Karakteristik Penderita Sindrom Koroner Akut Yang Dirawat Inap Di Bagian Kardiologi RSUD Andi Makkasau Parepare Periode 1 Januari 2015 Sampai Dengan  31 Desember 2018

Rachmat Ariedrmawan; Ilhamjaya Pattelongi; Riska Anton

Authors

Rachmat Ariedrmawan Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Bosowa
Ilhamjaya Pattelongi Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Hasanuddin
Riska Anton Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Bosowa

Keywords:

Sindrom Koroner Akut, Usia, Jenis Kelamin, Status Gizi, Diabetes, Hipertensi, Merokok

Abstract

Acute coronary syndrome (ACS) is an ischemic conditions in the myocardium (heart muscle) caused by plaque in the coronary arteries and getting worst with the thrombosis process, causing obstruction that causes perfusion to the myocardium is reduced. There are several risk factors associated with acute coronary syndrome disease. These risk factors are divided into risk factors that can be changed and risk factors that cannot be changed. The aim research is Characteristics of patients with acute coronary syndrome based on (1) classification (2) age (3) gender (4) nutritional status (5) history of diabetes mellitus (6) history of hypertension (7) history of smoking habits. This study was conducted on 90 people with acute coronary syndrome who were hospitalized at the Cardiology Department of the Andi Makkasau Parepare Regional Hospital for the period January 1, 2015 to December 31, 2018. This study used a descriptive observational and analytical method with a cross sectional study design using secondary data in the form of medical records of patients with the syndrome. Acute coroners who were hospitalized at the Cardiology Section of the Andi Makkasau Parepare Regional Hospital. Data analysis was processed using SPSS software. This study shows the distribution of acute coronary syndrome patients hospitalized at RSUD Andi Makkasau Parepare from January 1, 2015 to December 31, 2018, namely: (1) The highest classification of SKA is APTS (45.6%), (2) Most are in the age group at risk (91.1%), (3) More in men (80%) than women (20%), (4) More nutritional status without risk (56.7%) than nutritional status at risk (43, 3%), (5) There was no history of diabetes mellitus (86.7%) more than there was a history of diabetes mellitus (13.3%), (6) There was more history of hypertension (57.8%) than no history of diabetes mellitus. hypertension (42.2%), (7) In this study, there was no data about the history of smoking habits in medical records as a source of data. Most patients with acute coronary syndrome in APTS, at risk age group, male, no risk nutritional status, no history of diabetes mellitus, and there is a history of hypertension

References

Hamm Cw, Heeschen C, Falk E, Fox Kaa. Acute Coronary Syndromes: Pathophysiology, Diagnosis and Risk Stratification. Cardiol Fam Pract [Internet]. 2014;333–65. Available From: Https://Www.Researchgate.Net/Publication/265352198_Acute_Coronary_Syndromes_Pathophysiology_Diagnosis_And_Risk_Stratification

Mawardy A, Pangemanan JA, Djafar DU. Gambaran Derajat Hipertensi pada Pasien Sindrom Koroner Akut (Ska) di RSUP Prof. R. D. Kandou Manado Periode Januari - Desember 2014. J E-Clinic [Internet]. 2014;4. Available From: Ejournal.Unsrat.Ac.Id/Index.Php/Eclinic/Article/Download/11028/10617

Badan Penelitian Dan Pengembangan Kesehatan Kementrian Kesehatan Ri. Riset Kesehatan Dasar. 2013;

Who. Cardiovaskular Disease [Internet]. 2017. Available From: Https://Www.Who.Int/Cardiovascular_Diseases/En/

Jayaraj JC, Davatyan K, Subramanian Ss, Priya J. Epidemiology of Myocardial Infarction. Intech Open [Internet]. 2018;9–15. Available From: Https://Www.Intechopen.Com/Books/Myocardial-Infarction/Epidemiology-of-Myocardial-Infarction

Weinhaus AJ, Roberts KP. Anatomy of the Human Heart. Journal Of Chemical Information And Modeling. Totowa: Humana Press Inc; 2005. 52-52 P.

Shah S, Gnanasegaran G, Sundberg-Cohon J, Buscombe Jr. The Heart: Anatomy, Physiology and Exercise Physiology. Integr Cardiol Nucl Med Physicians A Guid To Nucl Med Physicians. 2009;3–22.

