Dr Andina Munawar

School of Medicine

College of Health


Dr Munawar is a Cardiac Electrophysiologist in the North Adelaide Local Health Network, South Australia and appointed as a HonoraryClinical Senior Lecturer in the Adelaide Medical School, the University of Adelaide.Dr Munawar graduated from the University of Indonesia, Jakarta, Indonesia, in August 2006. She completed her cardiology training from University of Indonesia and National Cardiac Centre Harapan Kita, Jakarta, Indonesia in 2013. She then undertook fellowship in Interventional Cardiology at Binawaluya Cardiac Centre, Jakarta, Indonesia in 2014. She worked in an academic position as a lecturer in Cardiology department, university of Indonesia, prior to undertaking Electrophysiology and Pacing Fellowship at the Royal Adelaide Hospital. During this time, she also completed his PhD at The University of Adelaide.

The work from her PhD have provided comprehensive understanding of factors affecting short-term and long-term clinical outcomes of the CIEDs in order to improve clinical outcomes after CIEDs implantation. These include the understanding of basic electrochemistry of the CIED generator, factors related to acute complication during CIED implantation procedure, clinical outcomes after implants, including development of pulmonary hypertension and utilisation of CIED algorithms in order to provide optimal clinical outcomes of patients with CIEDs, and general consideration of magnetic resonance imaging in patients with CIEDs, particularly in non-MRI conditional devices. During her PhD, she has published several publications in Q1 journals (Heart Rhythm Journals 2018 and 2019, and Europace 2020). In addition, one of her projects was awarded as a featured research from 38th Heart Rhythm Annual Scientific Session 2017.  

Date Institution name Country Title
2015 - 2020 The University of Adelaide Australia PhD

