Gambaran jumlah leukosit pada pasien infark miokard akut di RSUP Prof. Dr. R. D.Kandou Manado periode Januari-Desember 2015

Abstract: Coronary heart disease (CHD) is the leading cause of death in the world and marked by the existence of atherosclerotic plaque at the coronary artery that progressively blocks the blood stream to myocardium resulting in myocardial infarction. Elevated of leukocyte count typically indicates an infection or inflammation, and has a role in vascular injury and atherogenesis that is a development of an atherosclerotic ruptured plaque and trombosis. This study was aimed to obtain the profile of leukocyte count in patient with acute myocardial infarction (AMI) at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2015. This was an observational descriptive study with a retrospective approach using data of medical records of AMI patients who came to Prof. Dr. R. D. Kandou Hospital Manado from January to Desember 2015. The results showed that of totally 63 medical records of patients with AMI, there were 45 samples that fulfilled the inclusion criteria. The majority patients were in the age group 46-60 years, males, the risk factor was a combination of several major risks, and NSTEMI as the type of type of infarction. There were 57,77% of leukocyte count results ranged 10,000-14,900/mm3 and 8,88% were ≥15,000/mm3. Conclusion: There was an increase in the leukocytes count in more than half of the samples. Keywords: acute myocardial infarction, leukocyte, inflammation Abstrak: Penyakit jantung koroner (PJK) merupakan penyebab kematian tersering di dunia dan ditandai adanya plak aterosklerosis pada arteri koroner yang secara progresif menghalangi aliran darah ke miokardium yang berakibat terjadinya infark miokard. Peningkatan jumlah leukosit secara tipikal mengindikasikan adanya suatu infeksi dan peradangan, serta juga berperan pada cedera vaskular dan aterogenesis yang merupakan perkembangan dari suatu ruptur plak aterosklerosis dan trombosis. Penelitian ini bertujuan untuk mengetahui gambaran jumlah leukosit pada pasien IMA di RSUP Prof. Dr. R. D. Kandou periode Januari sampai Desember 2015. Jenis penelitian ialah deskriptif observasional dengan pendekatan retrospektif menggunakan data rekam medik pasien IMA yang berobat di RSUP Prof. Dr. R. D. Kandou Manado periode Januari-Desember 2015 dengan eksklusi riwayat infeksi minimal 2 minggu sebelum masuk rumah sakit. Hasil penelitian mendapatlan 45 sampel dengan mayoritas kelompok usia 46-60 tahun, jenis kelamin laki-laki, faktor risiko kombinasi beberapa faktor risiko mayor, dan jenis infark NSTEMI. Sebanyak 57,77% hasil pemeriksaan leukosit berkisar 10.000-14.900/mm3 dan 8,88% pada ≥15.000/mm3. Simpulan: Lebih dari setengah jumlah sampel mengalami peningkatan jumlah leukosit.Kata kunci: infark miokard akut, leukosit, peradangan

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The Correlation between the Levels of Troponin I with the Amount of Leukocytes in Patients Suspected Acute Myocardial Infarction

Asian Journal of Applied Sciences ◽

10.24203/ajas.v7i1.5724 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Tri Prasetyorini ◽

Rizka Noviyanti ◽

Putu Puja Permata Kasih ◽

Diah Lestari

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Troponin I ◽

Leukocyte Count ◽

Age Group ◽

Leukocyte Counts ◽

The Difference ◽

Coronary Blood Vessels ◽

Age Range ◽

Normal Leukocyte

Acute Myocardial Infarction (AMI) is a manifestation of acute myocardial ischemia and is generally caused by the rupture of atherosclerosis and thrombus in the coronary blood vessels. Rupture causes an inflammatory process that leukocytes which acts as a marker of inflammation increases. Heart muscle damage that occurs also resulted in levels of troponin I as one of the markers of increased cardiac examination. Based on that research aims to determine the correlation between the levels of troponin I and the number of leukocytes in patients with suspected AMI.This research method is analytical observation with a data sample of 100 patients with suspected AMI diagnosis by doctors as well as examine the levels of troponin I and the number of leukocytes in dr. Abdulmadjid Chasbullah Bekasi. The correlation between the levels of troponin I and leukocyte counts were analyzed using Spearman's test. Data studied consisted of 52 people (52%) men and 48 (48%) of women. By age group, age range 46-65 years become the largest age group into patients with suspected AMI is 55 people (55%). Obtained 34 (34%) of patients with suspected AMI who had higher levels of troponin I and normal leukocyte count, and 39 (39%) of patients with suspected AMI who had troponin I levels and elevated leukocyte count. On Spearmanâ€™s test seen the correlation between levels of troponin I with the total of leukocytes in patients with suspected AMI (p = 0.000 and r = 0.50). This shows an increase in troponin I, which runs parallel with the increase in the total of leukocytes. Suggested for further research to see the difference increased levels of troponin I and the total of leukocytes between 3-5 hours and 14-18 hours after myocardial injury