Ramli D, Karani Y. Anatomi dan Fisiologi Kompleks Mitral. J Kesehat Andalas [Internet]. 2018;7:103–12. Available From: Http://Jurnal.Fk.Unand.Ac.Id/Index.Php/Jka/Article/View/837

Badshah M, Qadir M, Hasnain J, Soames R, Iqbal Z. Anatomy Of Human Coronary Circulation. 2015;23:62–5. Available From: Https://Www.Researchgate.Net/Publication/282267525_Anatomy_Of_Human_Coronary_Circulation

Pramadiaz At, Fadil M, Mulyani H. Hubungan Faktor Risiko Terhadap Kejadian Sindroma Koroner Akut pada Penderita Dewasa Muda di RSUP Dr . M . Djamil Padang. 2014;5(2):330–7. Available From: Http://Jurnal.Fk.Unand.Ac.Id/Index.Php/Jka/Article/View/309

Perki. Pedoman Tata Laksana Sindrom Koroner Akut [Internet]. 2018. P. 76. Available From: Http://Www.Inaheart.Org/Upload/File/Pedoman_Tatalaksana_Sindrom_Koroner_Akut_2015.Pdf

Trisnohadi HB, Muhadi. Angina Pektoris Tak Stabil/Infark Miokard Akut Tanpa Elevasi St. Vi. Jakarta Pusat: Interna Publishing; 2014. 1454-1455 P.

Alwi I. Infark Miokard Akut dengan Elevasi St. Vi. Jakarta Pusat: Interna Publishing; 2014. 1457-1472 P.

Anwar T. Faktor Risiko Penyakit Jantung Koroner. 2004;1–15. Available From: Http://Repository.Usu.Ac.Id/Bitstream/Handle/123456789/3472/Gizi-Bahri4.Pdf?Sequence=1&Isallowed=Y

Torry SR V, Panda Al, Ongkowijaya J. Gambaran Faktor Risiko Penderita Sindrom Koroner Akut. Univ Sam Ratulangi [Internet]. 2013;1–8. Available From: Https://Ejournal.Unsrat.Ac.Id/Index.Php/Eclinic/Article/View/3611/313

Sudayasa IP, Subijakto S, Sahrul WOA. Analisis Faktor Risiko Merokok, Stres Dan Riwayat Keluarga yang Berhubungan dengan Kejadian Penyakit Jantung Koroner. 2014;48–56.

Wibowo A, Andina M. Prevalensi Hipertensi dengan Sindrom Koroner Akut di Rumah Sakit Haji Medan Sumatera Utara pada Tahun 2015. 2018;1(3):124–31. Available From: Http://Jurnal.Umsu.Ac.Id/Index.Php/Amj/Article/View/2221/Pdf_13

Ariandiny M, Afriwardi, Syafri M. Gambaran Tekanan Darah pada Pasien Sindrom Koroner Akut di RS Khusus Jantung Sumatera Barat Tahun 2011-2012. J Kesehat Andalas. 2014;3(2):191–5.

Ghani L, Dewi M, Novriani H. Faktor Risiko Dominan Penyakit Jantung Koroner di Indonesia. 2016;44:153–64. Available From: Https://Www.Heartuk.Org.Uk/Downloads/HealthProfessionals/Factsheets/Risk-Factors-For-Chd.Pdf

Iyos Rn, Utami N, Wijawa Sm. Hubungan Sindrom Koroner Akut dengan Riwayat Diabetes Melitus. 2017;1:549–52. Available From: Juke.Kedokteran.Unila.Ac.Id/Index.Php/Jk/Article/Download/1718/1674

Davis Mj. The Pathophysiology of Acute Coronary Syndromes. 2000;361–6.

Oemiati R, Rustika. Faktor Risiko Penyakit Jantung Koroner ( Pjk ) pada Perempuan ( Baseline Studi Kohor Faktor Risiko Ptm ) ( Risk Factors for Coronary Heart Disease ( Chd ) In Women [ Baseline Cohort Study Of Risk Factors For Non Communicable Disease ]). 2015;18(1):47–55.

Jousilahti P, Vartiainen E, Tuomilehto J, Puska P. Sex, Age, Cardiovascular Risk Factors, and Coronary Heart Disease. 1999; Available From: Https://Www.Heartuk.Org.Uk/Downloads/Health-Professionals/Factsheets/Risk-Factors-For-Chd.Pdf

Amit Kumar M, Christopher P. Cannon M. Acute Coronary Syndromes: Diagnosis and Management, Part I. 2009;84(10):917–38. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/Pmc2755812/

Adi Pr. Pencegahan dan Penatalaksanaan Aterosklerosis. Vi. Jakarta Pusat: Interna Publishing; 2014. 1425-1433 P.

