scholarly journals Gambaran Tekanan Darah pada Pasien Sindrom Koroner Akut di RS Khusus Jantung Sumatera Barat Tahun 2011-2012

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Meidiza Ariandiny ◽  
Afriwardi Afriwardi ◽  
Masrul Syafri

AbstrakPenyakit jantung koroner merupakan penyakit degeneratif dengan permasalahan yang serius karena prevalensinya yang terus meningkat. Keadaan yang mengkhawatirkan dari penyakit jantung koroner adalah pada fase akut atau disebut dengan sindrom koroner akut. Salah satu faktor yang menyebabkan terjadinya sindrom koroner akut adalah tekanan darah yang tinggi yang mengakibatkan pecahnya plak aterosklerotik. Penelitian bertujuan untuk mengetahui gambaran tekanan darah pada pasien sindrom koroner akut di RS Khusus Jantung, Sumatera Barat dan mengetahui jenis hipertensi yang terjadi. Penelitian dilakukan dengan mengambil data sekunder yaitu data tekanan darah awal masuk rumah sakit pada pasien sindrom koroner akut di RS Khusus Jantung, Sumatera Barat pada bulan Maret-April 2013. Penelitian ini merupakan studi deskriptif observasional dengan total sampling. Analisis data yang dilakukan adalah analisis univariat. Hasil penelitian dari 145 data ditemukan bahwa hipertensi (tekanan darah tinggi) sebanyak 88 pasien (61%), prehipertensi sebanyak 33 pasien (23%), dan normotensi sebanyak 24 pasien (16%), dengan jenis hipertensi yaitu hipertensi kombinasi sebanyak 53 pasien (60%), hipertensi sistolik sebanyak 20 pasien (23%) dan hipertensi diastolik sebanyak 15 pasien (17%). Kelompok usia yang terbanyak yaitu usia 46-55 tahun (30%) diikuti kelompok usia 66-75 tahun (25%), 56-65 tahun (24%), >76 tahun (10%), 36-45 tahun (0,8%), dan < 35 tahun (0,2%) dengan jenis kelamin laki-laki sebesar 74% dan perempuan sebesar 26%. Kesimpulan dari hasil penelitian adalah gambaran tekanan darah pada pasien sindrom koroner akut yang terbanyak yaitu hipertensi dengan jenis hipertensi kombinasi. Kelompok usia terbanyak yaitu usia 46-55 tahun dengan jenis kelamin laki-laki.Kata kunci: tekanan darah, hipertensi, sindrom koroner akutAbstractCoronary heart disease is a degenerative disease. It becomes serious because the prevalence continues increase. The worst condition is the acute phase which is called acute coronary syndrome. The high blood pressure is one of the risk factors of acute coronary syndrome because it lead atherosclerotic plaques ruptured. This research aims is to describe the blood pressure and the type of hypertension in patients with acute coronary syndromes in The Heart Hospital, West Sumatera. This research took the secondary data of admission blood pressure in patients hospitalized with acute coronary syndrome in The Heart Hospital, West Sumatera, March - April 2013. This research is an observational descriptive study with a total sampling. Data analysis was performed univariate analysis. The results of 145 data were 88 patients (61%) had hypertension (high blood pressure), 33 patients (23%) were prehypertension, and 24 were normotensive (16%). The type of hypertension were 53 patients with combination hypertension (60%), 20 patients with systolic hypertension (23%) and 15 patients with diastolic hypertension (17%). Based on the age classification of hypertension, found that 46-55 years were 30%, 66-75 years were 25%, 56-65 years were 24%, > 76 years were 10%, 36-45 years were 0.8%, and < 35 years were 0.2%. based on gender classification of hypertension found that male gender were 74% and women were 26%. The conclusion of this research find that the largest blood pressure in patients with acute coronary syndromes is hypertension, the largest type of hypertension is combination hypertension, the largest age classification is 46-55 years, and the largest gender classification is male.Keywords:blood pressure, hypertension, acute coronary syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Ilian Janet García-González ◽  
Yeminia Valle ◽  
Fernando Rivas ◽  
Luis Eduardo Figuera-Villanueva ◽  
José Francisco Muñoz-Valle ◽  
...  

Immunologic and inflammatory processes are involved in the pathogenesis of acute coronary syndrome (ACS) and type 2 diabetes mellitus (DM2). Human leukocyte antigen-G (HLA-G) is a negative regulator of the immune response. This study evaluates the 14 bp Del/Ins HLA-G polymorphism in ACS and DM2. Three hundred and seventy individuals from Western Mexico were recruited and categorized into three groups: ACS (86), DM2 without coronary complications (70), and healthy subjects (214). Genotyping of the 14 bp Del/Ins HLA-G polymorphism was performed by PCR and Native-PAGE. The most common risk factors were hypertension and overweight in ACS and DM2, respectively. The genetic distribution of the 14 bp Del/Ins HLA-G polymorphism showed no significant differences between groups (P≥0.23). Nonetheless, the Ins/Ins genotype was associated with high blood pressure (HBP) in the DM2 group (ORc = 1.65,P=0.02). The genetic recessive model showed similar findings (ORc = 3.03,P=0.04). No association was found in ACS, with aPof 0.05; nevertheless, the prevalence of Ins/Ins carriers was quite similar to that found in the DM2-HBP group. The 14 bp Del/Ins HLA-G polymorphism was not a susceptibility factor for ACS or DM2; however, the Ins/Ins genotype might have contributed to the development of HBP in the studied groups.


2017 ◽  
Vol 119 (8) ◽  
pp. e15
Author(s):  
Zafer Buyukterzi ◽  
Ummugulsum Can ◽  
Mehmet Sertac Alpaydin ◽  
Asuman Guzelant ◽  
Sukru Karaarslan

Author(s):  
Eric Durand ◽  
Aurès Chaib ◽  
Etienne Puymirat ◽  
Nicolas Danchin

Patients presenting at the emergency department with acute chest pain and suspected to represent an acute coronary syndrome were classically admitted as routine to the cardiology department, resulting in expensive and time-consuming evaluations. However, 2-5% of patients with acute coronary syndromes were discharged home inappropriately, resulting in increased mortality. To address the inability to exclude the diagnosis of acute coronary syndrome, chest pain units were developed, particularly in the United States. These provide an environment where serial electrocardiograms, cardiac biomarkers, and provocative testing can be performed to confirm or rule out an acute coronary syndrome. Eligible candidates include the majority of patients with non-diagnostic electrocardiograms. The results have been impressive; chest pain units have markedly reduced adverse events, while simultaneously increasing the rate of safe discharge by 36%. Despite evidence to suggest that care in chest pain units is more effective for such patients, the percentage of emergency or cardiology departments setting up chest pain units remains low in Europe.


2017 ◽  
Vol 69 (11) ◽  
pp. 1271 ◽  
Author(s):  
Barbara E. Staehli ◽  
Manfred B. Wischnewsky ◽  
Philipp Jakob ◽  
Roland Klingenberg ◽  
Slayman Obeid ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Sazzli Kasim ◽  
Rafidah AbuBakar ◽  
Eugene McFadden

Myocardial infarction as a result of wasp stings is a rare manifestation of acute coronary syndromes. It has been ascribed to kounis syndrome or allergic angina whose triggers include mast cell degranulation leading to coronary vasospasm and/or local plaque destabilisation. Its exact pathophysiology is still not clearly defined. We present a case of an acute coronary syndrome as a consequence of wasp stings and discuss its possible aetiology.


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