HUBUNGAN POLA EKG INFARK DAN ISKEMIK DENGAN DERAJAT STENOSIS BERDASARKAN SIGNIFIKAN DAN NON SIGNIFIKAN : STUDI OBSERVASIONAL ANALITIK DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG
Abstract
Pemeriksaan EKG dapat menjadi screening awal pada gangguan kardiovaskular namun mempunyai sensitifitas dan spesifitas parsial yang rendah dalam memprediksi stenosis arteri koroner. Penelitian ini bertujuan untuk mengetahui adanya hubungan pola EKG infark dan iskemik dengan derajat stenosis berdasarkan skoring signifikan dan non signifikan. Penelitian analitik observasional dengan desain cross sectional ini menggunakan data sekunder dari rekam medik pasien PJK RSI Sultan Agung Semarang periode November 2018 – November 2023. Pengambilan sampel dilakukan dengan teknik consecutive sampling dengan jumlah sampel yang ditentukan peneliti sebesar 500 data sesuai kriteria inklusi. Hasil penelitian didapatkan korelasi bermakna antara pola EKG infark dan iskemik dengan derajat stenosis signifikan dan non signifikan bedasarkan nilai p-value < 0,05 (p=0,000). Nilai contingency coefficient sebesar 0.301 yang menunjukan korelasi positif dengan kekuatan hubungan yang lemah. Pada analisis multivariat variabel yang memilki p-value > 0,05 dieliminasi, sehingga pada hasil akhir analisis didapatkan 3 variabel yang paling dominan pada derajat stenosis diabetes mellitus (Sig:0,001/Exp(B):2,426), merokok (Sig:0,038;Exp(B):1,777), usia (Sig:0,000;Exp(B):0,274). Terdapat hubungan bermakna pola EKG infark dan iskemik dengan derajat stenosis signifikan dan non signifikan. Faktor risiko yang paling berpengaruh adalah diabetes mellitus, merokok, dan usia.
Kata kunci : Infark, iskemik, derajat stenosis, EKG, PJK.
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Abbasi, S. H., Ponce de Leon, A., Kassaian, S. E., Karimi, A. A., Sundin, O., Soares, J., & Macassa, G. (2012). Gender differences in the risk of coronary artery disease in Iran. Iranian Journal of Public Health, 41(3), 36-47.
Ferrari, R., Camici, P. G., Crea, F., Danchin, N., Fox, K., Maggioni, A. P., Manolis, A. J., Marzilli, M., Rosano, G. M. C., & Lopez-Sendon, J. L. (2018). Expert consensus document: A diamond approach to personalized treatment of angina. Nature Reviews Cardiology, 15(2), 120-132. https://doi.org/10.1038/nrcardio.2017.131
Gallucci, G., Tartarone, A., Lerose, R., Lalinga, A. V., & Capobianco, A. M. (2020). Cardiovascular risk of smoking and benefits of smoking cessation. Journal of Thoracic Disease, 12(7), 3866-3876. https://doi.org/10.21037/jtd.2020.02.47
Gheisari, F., Emami, M., Raeisi Shahraki, H., Samipour, S., & Nematollahi, P. (2020). The Role of Gender in the Importance of Risk Factors for Coronary Artery Disease. Cardiology Research and Practice, 2020. https://doi.org/10.1155/2020/6527820
IHME. (2019). Ischemic heart disease-Level 3 cause Institute for Health Metrics and Evaluation. https://www.healthdata.org/results/gbd_summaries/2019/ischemic-heart-disease-level-3-cause
Kemenkes RI. (2019). Buku Pintar Kader Posbindu. Buku Pintar Kader Posbindu, 1-65. http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2019/03/Buku_Pintar_Kader_POSBINDU.pdf
Koh, M. S., Lee, J. H., Jeong, J. W., & Chung, J. Y. (2017). Features of electrocardiogram in patients with stenosis of the proximal right coronary artery. The Korean Journal of Internal Medicine, 32(2), 277. https://doi.org/10.3904/KJIM.2015.122
Koo, B. K., Lee, C. H., Yang, B. R., Hwang, S. S., & Choi, N. K. (2014). The incidence and prevalence of diabetes mellitus and related atherosclerotic complications in Korea: A National Health Insurance database study. PLoS ONE, 9(10). https://doi.org/10.1371/journal.pone.0110650
Leo, A. (2014). Relation between Coronary Lesions and Cigarette Smoking of Subjects Deceased from Acute Myocardial Infarction. A Histopathological Study. Journal of Cardiobiology, 2(2). https://doi.org/10.13188/2332-3671.1000011
Lin, X. Q., & Zheng, L. R. (2019). Myocardial ischemic changes of electrocardiogram in intracerebral hemorrhage: A case report and review of literature. World Journal of Clinical Cases, 7(21), 3603-3614. https://doi.org/10.12998/wjcc.v7.i21.3603
Loewe, A., Schulze, W. H. W., Jiang, Y., Wilhelms, M., Luik, A., Dossel, O., & Seemann, G. (2015). ECG-Based Detection of Early Myocardial Ischemia in a Computational Model: Impact of Additional Electrodes, Optimal Placement, and a New Feature for ST Deviation. BioMed Research International, 2015. https://doi.org/10.1155/2015/530352
Mahmoodzadeh, S., Moazenzadeh, M., Rashidinejad, H., & Sheikhvatan, M. (2011). Diagnostic performance of electrocardiography in the assessment of significant coronary artery disease and its anatomical size in comparison with coronary angiography. 16(6).