Year Citation
2024 Namkoong, J., Andraweera, P. H., Pathirana, M., Munawar, D., Downie, M., Edwards, S., . . . Arstall, M. A. (2024). A systematic review and meta-analysis of the diagnosis and surgical management of carcinoid heart disease. Frontiers in Cardiovascular Medicine, 11, 13 pages.
DOI Scopus2 WoS2 Europe PMC2
2024 Gunawan, E. J., Johan., Munawar, D. A., Munawar, D. L., Hartono, B., & Munawar, M. (2024). Early Experience of Left Bundle Branch Pacing with Lumenless Lead in a Single Center: A Case Series. Acta Medica Indonesiana, 56(2), 227-232.
2023 Tondas, A. E., Munawar, D. A., Marcantoni, I., Liberty, I. A., Mulawarman, R., Hadi, M., . . . Burattini, L. (2023). Is T-Wave Alternans a Repolarization Abnormality Marker in COVID-19? An Investigation on the Potentialities of Portable Electrocardiogram Device. Cardiology Research, 14(1), 45-53.
DOI Scopus4 WoS3 Europe PMC2
2023 Ooi, E. L., Rajendran, S., Munawar, D. A., Hnin, K., Mahadavan, G., Pati, P., . . . Arstall, M. (2023). The Association of Obstructive Sleep Apnea in Ischemia with No Obstructive Coronary Artery Disease – A Pilot Study. Current Problems in Cardiology, 48(5), 18 pages.
DOI Scopus5 WoS4 Europe PMC4
2022 Koh, Y. H., Lew, L. Z. W., Franke, K. B., Elliott, A. D., Lau, D. H., Thiyagarajah, A., . . . Mahajan, R. (2022). Predictive role of atrial fibrillation in cognitive decline: a systematic review and meta-analysis of 2.8 million individuals.. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 24(8), 11 pages.
DOI Scopus77 WoS70 Europe PMC65
2022 Agbaedeng, T. A., Zacharia, A. L., Iroga, P. E., Rathnasekara, V. M., Munawar, D. A., Bursill, C., & Noubiap, J. J. (2022). Associations between adipokines and atrial fibrillation: A systematic review and meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 32(4), 853-862.
DOI Scopus11 WoS11 Europe PMC8
2022 Pitman, B. M., Schirripa, V., Munawar, D. A., Kadhim, K., O'shea, C. J., Mishima, R. S., . . . Lau, D. H. (2022). Should We Check It? Assessing Interrogation of Cardiac Implantable Electronic Devices in the Emergency Department-The CHECK-ED Study: Implications for Service Planning and Care Delivery. Heart Lung and Circulation, 31(8), 1119-1125.
DOI Scopus1 WoS1 Europe PMC1
2022 Mundisugih, J., Munawar, D. A., & Mahajan, R. (2022). The Necessary Perils of Pacemaker Implantation in Young Individuals-Can We Do Better?. Heart Lung Circ, 31(7), 913-915.
DOI
2021 Pranata, R., Henrina, J., Yonas, E., Putra, I. C. S., Cahyadi, I., Lim, M. A., . . . Munawa, M. (2021). BMI and Atrial Fibrillation Recurrence Post Catheter Ablation: A Dose-Response Meta-analysis.. Eur J Clin Invest, 51(6), 1-14.
DOI Scopus28 WoS26 Europe PMC19
2021 Rattanakosit, T., Franke, K., Munawar, D. A., Page, A. J., Boyd, M. A., Lau, D. H., & Mahajan, R. (2021). Role of Indices Incorporating Power, Force and Time in AF Ablation: A Systematic Review of Literature. Heart, Lung and Circulation, 30(9), 10 pages.
DOI Scopus9 WoS8 Europe PMC8
2021 Lubis, A. C., Iqbal, M., Munawar, D. A., Hartono, B., & Munawar, M. (2021). A simple percutaneous retrieval technique for an embolized watchman left atrial appendage closure device in the thoracic aorta using a homemade snare: A case report. International Heart Journal, 62(5), 1153-1155.
DOI Scopus2 WoS1 Europe PMC2
2020 Munawar, D. A., Chan, J. E. Z., Emami, M., Kadhim, K., Khokhar, K., O'shea, C., . . . Lau, D. H. (2020). Magnetic resonance imaging in non-conditional pacemakers and implantable cardioverter-defibrillators: a systematic review and meta-analysis. Europace, 22(2), 288-298.
DOI Scopus33 WoS27 Europe PMC27
2020 Mahajan, R., Stokes, M., Elliott, A., Munawar, D., Khokhar, K. B., Thiyagarajah, A., . . . Sanders, P. (2020). Complex interaction of obesity, intentional weight loss and heart failure: a systematic review and meta-analysis. Heart (British Cardiac Society), 106(1), 58-69.
