Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 156888 dokumen yang sesuai dengan query
cover
Ulaan, Julio
Ekspresi mRNA B-type Natriuretic Peptide, Natriuretic Peptide Receptor Type-A dan Type-C pada miosit jantung penderita obesitas = The MRNA expression of B-type Natriuretic Peptide, Natriuretic Peptide Receptor Type-A and Type-C in cardiomyocytes of obese population
"ABSTRAK
Latar Belakang:
Obesitas merupakan salah satu masalah kesehatan utama yang banyak ditemukan
di negara maju maupun negara berkembang. Obesitas menjadi salah satu faktor
risiko timbulnya penyakit kardiovaskular. Diketahui bahwa populasi obesitas
memiliki kadar plasma BNP yang rendah dibanding kelompok normal. BNP
adalah suatu hormon yang disintesis oleh miosit atrium yang berperan dalam
meregulasi hemodinamik tubuh. Selain itu BNP memiliki efek anti fibrosis dan
anti hipertrofi pada jantung. Dipikirkan bahwa adanya gangguan sintesis BNP di
miosit jantung sebagai salah satu penyebab. Maka, penelitian ini bertujuan untuk
melihat profil ekspresi mRNA BNP, NPR-A dan NPR-C pada populasi obesitas.
Metode:
Studi potong lintang dilakukan di Rumah Sakit Jantung dan Pembuluh Darah
Harapan Kita (RSJPDHK). Jaringan miosit tersimpan yang sudah dilakukan
ekstraksi RNA dibagi menjadi 2 kelompok berdasarkan IMT, kelompok obesitas
(IMT ≥27) dan kelompok normal (IMT <27) dan sesuai kriteria inklusi dan
eksklusi. RNA kedua kelompok dilakukan sintesis cDNA, ekstraksi protein dan
Real-Time PCR untuk mendapatkan mean ΔCt. Kemudian dilakukan
penghitungan menggunakan metode Livak untuk mendapatkan nilai ekspresi
relatif mRNA. Data kemudian di analisis statistik menggunakan SPSS 20.
Hasil Penelitian:
Sebanyak 48 pasien diikutsertakan dalam penelitian ini dengan jumlah kelompok
normal 34 orang dan kelompok obesitas 14 orang. Hasil ekspresi mRNA BNP,
NPR-A dan NPR-C lebih rendah pada kelompok obesitas dibanding kelompok
normal. Namun, tidak didapatkan perbedaan bermakna ekspresi mRNA BNP (p
0,768), NPR-A (p 0,838) dan NPR-C (p 0,768) antara kelompok obesitas
dibanding kelompok normal.
Kesimpulan:
Penelitian ini tidak menemukan perbedaan ekspresi mRNA BNP, NPR-A dan NPR-C yang bermakna antara kelompok obesitas dengan kelompok normal.
ABSTRACT
Background:
Obesity is presenting as a significant health problem across the world. Obesity is a
risk factor for cardiovascular diseases. The plasma level of B-type natriuretic
peptide (BNP) has been identified to be lower in obese people compare to normal.
As we know, BNP is one of the cardiac hormones synthesized by atrial myocyte
that plays a role in hemodynamic regulations. In addition, BNP exerts its anti
fibrotic and anti hypertrophic effects in the heart. It has been hypothesized that
one of the possible mechanism responsible for this inverse relationship is the
impaired synthesize of BNP by cardiomyocytes. Therefore, the aim of our study is
to evaluate the mRNA expression profile of BNP, Natriuretic peptide receptor
type-A (NPR-A) and Natriuretic peptide receptor type-C (NPR-C) in
cardiomyocytes of obese population.
Method:
A cross-sectional study was conducted in Rumah Sakit Jantung dan Pembuluh
Darah Harapan Kita (RSJPDHK). Cardiomyocytes that have been performed the
RNA extraction proses were divided into 2 groups, Obese group (BMI ≥27) and
Normal group (BMI <27), according to BMI and inclusion and exclusion criteria.
Synthesize cDNA, protein extraction and Real-Time PCR were performed in
order to have the mean of ΔCt. Livak method was used to determine the relative
expression mRNA value. SPSS 20 for Windows was used for the purpose of
statistical analyses.
Results:
48 patients were included in this study that consist of 34 patients in normal group
and 14 patients in obese group. The mRNA expression of BNP, NPR-A and NPRC
were
lower in obese group compared to normal group. However, there was no
significant difference between groups.
Conclusion:
In conclusion, there is no significant difference of mRNA expression of BNP, NPR-A and NPR-C between obese and normal group.;Background:
Obesity is presenting as a significant health problem across the world. Obesity is a
risk factor for cardiovascular diseases. The plasma level of B-type natriuretic
peptide (BNP) has been identified to be lower in obese people compare to normal.
As we know, BNP is one of the cardiac hormones synthesized by atrial myocyte
that plays a role in hemodynamic regulations. In addition, BNP exerts its anti
fibrotic and anti hypertrophic effects in the heart. It has been hypothesized that
one of the possible mechanism responsible for this inverse relationship is the
impaired synthesize of BNP by cardiomyocytes. Therefore, the aim of our study is
to evaluate the mRNA expression profile of BNP, Natriuretic peptide receptor
type-A (NPR-A) and Natriuretic peptide receptor type-C (NPR-C) in
cardiomyocytes of obese population.
Method:
A cross-sectional study was conducted in Rumah Sakit Jantung dan Pembuluh
Darah Harapan Kita (RSJPDHK). Cardiomyocytes that have been performed the
RNA extraction proses were divided into 2 groups, Obese group (BMI ≥27) and
Normal group (BMI <27), according to BMI and inclusion and exclusion criteria.
Synthesize cDNA, protein extraction and Real-Time PCR were performed in
order to have the mean of ΔCt. Livak method was used to determine the relative
expression mRNA value. SPSS 20 for Windows was used for the purpose of
statistical analyses.
Results:
48 patients were included in this study that consist of 34 patients in normal group
and 14 patients in obese group. The mRNA expression of BNP, NPR-A and NPRC
were
lower in obese group compared to normal group. However, there was no
significant difference between groups.
Conclusion:
In conclusion, there is no significant difference of mRNA expression of BNP, NPR-A and NPR-C between obese and normal group.
