GAMBARAN FOTO POLOS THORAKS PADA BERBAGAI DEFEK PENYAKIT JANTUNG KONGENITAL: SEBUAH TELAAH PUSTAKA
Abstract
Penyakit jantung kongenital (PJK) menjadi penyebab utama kematian anak akibat kelainan bawaan. PJK terjadi sekitar 8-10 per 1000 kelahiran hidup dan 30% di antaranya telah memberikan gejala pada minggu-minggu pertama kehidupan. Artikel ini bertujuan untuk mengetahui gambaran foto polos thoraks pada penyakit jantung kongenital. Di Indonesia, empat bayi lahir dengan PJK setiap jamnya. PJK dapat diklasifikasikan menjadi PJK sianotik dan PJK nonsianotik (asianotik). Perbedaan utamanya terletak pada ada atau tidak adanya sianosis sentral. Penyebab PJK pada bayi masih banyak tidak diketahui, tetapi PJK terjadi akibat adanya kesalahan saat embriogenesis. Pemeriksaan radiologis sangat penting dalam penegakkan diagnosis PJK karena dapat memperlihatkan kelainan pada jantung. Foto polos dapat digunakan untuk skrining awal, karena memiliki sentivitas 90,9%, namun spesifisitasnya sangat rendah, yakni 9,9%. Oleh karena kurang spesifik, sehingga diperlukan pemeriksaan lebih lanjut menggunakan CT scan, MRI, ataupun ekokardiografi.
Kata kunci : asianotik, foto polos thoraks, PJK, sianotik
References
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2. Mayo Clinic. Congenital Heart Disease in Adults. Mayo Clinic [update 2022; sitasi 7 Apr 2023]. Available from https://www.mayoclinic.org/diseases-conditions/adult-congenital-heart-disease/symptoms-causes/syc-20355456.
3. Lopez KN, Morris SA, Sexson Tejtel SK, Espaillat A, Salemi JL. US Mortality Attributable to Congenital Heart Disease Across the Lifespan From 1999 Through 2017 Exposes Persistent Racial/Ethnic Disparities. Circulation. 2020;142(12):1132-1145.
4. Dolk H, McCullough N, Callaghan S, et al. Risk Factors for Congenital Heart Disease: The Baby Hearts Study, A Population-Based Casecontrol Study. PLoS One. 2020;15(2):1-18.
5. Suluba E, Shuwei L, Xia Q, Mwanga A. Congenital Heart Diseases: Genetics, Non-Inherited Risk Factors, and Signaling Pathways. Egypt J Med Hum Genet 2020 211. 2020;21(1):1-12.
6. Blue GM, Kirk EP, Giannoulatou E, et al. Advances in the Genetics of Congenital Heart Disease: A Clinician’s Guide. J Am Coll Cardiol. 2017;69(7):860-868.
7. Burch M, Dedieu N. Almanac 2012: Congenital Heart Disease. The National Society Journals Present Selected Research that Has Driven Recent Advances in Clinical Cardiology. Heart. 2012;98(21):1555-1559.
8. Yani MS. Deteksi Dini Penyakit Jantung Bawaan. Kemkes RI [update 2022; sitasi 8 Apr 2023]. Available from https://yankes.kemkes.go.id/view_artikel/19/deteksi-dini-penyakit-jantung-bawaan.
9. Wu W, He J, Shao X. Incidence and Mortality Trend of Congenital Heart Disease at the Global, Regional, and National Level, 1990-2017. Medicine (Baltimore). 2020;99(23):1-8.
10. National Health Service (NHS). Congenital Heart Disease. NHS [update 2021; sitasi 8 Apr 2023]. Available from https://www.nhs.uk/conditions/congenital-heart-disease/types/.
11. Mayo Clinic. Congenital Heart Defects in Children. Mayo Clinic [update 2022; sitasi 8 Apr 2023]. Available from https://www.mayoclinic.org/diseases-conditions/congenital-heart-defects-children/diagnosis-treatment/drc-20350080.
12. American Heart Association (AHA). Common Tests for Congenital Heart Defects. AHA [update 2022; sitasi 8 Apr 2023]. Available from https://www.heart.org/en/health-topics/congenital-heart-defects/symptoms--diagnosis-of-congenital-heart-defects/common-tests-for-congenital-heart-defects.
13. Zhang YF, Zeng XL, Zhao EF, Lu HW. Diagnostic Value of Fetal Echocardiography for Congenital Heart Disease. Med (United States). 2015;94(42):e1759.
14. Arya B. Fetal Cardiac Imaging for Congenital Heart Disease-Is Cardiac Magnetic Resonance Imaging the Future? JAMA Netw Open. 2021;4(3):e214617.
