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Symptomatic Bradycardia In CAD Patient: Which One First To Treat?

Heart Science Journal · Vol. 3 No. 4 (2022) · hlm. 29–34

DOI
10.21776/ub.hsj.2022.003.04.6
ISSN
2721-9984, 2721-9976
Terbit
2022-11-14
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: The incidence of sinus node dysfunction (SND) increases with age. Likewise, the incidence of coronary artery disease (CAD) has increased from year to year in Indonesia. When doctors are faced SND patients with CAD, it can be confusing in determining initial treatment options.Objective: This study aimed to describe the diagnosis and management of SND in CAD patient.Case Presentation: We will discuss a 75 years old male who had schedule to management of bradycardia symptomatic related to SND. Five month before admission, he had acute coronary syndrome, and had 2 DES implantation at left main (LM) to proximal left anterior descendent (LAD) artery and mid LAD. Two month after PCI he felt near syncope with bradycardia. Evaluation with ambulatory EKG was performed with result of SND, and correction of reversible cause related to SND already done. Eventually, symptom still exist and PPM insertion was decided to perform.Conclusion: Patients with SND and CAD have a higher risk of complications and death. Correction of reversible factors, one of which is CAD, can be done as an initial step in the treatment of SND. When symptomatic signs still appear after correction of reversible causes, PPM implantation is the modality of choice in management.

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Rekan penulisOrganisasiArtikel bersama
Novi KurnianingsihUniversity of Brawijaya34
Anna Fuji RahimahUniversity of Brawijaya33
Cholid Tri TjahjonoUniversity of Brawijaya31
Indra PrasetyaUniversity of Brawijaya29
Setyasih AnjarwaniUniversity of Brawijaya29
Budi SatrijoUniversity of Brawijaya27
Heny MartiniUniversity of Brawijaya18
Djanggan SargowoUniversity of Brawijaya17
Yoga WaranugrahaUniversity of Brawijaya14
Adhika Prastya WikanandaUniversity of Brawijaya9
Wella KarolinaUniversity of Brawijaya8
Tri AstiawatiUniversity of Brawijaya6
Putri Annisa KamilaUniversity of Brawijaya6
Tonny AdriyantoUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Nikhen NoverikeUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya4
Fandy HazzyUniversity of Brawijaya4
Hayla Iqda MillisaniUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya4
Olivia HandayaniUniversity of Brawijaya4
Anna Fuji RahimahAfiliasi tidak diketahui4
Seprian WidasmaraUniversity of Brawijaya4
Valerinna YogibuanaAfiliasi tidak diketahui4
Cik KahadiUniversity of Brawijaya4
Dadang HendrawanUniversity of Brawijaya3
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya3
Imelda KrisnasariUniversity of Brawijaya3
Evit RuspionoAfiliasi tidak diketahui3
Mokhamad Aswin BaharUniversity of Brawijaya3
Taufieq Ridlo MakhmudUniversity of Brawijaya3
Faris Wahyu NugrohoUniversity of Brawijaya3
Dea Arie KurniawanUniversity of Brawijaya3
Arif Ranu WicaksonoUniversity of Brawijaya3
Veny KurniawatiUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/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">Symptomatic Bradycardia In CAD Patient: Which One First To Treat?</dc:title>
	<dc:creator xml:lang="en">Suprapta, Aloysius Yuwono</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:subject xml:lang="en">Sinus node dysfunction</dc:subject>
	<dc:subject xml:lang="en">Coronary arterial disease</dc:subject>
	<dc:subject xml:lang="en">Permanent Pacemaker</dc:subject>
	<dc:description xml:lang="en">Background: The incidence of sinus node dysfunction (SND) increases with age. Likewise, the incidence of coronary artery disease (CAD) has increased from year to year in Indonesia. When doctors are faced SND patients with CAD, it can be confusing in determining initial treatment options.Objective: This study aimed to describe the diagnosis and management of SND in CAD patient.Case Presentation: We will discuss a 75 years old male who had schedule to management of bradycardia symptomatic related to SND. Five month before admission, he had acute coronary syndrome, and had 2 DES implantation at left main (LM) to proximal left anterior descendent (LAD) artery and mid LAD. Two month after PCI he felt near syncope with bradycardia. Evaluation with ambulatory EKG was performed with result of SND, and correction of reversible cause related to SND already done. Eventually, symptom still exist and PPM insertion was decided to perform.Conclusion: Patients with SND and CAD have a higher risk of complications and death. Correction of reversible factors, one of which is CAD, can be done as an initial step in the treatment of SND. When symptomatic signs still appear after correction of reversible causes, PPM implantation is the modality of choice in management.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2022-11-14</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1337</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2022.003.04.6</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 3 No. 4 (2022): Prevention, Screening dan Rehabilitation : The Back Bone of Quality Care Improvement in CVD Management; 29-34</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2022.003.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1337/245</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Aloysius Yuwono Suprapta</dc:rights>
</oai_dc:dc>