GAMBARAN FAKTOR RISIKO PADA KEJADIAN MORTALITAS PASIEN STEMI DI RSUD ULIN BANJARMASIN

Ridha Fahliati Dewi, Abdurrahman Wahid, Ifa Hafifah

Abstract


ABSTRAK

Tingkat kejadian meninggalnya pasien STEMI dalam waktu 24 jam diikuti oleh faktor risiko akan mempengaruhi prognosis, maka perlu untuk mengetahui faktor risiko apa saja yang ikut berperan pada STEMI sebagai pencegahan untuk menurunkan angka kejadian mortalitas.Tujuan penelitian ini untuk mengidentifikasi gambaran faktor risiko pada kejadian mortalitas pasien STEMI di RSUD Ulin Banjarmasin.Metode penelitian ini cross sectional dengan  accidental sampling yang dianalisis univariat. Data diambil dari lembar EKG, anamnesa pasien dan keluarga, pernyataan perawat dan dokter dituliskan dalam rekam medik yang diisi langsung oleh peneliti di lembar observasi di RSUD UlinBanjarmasin pada November - Desember 2015. Hasilmenunjukkan17 pasien mengalami STEMI dengan angka mortalitas (11,8%), rata-rata usia pasien STEMI 57 tahun, didominasi laki-laki (88,2%) dengan faktor risiko riwayat penyakit jantung (35,5%), hipertensi (29,4%), merokok (29,4%), stroke (5,9%) dan tidak memiliki riwayat penyakit (17,6%).Kesimpulan penelitianini adalah pasien STEMI di RSUD Ulin Banjarmasin rata-rata berusia 57 tahun dan lebih sering terjadi pada laki-laki dengan faktor risiko riwayat penyakit jantung, hipertensi, merokok, stroke dan tidak memiliki riwayat penyakit.

Kata-kata kunci: faktor risiko, STEMI, mortalitas.

ABSTRACT

This incidence rate of STEMI patients followed by risk factors that affect prognosis of STEMI patients, there’s a need to acknowledge what risk factors that role in STEMI as prevention to decrease mortality incidence.The objectives was to describe risk factors of mortality incidence in STEMI patients in RSUD Ulin Banjarmasin. This study used cross sectional with accidental sampling method that showed through univariate analysis. The data taken from ECG sheet, patient and family interviewed, nurse and doctor declaration written on medical record that being record directly by researcher on observational sheet in RSUD Ulin Banjarmasin since November - December 2015. The results17 patients having STEMIwith mortality rate (11,8%) average age STEMI patients is 57 years old, dominated bymales (88,2%)withrisk factors are history of prior heart (35,5%), hypertension (29,4%), smoking (29,4%), stroke (5,9%), no medical history (17,6%). The result of this studywasavaregeage of STEMI patients in RSUD Ulin Banjarmasin was 57 years old and the most common in males with risk factors werehistory of prior heart, hypertension, smoking, stroke and no medical history.

Keywords: risk factor, STEMI, mortality.


Full Text:

PDF

References


Clinical Practice Guidelines. Management of acute ST segment elevation myocardialinfarction (STEMI). 3rd Edition. Malaysia : Clinical practice Guidelines; 2014.Available from: URL: http://www.acadmed.org.

AygulN, et al. Prevalence of risk factors of ST segmen elevation myocardialinfarctionin Turkish patients living in Central Anatolia. Anadolu Kardiyol Derg 2009; 9:3-9.Available from: URL: http://www.nlm.nih.gov.

KaramfiloffKK, et al.Multivessel disease as a prognosticfactor for mortality inSTEMI patients.J Biomed Clin Res2015;8(1) :1;Available from: URL:http://www.degruyter.com.

Irmalita. Pedoman tatalaksana sindrom koroner akut, edisi ketiga. Jakarta : Centra Communications;2015. Available from: URLhttp://www.scribd.com.

ZafariM.Medscapemyocardial infarction; 2015.Available from: URLhttp://www.emidicine.medscape.com.

Ali Saleh. Risk factors in patients with acute ST elevation myocardial infarction; a survey in a tertiary care government hospital, NICVD, Karachi, Pakistan.Journal of Cardiology2013; 11:2.Available from: URL: http://ISPUB.com.

Yunyun W et al. Analysis of risk factors of ST-segment elevation myocardial infarction in young patients.BMC Cardiovascular Disorders 2014;14:179. Available from: URL: http://www.nlm.nih.gov.

Hurd, R, Zieve, D & Ogilvie, I.U.S National library of medicine. 2014; Available from: URL: http://www.nlm.nih.gov.

Lukito AA. Pedoman tatalaksana pencegahan penyakit kardiovaskular padaperempuan, edisi pertama. Jakarta : Perhimpunan Dokter Spesialis KardiovaskularIndonesia; 2015.

National Clinical Guideline Centre.Myocardial infarction with st segment elevation "theacute management of myocardial infarction with st segmen excellence”. 2013;Available from: URL: https://www.nice.org.uk.

Gray HH, Dawkins KD, Morgan JM,& Simpson IA.Lecture Notes :Kardiologi. Jakarta :Erlangga; 2005.

Zorana, Vasiljevic et al.Hospital mortality trend analysis of patients with ST elevation myocardial infarction in the Belgrade area coronary care units. Srp Arh Celok Lek 2008;136 (2): 84-96.Available from: URL: http://www.nlm.nih.gov.

Departement of Health and Human Service.How tobacco smoke causes disease: thebiology and behavioral basis for smoking-attributable disease: a report of thesurgeon general.Atlanta: Departement of Health and Human Service; 2010.Available from: URL: http://www.nlm.nih.gov.

Herrera UJ, Carlos Jerjes-Sanchez.Risk factors, therapeutic approaches, and in hospital outcomes in mexicans with st-elevation acute myocardial infarction: the RENASICA II multicenter registry.Cardiol 2013;36 (5): 241–248.Available from: URL: http://wileyonlinelibrary.com.

Bahri Anwar.Kelainan jantung sebagai faktor resiko stroke. 2004.Available from: URL: http://e-USU Repository Universitas Sumatera Utara.

Gomez Miquel, et al. Oxidized LDL, lipoprotein (a), and other emergent risk factors in acute myocardial infarction (FORTIAN Study). Res Esp Cardiol 2009; 62(4) : 373-382.Available from: URL:http://www.nlm.nih.gov.




DOI: http://dx.doi.org/10.20527/dk.v4i2.2514

Article Metrics

Abstract view : 733 times
PDF - 4305 times

Refbacks

  • There are currently no refbacks.


Indexed by :

  

   

 

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

freehit counter

View Dunia Keperawatan Stats