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All Journal Indonesian Journal of Cardiology Cermin Dunia Kedokteran
Tiluata, Leonora Johana
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Health Professions Medicine & Pharmacology Public Health

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Profil Infark Miokard Akut dengan Kenaikan Segmen-ST Di ICCU RSUD Prof W. Z. Johannes Kupang, Nusa Tenggara Timur, Januari-April 2018 Dharmawan, Melissa; Hidayat, Leonardus Wibowo; Tiluata, Leonora Johana
Cermin Dunia Kedokteran Vol 46, No 12 (2019): Kardiovaskular
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.977 KB) | DOI: 10.55175/cdk.v46i12.391

Abstract

Pendahuluan. Infark Miokard Akut dengan kenaikan Segmen-ST (STEMI) merupakan bentuk paling berat dari Sindrom Koroner Akut dengan berbagai komplikasinya. Tujuan. Mengetahui profil pasien STEMI di Intensive Cardiac Care Unit (ICCU) RSUD Prof. W.Z. Johannes selama Januari-April 2018. Metode. Studi kohort retrospektif menggunakan data sekunder sosiodemiografi, klinis, dan penunjang seluruh pasien yang terdiagnosis STEMI pada saat admisi. Durasi perawatan dan luaran dicatat. Hasil. Selama periode tersebut didapatkan 23 kasus STEMI. Proporsi pria sebesar 87% dengan rerata usia 56 tahun. Keluhan utama terbanyak adalah nyeri dada dengan onset kurang dari 12 jam. Antikoagulan diberikan pada semua subyek, 8 subyek mendapat terapi trombolitik. Komplikasi antara lain syok kardiogenik (13%) dan aritmia (8.7%). Kematian pada 13% subyek. Kematian dalam-rumah-sakit lebih besar pada pasien berusia kurang dari 60 tahun, laki-laki, dengan presentasi Killip Class IV dan lokasi infark di anterior. Simpulan. Pasien STEMI di RSUD Prof. W. Z. Johannes lebih banyak pria, rerata usia 56 tahun, keluhan utama nyeri dada onset kurang dari 12 jam, dengan komplikasi terbanyak syok kardiogenik.Background. Acute myocardial infarction with ST-segment elevation (STEMI) is the most severe form of Acute Coronary Syndrome with its various complications. Objective. Profile of STEMI patients in the Intensive Cardiac Care Unit (ICCU) of Prof. W.Z. Johannes General Hospital during January-April 2018. Method. A retrospective cohort study using secondary data. Data from all patients diagnosed with STEMI at admission were retrieved. Treatment duration and patient outcome was also recorded. Results. A total of 23 STEMI cases from January to April 2018 were analyzed. The proportion of male was 87% with an average age of 56 years. The main complaint is chest pain with an onset of less than 12 hours. Anticoagulants were given to all subjects, 8 subjects received thrombolytic therapy. Complications include cardiogenic shock (13%) and arrhythmias (8.7%). Death occurred in 13%. In-hospital mortality is greater in patients less than 60 years old, male, Killip Class IV and anterior infarction. Conclusion. Most STEMI patients at Prof. RSUD W. Z. Johannes General Hospital were male, average age of 56 years, the main complaint was chest pain with onset less than 12 hours, and the complication is mostly cardiogenic shock. 
A Clinical Profile of Acute Coronary Syndrome Patients in Kupang Adam, Aditya Angela; Tiluata, Leonora Johana; Yunita, Lowry; Putra, Magma Purnawan; Wilujeng, Niva; Homalessy, Leonita Vivian; Hutabarat, Daniel Christian Fernandez
Jurnal Kardiologi Indonesia Vol 42 No 4 (2021): Indonesian Journal of Cardiology: October - December 2021
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1194

Abstract

Background: Cardiovascular diseases (CVDs) have been the leading cause of global deaths over the years. In Indonesia, coronary heart disease (CHD) is the most common CVDs, responsible for 29% of all deaths in 2017. East Nusa Tenggara is one of the provinces in Indonesia with the highest prevalence of CHD, which corresponded with growing cases of acute coronary syndromes (ACS). Therefore, we develop a registry to obtain patients' profiles as a basis for strategy development in ACS management. Methods: A retrospectively observational study was conducted on all patients who presented with ACS between January 2019 and September 2020 at a general hospital in Kupang, East Nusa Tenggara. Data collected include demography, patient awareness and transfer history, risk factors, physical findings, diagnosis, workup, treatment, and mortality. Results: A total of 282 patients with ACS (STEMI, 41,2%; NSTEACS, 58,8%) were included in this study. Most patients were male with a mean age of 58,2 ± 12,2 years and normal BMI (32.6%). Nearly 50% of all ACS patients have one or more comorbidities, followed by relatively low adherence to therapy. Half of the patients were referred, but only 16,9% of patients arrived at the first medical facility less than 1 hour after onset. Patients with NTSEACS had more risk factors than patients with STEMI. The median LOS was five days (range, 1-17 days) with 2,8% in-hospital death. The presence of patient and system delay might contribute to the low number of STEMI patients who received reperfusion therapy. Conclusions: This research serves as the primary data for the improvement of acute coronary syndrome management in Kupang and East Nusa Tenggara.
Co-Authors Adam, Aditya Angela Dharmawan, Melissa Hidayat, Leonardus Wibowo Homalessy, Leonita Vivian Hutabarat, Daniel Christian Fernandez Putra, Magma Purnawan Wilujeng, Niva Yunita, Lowry