scholarly journals PERBEDAAN STATUS GIZI PADA ANAK DENGAN PENYAKIT JANTUNG BAWAAN SIANOTIK DAN NON SIANOTIK

e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Meyrina E. Sondakh ◽  
Erling D. Kaunang ◽  
Novie H. Rampengan

Abstract: Congenital Heart Disease (CHD) is a disorder that is commonly found. The incidence of CHD in the world is 8-10 among 1,000 births. Although children with mild or moderate CHD usually have normal growth and development, the presence of CHD can result in physical growth retardation. This study aimed to obtain the difference of nutritional status among children with cyanotic and non-cyanotic CHD. This study was a retrospective analytical study with a cross sectional design. This study was conducted at the Child Health Department Prof. Dr. R. D. Kandou Manado. Data of children treated with CHD from 2009-2014 included age, gender, weight, height, and nutritional status. Data were analyzed with Chi-Square test. Of 55 samples, there were 34 boys and 21 girls. The results showed that the most suffered CHD was ventricular septal defect. There were 54.5% of patients with good enough nutrition, 25.5% with malnutrition, and 16.4% with severe malnutrition. The Chi-Square test obtained a P-value of 0.464 (> 0.050) which indicated that there was no difference in nutritional status among children with cyanotic and non-cyanotic CHD. Conclusion: According to the study there was no difference in nutritional status between cyanotic and non-cyanotic congenital heart disease.Keywords:nutritional status, congenital heart disease, cyanotic, non-cyanoticAbstrak: Penyakit Jantung Bawaan (PJB) merupakan kelainan yang cukup banyak ditemukan. Insidensi PJB di dunia 8-10 di antara 1.000 kelahiran. Anak dengan PJB yang tidak begitu parah biasanya memiliki pertumbuhan dan perkembangan yang normal, tetapi adanya PJB dapat mengakibatkan hambatan pertumbuhan jasmani penderita. Penelitian ini bertujuan untuk mengetahui perbedaan status gizi pada anak dengan PJB sianotik dan non sianotik. Penelitian ini menggunakan metode retrospektif analitik dengan desain potong lintang dan dilaksanakan di Bagian Ilmu Kesehatan Anak BLU RSUP Prof. Dr. R. D. Kandou Manado. Data diambil dari semua anak yang dirawat dengan PJB tahun 2009-2014 meliputi umur, jenis kelamin, berat badan, tinggi badan, dan status gizi anak. Analisis data dilakukan dengan uji Chi-Square. Jumlah sampel 55 anak terdiri dari 34 lelaki dan 21 perempuan. Jenis PJB terbanyak yang diderita ialah ventricular septal defect. Penderita dengan gizi cukup 54,5%; gizi kurang 25,5%; dan gizi buruk 16,4%. Dengan uji Chi-Square, didapatkan nilai P 0,464 (< 0,050) yang menunjukkan tidak terdapat perbedaan status gizi antara anak dengan PJB sianotik dan non sianotik. Simpulan: Tidak terdapat perbedaan status gizi antara penyakit jantung bawaan sianotik dan non sianotik.Kata kunci: status gizi, penyakit jantung bawaan, sianotik, nonsianotik

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Pingkan Putri Maramis ◽  
Erling David Kaunang ◽  
Johnny Rompis