DOI Scopus102 WoS95 Europe PMC81
2020 Munawar, D. A., Arstall, M., & Lypourlis, D. (2020). The existence of upper common pathway: Evidence from concomitant atrioventricular nodal reentrant tachycardia and atrial fibrillation. HeartRhythm Case Reports, 7(1), 21-25.
DOI Scopus4 Europe PMC4
2019 Thiyagarajah, A., Kadhim, K., Lau, D. H., Emami, M., Linz, D., Khokhar, K., . . . Sanders, P. (2019). Feasibility, safety, and efficacy of posterior wall isolation during atrial fibrillation ablation. Circulation. Arrhythmia and electrophysiology, 12(8), e007005.
DOI Scopus125 WoS111 Europe PMC101
2019 Munawar, D. A., Mahajan, R., Agbaedeng, T. A., Thiyagarajah, A., Twomey, D. J., Khokhar, K., . . . Sanders, P. (2019). Implication of ventricular pacing burden and atrial pacing therapies on the progression of atrial fibrillation: a systematic review and meta-analysis of randomized controlled trials. Heart rhythm, 16(8), 1204-1214.
DOI Scopus16 WoS15 Europe PMC13
2018 Sanders, P., Munawar, D., & Pathak, R. (2018). Periablation anticoagulation: translating research into clinical practice. JACC: Clinical Electrophysiology, 4(5), 589-591.
DOI
2018 Munawar, D., Mahajan, R., Linz, D., Wong, G., Khokhar, K., Thiyagarajah, A., . . . Lau, D. (2018). Predicted longevity of contemporary cardiac implantable electronic devices: a call for industry-wide “standardized” reporting. Heart Rhythm, 15(12), 1756-1763.
DOI Scopus35 WoS32 Europe PMC27
2018 Clarnette, J. A., Brooks, A. G., Mahajan, R., Elliott, A. D., Twomey, D. J., Pathak, R. K., . . . Sanders, P. (2018). Outcomes of persistent and long-standing persistent atrial fibrillation ablation: a systematic review and meta-analysis. Europace, 20(FI3), f366-f376.
DOI Scopus186 WoS169 Europe PMC147
2018 Mahajan, R., Perera, T., Elliott, A. D., Twomey, D. J., Kumar, S., Munwar, D. A., . . . Sanders, P. (2018). Subclinical device-detected atrial fibrillation and stroke risk: a systematic review and meta-analysis. European Heart Journal, 39(16), 1407-1415.
DOI Scopus245 WoS231 Europe PMC185
2017 Middeldorp, M., Mahajan, R., Elliott, A., Pathak, R., Twomey, D., Wilson, L., . . . Sanders, P. (2017). Premature Trigger of ERI in Medtronic EnRhythm Devices. PACE - Pacing and Clinical Electrophysiology, 40(6), 624-628.
DOI Scopus1 WoS1 Europe PMC1
2016 Wong, G., Lau, D., Middeldorp, M., Harrington, J., Stolcman, S., Wilson, L., . . . Sanders, P. (2016). Feasibility and safety of Reveal LINQ insertion in a sterile procedure room versus electrophysiology laboratory. International Journal of Cardiology, 223, 13-17.
DOI Scopus24 WoS21 Europe PMC21
2016 Wong, G. R., Munawar, D. A., Twomey, D. J., Kumar, S., Middeldorp, M. E., Chapman, D., . . . Lau, D. H. (2016). Projected longevity of contemporary cardiac pacemakers: differences and impact of advanced pacing features. EUROPEAN HEART JOURNAL, 37, 1301-1302.
2015 Ahmed, K., Munawar, M., Munawar, D. A., Hartono, B., & Damay, V. (2015). Left ventricular lead positioning in cardiac resynchronization therapy: An innovative retrograde approach without using snare. Europace, 17(3), 495-498.
DOI Scopus9 WoS4 Europe PMC7
2015 Ahmed, K., Munawar, M., Munawar, D. A., & Hartono, B. (2015). Impact of oral thrombolysis after catheter-based thrombectomy in acute and subacute submassive pulmonary thromboembolism. Chinese Medical Journal, 128(3), 401-403.
DOI Scopus2 WoS2 Europe PMC1
2014 Ahmed, K., Munawar, M., Munawar, D. A., & Hartono, B. (2014). Simple mechanical thrombectomy with intrapulmonary arterial thrombolysis in pulmonary thromboembolism: A small case series. Journal of Geriatric Cardiology, 11(4), 349-353.
DOI Scopus1 Europe PMC1
2011 Munawar, M., Andina, D., Larasati, D., & Pambudi, J. (2011). PE3-030 3 D Mapping for Guide RF Ablation of Accessory Pathways Close Proximity of Atrioventricular Node and His Bundle. Journal of Arrhythmia, 27(Supplement), 381.
DOI

