Faktor-Faktor yang Mempengaruhi Kejadian Kardiovaskular Mayor (KKM) pada Pasien Infark Miokard Akut (IMA) di RSUP Haji Adam Malik Medan

Abstract

Introduction: The predictor factor of MACE in patients with acute myocardial infarction rated important to investigate because of high mortality in patients with Acute Myocardial Infarction (AMI) despite having received treatment in hospital. Objectives: This study aims to determine the factors that affect the Major Adverse Cardiovascular Events (MACE) in patients with Acute Myocardial Infarction. Methods : This study was an analytical study conducted by case control method. A total of 116 subjects who meet the inclusion and exclusion criteria were taken from the medical records of Acute Myocardial Infarction patients who are hospitalized in Haji Adam Malik Hospital on 1 January 2014-31 December 2015. The data for age, sex, heart rate, systolic blood pressure, hemoglobin, leukocytes, history of diabetes, smoking history, blood sodium and LDL were then compared with MACE during treatment. Bivariate analysis done with chi-square test and multivariate analyzes were performed with logistic regression backward wald method. Result:The bivariate analysis showed significant gains (p<0,05) in heart rate, anemia , leukocytes, and systolic blood pressure. However, after multivariate analysis, the variables with significant results are anemia and heart rate. Conclusions: Factors influencing MACE in patients with AMI are anemia and heart rate.