Abstract: Congenital heart disease (CHD) is a congenital disorder that is common, with the incidence of 30% of all congenital abnormalities. The incidence of congenital heart disease in developed countries and developing countries ranges from 6-10 cases per 1000 live births, with an average of 8 per 1,000 live births. Nutritional status of a person is basically the person's state of health as a reflection of food consumption and use by the body. Many factors influence the nutritional status of infants and children with congenital heart disease. Nutritional status of patients with CHD is influenced nutrient inputs, energy requirements, dietary components. Objective: Knowing the relationship between congenital heart disease with nutritional status in children.  Methods:  This study is a retrospective analytic approach. The subjects were all children with congenital heart disease who are hospitalized in the Section of Child Health, Prof. Dr.  R. D. Kandou Manado in 2009-2013. The data taken in the form of data gender of the child, the child's age, weight and height as well as nutritional status. Data analysis was performed by Chi-Square test. Result: The number of respondents were 53 children, 34 boys and 19 girls. Types of congenital heart disease is the most common type of Atrial Septal Defect. Most people with experience malnutrition (54.7%), followed by poor nutrition (37.8%) and good nutrition (7.5%). With Chi-Square test of the hypothesis, obtained p-value = 0.045 which suggests a link between congenital heart disease with nutritional status in children. Conclusion: Based on the results of congenital heart disease associated with poor nutritional status in children or less. Keyword: congenital heart disease, nutritional status.   Abstrak: Penyakit jantung bawaan (PJB) merupakan kelainan bawaan yang sering dijumpai, dengan angka kejadian 30% dari seluruh kelainan bawaan.1 Insiden PJB dinegara maju maupun negara berkembang berkisar 6 – 10 kasus per 1000 kelahiran hidup, dengan rata-rata 8 per 1000 kelahiran hidup. Status gizi seseorang pada dasarnya merupakan keadaan kesehatan orang tersebut sebagai refleksi dari konsumsi pangan serta penggunaannya oleh tubuh.1 Banyak faktor ikut mempengaruhi status gizi pada bayi dan anak dengan PJB.2 Status gizi penderita PJB dipengaruhi masukan nutrien, kebutuhan energi, komponen diet.1 Tujuan: Mengetahui adanya hubungan antara penyakit jantung bawaan dengan status gizi pada anak. Metode: Penelitian ini bersifat analitik dengan pendekatan retrospektif. Subjek penelitian adalah semua anak dengan penyakit jantung bawaan yang dirawat inap di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado tahun 2009-2013. Data yang diambil berupa data jenis kelamin anak, umur anak, berat badan dan tinggi badan anak serta status gizi. Analisis data dilakukan dengan uji Chi-Square. Hasil: Jumlah responden sebanyak 53 anak, 34 anak laki-laki dan 19 anak perempuan. Jenis PJB yang paling banyak diderita adalah jenis Atrial Septal Defect. Kebanyakan penderita mengalami gizi kurang (54.7%), diikuti dengan gizi buruk (37.8%) dan gizi baik (7.5%). Dengan uji hipotesis Chi-Square, didapatkan p-value = 0.045 yang menunjukkan adanya hubungan antara penyakit jantung bawaan dengan status gizi pada anak. Simpulan: Berdasarkan hasil penelitian didapatkan penyakit jantung bawaan berhubungan dengan status gizi buruk atau kurang pada anak. Kata Kunci: penyakit jantung bawaan, status gizi.


2022 ◽  
Vol 7 (1) ◽  
pp. 345
Author(s):  
Safina Fairuz Salwaa ◽  
Taufiq Hidayat ◽  
I Gde Rurus Suryawan

Congenital heart disease (CHD) is a congenital condition caused by a lack of heart development during the fetal stage. There is a notion that children with CHD have low nutritional status due to their condition. Nutritional input, energy requirements, dietary components, and prenatal circumstances impact a person's nutritional status. An analytical observational design with a cross-sectional approach was used in this research. Data were obtained via medical records and questionnaires posed to the patients' guardians who had provided informed consent. The Chi-square test and multivariate logistic regression analysis were used to analyze the data. The study was conducted on 62 subjects. There were 74.19% of subjects with acyanotic CHD and 25.81% with cyanotic CHD. 61.29 % of the subjects were exclusively breastfed for the first six months. The Chi-Square test revealed a relationship between breastfeeding and the nutritional status of children with CHD, with p = 0.0001 (p<0.05). The multivariate logistic regression analysis showed the significance of the type of CHD suffered by the subjects was 0.003 (p<0.05). There is a significant association between breastfeeding for the first six months and the type of CHD suffered by children with their nutritional status at Dr. Soetomo General Hospital.


