Melola Discovery

← Melola Discovery

Jurnal SINTA 1

Effects of Extracardiac Factors in Signal-Averaged Electrocardiography-measured Late Potentials from Early Anterior Myocardial Infarction in Intensive Cardiac Care Unit

ACTA MEDICA INDONESIANA · Vol. 52 No. 2 (2020)

ISSN
2338-2732, 0125-9326
Terbit
2020-08-07
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: one modality that can predict ventricular arrhythmias after myocardial infarction (MI), particularly anterior MI, is signal-averaged electrocardiogram (SA-ECG), through the detection of late potentials (LP) which is a substrate for ventricular arrhythmias. Extracardiac factors, which are also risk factors for MI, such as hypertension, diabetes, dyslipidemia, and obesity, are apparently associated with post-MI ventricular arrhythmias, which in turn may be correlated with LP. This study aims to determine the effect of extracardiac risk factors on LP incidence in anterior MI patients treated in the intensive cardiac care unit (ICCU). Methods: this was a cross-sectional study in which 80 subjects with anterior MI during the period of December 2018-2019 underwent SA-ECG examination. The medical history and extracardiac risk factors were recapitulated, and then the SA-ECG data was taken from either direct examination or ICCU patients’ database in that period. This study used multivariate analysis with logistic regression test. Results: the most common factors found were hypertension (70.00%), followed by dyslipidemia (56.25%), diabetes (46.25%), and obesity (38.75%). Obesity and dyslipidemia are extracardiac factors with the two biggest roles in the prevalence of LP. However, from additional analysis, we found that diabetes with acute hyperglycemia also had immense influence on the occurrence of LP. The OR for diabetes with acute hyperglycemia, obesity, and dyslipidemia were 4.806 (IK95% 0.522-44.232), 4.291 (IK95% 0.469-39.299), and 3.237 (IK95% 0.560-18.707). However, the association is not statistically significant. Conclusion: patients with anterior MI who suffer from diabetes with hyperglycemia in admission, obesity, and dyslipidemia have a potentially higher LP prevalence, despite statistical insignificance. To increase the prognostic value of SA-ECG, serial examinations are needed during hospitalization.

Kata kunci

Jaringan kolaborasi para penulis

40 penulis · 322 tautan kepenulisan bersama · menampilkan 40 yang paling banyak terhubung

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
  • Afiliasi tidak diketahui
  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Irsan HasanAfiliasi tidak diketahui10
Rino Alvani GaniAfiliasi tidak diketahui6
Andri Sanityoso SulaimanAfiliasi tidak diketahui6
Cleopas Martin RumendeAfiliasi tidak diketahui6
Ikhwan RinaldiAfiliasi tidak diketahui6
Evy YunihastutiAfiliasi tidak diketahui5
Adityo SusiloAfiliasi tidak diketahui5
Chyntia Olivia Maurine JasirwanAfiliasi tidak diketahui4
Kemal Fariz KalistaAfiliasi tidak diketahui4
Andri SanityosoAfiliasi tidak diketahui4
Siti SetiatiAfiliasi tidak diketahui4
Kuntjoro HarimurtiAfiliasi tidak diketahui4
Lutfie LutfieAfiliasi tidak diketahui3
Cosmas Rinaldi A LesmanaAfiliasi tidak diketahui3
Andhika RachmanAfiliasi tidak diketahui3
Gita ApriliciaAfiliasi tidak diketahui3
Eka GinanjarAfiliasi tidak diketahui3
Ika Prasetya WijayaAfiliasi tidak diketahui3
Hamzah ShatriAfiliasi tidak diketahui3
Dicky Levenus TahaparyAfiliasi tidak diketahui3
Imam SubektiAfiliasi tidak diketahui3
Rudi PutrantoAfiliasi tidak diketahui3
Dyah PurnamasariAfiliasi tidak diketahui3
Kaka RenaldiAfiliasi tidak diketahui3
Marcellus SimadibrataAfiliasi tidak diketahui2
Idrus AlwiAfiliasi tidak diketahui2
Cosmas Rinaldi Adithya LesmanaAfiliasi tidak diketahui2
Lugyanti SukrismanAfiliasi tidak diketahui2
Simon SalimAfiliasi tidak diketahui2
Nurul Inayah RahmaniAfiliasi tidak diketahui2
Alvina WidhaniAfiliasi tidak diketahui2
Esthika DewiastyAfiliasi tidak diketahui2
Arif MansjoerAfiliasi tidak diketahui2
Leonard NainggolanAfiliasi tidak diketahui2
Pringgodigdo NugrohoAfiliasi tidak diketahui2
Hery Djagat PurnomoAfiliasi tidak diketahui2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Effects of Extracardiac Factors in Signal-Averaged Electrocardiography-measured Late Potentials from Early Anterior Myocardial Infarction in Intensive Cardiac Care Unit</dc:title>
	<dc:creator>Suwita, Christopher Surya</dc:creator>
	<dc:creator>Nasution, Sally Aman</dc:creator>
	<dc:creator>Muhadi, Muhadi</dc:creator>
	<dc:creator>Kurniawan, Juferdy</dc:creator>
	<dc:subject xml:lang="en-US">diabetes</dc:subject>
	<dc:subject xml:lang="en-US">dyslipidemia</dc:subject>
	<dc:subject xml:lang="en-US">hypertension</dc:subject>
	<dc:subject xml:lang="en-US">late potentials</dc:subject>
	<dc:subject xml:lang="en-US">myocardial infarction</dc:subject>
	<dc:subject xml:lang="en-US">obesity</dc:subject>
	<dc:subject xml:lang="en-US">signal-averaged electrocardiogram</dc:subject>
	<dc:subject xml:lang="en-US">cardiology</dc:subject>
	<dc:description xml:lang="en-US">Background: one modality that can predict ventricular arrhythmias after myocardial infarction (MI), particularly anterior MI, is signal-averaged electrocardiogram (SA-ECG), through the detection of late potentials (LP) which is a substrate for ventricular arrhythmias. Extracardiac factors, which are also risk factors for MI, such as hypertension, diabetes, dyslipidemia, and obesity, are apparently associated with post-MI ventricular arrhythmias, which in turn may be correlated with LP. This study aims to determine the effect of extracardiac risk factors on LP incidence in anterior MI patients treated in the intensive cardiac care unit (ICCU). Methods: this was a cross-sectional study in which 80 subjects with anterior MI during the period of December 2018-2019 underwent SA-ECG examination. The medical history and extracardiac risk factors were recapitulated, and then the SA-ECG data was taken from either direct examination or ICCU patients’ database in that period. This study used multivariate analysis with logistic regression test. Results: the most common factors found were hypertension (70.00%), followed by dyslipidemia (56.25%), diabetes (46.25%), and obesity (38.75%). Obesity and dyslipidemia are extracardiac factors with the two biggest roles in the prevalence of LP. However, from additional analysis, we found that diabetes with acute hyperglycemia also had immense influence on the occurrence of LP. The OR for diabetes with acute hyperglycemia, obesity, and dyslipidemia were 4.806 (IK95% 0.522-44.232), 4.291 (IK95% 0.469-39.299), and 3.237 (IK95% 0.560-18.707). However, the association is not statistically significant. Conclusion: patients with anterior MI who suffer from diabetes with hyperglycemia in admission, obesity, and dyslipidemia have a potentially higher LP prevalence, despite statistical insignificance. To increase the prognostic value of SA-ECG, serial examinations are needed during hospitalization.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2020-08-07</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Cross-sectional</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1364</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 52 No. 2 (2020): Acta Medica Indonesiana; 131</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1364/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2020 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>