Majid, A. (2017). Asuhan Keperawatan pada Pasien Dengan Gangguan Sistem Kardiovaskular. Pustaka Baru Press.
Marleni, L., & Alhabib, A. (2017). Faktor Risiko Penyakit Jantung Koroner di RSI SITI Khadijah Palembang. Jurnal Kesehatan, 8(3), 478. https://doi.org/10.26630/jk.v8i3.663
Mierzewska-Schmidt, M., & Gawecka, A. (2015). Neurogenic stunned myocardium-Do we consider this diagnosis in patients with acute central nervous system injury and acute heart failure? Anaesthesiology Intensive Therapy, 47(2), 175-180. https://doi.org/10.5603/AIT.2015.0017
Nikus, K., Birnbaum, Y., Eskola, M., Sclarovsky, S., Zhong-qun, Z., & Pahlm, O. (2014). Updated Electrocardiographic Classification of Acute Coronary Syndromes. Current Cardiology Reviews, 10(3), 229-236. https://doi.org/10.2174/1573403x10666140514102754
Poznyak, A., Grechko, A. V., Poggio, P., Myasoedova, V. A., Alfieri, V., & Orekhov, A. N. (2020). The diabetes mellitus-atherosclerosis connection: The role of lipid and glucose metabolism and chronic inflammation. International Journal of Molecular Sciences, 21(5), 1-13. https://doi.org/10.3390/ijms21051835
RISEKDAS. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Roth, G. A., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abebe, H. T., Abebe, M., Abebe, Z., Abejie, A. N., Abera, S. F., Abil, O. Z., Abraha, H. N., Murray, C. J. L. (2018). Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1736-1788. https://doi.org/10.1016/S0140-6736(18)32203-7
Salehi, N., Janjani, P., Tadbiri, H., Rozbahani, M., & Jalilian, M. (2021). Effect of cigarette smoking on coronary arteries and pattern and severity of coronary artery disease: a review. Journal of International Medical Research, 49(12). https://doi.org/10.1177/03000605211059893
Sanaani, A., Yandrapalli, S., Jolly, G., Paudel, R., Cooper, H. A., & Aronow, W. S. (2017). Correlation between electrocardiographic changes and coronary findings in patients with acute myocardial infarction and single-vessel disease. Annals of Translational Medicine, 5(17), 1-4. https://doi.org/10.21037/atm.2017.06.33
Valensi, P., Henry, P., Boccara, F., Cosson, E., Prevost, G., Emmerich, J., Ernande, L., Marcadet, D., Mousseaux, E., Rouzet, F., Sultan, A., Ferrieres, J., Vergès, B., & Van Belle, E. (2021). Risk stratification and screening for coronary artery disease in asymptomatic patients with diabetes mellitus: Position paper of the French Society of Cardiology and the French-speaking Society of Diabetology. Archives of Cardiovascular Diseases, 114(2), 150-172. https://doi.org/10.1016/J.ACVD.2020.07.003
Yonarti. (2013). Hubungan Antara Jumlah dan Lokasi Stenosis Arteri Koronaria Dengan Durasi QRS Pada Penderita Penyakit Jantung Koroner. Hasanudin University.
Zhao, D., Liu, J., Wang, M., Zhang, X., & Zhou, M. (2019). Epidemiology of cardiovascular disease in China: current features and implications. Nature Reviews Cardiology, 16(4), 203-212. https://doi.org/10.1038/s41569-018-0119-4
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