THE RELATIONSHIP BETWEEN THE DIAMETER OF THE ATRIAL SEPTAL DEFECT AND THE ENLARGEMENT OF RIGHT VENTRICLE OF THE HEART
Background: ASD is the defect in the septum between the atriums of the heart. Atrial Septal Defect (ASD) is a congenital heart disease that allows blood to flow from the left atrium into the right atrium, and occasionally from the right atrium to the left atrium. There are three most common types of...
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Main Authors: | , |
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Format: | Theses and Dissertations NonPeerReviewed |
Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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Subjects: | |
Online Access: | https://repository.ugm.ac.id/127986/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68308 |
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Institution: | Universitas Gadjah Mada |
Summary: | Background: ASD is the defect in the septum between the
atriums of the heart. Atrial Septal Defect (ASD) is a
congenital heart disease that allows blood to flow from
the left atrium into the right atrium, and occasionally
from the right atrium to the left atrium. There are
three most common types of ASD which includes patent
foramen ovale (ostium secundum),ostium primum and sinus
venosus. The diameter of ASD can cause the right
ventricle enlargement due to the overload of blood
volume in the right atrium and eventually in the right
ventricle.Intervention should be done in those patients
with ASD so that it can prevent heart failure.
Objective: The objective of this research study is to
find out the relationship between the diameter of the
atrial septal defect and enlargement of the right
ventricle of the heart.
Method: The study done was an observational study using
the cross-sectional retrospective design. The data were
obtained from the medical record registries of adult
ASD patients diagnosed in Department of Cardiology and
Vascular Medicine, Faculty of Medicine, Gadjah Mada
University Dr.Sardjito Hospital. The time frame to complete this research was from September 2013 till
January 2014. The population taken for this research
was patients diagnosed with atrial septal defect from
Department of Cardiology and Vascular Medicine, Faculty
of Medicine, Gadjah Mada University Dr.Sardjito
Hospital, Yogyakarta from July 2012 till October 2013
and obeyed the inclusion and exclusion criteria.
Results: The study shows that a significant p value
which is 0.012 (p value < 0.05) between the diameter of
atrial septal defect and the enlargement of the right
ventricle. There is a correlation between the diameter
of atrial septal defect and the right ventricle
enlargement of the heart. The r value is 0.244. Besides
that, the confounding variables in the study are
age,sex and the mean pulmonary arterial pressure. All
the three confounding factors does not confound
significantly to the study.
Conclusion: This study shows a significant relationship
between the diameter of atrial septal defect and the
enlargement of the right ventricle. The larger the
diameter of the atrial septal defect, the bigger the
enlargement of the right ventricle. It shows a positive
relationship between the diameter of the atrial septal
defect and the enlargement of the right ventricle of
the heart. |
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