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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Abdi Insani Jurnal Pengabdian Masyarakat Indonesia Jurnal Abdi Masyarakat Indonesia
Utamayasa, I Ketut Alit
Department Of Child Health, Faculty Of Medicine, Airlangga University/ Dr. Soetomo General Hospital, Surabaya, Indonesia
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Incidence of Respiratory Tract Infection in Children with Cyanotic and Acyanotic Congenital Heart Disease: A Comparative Study Syafira Yasmine; I Ketut Alit Utamayasa; Bambang Herwanto
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 13 No. 2 (2022): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V13I22022.62-66

Abstract

Highlights:1. The incidence of respiratory tract infection (RTI) showed no difference between patients with cyanotic and acyanotic congenital heart disease (CHD).2. RTI patients with acyanotic CHD experienced longer hospital lengths of stay. AbstractIntroduction: Respiratory tract infection (RTI) is the leading cause of children mortality rate in the world. Congenital heart disease (CHD) is a common congenital disease that plays a role in RTI incidents. However, between the 2 types of CHD, which type that is more potential to cause the RTI is not well identified. The aim of this study was to compare the incidence and hospitalization time of RTI between 2 types of CHD and describe the profile of the patients based on gender, age, nutrition, and immunization status.Methods: This retrospective study identified the medical records of children with RTI and all types of CHD aged 0-18 years old at Dr. Soetomo General Hospital Surabaya. The diagnosis of CHD was observed by echocardiography and RTI was observed by clinical symptoms.Results: Of 135 patients, the incidence of RTI showed no difference between a patient with cyanotic and acyanotic CHD. The majority of the patient was aged less than 3 years old (93.3%) and dominated by male patients (53.3%). The frequency of children with severe underweight and good nutritional status was equal. There were 85 patients who had incomplete immunization based on their age. The most common type of acyanotic CHD was an atrial septal defect (ASD). Cyanotic CHD was dominated by the tetralogy of Fallot (ToF). Pneumonia was the common type of RTI (108/135). RTI patients with acyanotic CHD had a longer time of hospitalization than cyanotic patients (11 days).Conclusion: This study found that RTI patients with acyanotic CHD experienced longer hospital lengths of stay.
Deteksi Dini Penyakit Jantung Bawaan Melalui Pelatihan Webinar dan Screening Echocardiography di Kediri Mahrus A. Rahman; I Ketut Alit Utamayasa; Taufiq Hidayat; Teddy Ontoseno
Jurnal Pengabdian Masyarakat Indonesia Vol 3 No 4 (2023): JPMI - Agustus 2023
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.1244

Abstract

Penyakit jantung bawaan (PJB) merupakan penyakit bawaan lahir yang paling banyak menimbulkan kematian. Kurangnya pengetahuan pada tenaga kesehatan menjadi hambatan dalam pencegahan dan deteksi dini PJB. Kegiatan edukasi yang bertujuan untuk meningkatkan pengetahuan tenaga kesehatan dalam melakukan deteksi dini dan penanganan PJB di Kediri perlu dilakukan. Kegiatan ini meliputi pelatihan webinar dan screening echocardiography dengan peserta tenaga kesehatan di Kediri. Tingkat pengetahuan peserta dinilai dengan pre-test dan post-test. Selanjutnya dilakukan screening echocardiography oleh Dokter Spesialis Anak Konsultan Jantung. Webinar diikuti oleh 451 peserta. Skor rata-rata pre-test adalah 5,80/15 dan skor rata-rata post-test adalah 12,84/15. Sebanyak 29 anak dilakukan pemeriksaan echocardiography. Terdapat 19 (65,52%) anak yang didiagnosis dengan PJB asianotik, 4 (13,79%) anak dengan PJB sianotik, dan 6 (20,68%) anak normal. Pelatihan webinar dapat meningkatkan pengetahuan tenaga kesehatan tentang deteksi dini PJB dan 79,31% anak yang telah dilakukan screening echocardiography didiagnosis dengan PJB di Kediri.
SOSIALISASI DETEKSI DINI PENYAKIT JANTUNG BAWAAN PADA ANAK DI RSUD KABUPATEN KEDIRI Mahrus Abdur Rahman; Taufiq Hidayat; I Ketut Alit Utamayasa; Henry Wicaksono; Prima Hari Nastiti
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1964

