This study was designed characteristics of 12 lead electrocardiogram to compare the position of accessory pathway in the typical Wolff-Parkinson-White syndrome, can be build a new electrocardiogram algorithm for the localization of accessory. Subject and method: In 189 patients with typical Wolff-Parkinson-White syndrome have a single anterogradely conducting accessory pathways on 12-lead electrocardiogram parameters were compared with the localization of accessory pathways identified by successful radiofrequency catheter ablation. Result: We found that the 12 lead electrocardiogram parameters in typical Wolff-Parkinson-White syndrome such as delta wave polarity in V1, R/S ratio in V1, the transition of the QRS complex, delta wave polarity/QRS complex polarity and QRS complex morphology was “QRS pattern” in inferior leads (DII, DIII, AVF) in diagnosis for the localization of accessory pathways by with hight accuracy predicted from 74.5% to 100%. Conclusion: The surface electrocardiogram parameters in typical Wolff-Parkinson-White syndrome closely related to accessory pathways localization and can be used to a new electrocardiogram algorithm for the localization of accessory pathways by using simple parameters as above.
Dr Lysia Matius Gressida graduated with Bachelor of Medical Science from the Christian University of Krida Wacana, Indonesia in February 2011, and later earned her General Practitioner degree in November 2012. Dr Lysia currently works as a General Practitioner in Primary healthcare under the Ministry of Health, Indonesia. Dr Lysia is a registered member of the Indonesian Medical Association. Her experiences included, internship program in Tondano, North Sulawesi, certified courses in Advanced Cardiology, Trauma, and Neurology Life Support. Her primary interests are in preventive medicine and she has a personal advocacy in promoting awareness of maintaining healthy lifestyles through patients education.
According to World Health Organisation (WHO), the mortality from coronary heart disease in Indonesia reached 138,380 or 10% of total deaths per year in 2014. Dyslipidemias are disorders of lipoproteins, that can be manifested by the elevation of serum total cholesterol, low-density lipoprotein (LDL) cholesterol, and triglyceride concentrations, and a decrease in the high-density lipoprotein (HDL) cholesterol concentration. Hydropinic therapy (drinking of mineral water), in particular water that is rich in natural bicarbonate, has shown to have an effect in reducing cholesterolaemic and lipaemic levels by increasing the lipoprotein metabolism. This study compares the consumption of a mineral water that is rich in natural bicarboante (ARDESY, France) (MWH), versus a marketed mineral water that is low in bicarbonate (MWL), and their effects in lipoprotein metablosim in high cholesterol males subjects. Twenty-two males with elevated serum total cholesterol, and a mean BMI of between 23.9(±4.4) kg/m2 were randomised into 2 groups. Each group received either (MWH) (n=14) (sponsored by ARDESY, France), or MWL (n=8). Subjects drank 1.25 liter of designated water per day for 28 weeks. Three visits were planned at the clinical center post screening, which included first day before mineral water was consumed (V1), 15th day (V2), and 29th day (V3). Results indicated that there was significant reduction in serum total cholesterol (p=0.002) and LDL cholesterol (p<0.001) in subjects drinking MWH, but not in the MWL group. There was no significant change in BMI, blood pressure, and urine pH. In conclusion, regular consumption of rich bicarbonated water can significantly lower total cholesterol and LDL-c in moderate risk cholesterol males. Validation in a randomized control trials is currently underway.