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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Jurnal Abdi Insani Jurnal Abdi Masyarakat Indonesia
Nastiti, Prima Hari
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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.
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.
Deteksi Dini dan Manajemen Awal Penyakit Jantung Bawaan Kritis Abdur Rahman, Mahrus; Sekar Putri Ramadhani; Nastiti, Prima Hari; Hidayat, Taufiq; Utamayasa, Alit
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.25556

Abstract

Critical congenital heart disease (CCHD) represents a severe subset of congenital heart defects (CHD) with high neonatal mortality rates if undiagnosed or untreated. This review highlights the prevalence, diagnosis, and management strategies for CCHD. In Asia, CHD prevalence is among the highest globally, contributing significantly to neonatal mortality. Early detection, such as prenatal ultrasound and pulse oximetry screening, plays a crucial role in improving patient outcomes. While fetal echocardiography provides diagnostic insights, it has limitations, emphasizing the value of postnatal pulse oximetry as a cost-effective, non-invasive screening tool. Management involves early interventions, including hemodynamic stabilization, pharmacological therapies like prostaglandin infusion, and surgical or catheter-based procedures. Definitive corrective surgeries, although complex, are increasingly performed in neonates to minimize long-term complications. Early diagnosis and timely referral to advanced facilities remain vital to reducing mortality and enhancing the quality of life for affected neonates.
Sebuah Laporan Kasus Seorang gadis berusia 13 tahun dengan Defek Septum Atrio-Ventrikular Lengkap (subtipe Intermediate) dan Blok AV Total Alit Utamayasa, I Ketut; Nastiti, Prima Hari; Hidayat, Taufiq; Abdur Rahman, Mahrus
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.
SOSIALISASI DETEKSI DINI PENYAKIT JANTUNG BAWAAN PADA ANAK DI RSUD KABUPATEN KEDIRI Rahman, Mahrus Abdur; Hidayat, Taufiq; Utamayasa, I Ketut Alit; Wicaksono, Henry; Nastiti, Prima Hari
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.
Co-Authors Abdur Rahman, Mahrus Alit Utamayasa, I Ketut Bagus Setyoboedi Enny Karyani, Enny Fachry Abda El Rahman Henry Wicaksono, Henry Mahrus A Rahman, Mahrus A Rahman, Mahrus Abdur Sekar Putri Ramadhani Taufiq Hidayat Utamayasa, Alit Utamayasa, I Ketut Alit