"
2015
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Muhammad Danasha Utomo
N-terminal pro-B-type natriuretic peptide: referensi nilai plasma pada anak dengan atau tanpa penyakit jantung bawaan = N-terminal pro-B-type natriuretic peptide: reference plasma levels from children with or without congenital heart disease / Muhammad Danasha Utomo
"B-type natriuretic peptide(BNP), merupakan suatu bagian dari keluarga peptida natriuretik yang diproduksi oleh kardiak miosit dan disekreksi ke sirkulasi dalam merespon adanya peningkatan volume intrakardiakyangmenyebabkan diuresis, natriuresis dan vasodilatasi, juga menghambat sistem renin-angiotensin- aldosteron dan aktivitas simpatik. Anak dengan kelainan jantung bawaan akan terjadi peningkatan volumedan tekanan intrakardiaak yang signifikan sehingga diikuti peningkatan NT-proBNPdi sirkulasi.NilaiNT-proBNP akan meningkat pada awal kehidupan dan mulai turun secara drastissetelahnya.Malnutrisi merupakan penyebab morbiditas yang utama pada anak dengan penyakit jantung bawaan.
Penelitian cross sectional observasional dengan jumlah 80 subjek yang memenuhi kriteria inklusi dan eksklusi yang akan menjalani operasi bedah jantung terbuka di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita dan yang akan menjalani pemeriksaan darah rutin dan direncanakan operasidi Rumah Sakit Ibu dan Anak Harapan kita pada bulan Februari - Mei 2019. Data pasien berupa data karakteristik demografis (usia, jenis kelamin, berat badandan tinggi badan) dan diagnostik pasien dicatat. Kadar NT-proBNP akan diambil prabedah. Analisis data menggunakan uji Mann-Whitney.
Data nilai NT-proBNP pada pasien tanpa penyakit jantung bawaan sesuai rentang usia > 1bulan - <1 tahun dengan nilai tengah 142,5 pg/mL ( 49-935 pg/mL), >1 tahun - £2 tahun dengan nilai tengah 142 pg/mL ( 44-545 pg/mL) dan >2 tahun - £7 dengan nilai tengah 70 pg/mL ( 14-1440 pg/mL). Sedangkan nilai NT-pro BNP pasien dengan penyakit jantung bawaan dengan nilai tengah 2558, nilai terendah 426 pg/mL dan nilai tertinggi 33166 pg/mL. Hasilnya terdapat perbedaan bermakna (p = 0,001) nilai NT-pro BNP pada pasien tanpa penyakit jantung bawaan dan pasien dengan penyakit jantung bawaan.
Terjadi peningkatan nilai tengah kadar NT-pro BNP > 20 kali antara anak tanpa penyakit jantung bawaan dan anak dengan penyakit jantung bawaan.Terdapat perbedaan yang bermakna kadar NT-pro BNP pada subjek tanpa penyakit jantung bawaan dan dengan penyakit jantung bawaan. Terjadi peningkatan kadar NT- pro BNP pada bayi baru lahir dan akan menurun seiring bertambah nya usia. Proporsi gangguan status gizi pada pasien dengan penyakit jantung bawaan mengalami peningkatan.
B-type natriuretic peptide (BNP), a member of the natriuretic peptide family, is produced in cardiac myocytes and secreted into circulation in response to cardiac volume load, that causing diuresis, natriuresis and vasodilatation, as well as inhibition of the renin-aldosteron system and sympathetic activity. Children with heart disease caused increase pressure and cardiac volume followed by elevated NT-proBNP in circulation. NT-proBNP levels were significantly elevated in the first days of life and gradually decresed into normal level in child without heart disease. Malnutrition was the cause of morbidity for child with congenital heart disease.
We conducted a cross-sectional trial on 80 subjects who are fulfilled our study criteria. The study was performed at the National Cardiovascular Centre Harapan Kita and Mother and Child Hospital Harapan Kita Indonesia, in the period of February-Mei 2019. Subjects demographic data (age, gender, weight and height) and diagnoastic data were recorded. Levels of NT-proBNP were acquired presurgically. We utilized Mann - Whitney test to analysed the data.
NT-ProBNP levels data was observed from child without heart disease based on interval of age> 1month -£1 year with median value 142,5 pg/mL ( 49-935 pg/mL), >1 month -£2 year with median value 142 pg/mL ( 44-545 pg/mL) and >2 year - £7 year with median value 70 pg/ml ( 14-1440 pg/mL). Whereas NT-proBNP levels from child with heart disease median value 2558 pg/mL, minimum levels 426 pg/mL and maximum levels 33166 pg/ml. Statistically significant was observed (p=0,001) between NT-proBNP level of child without heart disease and child with heart disease.
There were 20 x times significantly increase levels of NT-proBNP of child with heart disease. There was statistically significant of levels NT-proBNP between child without heart disease and with heart disease. Study show high levels of NT-proBNP immediately after birth and gradually decline during childhood. The proportion of undernourished of child with congenital heart disease showed higher."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T57638
UI - Tesis Membership  Universitas Indonesia Library
cover
Mariyalqibtiyah
Efek ekstrak metanol Hibiscus Sabdariffa Linn. terhadap indeks hipertrofi, kadar Brain-Type Natriuretic Peptide (BNP) dan Ppar? Co-Activator-1 (PGC-1) pada jantung tikus dengan overtraining = Effect Methanolic Extract of Hibiscus Sabdariffa Linn. on Hypertrophy Index, Brain-Type Natriuretic Peptide (BNP) and Pparγ Co-Activator-1α (PGC-1α) Level in Overtrained Rat Heart;Analisis Penambatan Molekul dan Optimasi Penapisan Virtual Berbasis Farmakofor Senyawa Turunan Tetralin Sulfonamida sebagai Inhibitor DPP-4 = Molecular Docking Analysis and Optimization of Pharmacophore Based Virtual Screening of Tetralin Sulfonamide Derivative Compounds as DPP-4 Inhibitors;Analisis Penambatan Molekul dan Optimasi Penapisan Virtual Berbasis Farmakofor Senyawa Turunan Tetralin Sulfonamida sebagai Inhibitor DPP-4 = Molecular Docking Analysis and Optimization of Pharmacophore Based Virtual Screening of Tetralin Sulfonamide Derivative Compounds as DPP-4 Inhibitors
"

Pada overtraining, adaptasi fisiologis menjadi tertunda atau bahkan menghasilkan suatu adaptasi yang patologis, salah satunya efek pada sistem kardiovaskuler. Penelitian ini bertujuan menilai pengaruh overtraining dan efek pemberian H. Sabdariffa L (HSL) pada kondisi overtraining terhadap indeks hipertrofi, kadar BNP dan PGC-1α jantung tikus. Penelitian ini menggunakan 25 ekor tikus jantan dewasa strain Wistar (Rattus-norvegicus), yang dibagi secara acak menjadi lima kelompok, yaitu kelompok kontrol yang diberi perlakuan placebo (K), kelompok kontrol yang diberi HSL 500mg/kgBB/hari (K-Hib), kelompok tikus dengan latihan aerobik (A), kelompok tikus dengan latihan fisik dengan kondisi overtraining (OT), serta kelompok tikus dengan latihan fisik dengan kondisi overtraining dan HSL 500mg/kgBB/hari (OT-Hib). Perlakuan dilakukan lima kali seminggu, selama 11 minggu. Indeks hipertrofi ditentukan dengan menghitung rasio berat jantung/berat badan, berat ventrikel/berat badan, dan berat ventrikel kiri/berat badan. Kadar BNP dan PGC-1α diukur menggunakan metode ELISA. Hasil penelitian didapatkan kelompok overtraining memiliki indeks hipertrofi dan kadar BNP jantung yang lebih tinggi, serta kadar PGC-1α jantung yang lebih rendah dibandingkan kelompok kontrol dan aerobik. Pemberian HSL pada kondisi overtraining cenderung mencegah penurunan indeks hipertrofi dan kadar BNP jantung tikus, meskipun tidak meningkatkan kadar PGC-1α jantung. Kondisi overtraining mengarahkan adaptasi jantung ke arah patologis dan tidak tertutup kemungkinan bahwa HSL memiliki potensi untuk mencegah terjadinya hipertrofi patologis.