Abstract

Congenital Heart Disease (CHD) occurs in 6 to 8 out of every 1,000 live births. CHD is one of the most common congenital anomalies, with a mortality rate of up to 25% in the first year of life. CHD is a structural and functional abnormalities that develop during embryogenesis. Delayed diagnosis of CHD leads to increased morbidity and mortality. A community service activity was conducted in Kediri, East Java, to raise awareness among medical personnel about early detection of CHD, followed by examinations using pulse oximetry and echocardiography. The education method included seminars and training sessions covering early detection, diagnosis, and management of CHD. The examinations were performed by pediatric cardiology consultants. Pre-test and post-test evaluations were conducted to assess the knowledge level of medical personnel. The activity involved 100 participants, including specialists, general practitioners, midwives, and nurses. The average pre-test score was 58.57/100, with 7 participants achieving a perfect score. By the end of the training, the average post-test score increased to 72.06/100, with 25 participants obtaining perfect scores. A total of 27 children underwent echocardiography; 20 were diagnosed with acyanotic CHD, 2 with cyanotic CHD, and 5 were normal. In the pulse oximetry examinations, all infants had oxygen saturation levels of 95% or higher, with no difference greater than 3% between pre- and post-ductal locations. The conclusion is that education through seminars and training can improve medical personnel's knowledge of early detection of CHD in children.
Profil Penyakit Jantung Bawaan Sianotik di Rumah Sakit Umum Daerah Dr. Soetomo Surabaya Clara Alverina; I Ketut Alit Utamayasa; Yan Efrata Sembiring
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.1-2022-762

Abstract

Introduction. Cyanotic congenital heart disease (CHD) is an abnormality of the heart that causes blood with low oxygen content to circulate directly to the body.Objective. To evaluate the profile of cyanotic congenital heart disease at Dr. Soetomo General Hospital Surabaya.Methods. This is a descriptive study using medical records of cyanotic CHD patients aged ≤18 years old from June 2018 – May 2020. Gender, age, nutritional status, sign and symptom, type of cyanotic CHD, complication and treatment were taken as the variables.Result. Out of 116 patients in this study, the majority were male (58.62%). Most patients first diagnosed at the age of 0 – less than 1 year (76.72%) with normal nutritional status (51.72%). Tetralogy of Fallot (TOF) is the most common type (42.24%). Murmur was the most common sign and symptom (92.24%). Frequently observed complications were pneumonia (37.07%).Conclusion. Patients with cyanotic CHD are mostly male, diagnosed at the age of 0 – less than 1 year with normal nutritional status. TOF is the most common type. Most patients present with murmurs. Predominant complication is pneumonia.
Profile of Acyanotic Congenital Heart Defect in Children at Dr. Soetomo General Hospital Surabaya Period of January – December 2016 Fedora, Katherine; Utamayasa, I Ketut Alit; Purwaningsih, Sri
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (437.136 KB) | DOI: 10.20473/juxta.V10I22019.79-83

Abstract

Introduction: Acyanotic congenital heart defect is a congenital structural abnormality arising from incomplete formation of the heart or major blood vessels which generally do not interfere with the amount of oxygen or blood that reaches the body's tissues so that cyanosis are rarely found in these patients. This research aims to evaluate the profile of acyanotic congenital heart defect patients in Paediatric Cardiology Outpatient Clinic Dr. Soetomo General Hospital Surabaya period of January – December 2016 based on 4 variables; gender, age, nutritional status, type of congenital heart disease and symptoms. Until 2017, the profile of acyanotic congenital heart defect in children in Outpatient Unit of Paediatrics Department Dr. Soetomo General Hospital Surabaya has not been much researched, so this research is expected to be used as learning reference for practitioners and other readers, and also as a reference in developing management strategies for children with acyanotic congenital heart defect in the future. Methods: This was a descriptive non-experimental study using cross-sectional design and was performed by evaluating medical record of acyanotic congenital heart defect patients in Department of Paediatrics Dr. Soetomo General Hospital Surabaya period of January – December 2016 and analysed using Microsoft Excel. Results: The results of this study revealed that majority of acyanotic congenital heart defect patients were female (53.85%) with age range between 0 – <5 years old. Atrial septal defect (ASD) was the most common type of acyanotic congenital heart defect (49.8%), with sign and symptom that is commonly found in patients were failure to thrive (61.94%). Majority of patients also suffered from growth disruption with most of patients aged 0 – <5 years old are severely underweight (42.46%) and most of patients aged 5 – 18 years old are having malnutrition (38.23%).
Seminar Deteksi Dini Penyakit Jantung Bawaan pada Anak dengan Pemeriksaan Pulse Oxymetri dan Ekokardiografi di RSUD dr. Mohammad Zyn Sampang Utamayasa, I Ketut Alit; Rahman, Mahrus A.; Hidayat, Taufiq; Wicaksono, Henry; Nastiti, Prima Hari
Jurnal Abdi Masyarakat Indonesia Vol 4 No 6 (2024): JAMSI - November 2024
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.1354