Makki N, Brennan Tm, Girotra S. Acute Coronary Syndrome. J Intensive Care Med [Internet]. 2013;1–15. Available From: Https://Www.Researchgate.Net/Publication/256763013_Acute_Coronary_Syndrome.Diakses

Roffi M, Patrono C, Collet J, Mueller C, Valgimigli M, Andreotti F, Et Al. 2015 Esc Guidelines for The Management of Acute Coronary Syndromes in Patients Presenting Without Persistent St-Segment Elevation. Eur Hear J [Internet]. 2016;37:267–315. Available From: Https://Academic.Oup.Com/Eurheartj/Article-Pdf/37/3/267/23493022/Ehv320.Pdf

Frans L, W Ip. Penyakit Jantung Koroner. Edisi Ke-4. Jakarta: Media Aesculapius; 2014. 748-755 P.

Ibanez B, James S, Agewall S, Antunes Mj, Bucciarelli-Ducci C, Bueno H. 2017 Escguidelines for the Management of Acute Myocardial Infarction in Patients Presenting with St-Segment Elevation. Eur Hear J [Internet]. 2017;1–66. Available From: Https://Www.Sks.Sk/System/Files/St-Acs_2017_Gl.Pdf

Gosh N, Maze R, Chow B, Dennie C, Dick A, Ruddy T. Noninvasive Cardiovascular Imaging in Coronary Artery Disease. 2010;2(3):271–88. Available From: Https://Www.Openaccessjournals.Com/Articles/Noninvasive-Cardiovascular-Imaging-In-Coronary-Artery-Disease-11000.Html

Ran Heo Md, Byung-Ok Kim Md, Jeong-Hoon Kim Md, Ji-Young Park Md, Sang-Hoon Park M., Sung-Woo Cho M. A case Of Acute St-Segment Elevation Myocardial Infarction with Normal Coronary Arteries After Binge Drinking. Inje Med J [Internet]. 2011;32:1–8. Available From: Https://Www.Openaccessjournals.Com/Articles/NoninvasiveCardiova cular-Imaging-In-Coronary-Artery-Disease-11000.Html

Yunita EP, Zulkarnain Bs, Aminuddin M. Resistensi Aspirin pada Pasien Penyakit Jantung Koroner dengan Hipertensi. J Farm Klin [Internet]. 2015;4(1):28–38. Available From: Http://Jurnal.Unpad.Ac.Id/Ijcp/Article/Download/12900/Pdf

Sivanandy P. Review on Current Trends in the Management of Acutestemi. Iosr J Pharm Biol Sci [Internet]. 2015;10(October):94–101. Available From: Https://Www.Researchgate.Net/Publication/283297752_Review_On_Current_Trends_In_The_Management_Of_Acutestemi

Elfi EF. Sindrom Koroner Akut dengan Komplikasi Udem Paru Akut dan Henti Jantung. J Kesehat Andalas [Internet]. 2015;4(2):613–7. Available From: Http://Jurnal.Fk.Unand.Ac.Id/Index.Php/Jka/Article/View/309/291

Gray HH, Dawkins Kd, Morgan Jm, Simpson Ia. Lecture Notes Kardiologi. Ke-4. Jakarta: Penerbit Erlangga; 2005. 107-150 P.

Gotera W, Aryana S, Suastika K, Santoso A, Kuswardhani T. Hubungan antara Obesitas Sentral dengan Adiponektin pada Pasien Geriatri dengan Penyakit Jantung Koroner. 2006;7. Available From: Https://Www.Researchgate.Net/Publication/325676471_Hubungan_Antara_Obesitas_Sentral_Dengan_Adiponektin_Pada_Pasien_Geritari_Dengan_Penyakit_Jantung_Koroner

Rustika, Oemiati R. Penyakit Jantung Koroner [PJK] dengan Obesitas di Kelurahan Kebon Kalapa, Bogor. 2014;17(4):385–93.

D’souza M, Sarkisian L, Saaby L, Poulsen Ts, Gerke O, Larsen Tb, Et Al. Diagnosis of Unstable Angina Pectoris Has Declined Markedly with the Advent of More Sensitive Troponin Assays. Am J Med. 2015;

Syahfitri A, Joseph V, Rampengan SH. Gambaran Kadar Asam Urat pada Pasien Sindrom Koroner Akut di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari-Desember 2015. E-Clinic [Internet]. 2016 Jul 12 [Cited 2020 Jul 7];4(2). Available From: Https://Ejournal.Unsrat.Ac.Id/Index.Php/Eclinic/Article/View/14462

M. Zharfan S. Gambaran Klinis pada Pasien Wanita yang Mengalami Sindrom Koroner Akut di Instalasi Pelayanan Jantung RSUP.M.Djamil Padang. 2018 Jul 23;