 

Kata kunci: overtraining, H. Sabdariffa L, indeks hipertrofi, BNP, PGC-1α

Overtraining causes physiological adaptation becomes delayed or even produces a pathological adaptation, one of which is the effect on the cardiovascular system. The aims of this study are to elucidate the effect of overtraining and administration of H. Sabdariffa L (HSL) in overtraining condition on the hypertrophy index, levels of BNP and PGC-1α in the rats' hearts. This study used 25 Wistar (Rattus norvegicus) adult male rats, which were divided randomly into five groups, namely the control group given placebo treatment (K), the control group given HSL 500mg/kgBW/day (K -Hib), groups of rats with aerobic exercise (A), groups of rats with overtraining physical exercise (OT), and groups of rats with physical exercise overtraining and HSL 500mg/kgBB/day (OT-Hib). Treatment is done five times a week, for 11 weeks. Hypertrophy index is determined by calculated the ratio of heart weight/body-weight, ventricular weigh/body-weight, left ventricular weight/body-weight). BNP and PGC-1α levels were measured using the ELISA method. The results of this study showed that overtraining increased the hypertrophy index and heart BNP levels while reducing the levels of PGC-1α of rats compared to the control and aerobic groups. HSL administration tended to decrease the hypertrophy index and BNP levels although not increase the levels of PGC-1α in overtraining condition. Overtraining condition tend to the heart adaptation to the pathological direction and it is possible that HSL has potency to prevent pathological hypertrophy.

 

Keywords: overtraining, H. Sabdariffa L, hypertrophy index, BNP, PGC-1α

;

Diabetes mellitus merupakan penyakit yang belum dapat disembuhkan secara total, sehingga pengidap penyakit diabetes diharuskan menjalani pengobatan seumur hidup. Hal tersebut tentu akan menimbulkan efek samping bagi pasien yang menjalani pengobatan diabetes. Salah satu golongan obat antidiabetes adalah inhibitor dipeptidil peptidase-4 (DPP-4) yang bekerja dengan cara menghambat inaktivasi glucose like peptide (GLP-1). Golongan obat penghambat DPP-4 memiliki kemajuan yang pesat dalam perannya sebagai obat anti diabetes, namun variasi dari obat penghambat DPP-4 masih sedikit. Hal tersebut merupakan peluang untuk menemukan senyawa yang dapat berfungsi sebagai obat antidiabetes dengan golongan penghambat DPP-4. Pada penelitian ini dilakukan analisis interaksi senyawa turunan tetralin sulfonamida dengan makromolekul DPP-4 menggunakan program AutoDock. Selanjutnya dilakukan pencarian fitur farmakofor menggunakan program LigandScout untuk dijadikan training set yang digunakan untuk penapisan virtual berbasis farmakofor. Penapisan virtual ini divalidasi menggunakan test set yang disediakan oleh situs basis data DUD-E dengan 1.075 senyawa aktif 41.317 senyawa pengecoh. Hasil yang didapatkan adalah empat (4) dari delapan belas (18) senyawa turunan tetralin sulfonamida yang diuji, memiliki interaksi dengan triad katalitik dari makromolekul DPP-4 yaitu Ser630, Glu205, dan Glu206. Selain interaksi senyawa turunan tetralin sulfonamida dengan DPP-4, diperoleh sepuluh (10) model farmakofor dengan nilai tertinggi adalah 0,9692. Validasi tersebut menghasilkan nilai EF1% = 0,4 ; EF5% = 0,5 ; dan AUC100% = 0,45. Dapat disimpulkan bahwa beberapa senyawa turunan tetralin sulfonamida memiliki potensi sebagai inhibitor DPP-4 dilihat dari interaksi yang dihasilkan, akan tetapi belum didapatkan fitur farmakofor untuk penapisan virtual berbasis farmakofor.

Diabetes mellitus is a disease that cannot be completely cured, people with diabetes are required to have lifelong treatment. This will cause some side effects for patients undergoing diabetes treatment. One class of anti-diabetes drugs is a dipeptidyl peptidase-4 (DPP-4) inhibitor that works by inhibiting inactivation of glucose like peptide (GLP-1). DPP-4 inhibitor group has a rapid progress in its role as an anti-diabetic drug, but there is only a few variation of DPP-4 inhibitor drugs. This is an opportunity to find compounds that can function as antidiabetic drugs with DPP-4 inhibitors.This study aims to determine the interaction of tetralin sulfonamide derivative compounds with the DPP-4 macromolecule and find candidate compounds that are expected to have potential as anti-diabetic drugs with DPP-4 inhibitors. The process of analyzing the interaction of tetralin sulfonamide derivative compounds begins with docking of these compounds into the DPP-4 macromolecule using AutoDock. Furthermore, the discovery of pharmacophore feature was carried out using the LigandScout. This feature then was used for training set in ligand based virtual screening. This virtual screening was validated using a test set provided by the DUD-E database with 1,075 active compounds 41,317 decoys compounds. The results obtained four (4) of eighteen (18) tetraline sulfonamide derivative compounds, having interactions with catalytic triads of DPP-4 macromolecules namely Ser630, Glu205, and Glu206. In addition to the interaction of tetralin sulfonamide derivative compounds with DPP-4, ten (10) pharmacophore models were obtained with the best value being 0.9692. The validation produces an EF1% value = 0.4; EF5% = 0.5; and AUC100% = 0.45. It can be concluded that some tetralin sulfonamide derivative compounds have potential as DPP-4 inhibitors seen from the interactions produced, but the pharmacophore feature for ligand based virtual screening have not been obtained.

