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Bambang Madiyono

Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta

Author-ID : 3473380

Health Professions Medicine & Pharmacology

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Articles

Diagnostic Accuracy of Electrocardiographic Criteria for Left Ventricular Hypertrophy in Thalassemia Syndrome Sudigdo Sastroasmoro; Deddy Ria Saputra; Bambang Madiyono; Ismet N. Oesman; Sukman Tulus Putra
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.132-40

We compared the diagnostic accuracy of electrocardiographic (ECG) criteria for left ventricular hypertrophy (LVH) in 119 randomly selected from 400 patients with thalassemia major treated at the Department of Child Health, Medical School, University of Indonesia, Jakarta. Echocardiographically derived left ventricular hypertrophy (EchoLVH), both for body surface area (BSA)-indexed and height-indexed, served as the gold standard. There were 57 girls and 62 boys available, ranging in age from 5 to 27 years. ECG criteria for LVH was detected in 23 outof119 patients, while echo-LVH was detected in 47 patients if BSA-indexed LVH was used, or 22 patients if height-indexed LVH was used. The sensitivity and specificity of ECG-LVH were 25.5 and 84.7% respectively if BSA indexed LVH was used as gold standard, or 36.4% and 84.5%, respectively, when height indexed echo-LVH was used. It is concluded that ECG criteria for LVH has a low sensitivity and hjgh specificity in detecting increased left ventricular mass in children with thalassemia major.

Physical Growth of Children with Ventricular Septal Defect Bambang Madiyono; Eva Jeumpa Soelaeman; Ismet N. Oesman; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 34 No 1-2 (1994): January - February 1994
Publisher : Indonesian Pediatric Society

We conducted a prospective study on children with ventricular septal defect (VSD) for assessing the physical growth status, establishing the determinants of growth, and determining the effect of natural history on growth. There were 46 VSD patients and 30 controls aged 1-5 years. We divided the subjects into two groups; group A consisted of 32 VSD patients and 16 controls aged 12-35 months, group 8 comprised 14 VSD patients and 14 controls aged of 36-60 months. A simple hemodynamic scoring system was created to determine the correlation between physical growth and severity of hemodynamic alteration, using 10 findings based on history, physical, and non-invasive examinations. Body weight and height, and arm circumference were measured every 3 months up to 12 months. The growth status correlated well with the hemodynamic scores. Body weight and arm circumference were more affected than body height Physical growth disturbance was observed in high score patients at the beginning, and became more evident at the end, of the study. In low score patients and circumference was slightly affected at the beginning of the study, while body weight was slightly disturbed after 9 months of observation.

Diagnosis of Rheumatic Fever: Which Modification? Bambang Madiyono; Sudigdo Sastroasmoro; Ismet N. Oesman; Sukman Tulus Putra; Najib Advani
Paediatrica Indonesiana Vol 34 No 5-6 (1994): May - June 1994
Publisher : Indonesian Pediatric Society

We evaluated the implementation of diagnostic criteria on 547 ambulatory patients with rheumatic fever (RF) and rheumatic heart disease (RHD) between January 1, 1983 and December 31, 1992. The diagnosis of RF and reactive RHD was established by either revised Jones criteria, modified Jones criteria, or clinical judgment The patient's age ranged from 4-18 years, 255 (46.6%) of them were boys. The clinical manifestations found were fever (58.1 %), arthritis (41.9%), chorea (8.6%), subcutaneous nodule (1.3%), erythema marginatum (1.1%), holosystolic murmur (56.9%), mid-diastolic murmur (25.4%), and early diastolic murmur (29.5%). The laboratory changes were hemoglobin <10 g/dl (16.5%), BSR > 20 mm/h (56.30/o), ASTO >200 U (29.6%), PR interval> 0.16 sec (13.3%), and erR> 0.55 (27.6%). Revised Jones criteria were met in 162 cases (29%), modified criteria in 474 cases (86,6%), and clinical judgment in 521 cases (95.2%).

Hereditary Long Q-T Without Congenital Deafness (Romano-Ward) Syndrome Bambang Madiyono; Alinda Rubiati Wibowo; Ismet N. Oesman; Sudigdo Sastroasmoro; Sukman Tulus Putra; Najib Advani
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

We report a case o fhereditary long Q-T syndrome without congenital deafness (Romano-Ward syndrome). In four members of a family, a father and his daughters, the Q-T intervals on the EKG were found to be prolonged. There were no other accompanying familial anomalies such as deafness or a tendency to extracellular hypokalemia The youngest daughter which had the longest. Q-T interval had several Adams-Stokes attacks, and died in the last attack at the age of 23 months. Her two older siblings died at the age of 15 and 10 months with the same typical clinical histories. The eldest daughter, a 12-year old girl, has no clinical symptoms at all, while the fourth child, 5-yeltr old girl has several occasions of near fainting attacks. The EKG of the father showed several runs of supraventricular premature contractions that ceased spontaneously, besides evidence of the prolongation of Q-T interval. The beta-adrenergic blocking drug (propranalol) given in a relatively small maintenance dose, proved to be effective in preventing attacks of the father and the fourth child, despite the unchanged prolongation of the Q-T interval.

