THE DESCRIPTION OF MODIFIABLE RISK FACTORS IN CORONARY HEART DISEASE AT DR. SOETOMO REGIONAL PUBLIC HOSPITAL (original) (raw)

Factors Affecting the Occurrence of Coronary Heart Disease in the General Hospital of Waikabubak, Indonesia

KnE Life Sciences, 2022

Coronary heart disease (CHD) causes many deaths. It is a disease of the heart that occurs due to decreased blood supply to the heart muscle. Risk factors that can trigger CHD can be grouped into two categories, namely those that cannot be modified and those that can. The risk factors that cannot be modified include heredity, age and gender, while the modifiable risk factors include smoking, hypertension, increased serum cholesterol levels, obesity and diabetes. Basic Health Research data show that in 2018, 1.5% or 15 out of 1000 Indonesians suffered from CHD. The aim of this study was to investigate the factors that influence the incidence of CHD at the RSUD Waikabubak. This was a quantitative analytical survey which used a cross-sectional approach. According to the results, CHD was significantly associated with gender (OR = 3.5, p = 0.011), smoking (OR = 3.9, p = 0.006) and hypertension (OR = 4.8, p = 0.001). Of the factors studied, hypertension had the strongest influence on the i...

Modifiable risk factors in adults with and without prior cardiovascular disease: findings from the Indonesian National Basic Health Research

BMC Public Health, 2022

Backgrounds The majority of risk factors for cardiovascular diseases (CVDs) are modifiable. Continuous monitoring and control of these factors could significantly reduce the risk of CVDs-related morbidity and mortality. This study estimated the prevalence of modifiable risk factors in Indonesia and its co-occurence of multiple risk factors stratified by prior CVDs diagnosis status and sex. Methods Adult participants (> 15 years, N = 36,329, 57% women) with median age of 40 years were selected from a nationwide Indonesian cross-sectional study called Basic Health Research or Riset Kesehatan Dasar (Riskesdas) conducted in 2018. Thirteen risk factors were identified from the study, including smoking, a high-risk diet, inadequate fruit and vegetable consumption, a low physical activity level, the presence of mental-emotional disorders, obesity, a high waist circumference (WC), a high waist-to-height ratio (WtHR), hypertension, diabetes, a high total cholesterol level, a high low-dens...

The risk factors profile of coronary heart disease in dyslipidemic patients : Results from a survey in 13 cities in Indonesia

Medical Journal of Indonesia, 2001

Insidens penyakit jantung koroner (PJK) telah mengalami kenaikan yang bermakna dari tahun ke tahun dan menunjukkan angkn kematian yang tinggi di Indoneisa. Salnh satu faktor isiko PJK yang penting adalah kadar lipid yang tidak normal atau dislipidemia, walaupun terdapat faktor risiko lain di negara-negara Barat. Data mengenai faktor risiko PJK di Indonesia sangat terbatas dan biasanya hanya terdapat di rumah sakit. Penelitian ini bertujuan untuk menganalisis profil risiko PJK pada pasien dislipidemia yang datang di praktek-praktek dokter di Indonesia. Penelitian ini merupakan survei potong-Iintang melalui dokter-dokter praktek di l3 kota yang biasa mengobati pasien dislipidemia. Mayoritas pasien dislipidemia dalam praktek adalah kelompok risiko tinggi untuk PJK. Umur, HDL-C rendah dan hipertensi adalah faktor-faktor risiko umum yang terbanyak. Prevalensi faktor-faktor risiko dan proporsi penderita dislipidemia yang masuk golongan risiko tinggi dalam penelitian ini sebanding dengan hasil penelitian L-TAP

The Burden of Cardiovascular Disease Attributable to Major Modifiable Risk Factors in Indonesia

Journal of epidemiology / Japan Epidemiological Association, 2016

In Indonesia, coronary heart disease (CHD) and stroke are estimated to cause more than 470 000 deaths annually. In order to inform primary prevention policies, we estimated the sex- and age-specific burden of CHD and stroke attributable to five major and modifiable vascular risk factors: cigarette smoking, hypertension, diabetes, elevated total cholesterol, and excess body weight. Population attributable risks for CHD and stroke attributable to these risk factors individually were calculated using summary statistics obtained for prevalence of each risk factor specific to sex and to two age categories (<55 and ≥55 years) from a national survey in Indonesia. Age- and sex-specific relative risks for CHD and stroke associated with each of the five risk factors were derived from prospective data from the Asia-Pacific region. Hypertension was the leading vascular risk factor, explaining 20%-25% of all CHD and 36%-42% of all strokes in both sexes and approximately one-third of all CHD a...