Abstract

Penyakit jantung bawaan (PJB) merupakan salah satu penyakit kelainan bawaan yang sering terjadi dengan presentase 0,8% hingga 1,2% dengan angka kematian 81 kasus per 100.000 kelahiran hidup. Umumnya, PJB merupakan kelainan struktur jantung dan (atau) pembuluh darah besar yang muncul saat lahir. Kegiatan dari seminar ini bertujuan untuk memberikan pengetahuan dan pelatihan kepada tenaga medis tentang deteksi dini penyakit jantung bawaan yang dilanjutkan dengan pemeriksaan saturasi oksigen menggunakan pulse oxymetri dan ekokardiografi di Sampang, Madura, Jawa Timur. Metode seminar ini dilakukan melalui seminar disertai pelatihan deteksi dini PJB dengan peserta tenaga kesehatan di Madura. Seminar meliputi metode deteksi dini, diagnosis dan terapi, serta simulasi kasus PJB. Evaluasi berdasarkan Pre dan Post-test untuk melihat tingkat pengetahuan para peserta. Pemeriksaan Ekokardiografi dan Pulse Oxymeter dilakukan oleh dokter Spesialis Jantung Anak. Hasil dari kegiatan ini, terdapat 100 peserta yang mengikuti pelatihan seminar. Nilai rata-rata pre-test adalah 53,7/100 dengan hanya 2 peserta yang mendapatkan nilai sempurna. Di akhir seminar, rata-rata nilai post-test adalah 92,3/100 dengan 45 peserta yang akhirnya mendapatkan nilai sempurna. Dari hasil pemeriksaan, sebanyak 20 anak diperiksa dengan pemeriksaan ekokardiografi. 11 anak didiagnosis PJB asianotik, 1 anak didiagnosis PJB sianotik, dan 8 anak normal. Pada pemeriksaan oksimetri nadi, seluruh bayi mempunyai saturasi oksigen 95% atau lebih dan tidak terdapat perbedaan lebih dari 3% antara lokasi pra dan post ductal. Dengan diadakannya seminar dan pelatihan ini membuat para tenaga medis menjadi paham dan mengerti cara melakukan deteksi dini pada pasien anak dengan PJB.
Pengabdian Masyarakat Deteksi Dini Penyakit Jantung Bawaan pada Anak di RSUD dr. Soedono Madiun Hidayat, Taufiq; Rahman, Mahrus Abdur; Utamayasa, I Ketut Alit; Wicaksono, Henry; Nastiti, Prima Hari
Jurnal Abdi Masyarakat Indonesia Vol 4 No 6 (2024): JAMSI - November 2024
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.1361

Abstract

Penyakit jantung bawaan (PJB) mempengaruhi sekitar 0,8% hingga 1,2% dengan angka kematian 81 kasus per 100.000 kelahiran hidup. Umumnya, PJB merupakan kelainan struktur jantung dan (atau) pembuluh darah besar yang muncul saat lahir. Kurangnya pengetahuan terkait PJB pada tenaga kesehatan mengakibatkan tatalaksana PJB terlambat. Tujuan dari kegiatan ini adalah melakukan seminar kepada tenaga medis tentang deteksi dini penyakit jantung bawaan yang dilanjutkan dengan pemeriksaan saturasi oksigen menggunakan pulse oxymetri dan ekokardiografi di Madiun Jawa Timur. Hal baru dalam kegiatan pengabdian masyarakat ini karena memberikan pelatihan deteksi dini penyakit jantung bawaan. Metode pelatihan dilakukan melalui seminar dengan peserta tenaga kesehatan di Madiun. Materi yang diberikan meliputi metode deteksi dini, diagnosis dan terapi, serta simulasi kasus PJB. Pre dan Post-test digunakan untuk mengevaluasi tingkat pengetahuan. Kunjungan pemeriksaan ekokardiografi dan pulse oximetri oleh dokter spesialis jantung. Hasil dari kegiatan tersebut, terdapat 75 peserta yang mengikuti pelatihan seminar. Nilai rata-rata pre-test adalah 60,2/100 dengan hanya 3 peserta yang mendapatkan nilai sempurna. Di akhir seminar, rata-rata nilai post-test adalah 72,06/100 dengan 10 peserta yang akhirnya mendapatkan nilai sempurna. Sebanyak 17 anak diperiksa dengan pemeriksaan ekokardiografi. 12 anak didiagnosis PJB asianotik, 2 anak didiagnosis PJB sianotik, dan 3 anak normal. Pada pemeriksaan pulse oxymetri, seluruh bayi mempunyai saturasi oksigen 95% atau lebih dan tidak terdapat perbedaan lebih dari 3% antara lokasi pra dan post ductal. Kesimpulan Pelatihan seminar dapat meningkatkan pengetahuan tenaga kesehatan tentang deteksi dini penyakit jantung bawaan. Pasien yang terdeteksi PJB dilakukan perujukan di RSUD Dr. Soetomo untuk direncanakan tindakan selanjutnya.
Sebuah Laporan Kasus Seorang gadis berusia 13 tahun dengan Defek Septum Atrio-Ventrikular Lengkap (subtipe Intermediate) dan Blok AV Total I Ketut Alit Utamayasa; Prima Hari Nastiti; Taufiq Hidayat; Mahrus Abdur Rahman
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.22680

