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All Journal The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Indonesian Journal of Cardiology Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology Jurnal Pengabdian Masyarakat Indonesia Sasambo Journal of Pharmacy Cermin Dunia Kedokteran Jurnal Pengabdian Kesehatan Masyarakat

Teddy Ontoseno

Airlangga University Medical School / Dr Soetomo Hospital Surabaya

Author-ID : 337683

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

Published : 19 Documents Claim Missing Document

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Tatalaksana dan Rujukan Awal Penyakit Jantung Bawaan Kritis Amal, Ihsanul; Ontoseno, Teddy
Cermin Dunia Kedokteran Vol 44, No 9 (2017): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Penyakit jantung bawaan kritis adalah kelainan jantung yang memerlukan intervensi dini untuk bertahan hidup. Diagnosis dini disertai tatalaksana dan rujukan awal yang tepat berpotensi memperbaiki prognosis.Critical congenital heart diseases are a group of heart defect which requires an early intervention for survival. Early diagnoses followed by appropriate initial management and referral is potentially lifesaving.Â

Clinical Profile of Pediatric Patients with Acyanotic Congenital Heart Disease in Dr. Soetomo General Hospital Surabaya Kartika Hardiyani; Taufiq Hidayat; Alit Utamayasa; Mahrus Abdur Rahman; Teddy Ontoseno
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14306

Congenital Heart Diseases (CHD) are classified as Acyanotic or Cyanotic CHD. Prevalence of CHDaccording to various studies is 8-10 per 1000 live births worldwide, 10% of cases became infant mortalityin developing countries. This research aims to study the characteristics and clinical presentations in childrenwith acyanotic CHD in Dr. Soetomo General Hospital. A retrospective observational study from children withacyanotic type of CHD from medical record outpatient clinic in the Division of Neonatology and PediatricWard at Dr. Soetomo General Hospital from June to December 2016. Age, sex, heart defect, comorbid andnutritional status were taken from the medical record. The most dominant clinical profile was female witha mean age of 4 years. Atrial Septal Defect was the most common type of left-to-right shunt, followed byVentricular Septal Defect, and Patent Ductus Arteriosus. Pulmonary Stenosis was the most common typeof obstructive lesion, followed by Aortic Stenosis. Complications of acyanotic CHD were dominated byrecurrent respiratory tract infections followed by growth and developmental disorder, and heart failure. Themost common nutritional status was moderate malnutrition.

Oxygen saturation among newborns in the first 10 hours of life to detect Critical Congenital Heart Disease - Ductus Dependent Fatchul Wahab; Mahrus Abdul Rahman; Teddy Ontoseno; Risa Etika; Alit Utamayasa; Taufiq Hidayat; Sarmanu Sarmanu
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 2 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i2.4258

ABSTRACT Delay diagnosis of Critical Congenital Heart Disease (CHD) can be associated with sudden clinical deterioration and dangerous cardiovascular conditions. The oxygen saturation screening among newborns in the first 10 hours of life is essential for early detection of critical CHD. This study aims to prove that measuring oxygen saturation among newborns in the first 10 hours of life can detect critical CHD. This study is a diagnostic experimental with consecutive sampling subjects in the infant care unit of Dr. Soetomo Hospital, including all newborns with birth weight ≥ 1500 grams and oxygen saturation at ≥ 1 hour of age below 90%. The measurement of oxygen saturation uses fingertip pulse oximetry in the right hand and foot at the age of 10 hours. A "positive oxygen saturation" is defined as oxygen saturation ≤ 85% or different oxygen saturation ≥ 3%, while a "negative oxygen saturation" is when the oxygen saturation is 85% to 90% or different oxygen saturation is 3%. Echocardiography is performed for the gold standard. From November 2019 to January 2020, 11 newborns underwent an oxygen saturation examination. Five subjects (45.46%) in the category of positive oxygen saturation, echocardiographic showed all Critical CHD (100%). Six subjects (54.54%) with negative oxygen saturation category, echocardiographic results showed two critical CHD (33.34%) and four non-critical CHD (66.66%). Fisher's exact test p < 0.005 (α). The diagnostic oxygen saturation test among newborns at 10 hours of life shows ≤85%, all subject’s echocardiography (100%) shows detection of critical CHD, while saturation 85% to 90% has of 33.3% for detection of critical CHD. The sensitivity and specificity of oxygen saturation for early diagnosis of critical CHD are 100% and 67%, respectively. Keywords: critical congenital heart disease, oxygen saturation, fingertip pulse oximetry, diagnostic tests*Corresponding Author: wfatchul045@gmail.com