;

Diabetes mellitus merupakan penyakit yang belum dapat disembuhkan secara total, sehingga pengidap penyakit diabetes diharuskan menjalani pengobatan seumur hidup. Hal tersebut tentu akan menimbulkan efek samping bagi pasien yang menjalani pengobatan diabetes. Salah satu golongan obat antidiabetes adalah inhibitor dipeptidil peptidase-4 (DPP-4) yang bekerja dengan cara menghambat inaktivasi glucose like peptide (GLP-1). Golongan obat penghambat DPP-4 memiliki kemajuan yang pesat dalam perannya sebagai obat anti diabetes, namun variasi dari obat penghambat DPP-4 masih sedikit. Hal tersebut merupakan peluang untuk menemukan senyawa yang dapat berfungsi sebagai obat antidiabetes dengan golongan penghambat DPP-4. Pada penelitian ini dilakukan analisis interaksi senyawa turunan tetralin sulfonamida dengan makromolekul DPP-4 menggunakan program AutoDock. Selanjutnya dilakukan pencarian fitur farmakofor menggunakan program LigandScout untuk dijadikan training set yang digunakan untuk penapisan virtual berbasis farmakofor. Penapisan virtual ini divalidasi menggunakan test set yang disediakan oleh situs basis data DUD-E dengan 1.075 senyawa aktif 41.317 senyawa pengecoh. Hasil yang didapatkan adalah empat (4) dari delapan belas (18) senyawa turunan tetralin sulfonamida yang diuji, memiliki interaksi dengan triad katalitik dari makromolekul DPP-4 yaitu Ser630, Glu205, dan Glu206. Selain interaksi senyawa turunan tetralin sulfonamida dengan DPP-4, diperoleh sepuluh (10) model farmakofor dengan nilai tertinggi adalah 0,9692. Validasi tersebut menghasilkan nilai EF1% = 0,4 ; EF5% = 0,5 ; dan AUC100% = 0,45. Dapat disimpulkan bahwa beberapa senyawa turunan tetralin sulfonamida memiliki potensi sebagai inhibitor DPP-4 dilihat dari interaksi yang dihasilkan, akan tetapi belum didapatkan fitur farmakofor untuk penapisan virtual berbasis farmakofor.

Diabetes mellitus is a disease that cannot be completely cured, people with diabetes are required to have lifelong treatment. This will cause some side effects for patients undergoing diabetes treatment. One class of anti-diabetes drugs is a dipeptidyl peptidase-4 (DPP-4) inhibitor that works by inhibiting inactivation of glucose like peptide (GLP-1). DPP-4 inhibitor group has a rapid progress in its role as an anti-diabetic drug, but there is only a few variation of DPP-4 inhibitor drugs. This is an opportunity to find compounds that can function as antidiabetic drugs with DPP-4 inhibitors.This study aims to determine the interaction of tetralin sulfonamide derivative compounds with the DPP-4 macromolecule and find candidate compounds that are expected to have potential as anti-diabetic drugs with DPP-4 inhibitors. The process of analyzing the interaction of tetralin sulfonamide derivative compounds begins with docking of these compounds into the DPP-4 macromolecule using AutoDock. Furthermore, the discovery of pharmacophore feature was carried out using the LigandScout. This feature then was used for training set in ligand based virtual screening. This virtual screening was validated using a test set provided by the DUD-E database with 1,075 active compounds 41,317 decoys compounds. The results obtained four (4) of eighteen (18) tetraline sulfonamide derivative compounds, having interactions with catalytic triads of DPP-4 macromolecules namely Ser630, Glu205, and Glu206. In addition to the interaction of tetralin sulfonamide derivative compounds with DPP-4, ten (10) pharmacophore models were obtained with the best value being 0.9692. The validation produces an EF1% value = 0.4; EF5% = 0.5; and AUC100% = 0.45. It can be concluded that some tetralin sulfonamide derivative compounds have potential as DPP-4 inhibitors seen from the interactions produced, but the pharmacophore feature for ligand based virtual screening have not been obtained.

"
Depok: Fakultas Kedokteran Universitas Indonesia, 2020;
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Ilham Uddin
Hubungan brain natriuretic peptide dengan fungsi sistolik ventrikel kiri pada non-st elevasi infark miokard akut = Correlation between Brain Natriuretic Peptide (BNP) with left ventricular systolic fuction in acute non st-elevation myocardial infarction (nonstemi)
"Pendahuluan BNP adalah asam amino peptida yang disintesa dan dilepas terutama dan miokard ventrikel sebagai respon terhadap regangan miosit Kadar BNP dilepas juga saat iskemi maupun nekrosis miokard Pada NonSTEMI terjadi keadaan hipoksia iskemia sampat nekrosis di subendokard dalam berbagai derajat gangguan sehingga perlu adanya petanda yang bisa menggambarkan gangguan fungsi ventrikel mi Pada NonSTEMI terjadi lepasnya BNP dan terganggunya kontraktilmtas miokard dalam berbagai tingkatan.
Tujuan Penelitian Mencari hubungan antara besarnya kadar BNP yang keluar akibat kerusakan subendokard dihubungkan dengan gangguan fungsi ventrikel kiri yang dmnilam dengan ekokardiografi.
