No abstract

Stroke and heart disease belong to atherosclerotic cardiovascular diseases (ASCVD), which is one of the death causes in Indonesia. This study aimed to estimate the risk of atherosclerosis cardiovascular disease in the next 10 years using the Systemic Coronary Risk Estimation (SCORE) method. This research was an observational study with descriptive cross-sectional study design. Respondent data collection was taken prospectively which means directs data was collected through interviews, blood pressure measurement, and peripheral blood sampling. The results showed that respondents who were involved in this study were those with an average age of 49.70 ± 7.1 years. Respondents were more dominated by women (76.1%); BMI of respondents showed in the non-obese group 27.14 ± 4.6 kg/m2; total cholesterol, LDL, TG, and HDL levels respectively had an average of 152.17 ± 39.5 mg/dL; 91.28 ± 40.9 mg/dL; 117.24 ± 96.9 mg/dL; and 30.87 ± 8.8. The number of respondents who smoke was 17.39% and that of those who have undergone physical activity in the form of sports was 60.87%. Based on the results of risk estimation using the SCORE method, it was found that the number of people who were in the low-risk category was 54.35% and the moderate risk category was 45.65%. This study concludes that the risk of ASCVD for the next 10 years in the community is at low and moderate levels. Non-pharmacological treatment is more recommended at this level and statins can be given to individuals if there is no improvement in cholesterol levels.

WHO pada tahun 2008 menyatakan tiga juta orang meninggal akibat penyakit infark miokard di seluruh dunia. Pada tahun 2013 berdasarkan Riset Kesehatan Dasar didapatkan bahwa penyakit infark miokard akut (IMA) merupakan penyakit terbanyak terdiagnosis dan menjadi penyebab mortalitas tertinggi di ICCU RSUD dr. Soedarso. Salah satu penyebab mortalitas adalah kurangnya kepekaan klinisi dalam memprediksi dan mencegah komplikasi yang terjadi pada pasien IMA. Penelitian ini dilaksanakan untuk mengetahui hubungan  Simplified Clinical Electrocardiogram Score sebagai prediktor mortalitas pasien IMA. Penelitian ini merupakan studi analitik dengan desain kasus kontrol. Penelitian dilakukan di ICCU RSUD dr. Soedarso. Sampel pada penelitian ini berjumlah 96 sampel, dibagi menjadi dua kelompok yakni 51 sampel kelompok kontrol (skor ? 4) dan 45 sampel kelompok kasus (Skor ? 5). Penelitian dilakukan dengan menghitung kelainan rekaman elektrokardiogram pasien infark miokard akut di ICCU RSUD dr. Soedarso menggunakan kriteria penilaian Simplified Clinical Electrocardiogram Score. Mortalitas yang terjadi pada kelompok kasus 35 orang sedangkan pada kelompok kontrol 6 orang. Uji statistik Chi-square menunjukkan Simplified Clinical Electrocardiogram Score memiliki hubungan yang bermakna dengan mortalitas pada pasien infark miokard akut yang dirawat di ICCU RSUD dr. Soedarso (p = 0,00), dengan OR 26,25 IK 95% 25,15-27,35. Terdapat hubungan yang bermakna antara Simplified Clinical Electrocardiogram Score dengan mortalitas pada pasien infark miokard akut yang dirawat di ICCU RSUD dr. Soedarso.