Risk Factors of Cardiovascular Disease in Elderly in Guguak Kabupaten 50 Kota, West Sumatera, Indonesia

Human Care Journal, 2020

Introduction: Cardiovascular disease (CVD) is a major cause of death and disability worldwide. The most stringent primary CVD screening guidelines in developed countries use absolute CVD risk scores or coronary heart disease, such as Framingham or SCORE (Systematic Coronary Risk Evaluation) there are two types of CVD risk factors namely modifiable risk factors and unmodified risk factors. The aim of the current study is to determine the profil of potentially modifiable and unmodified cardiovascular risk factors. Method: This research consists of 41 elderly people which aged ≥ 60 years in Guguak, Kabupaten 50 Kota, West Sumatera, Indonesia. The data taken is modifiable risk factors consisting of diseases related risk factors including blood pressure categories, lipid profile, central obesity, body mass index and lifestyle related risk factors such as smoking habit. We also take data of unmodified risk factors such as age and gender. The result: this study consists of 41 elderly peopl...

Cardiovascular disease risk factor prevalence and estimated 10-year cardiovascular risk scores in Indonesia: The SMARThealth Extend study

PLOS ONE, 2019

Background The brunt of cardiovascular disease (CVD) burden globally now resides within low-and middle-income countries, including Indonesia. However, little is known regarding cardiovascular health in Indonesia. This study aimed to estimate the prevalence of elevated CVD risk in a specific region of Indonesia. Methods We conducted full household screening for cardiovascular risk factors among adults aged 40 years and older in 8 villages in Malang District, East Java Province, Indonesia, in 2016-2017. 10-year cardiovascular risk scores were calculated based on the World Health Organization/International Society of Hypertension's region-specific charts that use age, sex, blood pressure, diabetes status and smoking behaviour. Results Among 22,093 participants, 6,455 (29.2%) had high cardiovascular risk, defined as the presence of coronary heart disease, stroke or other atherosclerotic disease; estimated 10-year CVD risk of � 30%; or estimated 10-year CVD risk between 10% to 29% combined with a systolic blood pressure of > 140 mmHg. The prevalence of high CVD risk was greater in urban (31.6%, CI 30.7-32.5%) than in semi-urban (28.7%, CI 27.3-30.1%) and rural areas (26.2%, CI 25.2-27.2%). Only 11% and 1% of all the respondents with high CVD risk were on blood pressure lowering and statins treatment, respectively.

Determinants of Cardiovascular Diseases in the Elderly Population in Indonesia: Evidence from Population-Based Indonesian Family Life Survey (IFLS)

Vascular Health and Risk Management, 2022

Cardiovascular disease (CVD) is the leading cause of death worldwide and is the number one mortality cause in Indonesia. The highest percentage of its prevalence occurs in the elderly population. This research aims to assess the determinants of CVDs in the elderly population in Indonesia based on the Indonesian Family Life Survey 5 (IFLS-5), a sub-nationally representative survey data, in 2014-2015. Methods: A national cross-sectional population-based survey was conducted using multicenter data from approximately 13 provinces in Indonesia in 2014-2015. We included elderly subjects aged 60 years old and above with complete data on sociodemographic, smoking habits, obesity, dietary pattern, and physical activity and diagnosis data on hypertension, diabetes mellitus (DM), and hypercholesterolemia. Multivariate logistic regression was performed to estimate odds ratio (OR) and corresponding 95% confidence interval (95% CI) and p-value. Results: We included complete data from 2873 respondents. The determinants associated with CVDs in the elderly population in Indonesia included college background (OR 6.26 [95% CI 2.690-14.613], p < 0.001), unemployment (OR 1.88 [95% CI 1.294-2.75], p = 0.001), urban population (OR 2.11 [95% CI 1.427-3.114], p < 0.001), obesity (OR 1.59 [95% CI 0.842-3.02], p = 0.152), low and medium physical activities (OR 2.34 [95% CI 1.335-4.121], p = 0.003 and OR 2.54 [95% CI 1.449-4.486], p = 0.001, respectively), hypertension (OR 4.25 [95% CI 2.945-6.137], p < 0.001), DM (OR 2.77 [95% CI 1.683-4.591], p < 0.001), and hypercholesterolemia (OR 2.99 [95% CI 1.860-4.812], p < 0.001). Conclusion: The determinants of CVDs in the elderly population in Indonesia based on Indonesian Family Life Survey (IFLS)-5 data are hypertension, hypercholesterolemia, DM, lower physical activity, higher educational background, urban population, unemployment, and obesity. The findings of this current study highlight that more appropriate control measures such as tailored intervention by policymakers and healthcare providers for those at high risk should be initiated and implemented.

