Hubungan antara keparahan stenosis koroner jantung dengan tekanan diastolik akhir ventrikel kiri jantung pada pasien sindrom koroner akut = Relationship between the severity of coronary heart stenosis and left ventricular end dyastolic pressure in patients with acute coronary syndrome

Subekti, Hubert (2018) Hubungan antara keparahan stenosis koroner jantung dengan tekanan diastolik akhir ventrikel kiri jantung pada pasien sindrom koroner akut = Relationship between the severity of coronary heart stenosis and left ventricular end dyastolic pressure in patients with acute coronary syndrome. Bachelor thesis, Universitas Pelita Harapan.

	Text (Title) Title.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (368kB)
Preview	Text (Abstract) Abstract.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (392kB) | Preview
Preview	Text (ToC) ToC.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (412kB) | Preview
Preview	Text (Chapter1) Chapter1.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (303kB) | Preview
	Text (Chapter2) Chapter2.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (647kB)
	Text (Chapter3) Chapter3.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (317kB)
	Text (Chapter4) Chapter4.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (406kB)
	Text (Chapter5) Chapter5.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (429kB)
	Text (Chapter6) Chapter6.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (294kB)
Preview	Text (Bibliography) Bibliography.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (339kB) | Preview
	Text (Appendices) Appendices.pdf Restricted to Repository staff only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (529kB)

Abstract

Background: Acute Coronary Syndrome ( ACS) is a syndrome ( a collection of symptoms and signs) caused by a sudden drop in blood flow of coronary arteries caused by blockage of the coronary arteries. There are many complications that can be caused by ACS, one of them is increased of LVEDP. . Research on ACS and LVEDP has been done before. However, the severity of stenosis of each patiens is not investigated, and certainly the severity of stenosis of each patient varies greatly. Therefore, this study aims to find out more clearly whether there is an influence between the severity of stenosis with LVEDP in ACS patients Methods: This study uses a mixed cohort study with secondary data retrieval ( medical records). Target sample are 35 peoples who are ACS and undergo PCI. Sample selection using purposive sampling technique. Data retrieval will be conducted during January 2018- May 2018. The results of this study will be processed with SPSS 24.0 version with special diagnostic test using annova test. Result: there was a significant relationship between the severity of coronary heart stenosis and LVEDP present (p = 0,000). It can be seen from the results of data analysis, that patients who have stenosis severity ≤22 have an average LVEDP of 12.00 mmHg, while stenosis of severity> 23 and ≤33 have an average LVEDP of 19.00 mmHg Conclusion: The more severe the degree of coronary stenosis of a patient, the higher the LVEDP, which can affect the clinical condition of the patient / Latar Belakang: Sindrom Koroner Akut (SKA) adalah suatu sindrom yang disebabkan karena adanya penurunan aliran darah pembuluh koroner secara tiba- tiba karena adanya penyumbatan pada arteri koroner. Banyak sekali komplikasi yang dapat ditimbulkan oleh SKA, salah satunya adalah meningkatnya tekanan LVEDP.. Penelitian mengenai SKA dan LVEDP sudah pernah dilakukan sebelumnya. Namun, keparahan stenosis dari setiap pasien tidaklah diteliti, . Oleh karena itu penelitian ini bertujuan untuk mencari tahu lebih jelas apakah terdapat pengaruh antara keparahan stenosis pasien SKA dengan LVEDP Metode: Penelitian ini menggunakan metode cohort campuran dengan pengambilan data sekunder ( rekam medis). Target sampel berjumlah 35 orang dan yang menjalani PCI. Pemilihan sampel menggunakan teknik purposive sampling. Pengambilan data akan dilakukan selama Januari 2018 – Mei 2018.. Hasil penelitian ini akan diolah dengan dengan SPSS versi 24.0 dengan uji khusus diagnostik menggunakan anova test. Hasil: Terdapat hubungan yang signifikan antara keparahan stenosis koroner jantung dengan meningkatnya tekanan LVEDP (p= 0,000). Terlihat dari hasil analisis data, bahwa pasien yang memiliki keparahan stenosis ≤22 memiliki rata-rata LVEDP 12,00 mmHg, dan stenosis >23 dan ≤33 memiliki rata- rata LVEDP 19,00 mmHg Kesimpulan: Semakin parah derajat stenosis koroner seorang pasien, maka semakin tinggi LVEDP, yang dapat mempengaruhi kondisi klinis pasien.

Actions (login required)

View Item