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"Apply the latest percutaneous techniques with the practical, highly illustrated Interventional Procedures for Structural Heart Disease. This brand-new medical reference book presents full-color images, numerous tables, and invaluable clinical pearls to help you utilize today's hottest techniques and technologies for each disease, so you can offer your patients the most desirable outcomes possible. Master today's hottest percutaneous procedures for structural heart disease as perfected by experts from around the world, including transcatheter aortic valve replacement (TAVR), percutaneous paravalvular leak closure, transcatheter mitral valve interventions, a wide variety of adult congenital cardiovascular defect interventions, and more. Grasp the specific knowledge you will need for success in a variety of clinical scenarios, as well as the patient selection criteria for each invasive procedure. Make informed, evidence-based decisions with the latest clinical trial results and evidence integrated into each chapter. Visualize the newest techniques and technologies more clearly through a full-color design featuring illustrations, tables, clinical pearls, complications, and current evidence boxes."

"Percutaneous and coronary interventions, used to treat narrow arteries of the heart caused by/found in those with coronary heart disease. This book is a detailed guide for performing percutaneous procedures and it covers in-depth the procedures that cardiologists and interested specialists must be aware of in order to use the devices proficiently."

"Redo cardiac surgeries are challenging cases with a myriad of influential factors, ranging from the patient's pathology to the whimsy of the previous surgeon. Redo Cardiac Surgery in Adults, 2nd Edition clearly outlines practical approaches, surgical techniques, and management of associated conditions such as perioperative stroke and acute kidney function. It covers the spectrum of redo cardiac operations, including coronary artery bypass, mitral valve repair, reoperation for prosthetic mitral valve endocarditis, aortic arch reoperation, descending and thoracoabdominal aortic reoperation, and reoperations following endovascular aortic repair. All redo cardiac surgeries present a complex array of challenges beyond what the original procedure demands. "

"Suitable for the resident, fellow, practicing cardiologist, or nurse-practitioner treating patients with cardiovascular disease, this book features practical and effective approaches to common clinical syndromes - including clear guidance on administration of commonly prescribed medications and descriptions of proven therapeutic procedures."

"Pendahuluan: Cidera ginjal akut akibat kontras radiografi yang sering disebut sebagai Contrast-induced nephropathy (CIN) telah menjadi sumber morbiditas dan mortalitas di rumah sakit dengan terus meningkatnya penggunaan media kontras iodinasi dalam pencitraan diagnostik dan prosedur intervensi seperti angiografi pada pasien berisiko tinggi (mencapai 50%) pada 10 sampai 15 tahun terakhir. Terjadi dapat dalam 2 sampai 5 hari setelah tindakan. Metodologi: Sebanyak 101 pasien elektif untuk tindakan kateterisasi jantung diambil dalam studi eksperimental ini dengan metode consecutive sampling, mulai bulan Agustus hingga November 2013. Sampel penelitian dibagi menjadi dua kelompok metode hidrasi yaitu metode hidrasi LVEDP dan metode hidrasi standar. Diagnosis cidera ginjal akut akibat kontras ditegakkan berdasarkan kenaikan kadar serum kreatinin sebesar 0.5 mg/dL atau 25% dalam 3 hari setelah tindakan. Hasil: Dalam studi kami, terdapat 5 orang mengalami cidera ginjal akut akibat kontras, 3 orang (5.7%) dari metode hidrasi LVEDP dan 2 orang (4.2%) dari metode hidrasi standar. Secara statistik angka kejadian cidera ginjal akut pada dua kelompok tidak berbeda bermakna dengan nilai p=0.731. Setelah melalui uji regresi multivariat terhadap variabel-variabel yang dapat mempengaruhi didapatkan nilai odds rasio metode hidrasi LVEDP sebesar 3.6 (95% CI 0.4 - 31.3) terhadap metode hidrasi standar. Kesimpulan: Angka kejadian cidera ginjal akut akibat kontras radiografi antara metode LVEDP dan metode standar tidak berbeda bermakna secara statistik tetapi tampaknya metode LVEDP memiliki kecenderungan meningkatkan risiko untuk terjadi cidera ginjal akut sebesar 3.6 kali dibandingkan dengan metode standar yang digunakan di Rumah Sakit Pusat Jantung Nasional Harapan Kita.

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Background: Contrast Induced Nephropathy (CIN) remains a major problem because of the use of iodinated contrast media in heart catheterization is increasing. Incidence of CIN among high-risk patients is up to 50%. Intravenous hydration with normal saline before and after cardiac catheterization is the most effective methods to prevent this problem, but the hydration rate, duration and total hydration amount is still a question. By using Left Ventricular End Diastolic Pressure (LVEDP) data, we could adjust the hydration according to the needs of each patient.

Methods: A total of 101 high-risk patients (estimated Glomerular Filtration Rate by Cockroft-Gault <60mL/min/1.73m2) who undergoes elective heart catheterization were included in this study from August to November 2013 at the Cardiovascular Hospital Harapan Kita Jakarta. Samples were divided into two groups of hydration methods (standard and LVEDP based) by consecutive sampling methods. CIN is diagnosed by absolute rise of > 0.5% mg/dL or 25% increase of serum creatinine from baseline within 3 days after procedures.

Results: There were total of 5 patients who experienced CIN, 3 (5.7%) patients from LVEDP hydration method and 2 (4.2%) patients from standard hydration method. Statistically, the incidence of CIN between two groups was not significant with p=0.731. After a multivariate regression analysis, the odd ratio of LVEDP hydration method is 3.6 (95% confident interval of 0.4 - 31.3).

