The Effect of Arterial Oxygen Saturation on the Occurrence of Thrombocytopenia In Pediatric Patients with Tetralogy of Fallot

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ERNY ERNY
OKKY PRASETYO
AYLI SOEKANTO

Abstract

Tetralogy of Fallot is one of the most common cyanotic CHD with the risk of hypoxia getting worse with increasing age of the patient. Thrombocytopenia is one of the consequences of chronic hypoxic conditions with a risk of bleeding. The purpose of this study was to determine the relationship between arterial oxygen saturation and thrombocytopenia in patients with tetralogy of Fallot. Research method: case control study, population of TF patients with thrombocytopenia and non-thrombocytopenia, measurements of age, arterial oxygen saturation and platelet count were performed. Multiple logistic regression was performed to determine the effect of arterial oxygen saturation on the incidence of thrombocytopenia in 94 TF patients. The results: from 94 TF populations divided into 47 thrombocytopenia populations and 47 non-thrombocytopenia populations, there was an effect of arterial oxygen saturation with the incidence of thrombocytopenia with p = 0.000 (meaningful). Conclusion: increasing patient age will cause chronic hypoxia and thrombocytopenia.

Article Details

How to Cite
ERNY, E., OKKY PRASETYO, & AYLI SOEKANTO. (2022). The Effect of Arterial Oxygen Saturation on the Occurrence of Thrombocytopenia In Pediatric Patients with Tetralogy of Fallot. Hang Tuah Medical Journal, 20(1), 66–77. https://doi.org/10.30649/htmj.v20i1.343
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References

Abdulla, R. 2011. Heart Diseases in Children: A Pediatrician's Guide, Springer Science & Business Media

Bouma BJ, Mulder BJ. Changing landscape of congenital heart disease. Circ Res 2017;120:908–22

Djer MM, Madiyono B. Tatalaksana Penyakit Jantung Bawaan. Sari Pediatri. 2007;2(3):155–62.

Edrees Mohammad Ameen, 2021. Arterial blood gases and some blood parameters in Tetralogy of Fallot patients. ZJPAS: 2021, 33 (3): 117-123

Fixler DE, Xu P, Nembhard WN, Ethen MK, Canfield MA. Age at referral and mortality from critical congenital heart disease. Pediatrics. 2014;134(1):e98–105

Frederique Bailliard, Robert H Anderson., 2009. Tetralogy of Fallot. Orphanet J Rare Dis. 4: 2.

Hanna jung, Youngok Lee, 2020. Reversible Hypoxia-Induced Thrombocytopenia in an Infant of Pulmonary Atresia with Ventricular Septal Defect. International Medical Case Reports Journal 2020:13 461–464

Horigome H, Hiramatsu Y, Shigeta O, Nagasawa T, Matsui A. Overproduction of platelet microparticles in cyanotic congenital heart disease with polycythemia. J Am Coll Cardiol. 2002;39(6):1072–1077.

Jenkins K. Mortality with congenital heart defects in England and Wales, 1959-2009. Much progress, but more to do. Arch Dis Child. 2012;97(10):859–860

Kaufman RM, Airo R, Pollack S, Crosby WH. Circulating megakaryocytes and platelet release in the lung. Blood. 1965;26:720–731

Lill MC, Perloff JK, Child JS. Pathogenesis of thrombocytopenia in cyanotic congenital heart disease. Am J Cardiol. 2006;98:254–8

Liu Y, Chen S, Zuhlke L, et al. Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol 2019;48:455–63

Machlus KR, Italiano JJ. The incredible journey: from megakaryocyte development to platelet formation. J CELL BIOL. 2013;201(6):785–96.

MacColl CE, Manlhiot C, Page C, McCrindle BW, Miner SE, Jaeggi ET, et al. Factors associated with in utero demise of fetuses that have underlying cardiac pathologies. Pediatr Cardiol. 2014;35(8):1403–1414

Matter RM, Ragab IA, Roushdy AM, Ahmed AG, Aly HH, Ismail EA. Determinants of platelet count in pediatric patients with congenital cyanotic heart disease: role of immature platelet fraction. Congenit Heart Dis. 2018;13(1):118–123

Matthew E Oster, Kyung A Lee, Margaret A Honey, Tiffany Riehle-Colarusso, Mikyong Shin, Adolfo Correa, Temporal trends in survival among infants with critical congenital heart defects. Pediatrics. 2013 May;131(5):e1502-8.p2012-3435).

Michael H. Kroll and Vahid Afshar-Kharghan. Platelets in pulmonary vascular physiology and pathology. Pulm Circ. 2012 Jul-Sep; 2(3): 291–308.

Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. American Heart Association Statistics Committee. Stroke Statistics Subcommittee Heart disease and stroke statistics 2016 update: a report from the American Heart Association. Circulation. 2016;133(4):e38–360.

Nadiv Shapira, Amnon Rosenthal, Kathleen Heidelberger, Rachel Badanowski, Douglas Behrendt, Pulmonary vascular morphology in shunted and nonshunted patients with tetralogy of Fallot J Thorac Cardiovasc Surg 83:650-658, 1982

Olgar S, Ertugrul T, Nisli K, Devecioglu O, Turkan E. Shunt operations improved thrombocytopenia in a patient with congenital cyanotic heart disease. Ann Thorac Cardiovasc Surg. 2008;14(5):329–332

Randa M Matter, Iman A Ragab, Alaa M Roushdy, Ahmed G Achmed, Hanan H Aly, Eman A Ismail. Determinants of platelet count in pediatric patients with congenital cyanotic heart disease: Role of immature platelet fraction. Congenit Heart Dis. 2018 Jan;13(1):118-123

RJ Johnson, Sheila G Haworth. Pulmonary vascular and alveolar development in tetralogy of fallot: a recommendation for early correction. Thorax 1982;37:893-901