15. Crean A. Cardiovascular MR and CT in Congenital Heart Disease. Heart. 2007;93(12):1637-1646.
16. Pushparajah K, Duong P, Mathur S, Babu-Narayan S V. Cardiovascular MRI and CT in Congenital Heart Disease. Echo Res Pract. 2019;6(4):R121-R136.
17. Khalil AA, El-Moghazy M, Mohammed G, Mohammed H. Value of Chest Radiography and Electrocardiography in Diagnosis of Congenital Heart Diseases in Pediatrics in Comparison with Echocardiography. Egypt J Hosp Med. 2020;80:617-618.
18. Pusat Jantung Nasional Harapan Kita (PJNHK). PJB (Penyakit Jantung Bawaan). PJNHK [update 2018; sitasi 8 Apr 2023]. Available from https://pjnhk.go.id/pustaka/detail/penyakit/3.
19. Kementerian Kesehatan Republik Indonesia (Kemkes RI). Cegah Penyakit Jantung Bawaan Sejak Dini. Kemkes RI [update 2023; sitasi 8 Apr 2023]. Available from https://yankes.kemkes.go.id/view_artikel/2151/cegah-penyakit-jantung-bawaan-sejak-dini.
20. Roth GA, Mensah GA, Johnson CO, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020;76(25):2982-3020.
21. Su Z, Zou Z, Hay SI, et al. Global, Regional, and National Time Trends in Mortality for Congenital Heart Disease, 1990-2019: An Age-Period-Cohort Analysis for the Global Burden of Disease 2019 Study. eClinicalMedicine. 2022;43:2-16.
22. Zimmerman M, Sable C. Congenital Heart Disease in Low-and-Middle-Income Countries: Focus on Sub-Saharan Africa. Am J Med Genet Part C Semin Med Genet. 2020;184(1):36-46.
23. Zühlke L, Lawrenson J, Comitis G, et al. Congenital Heart Disease in Low- and Lower-Middle–Income Countries: Current Status and New Opportunities. Curr Cardiol Rep. 2019;21(12):1-10.
24. National Heart, Lung and BI (NHLBI). Congenital Heart Defect. NIH [update 2022; sitasi 9 Apr 2023]. Available from https://www.nhlbi.nih.gov/health/congenital-heart-defects.
25. Cleveland Clinic. Cyanotic Heart Disease. Cleveland Clinic [update 2023; sitasi 9 Apr 2023]. Available from https://my.clevelandclinic.org/health/diseases/22441-cyanotic-heart-disease.
26. Cleveland Clinic. Acyanotic Heart Disease. Cleveland Clinic [update 2023; sitasi 9 Apr 2023]. Available from https://my.clevelandclinic.org/health/diseases/21725-acyanotic-heart-disease.
27. Centers for Disease Control and Prevention (CDC). Congenital Heart Defects (CHDs). CDC [update 2023; sitasi 9 Apr 2023]. Available from https://www.cdc.gov/ncbddd/heartdefects/index.html.
28. Colombo JN, McCulloch MA. Acyanotic Congenital Heart Disease: Left-to-Right Shunt Lesions. Neoreviews. 2018;19(7):e375-e383.
29. Stanford Medicine. Obstructive Congenital Heart Defects. Stanford Medicine [update 2023; sitasi 10 Apr 2023]. Available from https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/congenital-heart-defects/types/obstructive-congenital-heart-defects.html.
30. Roest AAW, Lamb HJ. Imaging of Congenital Heart Disease: Expect the Unexpected. Radiology. 2021;300(1):174-175.
31. Bardo DM, Frankel DG, Applegate KE, Murphy DJ, Saneto RP. Hypoplastic Left Heart Syndrome. Radiographics. 2001;21(3):705-717.
32. Khaladkar SM, Chaudhary KP, Kuber RS, Kamal A. Interrupted Aortic Arch By Multi-detector Computed Tomography Angiography: A Case Report with Radiological Review. CHRISMED J Heal Res. 2016;3(1):83-85.
33. Radiopaedia. Congenital Heart Disease. Radiopaedia [update 2023; sitasi 10 Apr 2023]. Available from https://radiopaedia.org/.
34. Astley R, Oldham JS, Parsons C. Congenital Tricuspid Atresia. Br Heart J. 1953;15(3):292-293.
35. Sanchez-Nadales A, Quezada MT, Celis V, et al. Bicuspid Aortic Valve Associated with Severe Aortic Regurgitation and Large Aortic Root Aneurysm. Cureus. 2020;12(3):2-3.
Published
2024-09-30
How to Cite
SAPUTRA, Rudi; RIASTITI, Yudanti.
GAMBARAN FOTO POLOS THORAKS PADA BERBAGAI DEFEK PENYAKIT JANTUNG KONGENITAL: SEBUAH TELAAH PUSTAKA.
Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 7, n. 3, p. 307-318, sep. 2024.
ISSN 2655-6537.
Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/693>. Date accessed: 05 dec. 2024.
Section
Articles