Firdaus Fa. Karakteristik Pasien dan Gambaran Nilai Mean Platelet Volume dan Platelet Distribution Width pada Sindrom Koroner Akut. 2017 [Cited 2020 Jul 7]; Available From: //Repository.Unjani.Ac.Id/Index.Php?P=Show_Detail&Id=305& Keywords=

Nisa R. Gambaran Profil Penderita Sindrom Koroner Akut di RSUP H. Adam Malik Medan Tahun 2015 [Internet]. 2017 Jan [Cited 2020 Jul 7]. Available From: Http://Repositori.Umsu.Ac.Id/Xmlui/Handle/123456789/736

Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of Coronary Heart Disease nd Acute Coronary Syndrome. Annals of Translational Medicine. 2016.

Wardana Ik. Gambaran Faktor Risiko pada Pasien Wanita yang Mengalami Sindrom Koroner Akut Di RSUP H. Adam Malik Tahun 2015. 2017 [Cited 2020 Jul 7]; Available From: Http://Repositori.Usu.Ac.Id/Handle/123456789/20333

Rahayuningsih SE. Prevention of atherosclerosis should start since childhood (genetic risk). 2011. 1-18. Available from : https://pdfs.semanticscholar.org/1b77/7ef41c5abb51a7e9d7da498a7deb282deec6.pdf

Khesroh A, Al-Roumi F, Al-Zakwani I, Attur S, Rashed W, Zubaid M. Gender Differences Among Patients with Acute Coronary Syndrome in the Middle East. Hear Views. 2017;

Hidayatullah B. Gambaran Faktor Risiko pada Pasien Sindroma Koroner Akut di Rumah Sakit Islam Jemursari Surabaya Periode 2014-2016. 2018 [Cited 2020 Jul 7]; Available From: Http://Digilib.Unusa.Ac.Id/Data_Pustaka-19232.Html

Ima P. Gambaran Faktor Resiko Sindrome Koroner Akut (SKA) di Rumah Sakit Tk.Ii Dr. Soepraoen Malang. 2019 Jun 26 [Cited 2020 Jul 7]; Available From: Http://Www.Repository.Poltekkes-Soepraoen.Ac.Id

Muhibbah M, Wahid A, Agustina R, Illiandri O. Karakteristik Pasien Sindrom Koroner Akut pada Pasien Rawat Inap Ruang Tulip di RSUD Ulin Banjarmasin. Indones J Heal Sci [Internet]. 2019 Mar 28 [Cited 2020 Jul 7];3(1):6. Available From: Http://Journal.Umpo.Ac.Id/Index.Php/Ijhs/,

Jellinger Ps, Handelsman Y, Rosenblit Pd, Bloomgarden Zt, Fonseca Va, Garber Aj, Et Al. American Association of Clinical Endocrinologists and American College of Endocrinology Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease. Endocr Pract. 2017;

Jamaluddin J. Hiperglikemia dan Status Inflamasi pada Pasien Sindroma Koroner Akut. Medula [Internet]. 2019 May 13 [Cited 2020 Jul 7];6(2). Available From: Http://Ojs.Uho.Ac.Id/Index.Php/Medula/Article/View/6724

Rezki Y. Perbedaan Lama Rawat Inap pada Pasien Sindrom Koroner Akut dengan Stres Hiperglikemia dan Tanpa Stres Hiperglikemia Non Diabetik di RSUD Dr. Moewardi [Internet]. Surakarta; 2017 [Cited 2020 Jul 7]. Available From: Http://Eprints.Ums.Ac.Id/49353/

Diputra MDR, Wita IW, Aryadana W. Karakteristik Penderita Sindroma Koroner Akut di RSUP Sanglah Denpasar Tahun 2016. E-Jurnal Med Udayana [Internet]. 2018;7(10):1–10. Available from: https://ojs.unud.ac.id/index.php/eum/article/view/42753

Müller-Nordhorn J, Willich Sn. Coronary Heart Disease. In: International Encyclopedia Of Public Health. 2016.

Rulandi R, Redi. Hubungan Karakteristik Antara Usia, Jenis Kelamin, Tekanan Darah dan Dislipidemia dengan Kejadian Penyakit Jantung Koroner di Rumah Sakit Al-Ihsan Tahun 2014. 2016 [cited 2020 Sep 23]; Available from: http://repository.unisba.ac.id:8080/xmlui/handle/123456789/3083

Wahidah Sn, Setyawan D. Gambaran Manajemen Hipertensi pada Pasien Sindrom Koroner Akut (SKA) di Poli Jantung Rsud Dr. Moewardi Surakarta. 2016 Dec 21.