Metode Penelitian merupakan studi deskrmptif analitik yang bersifat cross sectional dilakukan di PJNHK antara bulan Nopember 2005-Juni 2006 Penelitian dilakukan pada 36 pasien NonSTEMI yang pertamakali mnfark tanpa ada riwayat gagal Jantung dan kelainan katup sebelumnya Sampel darah EDTA diambil saat pasien datang di UGD kemudian diekstraksi plasmanya untuk dmperiksa kadar BNP Fungsi sistolik ventrikel kin dinilai ekokardiografi dengan mengukur Wall Motion Score Index (WMSI) 16 segmen sistem dan ejection fraction (EF) metode Simpson Pemeriksaan ekokardiografi
dilakukan setelah melewati fase perawatan intensif.
Hasil Terdapat kenaikan kadar BNP pada subyek penelitian (278 71 ± 394 60) dan berbeda bermakna dengan kadar BNP populasi normal (20 00 ±23 73) dengan (p<0 00 1) pada uji TTest Dengan uji korelasi Pearson terdapat hubungan bermakna antara BNP (278 71 ± 394 60) dan EF Simpson (51 46 ± 10 62) dengan p trend = 0 024 r = 0376 maupun antara BNP (278 71 ± 394 60) dan WMSI (1 31 ± 0 37) dengan p trend = 0 013 r= 0 411 Dengan uji perbedaan Chi square Tidak ada perbedaan yang
bermakna kadar BNP pada kelompok sampel dengan EF<40 dan kelompok sampel dengan EF>40 (c>O 05).
Kesimpulan Kadar BNP meningkat pada pasien pasien Non STEMI Kenaikan BNP berhubungan dengan kecenderungan penurunan fungsi ventrikel kiri semakmn tinggi kadar BNP semakmn cenderung menurun fungsi ventrikel kiri.
Background BNP is an aminoacid synthesized by myocyte in respons to myocardial stretching Myocardial ischemia and necrosis could also induced BNP production In NonSTEMI various degree of hypoxia ischemia and subendocardial necrosis occur to the myocardium and could compromise LV function Thus a marker that could predict LV dysfuction in this setting is very much needed Various degree of LV dysfunction and BNP production could be observed in NonSTEM.
The Aim of Study To investigate the relationship between BNP level induced by subendocardial damage with LV systolic function assessed by echocardiography in NonSTEMI.
Methods This is an analytical descriptive study cross sectional in design conducted in National Cardiovascular Center 1-larapan Kita between November 2005-June 2006 Subjects are 36 patients with NonSTEMI without previous history of infarction heart failure or valvular abnormality EDTA blood samples were obtained during examination in the Emergency Department then the plasma were extracted to measure BNP level LV systolic function assessed by echocardiography with 16 segments Wall Motion Score Index (WMSI) and Ejection Fraction (EF) Simpson Methode The echocardiographic evaluation was performed after the intensive care phase.
Results There was a significant increase in BNP level among study subjects (278 71 ± 394 60) compared to normal population (20 00 ± 23 73) (Ttest with p
Pearson correlation test we observed a significant correlation between BNP level (278 71 ± 394 60) and LV Ejection Fraction (51 46 ± 10 62) with p trend = 0024 r = -0376 and also between BNP level and WMSI (1 31 ± 0 37) with p trend = 0 013 r= 0 411 We analyzed the BNP level in patients with EF<40% and EF>40% with Chi-Square Test and found no significant difference (iO 05)
Conclusion The BNP level was increased in patients with NonSTEMI The BNP level was correlated with tend the severity of LV systolic dysfunction The higher BNP level tend to the lower LV fuction.
"
Depok: Fakultas Kedokteran Universitas Indonesia, 2006
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Maryam Ulfa
Pengaruh nanokurkumin terhadap ekspresi mRNA B-type Natriuretic Peptide -45 pada jantung tikus yang diinduksi dengan streptozotocin dan nicotinamide = The Effect of nanocucumin on mRNA expression of B-type natriuretic peptide-45 in rat heart induced by streptozotocin and nicotinamide
"Latar Belakang: Kurkumin diketahui sebagai antiinflamasi, antioksidan, antiproliferatif, dan antiangiogenik, sehingga menjadi salah satu alternatif terapi diabetes tipe 2 dengan menghambat progresifitasnya. Dengan sediaan nanopartikel availibilitasnya semakin meningkat. Penelitian ini dilakukan untuk melihat adanya efek nanokurkumin terhadap komplikasi diabetes melitus khususnya kardiomiopati yang dinilai dengan ekspresi mRNA B-type natriuretic peptide BNP pada jaringan jantung.
Metode: Penelitian ini menggunakan jaringan tersimpan dari penelitian yang telah dilakukan sebelumnya. Jaringan kemudian dibuat menjadi cDNA dari sintesis isolasi RNA jaringan jantung tikus. Diabetes tipe 2 pada tikus dibuat dengan menginjeksikan streptozotocin dan nicotinamide. Nanokurkumin diberikan dalam dosis 100mg/kgBB/hari selama 30 hari. Tingkat ekspresi mRNA BNP-45 diukur dengan qRT-PCR dan dihitung dengan metode Livak.
Hasil: Terdapat peningkatan ekspresi mRNA BNP-45 pada kelompok DM terhadap kelompok normal. Pemberian nanokurkumin sebanyak 100mg/KgBB selama 30 hari pada kelompok DM NK menghasilkan rasio ekspresi mRNA BNP-45 lebih rendah secara statistik terhadap kelompok DM.
Kesimpulan: Nanokurkumin dapat menekan ekspresi mRNA BNP-45 pada jantung tikus yang diinduksi streptozotocin dan nicotinamide pada tingkat dosis 100mg/kgBB/hari selama 30 hari.
Background: Curcumin is known as anti inflammatory, antioxidant, antiproliferative, and antiangiogenic. Therefore it is promising to become alternative treatment of type 2 diabetic by inhibiting its progressiveness. From previous study, it was reported that bioavailability of curcumin increases in form of nanoparticles. This study was conducted to see the effect of nanacurcumin on cardiomyopathy assessed by the expression of B type natriuretic peptide BNP mRNA in heart tissue.
Method: This experimental study used stored tissue from previous research. Then the tissue changed to cDNA from RNA isolation synthesis of rats heart tissue. The type 2 diabetic in rat was induced by streptozotocin and nicotinamide. Nanocurcumin was given orally at the dose 100mg kgBW day for 30 days. The expression level of BNP 45 mRNA was measured by qRT PCR and calculated by the Livak method.
Result: There was an increased ratio of expression of BNP 45 mRNA in the DM group against the normal group. Nanocurcumin 100mg KgBB administered orally for 30 days in the DM NK group resulted in a statistically lower ration of BNP 45 mRNA expression than the DM Group.
