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All Journal Majalah Kedokteran Bandung Althea Medical Journal
Rahmat Budi Kuswiyanto, Rahmat Budi
Department of Child Health Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
Medicine & Pharmacology

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Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease Gabriela, Krystle; Kuswiyanto, Rahmat Budi; Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Acute Lower Respiratory Tract Infection (ALRTI) is the leading cause of deaths in children under 5 years of age worldwide, and has high morbidity and mortality in children with Congenital Heart Disease (CHD). The objective of this study was to obtain the incidence, clinical characteristic, and outcome of ALRTI children with CHD.Methods: A retrospective hospital-based study was conducted from January 2007–December 2011 to medical record of child patients with ALRTI and CHD in the Department of Child Health of Dr. Hasan Sadikin General Hospital, Bandung. The diagnosis of CHD was determined by echocardiography. The collected data was analyzed and presented in percentage shown in tables.Results : From 3,897 children who had ALRTI, there were 149 children with CHD (3.8%), with 11.4% of whom founded with recurrent episodes. This happened often in girls than boys with quite similar ratio of 1.37: 1.The majority of children (80%) was under 1 year old of age, 72.5% with malnutrition, and 24.8% with severe malnutrition. Clinical symptoms mostly found were difficulty of breathing (98%), fever (85.2%), cough (75.2%), and runny nose (63.1%). The most common types of CHD were Patent Ductus Arteriosus (47.6%), followed by Ventricular Septal Defect (47%). Bronchopneumonia (86.6%) was the common type of ALRTI. The length of stay was mostly less than 10 days (70.5%). From all the children 43.7% had complications, and 6.7% died.Conclusions: The ALRTI in children with CHD is not common and has good outcome. The majority for CHD lesions are Patent Ductus Arteriosus and Ventricular Septal Defect while for ALRTI is Bronchopneumonia. DOI: 10.15850/amj.v2n3.483
VO2 Max and Back and Leg Muscle Strength Profile of Universitas Padjadjaran Swimming Team Pajar, Pitriyani Nurul; Farenia, Reni; Kuswiyanto, Rahmat Budi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Background: Cardiorespiratory endurance (VO2 max) and back and leg muscle strength are a few components required to support the performance of swimming athlete during competition. The objective of this study was to determine the VO2 max and back and leg muscle strength in high category level of Universitas Padjadjaran swimming team period 2014. Methods: A descriptive study was conducted to 19 swimmers of Universitas Padjadjaran in September 2014. The variables of this study were VO2 max and back and leg muscle strength. Then, the data were categorized based on the standard of The National Sports Committee of Indonesia.Results: The data obtained showed that the VO2 max of the majority of subjects was in the very good category (6/19 subjects) and the back muscle strength of the majority of subjects was in the very good category (10/19 subjects). In contrast, the leg muscle strength of majority of subjects was in the low category (11/19 subjects).Conclusions: The VO2 max and back muscle strength in high category level of the swimming team fulfilled the standard of The National Sports Committee of Indonesia. [AMJ.2016;3(4):499–502] DOI: 10.15850/amj.v3n4
Electrocardiogram Profile in Children with Dengue Infection at Dr. Hasan Sadikin General Hospital and Bandung City Hospital Shabbir Hussain, Sakinah Binti; Kuswiyanto, Rahmat Budi; Iwan, Januarsih
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Background: Dengue is a mosquito-borne infection which causes many manifestations on the organs, mainly heart. According to the histopathological analysis in heart, there is a direct action of dengue virus towards myocardium. This study was an initial study of cardiac involvement in dengue infection using electrocardiogram as a measurement tool. Methods: This study was a descriptive cross-sectional study and data collection were performed consecutively. A total of 17 children was taken which had been diagnosed with dengue infection according to World Health Organization criteria and had fulfilled inclusion and exclusion criteria of this study in Dr. Hasan Sadikin General Hospital and Bandung City Local Hospital. Once informed consent was obtained, the electrocardiogram procedure was performed according to standard electrocardiogram procedure in pediatrics. Data were analyzed by a pediatric cardiology consultant. Data were interpreted based on the electrocardiogram characteristics according to the type of dengue infection.Results: P wave amplitude was getting shorter as the severity of dengue infection increased. P wave duration increased slightly with increased severity of dengue infection. There was a significant increase in PR interval as the severity of dengue infection increased. The same was also true for ST and QTc wave.Conclusions: The pattern of electrocardiogram profile in children with dengue infection were within normal range. [AMJ.2016;3(4):629–32] DOI: 10.15850/amj.v3n4.950
Congenital Heart Disease among Down Syndrome Children at Dr. Hasan Sadikin General Hospital from 2008 to 2013 Rajamany, Thyviyaa; Kuswiyanto, Rahmat Budi; Lubis, Leonardo
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