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Profil keloid di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2011-Desember 2015

e-CliniC ◽

10.35790/ecl.4.2.2016.14592 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Rina D.S. Andisi ◽

Pieter L. Suling ◽

Marlyn G. Kapantow

Keyword(s):

Risk Factors ◽

Medical Records ◽

Steroid Injection ◽

Healing Process ◽

Descriptive Study ◽

Wound Healing Process ◽

Age Group ◽

Skin Tension ◽

Common Location ◽

Using Data

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan. Kata kunci: keloid, bekas luka, profil

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Keloids Profile in the Dermatovenerology Clinic of RSUP Dr. M. Djamil Padang Indonesia from January 2014 to December 2018

International Journal of PharmTech Research ◽

10.20902/ijptr.2019.130410 ◽

2020 ◽

Vol 13 (4) ◽

pp. 383-387

Author(s):

Sherly Birawati ◽

Ennesta Asri

Keyword(s):

Risk Factors ◽

Wound Healing ◽

Medical Records ◽

Healing Process ◽

Descriptive Study ◽

Wound Healing Process ◽

Age Group ◽

Skin Tension ◽

Common Location ◽

Using Data

Keloid is an abnormal scar that appears as an impact of the wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatovenereology RSUP. Dr. M. Djamil Padang in the period 2014-2018. This was a retrospective descriptive study using data of medical records. The results showed that the incidence of keloid in the period 2014-2018 was 157 cases. Based on gender, females were the most (51.60%). The age group that had the highest in number was 15-24 years old (27.39%). Based on occupation, most were students (33 cases; 20,49%). The most common location of the lesion was on the chest, which accounted for 57 cases (36.31%). Seventy-six cases (48.41%) with interpretation big effect on patient life. Conclusion :Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest and a big effect on patient life.

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GAMBARAN PASIEN INFARK MIOKARD DENGAN ELEVASI ST (STEMI) YANG DIRAWAT DI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2010 SAMPAI DESEMBER 2010

e-CliniC ◽

10.35790/ecl.1.3.2013.3243 ◽

2013 ◽

Vol 1 (3) ◽

Author(s):

Edward August Wagyu

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Developing Countries ◽

Risk Factor ◽

Medical Records ◽

Descriptive Study ◽

Skin Tumor ◽

St Elevation Myocardial Infarction ◽

Age Group ◽

St Elevation

Abstract :Introduction : ST Elevation Myocardial Infarction disease is the leading cause of death in some advance and developing countries. This disease caused by several risk factor, including unhealthy life style, have diabetic history before, uncontrol hypertension, ages, genders and stress.Objective: This study aims to determine how the image of patients with ST elevation myocardial infarction (STEMI) who were treated in the department of Prof.. DR. R.D. Kandou Manado for 1 year (1st January 2010 - 31st December 2010). A descriptive study of benign skin tumor of the medical records of new patients based on gender, age, location of the occurrence of myocardial infarction, myocardial infarction risk factors, onset of an attack, myocardial infarction complications occurring levels and TIMI risk stratification based on TIMI Risk Score.Results: There were 83 patients of ST Elevation Myocardial Infarction in this hospital. Highest age group is 60-69 years. This disease was almost found in men patients than women. Most risk factor was found in this study is uncontrolled hypertension.Conclusion: ST Elevation Myocardial Infarction is the most dangerous diseases in world that found in Heart and Cardiovascular department Dr Prof Dr. R. D. Kandou Manado. Highest age group is 60-69 years. ST Elevation Myocardial Infarction was more common in men. Most risk factor for this disease is uncontrol hypertension.Keyword: ST Elevation Myocardial Infarction disease, HeartAbstrak :Pendahuluan : ST Elevation Myocardial Infarction penyakit adalah penyebab utama kematian di beberapa muka dan negara-negara berkembang . Penyakit ini disebabkan oleh beberapa faktor risiko , termasuk gaya hidup yang tidak sehat , memiliki sejarah diabetes sebelumnya , hipertensi terkendali , usia , jenis kelamin dan stres Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana gambaran pasien dengan ST elevasi miokard infark ( STEMI ) yang dirawat di departemen Prof . DR . RD Kandou Manado selama 1 tahun ( 1 Januari 2010 - 31 Desember 2010) .Sebuah penelitian deskritif dari rekam medis pasien baru berdasarkan jenis kelamin, usia , lokasi terjadinya infark miokard , faktor risiko infark miokard , timbulnya serangan , komplikasi infark miokard terjadi tingkat dan TIMI stratifikasi risiko berdasarkan TIMI Skor Risiko.Hasil: Ada 83 pasien dari ST Elevation Myocardial Infarction di rumah sakit ini . Kelompok umur tertinggi adalah 60-69 tahun . Penyakit ini hampir ditemukan pada pria daripada wanita pasien . Kebanyakan faktor risiko ditemukan dalam penelitian ini adalah hipertensi yang tidak terkontrol .Kesimpulan : ST Elevation Myocardial Infarction adalah penyakit yang paling berbahaya di dunia yang ditemukan di Jantung dan Kardiovaskular departemen Dr Prof Dr RD Kandou Manado . Kelompok umur tertinggi adalah 60-69 tahun . ST Elevation Myocardial Infarction lebih sering terjadi pada pria . Kebanyakan faktor risiko untuk penyakit ini adalah hipertensi terkendali .Kata kunci : Penyakit Infark Miokard dengan Elevasi segmen ST, Jantung