Conclusion: Nanocurcumin may suppress expression of BNP 45 mRNA in the heart of rats induced streptozotocin and nicotinamide at a dose level of 100 mg kgBW day for 30 days."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
cover
Frans Ferdinal
Mekanisme molekuler gagal jantung pada tikus yang diinduksi hipoksia sistemik kronik : peran hypoxia-inducible factor-1a dalam regulasi ekspresi gen B-type natriuretic peptide-45
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
D1747
UI - Disertasi Open  Universitas Indonesia Library
cover
Antonius H. Pudjiadi
Pengaruh resusitasi cairan terhadap hemodinamik sus scrofa sebagai model renjatan: kajian pada atrial natriuretic peptide, glycocalyx endotel, dan pasokan oksigen = Impact of fluid resuscitation on sus scrofa, investigation on atrial natriuretic peptide endothelial glycocalyx, and delivery oxygen
"Panduan resusitasi anak umumnya menganjurkan pemberian cairan dalam jumlah besar. Beberapa penelitian memperlihatkan bahwa penggunaan cairan yang agresif meningkatkan mortalitas. Penelitian pada hewan menunjukkan tekanan vena sentral yang tinggi memicu pelepasan atrial natriuretic peptide ANP , sementara penelitian invitro memperlihatkan ANP meluruhkan glycocalyx endotel vaskular dan meningkatkan permeabilitas endotel. ANP juga memicu vasodilatasi. Hemodilusi berpotensi menurunkan pasokan oksigen tubuh DO2 . Penelitian bertujuan untuk melihat pengaruh resusitasi cairan terhadap kadar ANP serum, peluruhan glycocalyx endotel vaskular, extravascular lung water index ELWI , mean arterial pressure MAP , kadar hemoglobin dan pasokan oksigen. Hewan model renjatan adalah 11 ekor Sus scrofa jantan, usia 6-10 minggu. Renjatan dilakukan dengan metode fixed pressure hemorrhage. Resusitasi pertama dilakukan dengan jumlah cairan sesuai darah yang dikeluarkan resusitasi normovolemik , dilanjutkan dengan 40 mL/kg resusitasi hipervolemik . Pengukuran hemodinamik dilakukan dengan PICCO. Serum ANP dan Syndecan-1, petanda peluruhan glycocalyx, dilakukan dengan teknik ELISA. Hasil penelitian menunjukkan terjadinya peningkatan ANP pasca resusitasi normovolemik p = 0,043 , yang kemudian menurun kembali dalam 30 menit. Peluruhan glycocalyx tidak terjadi. Perbedaan ELWI pada 60 menit pasca resusitasi secara statistik bermakna, dengan perbedaan 0,93 mL/kg 95 IK:0,19 -3,62 . Terdapat korelasi kuat antara SVRI dan CI pasca resusitasi hipervolemik r = -0,587 . Tidak ada perbedaan MAP pasca resusitasi normovolemik dan hipervolemik. Kadar hemoglobin pasca resusitasi hipervolemik lebih rendah daripada pasca resusitasi normovolemik p = 0,009 . Pasokan oksigen tubuh pasca resusitasi hipervolemik lebih tinggi daripada pasca resusitasi normovolemik p = 0,012 . Simpulan: Resusitasi cairan pada renjatan akibat perdarahan tidak mengakibatkan peluruhan glycocalyx endotel vaskular. Peningkatan ELWI amat terbatas. SVRI berkorelasi terbalik dengan CI. Tidak ada perbedaan MAP antara resusitasi normovolemik dan hipervolemik. Resusitasi hipervolemik menyebabkan hemodilusi yang diimbangi dengan peningkatan curah jantung.
Many pediatric guidelines recommend liberal fluid resuscitation, but recent studies showed that aggressive fluid resuscitation might increase mortality. Animal studies showed that high central venous pressure induced ANP secretion. Invitro studies showed convincing evidence that ANP induced glycocalyx shedding. ANP also induced vasodilatation through cGMP signal transduction pathways. Hemodilution due to a large amount of resuscitation fluid potentially decreasing oxygen delivery.The objectives of this study were investigating the effect of fluid resuscitation, in the animal model, with special concern on serum ANP, glycocalyx shedding indicate by serum Syndecan-1 , changes in extravascular lung water, systemic vascular resirtance and mean arterial pressure, hemoglobin level and oxygen delivery DO2 . The animal models were 11 male domestic pigs, 6 -10 weeks old. The shock was induced with fixed pressure hemorrhage method. Fluid resuscitation was done in 2 phases. On the first attempt, we replaced total numbers of blood that withdrawn normovolemic resuscitation . On the second attempt, we gave 40 mL/kg resuscitation fluids hypervolemic resuscitation . The hemodynamic measurements were done with PICCO. Serum ANP and Syndecan-1 were measure with ELISA method.We found that serum ANP increased after normovolemic resuscitation p = 0.043 and immediately back to base level in 30 minutes. Glycocalyx shedding did not occur. Extravascular lung water index minimally increased. There was a strong correlation between SVRI and CI at hypervolemic resuscitation r = -0.587 . There was no difference in mean arterial pressure between normovolemic and hypervolemic resuscitation. Hemoglobin level after hypervolemic resuscitation was lower than after normovolemic resuscitation p = 0.009 . Oxygen delivery was higher after hypervolemic resuscitation p = 0.012 .Conclusions: Hypervolemic resuscitation in this hemorrhagic shock model did not induce glycocalyx shedding, extravascular lung water index minimally increased. Systemic vascular resistance index negatively correlated to cardiac index. Fluid resuscitation may induce hemodilution, but oxygen delivery can be compensated by increasing cardiac output. "
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
D-Pdf
UI - Disertasi Membership  Universitas Indonesia Library
cover
Margaretha Herawati
Ekspresi hypoxia inducible factor-1α, mioglobin dan b-type natriuretic peptide-45 pada jantung tikus sebagai respons adaptasi pada paparan hipoksia hipobarik intermiten = The expression of hypoxia inducible factor 1 myoglobin and b type natriuretic peptide 45 in heart rat tissue as adaptive response on intermittent hypobaric hypoxia exposure
"Latar Belakang : Penelitian ini menganalisis respons adaptasi jaringan jantung pada paparan hipoksia hipobarik intermiten (HHI) pada tikus. Faktor transkripsi HIF-1α penting untuk mengatasi keadaan hipoksia, terdiri atas 2 subunit yaitu HIF-1α dan HIF-1β yang dalam keadaan hipoksia membentuk heterodimer dan mengatur ekspresi sejumlah gen target untuk mengatasi keadaan hipoksia. Hipoksia akan menyebabkan jantung mengalami beban yang meningkat berupa hipertrofi ventrikel. Jantung akan mengatasi keadaan tersebut melalui pembentukan Mb dan BNP-45.