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Background: Children with Down syndrome are more prone to congenital heart disease due to the consequences of trisomy chromosomal 21 on gene expression. The aim of this study was to determine the pattern of congenital heart disease in children with Down syndrome. Methods: This was a retrospective study of reviewed children with Down syndrome from January 2008 to January 2013 at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. This study was conducted from August until October 2014. Patients under the age of 15 years and diagnosed having congenital heart disease from 2008 to 2013 were enrolled in this study by using the total sampling method. Incomplete medical records and children who had not performed an echocardiogram were excluded. Sex, age at diagnosis for congenital heart disease, nutritional status and other comorbidities were also examined.Results: Congenital heart disease occurred in 28 children with Down Syndrome. Patent ductus arteriosus (PDA) was the most common and found in 11 patients followed by a combination of congenital heart diseases in 5 patients. Other 3 patients had Atrioventricular septal defect (AVSD), and Tetralogy of fallot (TOF) was found in 3 patients, 2 patients had Atrial septal defect (ASD) and 1 patient had miscellaneous cardiac defect.Conclusions: The most common CHD in Down syndrome is PDA.
Luaran Penutupan Duktus Arteriosus Persisten Transkateter di Rumah Sakit Dr. Hasan Sadikin Bandung Kuswiyanto, Rahmat Budi; Firman, Armijn; Rayani, Putria; Rahayuningsih, Sri Endah
Majalah Kedokteran Bandung Vol 48, No 4 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.36 KB) | DOI: 10.15395/mkb.v48n4.915

Abstract

Saat ini penutupan duktus arteriosus persisten (DAP) transkateter merupakan terapi pilihan karena memiliki efikasi yang baik, masa rawat yang singkat, risiko yang lebih rendah, dan bebas dari parut dada. Tujuan penelitian ini adalah mengevaluasi luaran jangka pendek dan menengah penutupan DAP transkateter. Penelitian merupakan laporan deskriptif analitik pasien yang menjalani penutupan DAP transkateter secara konsekutif di RS Dr. Hasan Sadikin Bandung selama periode Mei 2011 sampai dengan Juni 2014 dengan melakukan evaluasi pemeriksaan klinis dan ekokardiografi saat 24 jam, 1, 3, 6, dan 12 bulan setelah prosedur. Selama periode penelitian terdapat 132 pasien DAP yang menjalani penutupan transkateter, terdiri atas 42 laki-laki dan 90 perempuan, dengan median usia 3,9 tahun, berat badan 11,25 kg, tekanan sistol arteri pulmonalis 56 mmHg, ukuran defek 3,4 mm, flow ratio 2,8, fluoroscopy time 16 menit, dan procedure time 67 menit. Segera setelah prosedur 54% memperlihatkan penutupan lengkap, smoky residual 41%, dan residual ringan 6%. Sebagian besar pasien dipulangkan sehari setelah prosedur, tidak ada yang meninggal dan komplikasi hanya 3,8%. Semua pasien memperlihatkan penutupan lengkap pada follow-up. Penutupan DAP transkateter merupakan terapi yang aman dan efektif dengan masa rawat yang singkat dan komplikasi yang minimal. [MKB. 2016;48(4):234–40]Kata kunci: Duktus arteriosus persisten, penutupan transkateter Outcome of Transcatheter Occlusion of Patent Ductus Arteriosus in Dr. Hasan Sadikin General Hospital Bandung: a Preliminary ReportAbstractTranscatheter closure of patent ductus arteriosus (PDA) is a treatment of choice with good efficacy, shorter hospitalization, less risks, and chest scar free. The objective of this study was to evaluate the immediate and mid-term outcomes of transcatheter closure of PDA. An analytic descriptive study was peformed on patients underwent transcatheter PDA occlusion in Dr. Hasan Sadikin General Hospital Bandung between May 2011 and June 2014. Evaluation was conducted through clinical examination and echocardiography 24 hours, 1, 3, 6 and 12 months after the procedure. The procedure was successful in 132 PDA patients (42 males and 90 females). The median age, body weight, systolic pulmonary artery pressure, PDA size, flow ratio, fluoroscopy time, and procedure time were 3.9 years, 11.25 kg, 56 mmHg, 3.4 mm, 2.8, 16 minutes, and 67 minutes, respectively. Immediately after the procedure, 54% patients had complete closure, 41% experienced smoky residual shunt and only 5% experienced small residual shunt. The mortality and complication rate was 3.8%. Most of the patients were discharged the next day after the procedure. All patients showed complete closure during followed-up. Transcatheter closure of PDA is safe and effective with shorter hospitalization and minimum complications. [MKB. 2016;48(4):234–40]Key words: Patent ductus arteriosus transcatheter closure
Co-Authors Armijn Firman, Armijn Fenny Dwiyatnaningrum, Fenny Januarsih Iwan Krystle Gabriela, Krystle Leonardo Lubis Pajar, Pitriyani Nurul Putria Rayani Rajamany, Thyviyaa Reni Farenia Shabbir Hussain, Sakinah Binti Sri Endah Rahayuningsih