Hubungan antara Jumlah Faktor Risiko Konvensional dengan Fraksi Ejeksi Ventrikel Kiri pada Pasien Penyakit Arteri Koroner di Rumah Sakit Jantung Hasna Medika Cirebon

Hikmah Fitriani, Irwan Meidi Lubis, Muhammad Taufikqul Hakim

Sari


Latar belakang: Gagal jantung dengan fraksi ejeksi yang menurun, dimana penyebab yang mendasarinya adalah penyakit arteri koroner (PAK), memiliki prognosis yang lebih buruk dibandingkan dengan gagal jantung dengan fraksi ejeksi yang normal. Pasien PAK dengan multiple risk factor cenderung memiliki angka kematian yang tinggi. Tujuan: Untuk mengetahui ada tidaknya hubungan antara jumlah faktor risiko konvensional dengan fraksi ejeksi ventrikel kiri pada pasien PAK. Metode: Desain penelitian ini adalah observasional analitik, yaitu dengan mengumpulkan data rekam medik pasien PAK untuk mengetahui data fraksi ejeksi ventrikel kiri hasil pemeriksaan ekokardiografi dan melakukan wawancara singkat kepada pasien PAK tersebut. Data yang terkumpul di sajikan secara deskriptif, dan analisis  menggunakan uji korelasi Spearman. Hasil: Penelitian ini didapatkan 180 responden yang telah memenuhi kriteria inklusi untuk dianalisis. Rerata usia responden 56,45 ± 10,61 tahun. Hasil analisis hubungan antara jumlah faktor risiko dengan fraksi ejeksi ventrikel kiri pasien PAK didapatkan hubungan yang tidak bermakna dengan korelasi yang sangat lemah (p = 0,381; r = 0,066). Simpulan: Tidak terdapat hubungan antara jumlah faktor risiko konvensional dengan fraksi ejeksi ventrikel kiri

Kata Kunci: faktor risiko konvensional, fraksi ejeksi ventrikel kiri

 

ABSTRACT

Background: Heart failure with reduced ejection fraction in patient with coronary heart disease has poor prognosis. Patient with coronary artery disease who has multiple risk factor tend to have increase mortality rate. This study aims to find the correlation between number of conventional risk factor with left ventricular ejection fraction in patient with coronary artery disease. Objective: To study the correlation between the number of conventional risk factor with left ventricular ejection fraction in patient with coronary artery disease (CAD). Methods: This was an analytic observational study, by collecting data from medical record patient with CAD to assess left ventricular ejection fraction from echocardiografi assessment and collect data from patient directly. Collected data is presented by descriptive, and analize with correlation of Spearman analysis.. Results: 180 participant has collected met with inclution criteria for analize. The mean of age is 56,45 ± 10,614 years. Analysis reveals there was no significant correlation between number of conventional risk factor with left ventricular ejection fraction in patient with CAD with very weak correlation (p = 0,381; 0,066). Conclusion: There was no relationship between number of conventional risk factor with left ventricular ejection fraction in patient with Coronary Artery Disease

Key Word: conventional risk factor, left ventricular ejection fraction


Teks Lengkap:

PDF

Referensi


Kemenkes RI. Riset Kesehatan Dasar 2013. Jakarta: Kementrian Kesehatan Republik Indonesia; 2013

Coronary Artery Disease (CAD). Centers fo Disease Control and Prevention [Internet]. 2015. [cited 2016 Jul 07]. Available from: http://www.cdc.gov/heartdisease/coronary_ad.htm

Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald’s Heart Disease: A Textbook of Cardiovascular Disease, tenth edition. Philadelphia: Elsevier Saunders; 2015

Erhardt LR. Rationale for multiple risk intervention: The need to move from theory to practice. Vascular Health and Risk Management. 2007;3(6):985-997.

Farhan HA, Al-Safar HB. Coronary Artery Disease: Conventional Risk Factors & Angiographic Findings Among Young Iraqi Adults: Journal of Babel; 2010: 2:644-650

Rimington H, Chambers JB. Echocardiography: A Practical Guide for Reporting, second edition. United Kingdom: Informa Healthcare; 2007

Douglas SL, Philimon G, Ramachandran SV, Martin GL, Emelia JB, Thomas JW, dkk. Relation of Disease Pathogenesis and Risk Factors to Heart Failure With Preserved or Reduced Ejection Fraction: Insights From the Framingham Heart Study of the National Heart, Lung, and Blood Institute. Circulation. 2009;119:3070-3077

Mozaffarian D, Benjamin EJ, Go AS, Amett DK, Blaha MJ, Cushman M. Heart Disease and stroke statistics-2015 Update. American Heart Association. Circulation. 2015;131(4):e29-e322

Niklas FE, Michael K, Miriam B, Jan MB, and Michael JZ. Diabetes reduces left ventricular ejection fraction-irrespective of presence and extent of coronary artery disease. European Journal of Endocrinology. 2011;165:945-951

Chatterjee S. Benefits of β blockers in patients with heart failure and reduced ejection fraction: network meta-analysis. British Medical Journal. 2013;346:f55


Refbacks

  • Saat ini tidak ada refbacks.


Print ISSN: 2089-6042 || e-ISSN : 2579-7514
counter kostenlos Flag Counter
execute(); ?>