, valvular heart disease, chronic obstructive pulmonary illness, myocardial infarct history, previous stroke, Modified National Institutes of Health Stroke Scale (mNIHSS) score, and left atrial diameter. We analyzed these information making use of bivariate and logistic regression multivariate evaluation. ResultsMultivariate evaluation showed substantial connection in between AF and a few from the variables, which are hypertension, diabetes, obesity, CHF, left atrial enlargement, age and mNHISS score. We developed point scoring system derived from those variables. A cutoff score of or greater has sensitivity , and specificity Also, this scoring method has Location Below the Curve (AUC) worth of , (CI , ,). ConclusionThis scoring technique makes use of only clinical and echocardiographic profile that happen to be simple to complete, so it may be utilized as a uncomplicated diagnostic tool to recognize ischemic stroke patient who is probably to possess AF. Future research are required to establish a further possibly related parameters. KeywordsAtrial fibrillation, ischemic stroke, diagnosis, scoring technique.ASEAN Heart Journal Volno MP . Early Expertise in Cardiac Resynchronization Therapy for Advance Heart Failure PatientsIrlandi Meidhitya Suseno, Astri Astuti, Steven R Utomo, Doni Friadi,Muhammad Iq
bal, Beny Hartono, Muhammad MunawarAbstractsDepartment PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26296952 of Cardiology and Vascular Medicine Tangerang Common HospitalDepartment of Cardiology and Vascular Medicine, Padjadjaran University, Dr. Hasan Sadikin Hospital, Bandung, Indonesia Departement of Cardiology and Vascular Medicine, Samratulangi University, Manado Binawaluya Cardiac Center, Jakarta ObjectivesCardiac resynchronization therapy (CRT) has been demonstrated as a helpful therapy alternative in particular subgroups of chronic heart failure patients. It can enhance left ventricular (LV) function, survival, and symptoms. Report of valuable effect of this relative now modality in Indonesia is still lacking. And as a result our principal objective is always to evaluate characteristic of patients, like description of clinical respond and LV function pre and post CRT implantation. MethodsThis is actually a order CBR-5884 retrospective, single center and descriptive study. All sufferers underwent CRT implantation at our hospital are enrolled within this study. Just before and up to month immediately after implantatio.