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All Journal Sari Pediatri Action Research Literate (ARL)
Liku Satriani, Liku
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Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Social Sciences

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Rheumatic Heart Disease With NYHA Class Iii Heart Failure In Children: A Case Report Darajat, Radya Adiwiguna; Perdiani, Agrippina; Putra, Handre; Satriani, Liku
Action Research Literate Vol. 9 No. 2 (2025): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v9i2.2819

Abstract

Rheumatic Heart Disease (RHD) is one of the serious complications of Acute Rheumatic Fever (ARF) which is still a major health problem, especially in developing countries. RHD can cause permanent damage to the heart valves, increasing the risk of heart failure in the pediatric population. This study aims to describe the clinical management of RHD cases with class III heart failure according to the New York Heart Association (NYHA) classification in a pediatric patient. The research method used a descriptive case study approach with a retrospective review of the medical records of a 13-year-old pediatric patient who experienced progressive dyspnea, fatigue, lower extremity edema, and intermittent fever. Physical and supporting examinations showed cardiomegaly, pulmonary edema, and severe mitral regurgitation. Management included administration of Benzathine Penicillin G, Prednisone 2 mg/kg/day, and other supportive therapies. The results showed significant clinical improvement within one week of treatment, with a long-term follow-up plan to prevent recurrence. The implications of this study emphasize the importance of early diagnosis and appropriate therapy to prevent the development of ARF into RHD and improve the long-term prognosis of pediatric patients. This study also highlights the need to increase public awareness and strengthen the primary health care system in early detection and management of RHD.
Status Gizi Anak Usia 0 Bulan – 5 Tahun dengan Penyakit Jantung Bawaan Sianotik dan Asianotik di Rumah Sakit Hermina Bogor Weningtyas, Ahadiani; Faranita, Tri; Chairani, Aulia; Nugrohowati, Nunuk; Satriani, Liku
Sari Pediatri Vol 27, No 5 (2026)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.5.2026.283-9

Abstract

Latar belakang. Penyakit Jantung Bawaan (PJB) adalah jenis penyakit bawaan paling sering terjadi dengan prevalensi 1% dari seluruh kelahiran hidup. Angka kelahiran anak di Kota Bogor cukup tinggi, tetapi belum terdapat data PJB yang terpublikasi. Malnutrisi lebih umum terjadi pada pasien PJB, yang dapat memengaruhi morbiditas dan mortalitas.Tujuan. Menilai hubungan penyakit jantung bawaan sianotik dan asianotik dengan status gizi anak pada usia 0 bulan – 5 tahun di Rumah Sakit Hermina BogorMetode. Subjek penelitian ini berupa anak usia 0 bulan – 5 tahun, bersifat analitik observasional dengan teknik potong-lintang yang dilakukan di Rumah Sakit Hermina Bogor pada Juni-November 2023. Analisis statistik menggunakan uji Chi-square. Hasil. Dari 245 pasien yang mendertita PJB, terdapat 62 pasien yang kriteria penelitian terdiri dari 31 pasien PJB sianotik dan 31 pasien PJB asianotik. Terdapat 8 pasien (25,8%) dari PJB Sianotik dan 20 pasien (64,5%) dari PJB Asianotik mengalami malnutrisi. Terdapat hubungan antara penyakit jantung bawaan dengan status gizi (p=0.009) dengan OR 2,5 dan IK 95%.Kesimpulan. Penyakit jantung bawaan sianotik dan asianotik sangat terkait dengan status gizi pada anak usia 0 bulan – 5 tahun di Rumah Sakit Hermina Bogor.
Co-Authors Aulia Chairani, Aulia Darajat, Radya Adiwiguna Perdiani, Agrippina Putra, Handre Tri Faranita, Tri Weningtyas, Ahadiani