Comparison of Angiotensin-Converting Enzyme Inhibitor (ACEI) and Angiotensin Receptor Blocker (ARB) for Heart Failure Treatment in Congenital Heart Diseases with Left-to-Right Shunt Alit Utamayasa; Mahrus Ahmad Rahman; Teddy Ontoseno; Budiono budiono
The Indonesian Biomedical Journal Vol 12, No 1 (2020)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v12i1.997

BACKGROUND: The angiotensin-converting enzyme inhibitors (ACEIs) have become the forefront of heart failure treatment for more than a decade. Currently, angiotensin receptor blockers (ARBs) are thought to have similar effectiveness. This study aimed to compare the impact of captopril, one of ACEI, and valsartan, one of ARB, on clinical presentation and echocardiographic, electrocardiographic, and chest x-ray improvement in patients with left-to-right shunt congenitalheart diseases.METHODS: This study used a double-blind randomized controlled trial of captopril and valsatran to children with left-to-right shunt congenital heart diseases who suffer from heart failure in the Dr. Soetomo General Hospital, Surabaya, Indonesia. Pediatric heart failure scores, echocardiography, electrocardiography (ECG), and chest photographs were examined at the beginning of the study and after 30 days of treatment.RESULTS: A decrease in pediatric heart failure scores were showed after the administration of ACEI (7.06±2.04 vs. 4.75±2.43; p<0.0001; 95% CI: −2.98 - 1.65); ARB (6.81±2.25 vs. 3.94±1.98; p<0.0001; 95% CI: −3.76 to 1.98). The echocardiography examination, an increase in left ventricular end-diastolic volume (LVEDV), left ventricular ejection fraction (LVEF), % fractional shortening (FS), and left ventricular (LV) dimension occurred after the administration of ACEI and ARB. The values also didn’t significantly differrent between the two groups. The ECG evaluation showed a decrease in heart rate frequency after the administration of ACEI (117.75±14.67 vs. 109.63±17.59; p=0.039; 95% CI: −15.78 to −0.46) and ARB (117.10±21.86 vs.108.6±20.66; p=0.006; 95% CI: −14.17 to −2.83).CONCLUSION: ARB showed better outcome in clinical condition, echocardiography, ECG, and chest radiographs.KEYWORDS: captopril, valsartan, heart failure, congenital heart disease, left to right shunt

Pengaruh Kadar Feritin Serum terhadap Fungsi Ventrikel Kiri pada Thalassemia Mayor yang Mendapat Transfusi Multipel Renny Suwarniaty; Teddy Ontoseno; Bambang Permono; Sudigdo Sastroasmoro
Sari Pediatri Vol 9, No 3 (2007)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp9.3.2007.178-84

Latar belakang. Thalassemia adalah penyakit darah yang bersifat diturunkan, transfusi darah secara teraturmerupakan satu-satunya cara untuk memperpanjang hidup.Tujuan. Untuk mengetahui pengaruh kadar feritin serum terhadap fungsi ventrikel kiri pada pasienthalassemia mayor yang mendapatkan transfusi multipel.Metode. Penelitian dengan rancang bangun cross sectional. Dilakukan di Divisi Hematologi - OnkologiRS Dr Sutomo Surabaya dari bulan Agustus-November 2006. Pengambilan sampel secara konsekutif,dibagi menjadi 3 kelompok berdasarkan jumlah transfusi darah yang telah diterima.Hasil. Subjek penelitian 61 anak rerata kadar serum feritin pada kelompok 1: 768,7, kelompok 2: 2338,8,kelompok 3: 5207,3. Hasil ekokardiografi EF < 64% kelompok 1: 3 dari 18 anak (16,7%), kelompok 2: 2dari 15 anak (13,3%), kelompok 3: 8 dari 28 anak (28,6%). Rasio E/A < 1,5 kelompok 1: 6 dari 18 anak(33,3%), kelompok 2: 3 dari 15 anak (20,0%), kelompok 3: 12 dari 28 anak (42,9%). Rasio E/A > 2,5kelompok 1: 1 dari 18 anak (5,6%), kelompok 2: 1 dari 15 anak (6,7%), kelompok 3: 4 dari 28 anak(9,8%). Dengan analisis regresi logistik, ternyata tidak ada hubungan bermakna antara kadar feritin serumdengan gangguan fungsi ventrikel kiri pada subyek penelitian. (p > 0,05)Kesimpulan. Terdapat hubungan antara lama transfusi dengan rasio E/A yang > 2,5, namun tidakdidapatkan hubungan antara kadar serum feritin dengan gangguan fungsi ventrikel kiri pada pasientallasemia mayor yang mendapatkan transfusi secara multipel.