2019 ◽  
Vol 3 (4) ◽  
pp. 1-4
Author(s):  
Julia Illner ◽  
Holger Reinecke ◽  
Helmut Baumgartner ◽  
Gerrit Kaleschke

Abstract Background Adults with complex congenital heart disease palliated with systemic-to-pulmonary artery shunts have become rare and represent a particularly challenging patient group for the cardiologist. One of the complications and causes of severe clinical deterioration during long-term follow-up are progressive obstruction or total occlusion of the shunt. The risk for surgical intervention is frequently high and catheter intervention may be complicated by complex anatomy and shunt calcification. Case summary We report the case of a 47-year-old man with uncorrected (palliated) pulmonary atresia and ventricular septal defect who presented with progressive cyanosis (oxygen saturation 69%) and decreasing exercise capacity. Computed tomography revealed a totally occluded modified left Blalock–Taussig (BT) shunt and a severely stenosed central shunt (Waterston–Cooley) in a patient with confluent but hypoplastic pulmonary arteries and multiple major aortic pulmonary collaterals. Due to a high operative risk, an interventional, percutaneous approach was preferred to re-do surgery. From a radial access the calcified BT shunt could be crossed with a hydrophilic guidewire. Then, a rotational thrombectomy, balloon dilatation, and bare-metal stenting at the proximal and distal anastomoses were performed. Post-interventionally, peripheral oxygen saturation increased from 69% to 82%. Clopidogrel was administered for 1 month after bare-metal stenting. At 1-year follow-up, the BT shunt was still patent on echocardiography and exercise tolerance markedly improved. Discussion This case highlights the benefit of percutaneous rotational thrombectomy followed by stenting of chronically occluded systemic-to-pulmonary artery shunts for further palliation in adult patients with complex congenital heart disease not suitable for surgical repair.


1935 ◽  
Vol 31 (1) ◽  
pp. 27-35
Author(s):  
F. F. Piaid

Simple uncomplicated forms of congenital heart disease in adults - pulmonary artery stenosis, non-healing of the Botall's duct - although they are a rarity, still studied more or less enough, and their lifelong recognition is not particularly difficult. Unfortunately, this cannot be said of another heart anomaly, a ventricular septal defect.


2016 ◽  
Vol 44 (5) ◽  
pp. 206
Author(s):  
Wanty Sahli ◽  
J M Ch Pelupessy

Tetralogy of Fallot (TF) classically consistsof the combination of right ventricularoutflow obstruction (pulmonary stenosis),ventricular septal defect (VSD), overridingaorta, and right ventricular hypertrophy. Thedegree of pulmonary stenosis and VSD determine thevariety of clinical manifestations.This type of congenital heart disease accountsfor about 10% of all congenital cardiac deformitiesand is the most common cyanotic lesion after thefirst year of life. Cerebral abscess is a serious com-plication in TF and is usually seen after the age of 2years.


2021 ◽  
pp. 021849232110470
Author(s):  
Guillaume Carles ◽  
Marianne Peyre ◽  
Alexia Dabadie ◽  
Loïc Macé ◽  
Marien Lenoir

Patients with anomalous aortic origin of the left anterior descending coronary artery (AAOCA) from the right sinus of Valsava, and associated with a trans-septal course, are recommended for surgery only when symptoms of ischemia are present. The transconal unroofing method is straightforward and provides good anatomic result. In absence of significant coronary compression, surgical management of the trans-septal coronary course is proposed if the patient is a candidate to cardiac surgery for another reason, such as congenital heart disease. We describe a transconal approach in a patient with a trans-septal coronary artery and a ventricular septal defect.


2018 ◽  
Author(s):  
Min Zhang ◽  
Yue Gu ◽  
Mu Su ◽  
Shumei Zhang ◽  
Chuangeng Chen ◽  
...  