Year Citation
2016 Munawar, D., Hartono, B., & Munawar, M. (2016). Cardiac resynchronization therapy in graft failure. In Coronary Graft Failure: State of the Art (pp. 623-635). Springer International Publishing.
DOI
2016 Hartono, B., Munawar, D., & Munawar, M. (2016). Management of heart failure after CABG. In Coronary Graft Failure: State of the Art (pp. 615-622). Springer International Publishing.
DOI Scopus1

Year Citation
2022 Mundisugih, J., Franke, K., Munawar, D., & Mahajan, R. (2022). PREVALENCE AND PROGNOSTIC IMPLICATION OF ATRIAL FIBRILLATION IN HEART FAILURE SUBTYPES - A SYSTEMATIC REVIEW AND META-ANALYSIS. In JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY Vol. 79 (pp. 175). Washington, DC: ELSEVIER SCIENCE INC.
DOI Scopus14 WoS17 Europe PMC12
2018 Khokhar, K. B., Lau, D., Elliott, A., Mahajan, R., Thiyagarajah, A., Munawar, D. A., . . . Sanders, P. (2018). Association of aortic stiffness and new onset AF-A meta-analysis. In EUROPEAN HEART JOURNAL Vol. 39 (pp. 420). Munich, GERMANY: OXFORD UNIV PRESS.
2017 Mahajan, R., Lew, L., Koh, Y. H., Khokkar, K., Elliott, A. D., Gallagher, C., . . . Sanders, P. (2017). Cognitive impairment and dementia in atrial fibrillation: a meta-analysis. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 984). OXFORD UNIV PRESS.
2017 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Khokhar, K. B., . . . Sanders, P. (2017). Risk of sudden cardiac death in obesity: A systematic review and meta-analysis of emerging evidence. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 1119). OXFORD UNIV PRESS.
2017 Khokhar, K. B., Elliot, A., Stiles, M. K., Lau, D., Mahajan, R., Thiayagraj, A., . . . Sanders, P. (2017). Aortic stiffness in atrial fibrillation: q systematic review and meta-analysis. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 756). OXFORD UNIV PRESS.
2016 Khokhar, K. B., Stiles, M., Mahajan, R., Elliott, A., Lau, D., Kumar, S., . . . Sanders, P. (2016). A meta-analysis of longitudinal studies to evaluate predictive role of arterial stiffness in cardiovascular and all cause mortality. In Abstracts for the 64th Annual Scientific Meeting of the Cardiac Society of Australia and New Zealand (CSANZ 2016), as published in Heart Lung and Circulation Vol. 25 (pp. S9). Adelaide, SA: Elsevier.
DOI
2014 Munawar, D. A., Aditya, W., & Munawar, M. (2014). BLOOD TRANSFUSION IN PATIENTS WITH BLEEDING DURING ACUTE ST-ELEVATION MYOCARDIAL INFARCTION ASSOCIATED WITH HIGHER INHOSPITAL MORTALITY. In CARDIOLOGY Vol. 128 (pp. 240). KARGER.
2014 Munawar, D. A., Rahayoe, A. U., & Yuniadi, Y. (2014). Correlation of mechanical resynchronization and functional capacity after cardiac resynchronization therapy. In EUROPEAN JOURNAL OF HEART FAILURE Vol. 16 (pp. 7). WILEY-BLACKWELL.
2014 Munawar, D. A. A., Rahayoe, A. U., Yuniadi, Y., & Munawar, M. (2014). Intraventricular resynchronization affects functional capacity after cardiac resynchronization therapy. In EUROPEAN JOURNAL OF HEART FAILURE Vol. 16 (pp. 154). WILEY-BLACKWELL.

Year Citation
2019 Munawar, D. A., Mahajan, R., Agbaedeng, T. A., Khokar, K., Emami, M., Thiyagarajah, A., . . . Young, G. (2019). Incremental benefit of bi-directional block as an end point of Pulmonary Vein Isolation : One-year outcome of AF recurrence. Poster session presented at the meeting of EUROPEAN HEART JOURNAL SUPPLEMENTS. Indonesian Heart Assoc, Jakarta, INDONESIA: OXFORD UNIV PRESS.
2019 Agbaedeng, T. A., Emami, M., Munawar, D. A., Rattanakosit, T., Khadim, K. I., Elliott, A., . . . Sanders, P. (2019). Fibrosis detected by late-gadolinium enhancement cardiac MRI is associated with atrial fibrillation and poorer ablation outcome: A meta-analysis. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Paris, FRANCE: OXFORD UNIV PRESS.
2016 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Kumar, S., . . . Sanders, P. (2016). Meta-analysis of effects of epicardial fat on atrial fibrillation and ablation outcome. Poster session presented at the meeting of Abstracts for the 64th Cardiac Society of Australia and New Zealand Annual Scientific Meeting and the International Society for Heart Research Australasian Section Annual Scientific Meeting, as published in Heart, Lung and Circulation. Adelaide, Australia: Elsevier.
DOI
2016 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Kumar, S., . . . Sanders, P. (2016). Effects of epicardial fat and anterior fat pad removal on post-operative atrial fibrillation: a systematic review and meta-analysis. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Rome, ITALY: OXFORD UNIV PRESS.
  • Ministry of Education Scholarship – Education grants 2010
  • Indonesian Endowment Fund for Education Scholarship from Ministry of Finance, Republic of Indonesia – Education grants 2014
  • Indonesia Endowment Fund for Education from Ministry of Finance, Republic of Indonesia – Research grants 2015

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