Sensitivity and Specificity of Electrocardiographic Criteria for Left Ventricular Hypertrophy in Children with Rheumatic Heart Disease Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Electrocardiographic criteria for left ventricular hypertrophy (L VH) were examined in 84 unselected pediatric patients with rheumatic heart disease. There were 47 male and 3 7 female patients, ranging in age from 6 to 19 years. Electrocardiographic L VH was detected m 41 patients (48.8%), i.e. in 55.3% (26/47) of boys and in 36.6% (15/41) of girls. Echocardiographically determined L VH was present in 42 cases (50%) if left ventricular mass (L VM) was indexed for height, or 47 cases (56%) if L VM was indexed for body surface area (BSA). The overall sensitivity of height-indexed electrocardiographic diagnosis of LVH was 71.4% (95% confidence interval= 57.7% to 85.1%), while its sensitivity was 73.8% (95% confidence interval= 60.0% to 87.0%). For BSA indexed echocardiographic LVH, the sensitivity was 68.1% (95% confidence interval = 54.8 to 81.4%) and the specificity was 75.7% (95% confidence interval = 61.9% to 89.5%). When sex-adjustment was examined, there was no increase of sensitivity of electrocardiographic LVH. Sensitivity of the electrocardiogram for LVH increased when age-adjustment was examined with 13 years of age as a cut-off point, both for height indexed and BSA-indexed echocardiographic LVH. Reasons/or the difference between these findings and the findings in adult patients (remarkably low sensitivity and very high specificity of ECG L VH) were discussed. Electrocardiogram was a moderate diagnostic modality in the detection of L VH in our pediatric patients with rheumatic heart disease. Sex did not influence the sensitivity of ECG L VH, but older age group tended to increase its sensitivity.

Transumbilical Balloon Atrial Septostomy with Echocardiographic Monitoring Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman; Sukman Tulus Putra; Eva Jeumpa Soelaiman
Paediatrica Indonesiana Vol 28 No 7-8 (1988): July - August 1988
Publisher : Indonesian Pediatric Society

Balloon atrial sept ostomy is usually necessary for survival beyond infancy in patients with transposition of the great arteries and insufficient intracardiac mixing. Since the umbilical vein and ductus venosus are often patent in the newborn infants, this route can be considered as an alternative to a femoral venous route in a critically ill infant. A 7 day-old newborn with D-transposition with intact ventricular septum and small patent foramen ovate was successfully managed by creating atrial septal defect through transumbilical balloon arterial septostomy. The procedure was carried out in the neonatal intensive care unit, guided by 2D-echocardiography. The arterial oxygen saturation increased dramatically upon the completion of the procedure, and a large atrial septal defect could be demonstrated echocardiographically. Unfortunately the infant died before further definitive surgery was performed.

Electrocardiographic Pattern in the Newborn During the First Week of Life Maemunah Affandi; Bambang Madiyono; Sutarto H.; Asikin Hanafiah
Paediatrica Indonesiana Vol 16 No 3-4 (1976): March - April 1976
Publisher : Indonesian Pediatric Society

One hundred and sixteen babies were given electrocardiogram examination on the 1st day until the 7th day of birth as well as the examination at 3 and 6 months. There were definite changes in the heart rate, P duration, PR interval, T axis, and T wave of the right precordial leads on the 1st day, especially on the 1st hours of birth. These changes may be caused by physiological adjustment after birth and anatomical changes like the closing of foramen ovale and ductus arteriosus. There were changes on the second day and thereafter caused by increased activities of the left side of the heart. Observations were made on ECG examination on fullterm normal babies on the 1st week of birth. Genetic factors should not be ignored (Sutin and Schrire, 1964) as data gathered in this study have shown some differences from data gathered in other studies.

Electrocardiographic Pattern in Children suffering from Diphtheria during 1973 at Dr. Cipto Mangunkusumo Hospital, Jakarta Maemunah Affandi; Bambang Madiyono; Otty W. Sonityo; Purwana K. G.
Paediatrica Indonesiana Vol 16 No 3-4 (1976): March - April 1976
Publisher : Indonesian Pediatric Society

ECG abnormalities were found in 39 (45.3%) out of 86 diphtheria cases; 29 cases (33.6%) had significant myocardial involvement. Myocardial involvement comprised minor changes in 24 cases and major changes in 5 cases. Twenty two cases of myocardial involvement occurred in the first week of hospitalization, while 7 cases occurred after the first week of hospitalization. The ECG abnormalities of the 29 cases disappeared within 1 to 2 weeks or after 3 weeks. Minor changes have a good prognosis, while major changes, especially an AV block, have a poor prognosis.

Levocardia With Situs Inversus Atria (Case Report) Bambang Madiyono; Irawati Pulungan; P. M. C. Pelupessy; Maemunah Affandi
Paediatrica Indonesiana Vol 16 No 3-4 (1976): March - April 1976
Publisher : Indonesian Pediatric Society

Three cases of Levocardia and situs inversus atria were reported. The clinical diagnosis of the first two cases were based on clinical signs and laboratory findings which were confirmed by Electrocardiography, Chest Xray, heart catheterization and angiography. The third case died before further investigations could be done. Classification, management and prognosis were also discussed.

Co-Authors Alinda Rubiati Wibowo Asikin Hanafiah Deddy Ria Saputra Eva Jeumpa Soelaeman Eva Jeumpa Soelaiman Irawati Pulungan Ismet N. Oesman Maemunah Affandi Najib Advani Otty W. Sonityo P. M. C. Pelupessy Purwana K. G. Sudigdo Sastroasmoro Sudigdo Sastroasmoro Sukman Tulus Putra Sukman Tulus Putra Sutarto H.

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