Hubungan Status Gizi Anak Usia 2-5 Tahun dengan Kelainan Jantung Bawaan Biru di RSUD Dr Soetomo Surabaya Ayu Pisita Wulandari; Teddy Ontoseno; Pirlina Umiastuti
Sari Pediatri Vol 20, No 2 (2018)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Kelainan jantung bawaan biru adalah tipe umum dari kelainan jantung bawaan yang salah satunya disebabkan oleh faktor status gizi. Malnutrisi pada anak dengan kelainan jantung bawaan biru dapat meningkatkan mortalitas dan morbiditas.Tujuan. Untuk menganalisis hubungan status gizi dengan kelainan jantung bawaan biru.Metode. Penelitian ini menggunakan rancangan observatif cross-sectional. Berat badan, usia, dan jenis kelamin diambil sebagai variabel penelitian. Status gizi dihitung dengan menggunakan metode z-skor dan dibagi menjadi dua kelompok yaitu malnutrisi dan gizi baik.Hasil. Prevalensi kelainan jantung bawaan biru pada anak perempuan adalah 28 anak dan pada anak laki-laki adalah 16 anak. Angka kejadian terbanyak adalah pada anak usia 21-24 bulan. Tetralogi Fallot adalah tipe yang kelainan jantung bawaan biru terbanyak (68,2% dari total kelainan jantung bawaan biru). Pasien kelainan jantung bawaan biru dengan malnutrisi 63,6% dan gizi baik 36,4%. Dengan uji Chi-square diperoleh hubungan yang bermakna secara statistik (p=0,007) dan hubungan ini pada Î±=0,05 adalah lemah karena koefisien korelasinya sebesar 0,313.Kesimpulan. Terdapat hubungan yang lemah antara status gizi dengan kelainan jantung bawaan biru pada anak usia 2-5 tahun.

Rhabdomyoma Penyebab Obstruksi Ventrikel Kiri Pada Neonatus Umur Dua Hari S Suryono; Mahrus A Rachman; Teddy Ontoseno
Jurnal Kardiologi Indonesia Vol. 29, No. 1 Januari - April 2008
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v29i1.201

Tumor intrakardiak pada pediatri sangat jarang ditemukan, kejadiannya hanya mencapai 0,001% sampai 0,003% dari semua kasus yang diterima di rumah sakit rujukan. Rhabdomyomamerupakan tumor jinak intrakardiak yang ditemukan pada bayi di bawah usia satu tahun, kejadiannya mencapai lebih dari 75% dari keseluruhan kasus tumor jantung dengan distribusi sama antara pria dan wanita.Rhabdomyomabiasanya multiple, berukuran antara beberapa millimeter hingga beberapa sentime-ter; lokasinya dapat intramural pada dinding, septum bahkan pada rongga ventrikel. Gambaran klinisnya dapat berupa : obstruksi ventrikel, aritmia dan kematian mendadak.Obstruksi ventrikel kiri (left ventricle/LV) yang ditandai dengan gagal jantung merupakan mani-festasi klinis Rhabdomyomayang sangat langka.Diagnosis dini tumor jantung (Rhabdomyoma) pada LV merupakan hal penting karena tindakan be-dah diharapkan dapat memberikan perbaikan klinis dan harapan hidup lebih panjang, meskipun reseksi sempurna tidak selalu tercapai.

Congenital heart disease in adults and its problems Teddy Ontoseno
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

There were 40 adult congenital heart disease (CHD) patients seen in the Cardiology Division during 1 year (February 1993 - February 1994). The most frequently seen defect was atrial septal defect; however there were also cases with patent ductus arteriosus, pulmonary stenosis, ventricular septal defect, and tetralogy of Fallot. Hemodynamic disorder, serious hindrance to education achievement, and occupational threat due to limited physical capabilities as well as malnutrition are some of prominent issues to be closely anticipated. In general the older the patients the more serious hemodynamic disorder they suffer due CHD. It is worth thinking how to improve the quality of life of CHD patients who succeed to live their adult lives and minimize any possible fatal complication risks.