Metode : 25 ekor tikus jantan Sprague-Dawley dibagi dalam 5 kelompok dan 4 kelompok dipaparkan HHI menggunakan hypobaric chamber di Lakespra Saryanto TNI AU, selama 50 menit dengan variasi ketinggian, interval intermiten 1 minggu, 4 kali perlakuan (hari 1, 8, 15 dan 22). Dilakukan pengukuran protein HIF-1α dan Mb (ELISA), ekspresi relatif mRNA Mb dan BNP-45 (real time RT-PCR satu langkah).
Hasil : Kadar protein HIF-1α meningkat pada paparan hipoksia hipobarik dan terus menurun hingga induksi hipoksia hipobarik intermiten 3 kali (ANOVA, p=0,0437). Ekspresi mRNA dan protein Mb meningkat pada paparan hipoksia hipobarik dan terus menurun hingga induksi hipoksia hipobarik intermiten 3 kali (ANOVA, p=0,0283; 0,0170), dan keduanya berkorelasi kuat (Pearson, r=0,6307). Ekspresi mRNA BNP-45 meningkat pada paparan hipoksia hipobarik intermiten 1 kali dan terus menurun hingga induksi hipoksia hipobarik intermiten 3 kali (ANOVA, p=0,0314). Hasil uji korelasi juga menunjukkan hubungan yang kuat antara protein HIF-1α dengan ekspresi mRNA Mb, namun sangat lemah dengan ekspresi mRNA BNP-45.
Kesimpulan : Terjadi respons adaptasi HIF-1α, Mb dan BNP-45 pada paparan hipoksia hipobarik intermiten pada jantung tikus. Protein HIF-1 meregulasi ekspresi Mb dan BNP-45.
Background: The study analyzed the adaptive responses of heart tissue after induction of intermittent hypobaric hypoxia (IHH) in rat. The transcription factor HIF-1 is important to overcome hypoxia condition, which consist of 2 subunits: HIF-1α and HIF-1β in a state of hypoxia form heterodimers and regulate the expression of a number of target genes to overcome hypoxia. Hypoxia, especially continuous one, may lead the heart to hypertroptive state. The heart will overcome the situation through the establishment of Mb and BNP-45.
Methods: Twenty five male Sprague-Dawley rats were exposed to IHH in a hypobaric chamber in Indonesian Air Force Institute of Aviation Medicine, for 50 minutes at various altitudes, 1 week interval for 4 times (day 1, 8, 15 and 22). HIF-1α and Mb protein were measured with ELISA. mRNA expression of Mb and BNP-45 were measured with one step real time RT-PCR.
Results: HIF-1α protein levels increased after induction of hypobaric hypoxia and continues to decrease after induction of intermittent hypobaric hypoxia 3 times (ANOVA, p=0.0437). mRNA expression and protein of Mb increased after induction of hypobaric hypoxia and continues to decrease after induction of intermittent hypobaric hypoxia 3 times (ANOVA, p=0.0283; 0.0170), and both are strongly correlated (Pearson, r=0.6307). mRNA expression of BNP-45 increased after induction of intermittent hypobaric hypoxia 1 time and continues to decrease after induction of intermittent hypobaric hypoxia 3 times (ANOVA, p=0.0314). Correlation test results also showed a strong relationship between HIF-1α protein with mRNA expression of Mb, but very weak with mRNA expression of BNP-45.
Conclusions: Adaptive response of HIF-1α, Mb and BNP-45 occurs after induction of intermittent hypobaric hypoxia in rat heart. HIF-1 protein regulated the expression of Mb and BNP-45."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Danny Dasraf
Peranan n terminal - probrain natriuretic peptide dalam diagnosis duktus arteriosus persisten hemodinamik signifikan pada bayi prematur = The Rule of n-terminal - probrain natriuretic peptide in the diagnosis of hemodinamically significant ductus asrteriosus in pretern patient neonates
"Latar Belakang: Duktus arteriosus persisten (patent ductus arteiosus, PDA) merupakan penyakit jantung bawaan yang sering ditemukan pada bayi, terutama bayi prematur. Ekokardiografi menjadi baku emas untuk mendiagnosis PDA dengan gangguan hemodinamik signifikan (hs-PDA) pada bayi prematur. Beberapa penelitian telah membuktikan bahwa, pemeriksaan biomarker darah Amino-Terminal pro-Brain Natriuretic Peptide (NT-proBNP) bermanfaat untuk diagnosis dan penatalaksanaan hs-PDA. Namun, di Indonesia penelitian seperti ini belum pernah dilakukan; padahal akurasi diagnostik NT-proBNP untuk hs-PDA sangat dipengaruhi oleh karakteristik assay (assay kit dan nilai ambangnya), serta karakteristik pasien (gestational dan usia kronologis).
Tujuan: Untuk mengetahui hubungan antara nilai NT-proBNP dan hs-PDA
Metode: Penelitian potong lintang dilakukan di RSCM dari bulan Desember 2015? Febuari 2016 terhadap 49 neonatus prematur dengan usia gestasi <37 minggu dan berat lahir di bawah 2000 gram. Diagnosis PDA dipastikan dengan menggunakan ekokardiografi. Pasien dikelompokkan menjadi kelompok tanpa PDA, non hs-PDA dan hs-PDA. Pemeriksaan NT-proBNP dikerjakan pada neonatus dengan PDA, kemudian dibandingkan nilai NT-proBNP pada kelompok non hs-PDA dan hs-PDA.
Hasil: Pada 49 subyek yang diteliti, terdapat 33 neonatus dengan PDA, 16 diantaranya dengan hs-PDA. Terdapat korelasi bermakna antara nilai NT-proBNP dengan hs-PDA (p<0,0001).
Kesimpulan: Peningkatan NT-proBNP berkorelasi dengan PDA hemodinamik signifikan.
