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Tatalaksana Penutupan Duktus Arteriosus Persisten Transkateter Irfan, Muhammad; Ali, Muhammad; Lumban Tobing, Tina Christina; Adriansyah, Rizky; Zakky Abdillah, Hafaz; Amelia, Putri
Cermin Dunia Kedokteran Vol 48, No 6 (2021): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (437.834 KB) | DOI: 10.55175/cdk.v48i6.1432

Abstract

Penyakit jantung bawaan (PJB) merupakan salah satu kelainan bawaan terbanyak di dunia. Secara umum kelainan ini dibagi menjadi tipe sianotik dan asianotik. Duktus arteriosus persisten (DAP) merupakan salah satu tipe PJB asianotik dan menduduki peringkat ke 3 dari seluruh kelainan jantung bawaan. Penutupan DAP secara transkateter saat ini menjadi pilihan utama jika gagal dengan obat-obatan dan ukuran defek memungkinkan. Pengamatan pasca penutupan transkateter penting untuk menilai perubahan klinis dan kemungkinan komplikasi.Congenital heart disease (CHD) is one of the most frequent congenital anomalies in the world. These anomalies are usually divided into cyanotic and acyanotic type. Patent ductus arteriosus (PDA) is acyanotic type of CHD and ranked 3rd of all CHD. Transcatheter PDA closure now become first choice if drug treatment fails and the size of the defect is qualified for nonsurgery closure. Post-closure observation is important to assess clinical changes and possible complications.
Factors associated with clinical outcomes among children with delayed diagnosis of critical congenital heart disease: A cross-sectional study Fachrozi, Muhammad R.; Adriansyah, Rizky; Pratita, Winra; Wahyuni, Arlinda S.; Tobing, Tina CL.; Trisnawati, Yunnie
Narra X Vol. 3 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i2.191

Abstract

Delayed detection of critical congenital heart disease (CHD) is associated with increased morbidity and mortality. Currently, there is a paucity of data on children with critical CHD in Indonesia. The aim of this study was to investigate the factors contributing to delayed diagnosis of critical CHD and its association with clinical outcomes such as mortality, heart failure, intensive care unit (ICU) admission, and ventilator use. A cross-sectional study was conducted using medical records from Haji Adam Malik Medan General Hospital. The study included all children aged 0 to 18 years diagnosed with critical CHD. The statistical analysis was performed by utilizing SPSS version 25.0. A total of 59 subjects were analyzed. The findings revealed a significant relationship between factors such as age, sex, respiratory tract infections, type of CHD, surgical interventions, and underlying syndromic abnormalities with various clinical outcomes. Delayed diagnosis of critical CHD was associated with increased mortality, heart failure, ICU admission, and ventilator use, with these outcomes influenced by the aforementioned factors.
Perbandingan Penutupan Ventricular Septal Defect secara Transkateter dengan Pembedahan pada Anak: Telaah Sistematis dan Meta Analisis Ivander, Alvin; Adriansyah, Rizky; Tanjung, Ika Citra Dewi; Raynaldo, Abdul Halim
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 2 (2022): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i2.5412

Abstract

Background: Ventricular Septal Defect is a Congenital Heart Defect characterized by an opening in interventricular septum or more that happen because of intraventricular septum’s failure to fuse during fetal development. Ventricular Septal Defect itself is the most prevalent type of CHD found on pediatric patient and decreased their quality of life thus corrective treatment become important to ensure child healthy growth. Transcatheter procedure is expected as one of the alternative for corrective treatment which is better and safer compared to surgical closure of VSD corrective treatment. Objectives: This research aimed to observe the comparison of VSD closure between transcatheter compared to surgical closure. Methods: This research is a systematic review and meta-analysis compliant with PRISMA guidelines and analyzed using Review Manager 5.3. Discussion: This research identifies 1.991 journals however, only 10 journals fulfilled the inclusion criteria. The review founded that there is no significant difference between either transcatheter or surgical closure outcome (RR = 0,99) however the analysis founded that transcatheter method are much safer in term of complication event (RR =0,54), residual shunt event (RR = 0,56), and blood transfusion (RR=0,03) while also provide a much cheaper cost with faster procedure time, and hospitalization. Conclusion: The results of data analysis found that transcatheter procedure is safer, cheaper, and have a much faster speed in term of operation duration and hospital stay compared to surgical closure of VSD. Transcatheter procedure is recommended as treatment choice for corrective treatment of patient diagnosed with VSD. Keywords: Ventricular Septal Defect, transcatheter, surgical closure, child   Latar Belakang: Ventricular Septal Defect adalah Penyakit Jantung Bawaan yang ditandai dengan adanya satu lubang pada septum interventrikular atau lebih yang terjadi akibat kegagalan fusi septum intraventrikular saat perkembangan janin. VSD sendiri adalah jenis PJB yang paling sering timbul pada anak dan mengakibatkan penurunan kualitas hidup anak sehingga terapi korektif menjadi penting agar anak dapat tumbuh dengan baik. Prosedur transkateter diharapkan menjadi salah satu alternatif terapi korektif yang lebih baik dibandingan dengan pembedahan dalam pengobatan korektif VSD. Tujuan: Tujuan dari penelitian ini adalah untuk melihat perbandingan penutupan VSD secara transkateter dibandingkan dengan pembedahan. Metode: Penelitian ini merupakan telaah sistematik dan meta analisis yang patuh pada kaidah pedoman PRISMA lalu dianalisis menggunakan Review Manager 5.3. Pembahasan: Penelitian ini menemukan 1.991 jurnal namun hanya 10 jurnal yang memenuhi kriteria inklusi. Telaah tersebut menemukan bahwa tidak ada perbedaan signifikan antara luaran prosedur transkateter atau pembedahan (RR = 0,99) namun analisis yang dilakukan menemukan bahwa transkateter lebih aman dalam segi kejadian komplikasi (R = 0,54), kejadian pirau residual (RR = 0,56), dan transfusi darah (RR = 0,03) dan lebih murah dalam hal biaya serta lebih cepat baik prosedur maupun lama rawat inap. Kesimpulan: Hasil analisis ini menemukan bahwa prosedur transkateter lebih aman, murah, dan lebih cepat dalam hal prosedur serta lama rawat inap dibandingkan pembedahan. Prosedur transkateter direkomendasikan sebagai pilihan prosedur untuk pengobatan korektif VSD. Kata Kunci: Ventricular Septal Defect, transkateter, pembedahan, anak
Tingkat Kepuasan Pelayanan Swamedikasi Batuk di Toko Obat Arjasari Fikriyyah, Fikriyyah; Adriansyah, Rizky
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 3 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i3.354

Abstract

Cough is a common complaint encountered by the community and is classified as mild. Therefore, people prefer to self-medicate when faced with it. However, in practice, self-medication can be a source of medication errors due to limited public knowledge about drugs and their use. Provide a good understanding to the community about cough self-medication from a pharmacist. The purpose of this study was to determine how satisfied the cough self-medication service was at the Arjasari pharmacy. This type of research uses a qualitative design with descriptive research methods. Collecting data, namely all data that meet the inclusion and exclusion criteria. From the research, the results of the sperman rank correlation coefficient of (0.806) indicate that the variables of reliability, responsiveness, assurance, empathy, and tangibles together or simultaneously have a significant effect on customer satisfaction (64.9%), while the remaining variables (35 ,1%) contributed by other variables not examined by the authors. Based on the research that I have done, based on the results of the study it can be concluded that the majority of customers are very satisfied with service performance in terms of service quality perceived by customers. Arjasari drug store clerk in serving self-medication customers.