AbstractVentricular septal defect (VSD) is one of the most common types of congenital heart disease. To find more and more molecular alteration is conducive to explore the mechanism and biomarker in VSD. Herein we devised a predictive strategy to uncover novel lncRNA of VSD integrating DNA methylation, gene expression and lncRNA expression of early embryo and VSD by profiles from GEO database. In totally, 175 lncRNAs, 7290 genes and 3002 DNA methylation genes were obtained by logistic regression analysis associated with embryonic development. Moreover, 7304 DMGs were significant differential methylated by Wilcoxon rank test and Student’s test in VSD. We constructed the lncRNA-mRNA co-expression network in embryo (LMCNe). Then, a reconstructed co-expression weighted network (RCWN) was built integrated LMCNe and the DNA methylation associated network (DMAN) based on the correlation of the DNA methylation level and protein interaction network between embryonic development and VSD. We extracted top 10 lncRNAs with higher score performing DRaWR from the weight network, which as potential VSD related lncRNAs. Six lncRNAs showed a high level of expression in the heart tissue recorded in the NONOCOND database. Furthermore, associated lncRNA genes DCAF8L1, NIT1, SH2D7 and DOCK9-AS2 in validated samples showed a prominently association with VSD. These outcomes provide a reference for lncRNA involved in VSD initialization and a new insight for studies of VSD-associated lncRNAs.Author SummaryVentricular septal defect (VSD) is one of the most common types of congenital heart disease and has a high mortality rate in infants. Many molecular markers have proved effective as biomarker in VSD like DNA methylation and lncRNA. lncRNA is a type of non-coding RNA which has important effect in regulation gene expression and disease occurrence. VSD is an embryonic stage developmental disease. Therefore we hypothesized that lncRNA which was associated with DNA methylation and mRNA in early embryonic development may also affect the occurrence of VSD. So in this work, from the perspective of embryonic development, we devised a predictive strategy to uncovering novel lncRNA of VSD. In our result, four lncRNA associated genes were found differential expressed in VSD and normal samples by qPCR validation. The identification of lncRNA associated with ventricular septal defect is beneficial to further study the mechanism of VSD from the molecular level and also provides a good molecular marker for clinical therapeutic and diagnosis. At the same time, it also provides a new insight for the researches of lncRNA associated with VSD.


2017 ◽  
Vol 3 (2(S)) ◽  
pp. 16
Author(s):  
Natasya N., et al

Obesity in Patient with Grown Up Congenital Heart Disease (GUCH) Ventricular Septal Defect (VSD) with Pulmonary Hypertension in Sanglah Hospital, Bali


2021 ◽  
Vol 26 (8) ◽  
pp. 4229
Author(s):  
A. V. Ponomarenko ◽  
Egor Alexeyevich Morzhanaev ◽  
I. L. Mikheenko ◽  
A. B. Romanov

Introduction. The case report describes radiofrequency ablation of ventricular tachycardia (VT) using robotic magnetic navigation (RMN) in a teenager after surgery of congenital heart disease (CHD) and transcatheter closure of ventricular septal defect (VSD) using an occluder.Short description. The 16-year-old female patient was operated on in 2005 for CHD. In 2018, the patient underwent resection of ascending aortic sub-valvular membrane, followed by transcatheter closure of VSD with an occluder. After surgery, VT of 294 bpm was documented, which required an emergency hospitalization. Decision was taken to perform a radiofrequency ablation (RFA) using RMN. RFA was performed from the pulmonary artery valve through the scar to upper occluder edge spreading to tricuspid valve. After procedure, VT paroxysms were not induced with all pacing types. According to ECG series and 24-hour Holter monitoring on the 2nd day after surgery, VT episodes were not recorded. During the 6-month follow-up period, VT episodes were not registered without taking antiarrhythmic drugs.Discussion. This case report demonstrates the effectiveness of using RMN system for VT ablation in a teenager with CHD, who underwent open surgical interventions and transcatheter VSD closure using an occluder.


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