Karakteristik Pasien Penyakit Jantung Koroner yang Menjalani Bedah Pintas Arteri Koroner di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2022

Abstract

Background. Coronary Heart Disease (CHD) is the main cause of death in the world. Constriction of the artery because of fat accumulation and/or stiffness of blood vessels that result in the lack of perfusion on heart muscles became the cause of the disease that contribute to 32% of the world death rate. There are a lot of studies that identify the characteristics of CHD patients, yet there are not any that contain the latest data about CHD characteristics in North Sumatra. Purpose. To describe the characteristics of CHD patient that underwent coronary artery bypass graft (CABG) in 2022 at RSUP Haji Adam Malik Medan. Methods. This descriptive research with cross-sectional design was done to CHD patients that underwent CABG operation with total sampling technique and used medical record data that was taken and grouped to characteristics before, during, and after the operation. Results. Out of 48 complete medical records, majority of patients are in the age range of 48-65 years old (73%), male gender (85.4%), hypertension and/or type 2 diabetes patient (70.9%), abnormal lipid profile (93.8%), operation duration 240-309 minutes (66.7%), normal ejection fraction (56.3%), in use of cardiopulmonary bypass machine (on pump) during operation (54.2%), CPB time 118-159 minutes (53.8%), Aox time 59-88 minutes (50%), in use of 3 grafts (56.3%), normal kidney function after the operation (83.3%), abnormal routine blood profile (53.88%), and without complications (66.7%). Conclusions. Patients in this research were on average 56 years old, dominated by male, majority have abnormal lipid profile, with the most comorbid are hypertension and/or type 2 diabetes. The average operation duration is 284.75 minutes, uses 3 grafts, 43.7% patients with lowered ejection fraction, and 26 patients on pump during operation. The majority of patients did not experience complications after the operation. The most common complication is arrhythymia.