Conclusion: There is no statistically significant difference incidence of CIN between LVEDP hydration method and standard hydration methods, but LVEDP hydration method seems tend to increase the risk of CIN."

"Intracoronary thrombosis plays an important role in the pathogenesis of acute coronary syndrome. It occurs due to a rupture of an atherosclerotic plaque, which may be spontaneous, as in the case of acute coronary syndrome, or due to procedures such as percutaneous intervention (PCI). Atherosclerotic plaque rupture causes exposure of thrombogenic subendothelial components and initiates platelet aggregation, which then initiates the coagulation cascade. In stable angina, the formation of platelet thrombus is the most important tiling to occur on plaque progressiveness as a result of rupture and episodic formation of thrombi.' Arterial thrombi contain many platelets. Anti-platelet agents are greatly beneficial in acute and chronic coronary heart disease. This paper discusses the use of anti-platelet agents in coronary heart disease."

"Latar belakang : Infeksi daerah operasi (IDO) merupakan salah satu infeksi terkait perawatan di rumah sakit, dan meningkatkan morbiditas, mortalitas dan biaya perawatan di rumah sakit. IDO pasca operasi jantung masih merupakan masalah serius. Prevalensi IDO pasca operasi jantung berkisar 0,25 sampai 6%. Banyak faktor risiko yang dapat meningkatkan kejadian IDO. Baik faktor risiko pre-operatif, peri-operatif, intra-operatif maupun pasca-operatif. Faktor usia, status nutrisi, tindakan transfusi, lama rawat inap sebelum dilakukan tindakan dan ketepatan pemberian antibiotik profilaksis dapat menjadi faktor risiko yang memengaruhi kejadian IDO paska operasi jantung.Tujuan : Mengetahui faktor-faktor risiko yang meningkatkan kejadian IDO operasi jantung anak dan kesintasan pada anak.Metode : Penelitian kohort retrospektif dengan rancangan penelitian potong lintang yang mengalami IDO pada operasi jantung di RSCM. Data penelitian diambil dari rekam medis. Data yang dikumpulkan adalah usia, status nutrisi, tindakan transfusi, lama rawat inap pasien sebelum dilakukan tindakan operasi dan ketepatan pemberian antibiotik profilaksis terhadap kejadian IDO pasca operasi jantung. Data tersebut kemudian dianalisis dengan analisis univariat, bivariat dan analisis multivariat.Hasil : Jumlah subyek yang direkrut sebesar 360 subyek, prevalensi IDO sebesar 13,8%. Faktor risiko usia tidak memengaruhi kejadian IDO dengan p=0,178 RR 0,54(0,217-1,327) pada kelompok umur 0-1 tahun, p=0,415 RR 0,72(0,331 – 1,578) pada kelompok usia 1-5 tahun dan p=0,205 RR 0,27(0,035 – 2,052) pada kelompok usia 5 – 10 tahun. Status nutrisi tidak memengaruhi kejadian IDO dengan p= 0,287 RR0,75(0,436-1,278). Lama rawat inap sebelum tindakan operasi tidak memengaruhi kejadian IDO dengan p=0,324 RR 0,772 (0,662-1,292). Ketepatan pemberian antibiotik profilaksis tidak memengaruhi kejadian IDO p=0,819 RR 1,011(0,918-1,114).Simpulan : Faktor risiko usia, status nutrisi, lama rawat inap sebelum tindakan, ketepatan antibiotik profilaksis tidak memengaruhi kejadian IDO pada operasi jantung anak.

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Background : Surgical site infection (SSI) is one of the hospital associated infections, and increases morbidity, mortality and hospital care costs. SSI Post cardiac surgery is still a serious problem. The prevalence of SSI post cardiac surgery ranges from 0.25 to 6%. Many risk faktors can increase the incidence of IDO. Faktors such as age, nutritional status, transfusion , length of hospitalization before surgery and accuracy of prophylactic antibiotik administration can be risk faktors that affect the incidence of IDO after cardiac surgery.

Aime : to investigate the risk faktors in pediatric cardiac surgery that will increase the incidence of SSI and to improve the survival of the child after cardiac surgery.

Method : Retrospective cohort study with cross-sectional research design that undergoes Surgical site infection in cardiac surgery at RSCM. The research data is taken from medical records. The data collected are age, nutritional status, transfusion procedure, length of hospitalization of the patient before surgery and accuracy of prophylactic antibiotik administration against the incidence of postoperative SSI cardiac surgery. The data were then analyzed by univariate, bivariate and multivariate analysis.Result : The number of subjects recruited was 360 subjects, the prevalence of SSI was 13.8%. Age risk factors did not affect the incidence of SSI with p=0.178 RR 0.54(0.217-1.327) in the age group 0-1 years, p=0.415 RR 0.72(0.331 – 1.578) in the age group 1-5 years and p=0.205 RR 0.27(0.035 – 2.052) in the age group 5 – 10 years. Nutrient status does not affect the incidence of SSI with p= 0.287 RR0.75(0.436-1.278). The length of hospitalization prior to surgery did not affect the incidence of SSI with p=0.324 RR 0.772 (0.662-1.292). The accuracy of prophylactic antibiotik administration did not affect the incidence of IDO p=0.819 RR 1.011(0.918-1.114).

Conclusion : risk faktors such as Age, nutritional status, length of hospitalization before treatment, accuracy of prophylactic antibiotiks do not affect the incidence of IDO in pediatric cardiac surgery."