Abstract

Atrioventricular septal defects (AVSD) constitute a spectrum of anomalies caused by abnormal endocardial cushion defects. Many classifications have been used to describe AVSD. There is generally subclassified into complete and partial forms. Complete AVSD is characterized by a primum atrial septal defect (ASD) contiguous with an inlet ventricular septal defect (VSD) and a common AV valve. Intermediate AVSD is a subtype of complete AVSD that has distinct right and left atrioventricular valve orifices by a bridging tongue despite having only one common annulus. In some children or adults, we may see unoperated partial or intermediate AVSD, which may be asymptomatic or may present with congestive heart failure, exertional limitation, pulmonary hypertension, infective endocarditis, or heart rhythm disorder. In some cases of AVSD has atrioventricular (AV) conduction disorder, mostly on first-degree AV block. We report a case of a 13-year-old girl with complete AVSD (intermediate subtype) and pulmonary hypertension who is concomitant with total AV block. The patient has undergone implantation of a permanent pacemaker for total AV block and conservative therapy for complete AVSD. Anatomical assessment by trans-thoracal echocardiography (TTE) was essential for diagnostic and detailed morphological characterization of AVSD.
The Correlation between Cardiac and Liver Function in Children with Heart Failure Utamayasa, I Ketut Alit; Wicaksono, Henry; Karyani, Enny; Nastiti, Prima Hari; Setyoboedi, Bagus; Rahman, Mahrus A.
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 31 No. 3 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v31i3.2478

Abstract

The liver has a complex dual blood supply, which makes it more resistant to hepatocyte necrosis due to hemodynamic disturbances. Prior hemodynamic data has indicated that an elevation in right atrial pressure in patients with heart failure may result in aberrant cholestatic markers of liver function. This cross-sectional study examined the correlation between ejection fraction and liver function in 85 children (1–18 years) with congenital or acquired heart disease. Echocardiography assessed TAPSE, Tricuspid Regurgitation (TR), E/A ratio, and Left Ventricular Ejection Fraction (LVEF), while liver function was evaluated using total bilirubin and SGPT. Results showed a strong negative correlation between TAPSE and total bilirubin (p=0.001, r= -0.725) and a moderate positive correlation between tricuspid regurgitation and total bilirubin (p=0.001, r=0.548). The E/A ratio, LVEF, and total bilirubin showed weak correlations, while TAPSE and SGPT had a weak negative correlation (p=0.025, r= -0.243). No correlation was found between TR, E/A ratio, LVEF, and SGPT. A strong correlation existed between heart failure severity and total bilirubin (p=0.001, r=0.603), but not with SGPT. These results highlight the correlation between the severity of heart failure and liver impairment by indicating that decreasing right ventricular function correlates to elevated total bilirubin.
Co-Authors Bagus Setyoboedi Bambang Herwanto Clara Alverina Enny Karyani, Enny Fedora, Katherine Henry Wicaksono Henry Wicaksono, Henry Mahrus A Rahman, Mahrus A Mahrus Abdur Rahman Nastiti, Prima Hari Prima Hari Nastiti Prima Hari Nastiti Rahman, Mahrus Abdur Sembiring, Yan Efrata Sri Purwaningsih Syafira Yasmine Taufiq Hidayat Taufiq Hidayat Teddy Ontoseno