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Profil keloid di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2011-Desember 2015

e-CliniC ◽

10.35790/ecl.4.2.2016.14667 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Rina D.S. Andisi ◽

Pieter L. Suling ◽

Marlyn G. Kapantow

Keyword(s):

Risk Factors ◽

Medical Records ◽

Steroid Injection ◽

Healing Process ◽

Descriptive Study ◽

Wound Healing Process ◽

Age Group ◽

Skin Tension ◽

Common Location ◽

Using Data

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PP-143 THE MORBIDITY, THE DEATH RATE AND THE LETHALITY FROM THE ACUTE MYOCARDIAL INFARCTION IN THE TOWN OF YAKUTSK IN THE 25–64 YEARS OLD AGE GROUP (WHO PROGRAMME REGISTER AMI)

International Journal of Cardiology ◽

10.1016/s0167-5273(13)70347-4 ◽

2013 ◽

Vol 163 (3) ◽

pp. S137

Author(s):

V. Gafarov ◽

V. Tatarinova ◽

E. Gorochova

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Old Age ◽

Death Rate ◽

Age Group ◽

The Town

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Diagnoses and mortality in a population without acute myocardial infarction, but with elevated highsensitive troponin I – a retrospective register-based single center study

Acute Medicine Journal ◽

10.52964/amja.0838 ◽

2021 ◽

Vol 20 (1) ◽

pp. 18-24

Author(s):

Rasmus Søgaard Hansen ◽

◽

Jesper Revsholm ◽

Daniel Pilsgaard Henriksen ◽

Lars Christian Lund Lund ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Troponin I ◽

Inclusion Criteria ◽

Danish Population ◽

Medical Observation ◽

Single Center Study ◽

One Year ◽

High Sensitive Troponin ◽

Center Study

Aim: To explore, which differential diagnoses to consider in individuals with elevated troponins without acute myocardial infarction (AMI), and the mortality for those individuals. Methods: Retrospective, register-based study on a representative sample of the Danish population with the following inclusion criteria: High-sensitive troponin I (hs-TnI) ≥25 ng/L, age ≥18 years, and exclusion of AMI. Results: 3067 individuals without AMI but increased hs-TnI were included. Most frequent discharge diagnoses: Pneumonia (12.8%), Aortic valve disorder (11.3%), Medical observation (10.9%) and Heart failure (8.9%). The 30-days and one-year mortality was 15.8% and 32.0%, respectively. Conclusions: A selected number of alternative diagnoses must be considered in individuals with increased hs-TnI. Due to high mortality it is crucial to carefully evaluate these individuals despite the absence of AMI.

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A Holistic User Centric Acute Myocardial Infarction Prediction System With Model Evaluation Using Data Mining Techniques

Advances in Science Technology and Engineering Systems Journal ◽

10.25046/aj030605 ◽

2018 ◽

Vol 3 (6) ◽

pp. 56-66

Author(s):

Procheta Nag ◽

Saikat Mondal ◽

Arun More

Keyword(s):

Myocardial Infarction ◽

Data Mining ◽

Acute Myocardial Infarction ◽

Model Evaluation ◽

Prediction System ◽

Data Mining Techniques ◽

User Centric ◽

Using Data

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Abstract 121: Testing Frequency Of Guideline-recommended Diabetes Performance Measures In A Cohort Of Post-acute Myocardial Infarction (AMI) Diabetics.