Risk Factors of Cardiovascular Diseases on Patients with Cardiovascular Diseases

KnE Medicine

Cardiovascular diseases (CVD) are the leading cause of death globally and the main problem of non-communicable diseases. Prevention is part of cardiovascular disease treatment because it breaks the chain of management and subsequent complications from the disease. Its foundation is based on the promotion of a healthy lifestyle, as well as appropriate identification and treatment for cardiovascular risk factors. This study aimed to identify risk factors for cardiovascular diseases in patients with cardiovascular diseases. A descriptive study was performed with proportionate stratified random sampling and 88 patients with cardiovascular diseases participated in this study. Data were collected in one of general hospitals in Pekanbaru, Indonesia. The risk factors of cardiovascular disease patients were assessed using a questionnaire. Descriptive analysis statistic was used to describe risk factors of cardiovascular disease. Moreover, 80% of patients completed the questionnaire. The resu...

Risk Factors among the Coronary Heart Diseases (CHD) among Patients Attending at Tertiary Level Hospitals of Dhaka City, Bangladesh

ABSTRACT Risk Factors among the Coronary Heart Diseases (CHD) among Patients Attending at Tertiary Level Hospitals of Dhaka City, Bangladesh (Trisha N E S, Rahman S M M, Uddin M J, Moniruzzaman, Karim M R, M S A Mansur Ahmed) Background: Cardiovascular diseases, mainly coronary heart disease is one of the leading causes of death in Bangladesh and increasing in epidemic proportion in time. Objective: To identify and quantify risk factors among the coronary heart disease patients attending at tertiary level hospitals. Methods: A cross-sectional study was carried out among 144 diagnosed CHD patients who were admitted in different tertiary level hospitals in Dhaka city during March to June 2010. The respondents were selected through purposive sampling for interview and data were collected by face to face interview. Patients record file were also reviewed using checklists. Data were analyzed by SPSS version 16.0 and presented in tables and graphs. Results: The mean age of the respondents were 55.26 ±12.35 years. More than two-third (69%) of the respondents were exposed to smoking. Majority (85%) were physically inactive. The recommended intake of fruits and vegetables by the respondents were low (30%). About 60% of the respondents were found to intake extra table salt. The percentage of overweight and obesity was high (67%) with higher proportion of women (82.1%) than men (62.9%). About two-third of the respondents (65%) were with higher level of cholesterol. The prevalence of diabetes mellitus and hypertension were 36% and 51 % respectively. Risk factors analysis revealed at least one risk factor was among almost all of the respondents (99.3%) and at least two, three and four risk factors was prevalent among 98.6%, 87.5% and 66.7% of the respondent respectively. Conclusion: A substantial proportion of different behavioral, biological and biochemical risk factors were present among coronary heart disease patient that suggests the need for ongoing monitoring of CHD risk factors and implementation of effective preventive strategies for reducing secondary events and its consequences. KEY WORDS: Coronary Heart disease, Risk factors

Profile of Major Risk Factors in Acute Coronary Syndrome (ACS) at Pusat Pelayanan Jantung Terpadu (PPJT) Dr. Soetomo Public Hospital Surabaya Between the Period of January-December 2019

Cardiovascular and Cardiometabolic Journal (CCJ), 2021

Abstract: Background: Coronary heart disease (CHD) is a leading cause of death worldwide. One type of CHD that most often causes clinical manifestations and death is Acute Coronary Syndrome (ACS). In 2013 the prevalence of SKA in Indonesia reached 1.5% and it is estimated that it will continue to increase every year. Objective: This study aims to determine the profile of major risk factors for ACS sufferers in the Pusat Pelayanan Jantung Terpadu (PPJT) Dr. Soetomo Public Hospital Surabaya in the period January-December 2019. Methods: This study used a retrospective descriptive method to analyze the patient's electronic medical record (e-MR). Results: Out of 623 patients diagnosed with ACS, 429 were excluded from the research. 194 patients who met the inclusion criteria were studied with the following details: 19 APTS patients, 43 N-STEMI patients, and 132 STEMI patients. It was found that 73% of ACS patients were male, with the 55-64 years’ age group dominating by 46%. Based on ...