Korelasi antara Kadar Kolesterol Total dengan Jumlah Monosit pada Pasien Penyakit Jantung Koroner
Abstract
Abstract: Coronary heart disease (CHD) is one of three leading causes of death in the world. CHD is a disease resulting from narrowing or blockage of the arteries that supply blood to the heart muscle. Total cholesterol and monocytes play an important role in the process of atherosclerosis that causes CHD. This study aimed to analyze the correlation between total cholesterol levels and monocytes count in patients with CHD in RSUD Ulin Banjarmasin in August 2014 to May 2015. This study use observational analytic study with cross-sectional approach. 92 samples selected according to the inclusion criteria. The results showed the average of total cholesterol levels and monocytes count are 198.41 mg/dL and 0.58 thousand/uL. The analysis with Pearson correlation test and give a result r=0.033 and p=0.758. The conclusion is there is a very weak, not significant and positive correlation between total cholesterol levels and monocytes count in patients with CHD.
Keywords: total cholesterol, monocytes, coronary heart disease
Abstrak: Penyakit jantung koroner (PJK) merupakan satu dari tiga penyebab utama kematian di dunia. PJK adalah penyakit yang timbul akibat penyempitan atau penyumbatan arteri yang memasok aliran darah ke otot jantung. Kolesterol total dan monosit berperan penting dalam proses aterosklerosis yang menyebabkan PJK. Penelitian ini bertujuan untuk menganalisis korelasi antara kadar kolesterol total dengan jumlah monosit pada pasien penyakit jantung koroner di RSUD Ulin Banjarmasin periode Agustus 2014-Mei 2015. Penelitian ini adalah penelitian observasional analitik dengan pendekatan cross-sectional. 92 sampel dipilih sesuai kriteria inklusi. Hasil penelitian menunjukkan rata-rata kadar kolesterol total dan jumlah monosit sebesar 198,41 mg/dL dan 0,58 ribu/uL. Kemudian dilakukan análisis dengan uji korelasi Pearson dan didapatkan nilai r=0,033 dan p=0,758. Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa terdapat korelasi yang sangat lemah, tidak signifikan dan searah antara kadar kolesterol total dengan jumlah monosit pada pasien PJK.
Kata-kata kunci: kolesterol total, monosit, penyakit jantung koroner
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Luckhaupt SE and Calvert GM. Prevalence of coronary heart disease or stroke among workers aged <55 years — United States, 2008–2012. Centers for Disease Control and Prevention. 2014; 63(30): 645-640.
Majid A. Penyakit jantung koroner: patofisiologi, pencegahan, dan pengobatan terkini. Pidato pengukuhan jabatan guru besar tetap dalam bidang ilmu fisiologi. Medan: Fakultas Kedokteran Universitas Sumatra Utara, 2007.
Zahra M. Gambaran epidemiologi penyakit jantung koroner pada pasien wanita di RS Harapan Kita Jakarta tahun 2009. Skripsi: Universitas Indonesia, 2010.
Wong ND. Epidemiological studies of CHD and the evolution of preventive cardiology. Cardiol. 2014; 11: 276-289.
Alan SG, Dariush M, Véronique LR, et al. Heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation. 2013; 128: 1-4.
Erasta A. Hubungan faktor risiko mayor penyakit jantung koroner dengan skor pembuluh darah koroner dari hasil angiografi koroner di RSUP dr. Kariadi Semarang. Skripsi: Universitas Diponegoro, 2012.
Badan Penelitian dan Pengembangan Kesehatan. Riset keseharan dasar 2013. Jakarta: Kementrian Kesehatan Republik Indonesia, 2013.
Pandelaki K. Diabetic dyslipidemia management, the first East Indonesia endo-metabolic update. Makassar: Perkeni, 2006.
Anthony SF, Eugene B, Dennis LK, et al. Harrison’s principles of internal medicine. New York: Mc Graw Hill; 2006.
Silbernagl S and Lang F. Teks & atlas berwarna patofisiologi. Jakarta: EGC; 2006.
Hubert HB, Feinleib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: a 26 years follow up of participant in the Framingham Heart Study. Circulation. 1983; 67(5): 968-77.
Liu ML, Reilly MP, Casasanto P, McKenzie SE, Williams KJ. Cholesterol enrichment of human monocyte/macrophages induces surface exposure of phosphatidylserine and the release of niologically-active tissue factor-positive microvesicles. Arterioscler Thromb Vasc Biol. 2007; 27: 430-435.
Gerszten RE and Tager AM. The monocyte in atherosclerosis - should I stay or should I go now? The New England Journal of Medicine. 2012; 366(18): 1734-1736.
Prasetyaningsih N dan Adipirenol P. Hubungan antara monosit dengan profil lipid pada penderita penyakit jantung koroner. Symposium Joglo Semar, 2014.
Rothe G, Alexandra SH, Josef S, Claudia A, Weidinger G, Gerd S. A more mature phenotype of blood mononuclear phagocytes is induced by fluvastatin treatment in hypercholesterolemic patients with coronary heart disease. Atherosclerosis. 1999; 144: 251-161.
Madjid M and Fatemi O. Components of the complete blood count as risk predictors for coronary heart disease. Tex Heart Institute Journal. 2013; 40(1): 17-29.
Samuel OI, Thomas N, Ernest OU, Imelda NN, Elvis NS, Ilfeyinwa E. Comparison of haematological parameters determined by the Sysmex KX-2IN automated haematology analyzer and the manual counts. BMC Clinical Pathology. 2010: 10(3); 1-5.
Kay LL, Haris RJ, Gerald D, Nancy R, William GF. Elimination of instrument-drivem reflex manual differential leukocyte counts. American Journal Clinical Pathology. 2003; 119: 656-662.
Suarsana IN, Wresdiyati T, Suprayogi A. Respon stres oksidatif dan pemberian isoflavon terhadap aktivitas enzim superoksida dismutase dan peroksidasi lipid pada hati tikus. JITV. 2013; 18(2): 146-152.
Li H and Forstermann U. Prevention of atherosclerosis by interference with vascular nitric oxide system. Current Pharmacentical Design. 2009; 15: 3133-3145.
Napoli C, Nigris FD, Ignaro SW, Pignalosa O, Sica V, Ignaro LJ. Nitric oxide and atherosclerosis: an update. Elsevier. 2006; 1: 265-279.
DOI: http://dx.doi.org/10.20527/jbk.v12i1.361
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