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Diagnostic Test for Estimation of Plasma Volume on Assessment of Congestive Status in Acute Heart Failure Patients at Saiful Anwar General Hospital

Heart Science Journal · Vol. 4 No. 4 (2023)

DOI
10.21776/ub.hsj.2023.004.04.3
ISSN
2721-9984, 2721-9976
Terbit
2023-10-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BackgroundHeart failure is a severe health issue with high death and morbidity rates globally, including in Indonesia. Congestion is the main symptom of acute heart failure. B-type natriuretic peptide (BNP) and N-terminal pro-B-type natriuretic peptide (NT-pro BNP) are well-known markers to confirm the condition. Plasma volume estimation (ePVS)is one of the procedures currently being developed to assess a patient's congestive status at a lower cost. MethodsThis is descriptive observational research with a cross-sectional study method that included all patients with acute heart failure between May 2019-February 2022. Baseline characteristics, medication history, and echocardiography were also included in the statistical analysis. We used univariate and multivariate analysis to assess the effect of each variable on the patient's congestive condition. A diagnostic test of plasma volume estimation was carried out using Receiver Operating Characteristics (ROC) Analysis compared to NT pro-BNP as the gold standard.   Results A total of 506 subjects were diagnosed with acute heart failure at Dr. Saiful Anwar Malang Hospital, who met the inclusion and exclusion criteria. The mean age was older in congestive patients with 62.5% being male. Patients with congestive conditions have a lower ejection fraction with a higher estimated right atrial pressure from echocardiography. The estimation plasma volume status was also higher in congestive conditions (6,90 vs 3,5). The ePVS from ROC analysis has a good diagnostic value with a sensitivity of 91, 7% and specificity of 92,6%. ConclusionThe estimation of plasma volume status has a good sensitivity and specificity value to assess congestive status in patients with acute heart failure who are fluid-overloaded.Â

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
  • Afiliasi tidak diketahui
  • Organisasi berbeda
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  • Afiliasi tidak diketahui
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Rekan penulisOrganisasiArtikel bersama
Anna Fuji RahimahUniversity of Brawijaya39
Setyasih AnjarwaniUniversity of Brawijaya39
Ardian RizalUniversity of Brawijaya38
Cholid Tri TjahjonoUniversity of Brawijaya37
Budi SatrijoUniversity of Brawijaya31
Heny MartiniUniversity of Brawijaya25
Sasmojo WiditoUniversity of Brawijaya23
Djanggan SargowoUniversity of Brawijaya22
Yoga WaranugrahaUniversity of Brawijaya10
Adhika Prastya WikanandaUniversity of Brawijaya8
Wella KarolinaUniversity of Brawijaya8
Putri Annisa KamilaUniversity of Brawijaya7
Seprian WidasmaraUniversity of Brawijaya7
Hayla Iqda MillisaniUniversity of Brawijaya6
Muhammad Rizki FadlanUniversity of Brawijaya5
Valerinna YogibuanaAfiliasi tidak diketahui5
Nikhen NoverikeUniversity of Brawijaya5
Tria Yudha NugrahaUniversity of Brawijaya4
Fandy HazzyUniversity of Brawijaya4
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang4
Anna Fuji RahimahAfiliasi tidak diketahui4
Ratna PancasariUniversity of Brawijaya4
Ayu Asri Devi AdityawatiUniversity of Brawijaya4
Ira Vori NugrohoUniversity of Brawijaya4
Lutfi Hafiz ZunardiUniversity of Brawijaya4
Fahreza CaesarioUniversity of Brawijaya4
Mokhamad Aswin BaharUniversity of Brawijaya4
Dea Arie KurniawanUniversity of Brawijaya4
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya4
Dadang HendrawanUniversity of Brawijaya3
Sawitri SatwikajatiUniversity of Brawijaya3
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Nisa Amnifolia NiaztaUniversity of Brawijaya3
Zhafran VeliawanUniversity of Brawijaya3

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) 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">Diagnostic Test for Estimation of Plasma Volume on Assessment of Congestive Status in Acute Heart Failure Patients at Saiful Anwar General Hospital</dc:title>
	<dc:creator xml:lang="en">Pamuna, Oktafin Srywati</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:creator xml:lang="en">Astiawati, Tri</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:subject xml:lang="en">acute heart failure</dc:subject>
	<dc:subject xml:lang="en">congestive</dc:subject>
	<dc:subject xml:lang="en">plasma volume status</dc:subject>
	<dc:description xml:lang="en">BackgroundHeart failure is a severe health issue with high death and morbidity rates globally, including in Indonesia. Congestion is the main symptom of acute heart failure. B-type natriuretic peptide (BNP) and N-terminal pro-B-type natriuretic peptide (NT-pro BNP) are well-known markers to confirm the condition. Plasma volume estimation (ePVS)is one of the procedures currently being developed to assess a patient's congestive status at a lower cost. MethodsThis is descriptive observational research with a cross-sectional study method that included all patients with acute heart failure between May 2019-February 2022. Baseline characteristics, medication history, and echocardiography were also included in the statistical analysis. We used univariate and multivariate analysis to assess the effect of each variable on the patient's congestive condition. A diagnostic test of plasma volume estimation was carried out using Receiver Operating Characteristics (ROC) Analysis compared to NT pro-BNP as the gold standard.   Results A total of 506 subjects were diagnosed with acute heart failure at Dr. Saiful Anwar Malang Hospital, who met the inclusion and exclusion criteria. The mean age was older in congestive patients with 62.5% being male. Patients with congestive conditions have a lower ejection fraction with a higher estimated right atrial pressure from echocardiography. The estimation plasma volume status was also higher in congestive conditions (6,90 vs 3,5). The ePVS from ROC analysis has a good diagnostic value with a sensitivity of 91, 7% and specificity of 92,6%. ConclusionThe estimation of plasma volume status has a good sensitivity and specificity value to assess congestive status in patients with acute heart failure who are fluid-overloaded. </dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-10-01</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/13508</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.04.3</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 4 (2023): The Science and Art of Caring for Critically III Patients in Intensive Cardiac Care Unit ICCU; 8--12</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/13508/374</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Oktafin Srywati Pamuna, Indra Prasetya, Tri Astiawati, Mohammad Saifur Rohman, Novi Kurnianingsih</dc:rights>
</oai_dc:dc>