Background: Persistent ductus arteriosus is one of the most frequently congenital heart disease found in infant mainly in preterm infant. Echocardiography is the gold standard for the diagnosis of hemodinamically significant patent ductus arteriosus (hs-PDA) in preterm neonates. There are few studies demonstrate that the examination of simple blood assay such as N Terminal-proBrain Natriuretic Peptide (NT- proBNP) may be useful in determining the diagnosis and management of hs-PDA. However in Indonesia there are no studies have been done before even though the level of NT-proBNP accuracy in determining hs-PDA is influenced by the assay kit, and the characteristic of the patient (gestational age and chronological age).
Objective: To determine the association between NT-proBNP level and the prevalence of hs-PDA.
Methods: Across sectional study was conducted at Dr. Cipto Mangunkusumo Hospital from Desember 2015 to February 2016. Forty-nine preterm neonates with gestational age less than 37 weeks and birthweight of less than 2000 gram were performed echocardiography to determine PDA, subsequently these patients were divided into three groups: non PDA, non hs-PDA, and hs-PDA. Further, in the non hs-PDA and hs-PDA groups, blood NT pro-BNP was examined. We then compared the level of NT pro-BNP between these groups.
Results: Among 49 neonates, there were 33 patients with PDA, of those 16 patients were hs-PDA. There was an association between the level of NT pro-BNP and hs-PDA (p<0,0001).
Conclusion: This study found a significant association between the NT-proBNP level and hs-PDA"
Depok: Universitas Indonesia, 2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Randy Nusrianto
Hubungan Faktor Klinis dan Kadar NTproBNP Dengan Disfungsi Diastolik Asimtomatik Pada Diabetes Melitus Tipe 2 di Indonesia = Relationship of Clinical Factors and NTproBNP Levels with Asymptomatic Diastolic Dysfunction in Type 2 Diabetes Mellitus in Indonesia
"Latar Belakang: Gagal jantung adalah salah satu bentuk komplikasi kardiovaskular dan merupakan salah satu penyebab utama mortalitas dan morbiditas pada pasien DMT2. Disfungsi diastolik merupakan bentuk awal dari gagal jantung yang tidak bergejala dan seringkali terlambat terdiagnosis, sehingga deteksi dini penting untuk dilakukan. Guideline gagal jantung dari AHA merekomendasikan pemeriksaan NTproBNP dengan nilai batas >125 pg/ml sebagai salah satu upaya deteksi dini pada populasi berisiko. Penelitian-penelitian faktor klinis yang ada mayoritas dilakukan pada populasi kaukasia dengan hasil yang heterogen. Diketahui populasi DMT2 di Asia memiliki indeks massa tubuh lebih rendah, usia lebih muda, dan nilai dasar NTproBNP lebih rendah, namun memiliki prevalensi gagal jantung yang lebih tinggi. Belum ada penelitian yang meneliti hubungan faktor klinis dan kadar NTproBNP pada populasi DMT2 di Indonesia
Tujuan: Penelitian ini dibuat untuk mengetahui hubungan faktor klinis dan kadar NTproBNP dengan kejadian disfungsi diastolik pada populasi DMT2 di Indonesia
Metode: Penelitian ini merupakan studi potong lintang (cross sectional study), menggunakan data sekunder dari follow up ke-30 Studi Kohort PTM Litbangkes. Subyek berusia dibawah 65 tahun yang terdiagnosis DMT2 selama pengamatan dan memenuhi kriteria inklusi dicatat, dilakukan pemeriksaan NTproBNP dan dilakukan analisis dengan kejadian disfungsi diastolik yang didapatkan dari ekhokardiografi. Uji bivariat dilakukan dengan uji chi square dan uji multivariat menggunakan uji regresi multipel. Kadar NTproBNP yang diperiksakan dilakukan penentuan titik potong menggunakan Receiver Operating Characteristics (ROC).
Hasil: Subyek yang terinklusi didapatkan sebesar 91 orang. Uji multivariat menunjukkan baik kadar NTproBNP>125 pg/ml dan titik potong NTproBNP baru >62,5 pg/ml berhubungan bermakna dengan kejadian disfungsi diastolik dengan PRadj 2,791 (95% IK; 1,937-4,021; p<0,0001) dan PRadj 2,587 (IK 95%; 1,554 – 4,645; p:<0,0001) dengan Area under curve (AUC) 0,76. Pada penelitian kami, tidak ada faktor klinis yang berhubungan secara bermakna pada uji statistik
Simpulan: Peningkatan kadar NTproBNP >125 pg/ml berhubungan dengan kejadian disfungsi diastolik pada populasi DMT2 di Indonesia.
Background: Diastolic dysfunction is an early form of heart failure that is asymptomatic and often diagnosed late in T2DM patients, so early detection is encourage. The AHA heart failure guideline recommends NTproBNP testing with a cut-off value of >125 pg/ml as one of the early detection strategies. The majority of existing clinical factor studies have been conducted in Caucasian populations with heterogeneous results and it is known that T2DM populations in Asia have lower body mass index, younger age, lower baseline NTproBNP values with higher heart failure prevalence. To date, there have been no research determining the association between clinical factors and NTproBNP levels in the T2DM population in Indonesia.
Objective: This study was designed to determine the association of clinical factors and NTproBNP levels with the incidence of diastolic dysfunction in the T2DM population in Indonesia
Methods: This study is a cross sectional study, using secondary data from the 30th follow up of the Bogor NCD Cohort Study. Subjects under 65 years of age who are diagnosed with T2DM during observation and meet the inclusion criteria were being recorded, We will determine the association between clinical factors and NTproBNP examination results with the incidence of diastolic dysfunction obtained from echocardiography. Bivariate tests were performed using the chi square test and multivariate tests using multiple regression tests. The new NTproBNP cut off points were determined using Receiver Operating Characteristics (ROC).
Results: 91 subjects were included. Multivariate test showed that both NTproBNP level >125 pg/ml and new cut off >62,5 pg/ml was significantly associated with the incidence of diastolic dysfunction with PRadj 2,791 (95% IK; 1,937-4,021; p<0,0001) and PRadj 2.587 (95% CI; 1.554 - 4.645; p: <0.0001) respectively, with Area under curve (AUC) 0.76. In our study, No clinical factors were associated significantly with diastolic dysfunction incidence.
Conclusions: NTproBNP levels >125 pg/ml are associated with the incidence of diastolic dysfunction in the T2DM population in Indonesia."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
<<   1 2 3 4 5 6 7 8 9 10   >>