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.7.suppl_1.121 ◽

2014 ◽

Vol 7 (suppl_1) ◽

Author(s):

Sood Kisra ◽

John Spertus ◽

Faraz Kureshi ◽

Philip G Jones ◽

Mikhail Kosiborod ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Quality Of Care ◽

Performance Measures ◽

High Risk Group ◽

Diabetic Patients ◽

Testing Frequency ◽

Patient Reported ◽

Using Data

Background: Diabetes mellitus (DM) is common among patients hospitalized with acute myocardial infarction (AMI). Although guideline-supported performance measures exist to improve care for each condition, prior work assessing the quality of care for diabetic patients after AMI has focused only on adherence to CAD performance measures. The quality of diabetic care these patients’ receive is unknown. Methods: Using data from a prospective AMI registry (TRIUMPH), we identified patients with known DM and examined whether DM-focused performance measures had been applied over the 12 months after discharge. We focused upon 3 DM guideline-supported performance measures: a dilated eye exam, detailed foot exam, and HgbA1C testing. For this analysis, we conducted univariate statistics to describe the frequencies with which diabetics reported receiving these DM performance measures and 4 CAD performance measures at their 12-month interview. Results: Among 1,343 patients with a known diagnosis of diabetes presenting with an AMI, a total of 791 (58.9%) completed the 12-month follow up interview. The mean age (SD) of the analytic cohort was 6111 years, with 60% being males and 63% Caucasian. The frequencies of reported receipt among the examined DM and CAD performance measures ranged from 57.3%- 82.2%, with ASA being the most common and a dilated eye exam being the least (Figure). Only 47% of patients reported receiving all three DM performance measures over the past 12 months, while 41.1% reported receiving either one or two, and 12% reported receiving none. Conclusion: In a large, multi-center cohort of diabetic AMI survivors we found that patient-reported receipt of 3 DM and 4 CAD performance measures is sub-optimal and there is significant room for improvement. Novel strategies and approaches for assessing the quality of care delivered to post-AMI diabetics in a multidimensional fashion remains vital for improving care and outcomes in this high-risk group of patients. Characters: 1,683 + figure 500. Limit 2,500

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Abstract 20172: Identifying Hospital Cardiac Services for Acute Myocardial Infarction Using Individual Patient Claims Data

Circulation ◽

10.1161/circ.130.suppl_2.20172 ◽

2014 ◽

Vol 130 (suppl_2) ◽

Author(s):

Tiffany E Chang ◽

Shu-Xia Li ◽

Isuru Ranasinghe ◽

Harlan Krumholz

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Claims Data ◽

Administrative Claims ◽

Hospital Data ◽

American Hospital ◽

American Hospital Association ◽

Surgical Services ◽

Chest X Ray ◽

Using Data

Background: Hospital data on cardiac services provided is restricted to a limited number of services collected by the American Hospital Association (AHA) Survey. We developed an alternative method to identify hospital services using individual patient administrative claims data for acute myocardial infarction (AMI) in the Premier Database. Methods: We first determined inpatient cardiac services relevant for AMI care from guidelines. Then, we identified these services from patient claims using ICD-9, CPT, Medicare Revenue and provider specialty codes. Additionally, Premier Chargemaster and Physician Specialty Codes were used. A hospital was classified as providing a service if they had >5 AMI patient claims for the service in the Premier database from 2009-2011. To measure the accuracy of the claims based method, we compared the percentage of hospitals that were shown to provide a service identified through the AHA survey for a subset of services identifiable from both sources. Results: We identified 32 services relevant for AMI care that could be defined using data with inpatient claims among 476 hospitals in the Premier database (Figure). The availability of these services ranged from 100% (for services such as chest x-ray) to 1% for heart transplant service. When compared to the subset of 12 services also collected in the AHA survey, a high percentage of agreement (≥80%) was noted for 10/16 (63%) services (such as a dedicated ED, general CT, coronary angiography, PCI, ICU, pharmacist and physio/OT services). Moderate agreement was seen for one service (coronary care unit), and 5/16 (31%) services showed low agreement (≤50%) (EP testing, inpatient cardiac surgical services, inpatient cardiac rehabilitation, transplant unit, and social worker). Conclusion: It is feasible to use claims data to determine in-hospital AMI services, but the accuracy of the method needs to be investigated further for certain services that have a low degree of agreement in our analysis.

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