Muscular ventricular septal defect closure with Gianturco coil at Soetomo hospital (a case report) Alit Utamayasa; Teddy Ontoseno; Mahrus A Rahman; Vinny Yoanna; Rio Herdyanto
Paediatrica Indonesiana Vol 50 No 2 (2010): March 2010
Publisher : Indonesian Pediatric Society

Ventricular septal defect (VSD) is the mostcommon congenital heart disease (CHD)in children.1'2 It occurs in 1.5 to 3.5 of1,000 live births and constitutes 20% ofcongenital cardiac defects.1 The VSD may be small,medium or large and is classified based on its locationin the interventricular septum. There are four types ofVSD, i.e., perimembranous (80% ofVSDs), musculartype (5% to 20%) inlet or AV canal type (8%), andfinally, subpulmonary (5% to 7%).1-4 When multiplemuscular defects are seen, it is often referred to as"Swiss-cheese" type of VSD. 1â€¢2The management strategies, which consist ofmedical, surgical and intervention techniques, depend toa large degree on the size of the VSD.1-4 Approximately40% of VSDs spontaneously and completely closed,with closure rates approaching 80-90% by age 2 years.2Indication ofVSD closure are symptoms of heart failure,left heart chambers overload and history of endocarditis.The surgical approach is considered gold standard butit is associated with morbidity and mortality, high cost,patient discomfort, sternostomy and skin scar.3 Since1988, percutaneous techniques have been conductedin order to reduce those drawbacks of surgery. Morerecently, percutaneous techniques and devices havebeen developed specifically for closure of muscularVSD (m VSD) and perimembranous VSD (pm VSD)using either the Rashkind double umbrella, the BardClamshell, the Button device, theAmplatzer septal, duct118 â€¢ Paediatr lrulones, Vol. 50, No. 2, March 2010or muscular VSD occluder, or the Gianturco coils.3AGianturco coils have been widely used to closeunwanted vascular communications and small- tomoderate- sized patent ductus arteriosus, withexcellent closure rates. In 1999, Latiff et al successfullyused this coil to close multiple muscular VSDs in a10-month old boy. Thus, percutaneuos closure ofVSDs using Gianturco coils is a feasible, reasonablealternative to surgery.5'6 We report a case of fouryear-old girl with muscular VSD who underwentcardiac catheterization and transcatheter closure withGianturo coil in Dr. Soetomo Hospital, Surabaya.

The Use of Young Coconut Water in Pediatric Cholera Harun Nurasid; Teddy Ontoseno; Subijanto Purwodibroto
Paediatrica Indonesiana Vol 19 No 9-10 (1979): September - October 1979
Publisher : Indonesian Pediatric Society

Eighty-stx children suffering from cholera, aged 2 - 12 years, admitted to the Dr. Sutomo Hospital, Surabaya, were treated intravenously with Ringer Lactate as initial rehydration. Concomitantly young coconut water was given orally ad libitum until complete rehydration was achieved.

Co-Authors A. M. Prasodo Alit Utamayasa Alit Utamayasa Amal, Ihsanul Ayu Pisita Wulandari Bagus Setyoboedi Bambang Permono Budiono Budiono Evisina Hanafiati Frans Fatchul Wahab Gani Wangunhardjo Harun Nurasid Henry Wicaksono I Dewa Gede Ugrasena Ihsanul Amal Kartika Hardiyani Ketut Angga Aditya Putra Pramana Mahrus A Rachman Mahrus A Rahman, Mahrus A Pratiwi, Fauziah Prihaningtyas, Rendi Aji R Fatchul Wahabe Renny Suwarniaty Rio Herdyanto Risa Etika, Risa S Suryono Sarmanu, Sarmanu Soebijanto Poerwodibroto Subijanto Purwodibroto Sudigdo Sastroasmoro Syamsul Arifin Taufiq Hidayat Umiastuti, Pirlina Utamayasa, I Ketut Alit Vinny Yoanna Yusra Pintaningrum

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