Hubungan Usia dengan Multivessel Disease CAD pada Pasien Penyakit Jantung Koroner di Rumah Sakit Al Islam Bandung Tahun 2023

Muhammad Ghanis Fadhlurrobbi Silmy; Maya Tejasari; Umar Islami

doi:10.29313/bcsms.v5i1.17330

Muhammad Ghanis Fadhlurrobbi Silmy Prodi Pendidikan Dokter, Fakultas Kedokteran, Universitas Islam Bandung, Indonesia
Maya Tejasari Fakultas Kedokteran, Universitas Islam Bandung
Umar Islami Fakultas Kedokteran, Universitas Islam Bandung

DOI: https://doi.org/10.29313/bcsms.v5i1.17330

Keywords: Penyakit Jantung Koroner, Multivessel Disease, Usia

Abstract

Abstract. Coronary Heart Disease (CHD) is a leading cause of death worldwide, with multivessel disease (MVD) being a serious condition often associated with aging. This study analyzed the relationship between age and the number and location of coronary artery stenosis in CHD patients undergoing angiography at Al-Islam Hospital Bandung in 2023. A cross-sectional design was used with purposive sampling on secondary medical record data of 117 patients. Data were analyzed using the Chi-square test. The majority of patients were aged ≥45 years (93.2%) and male (78.6%). MVD was found in 92.3% of patients, with stenosis most commonly occurring in the Left Anterior Descending artery (99.1%), followed by the Right Coronary Artery (94.0%), Left Circumflex (88.0%), and Left Main Artery (29.9%). Patients aged ≥45 years had a higher prevalence of MVD compared to those aged <45 years, although this relationship was not statistically significant (p=0.057). There was no significant association between age and the location of coronary artery stenosis (p>0.05). This study suggests that older age tends to increase the risk of MVD in CHD patients, although this relationship was not statistically significant. Further research with a larger sample size is needed to validate these findings.

Abstrak. Penyakit Jantung Koroner (PJK) merupakan penyebab utama kematian di dunia, dengan multivessel disease (MVD) sebagai kondisi serius yang sering terkait usia. Penelitian ini menganalisis hubungan usia dengan jumlah dan lokasi stenosis arteri koroner pada pasien PJK yang menjalani angiografi di Rumah Sakit Al-Islam Bandung tahun 2023. Penelitian menggunakan desain cross-sectional dengan teknik purposive sampling pada data sekunder rekam medis 117 pasien. Analisis data dilakukan menggunakan uji Chi-square. Mayoritas pasien berusia ≥45 tahun (93,2%) dan berjenis kelamin laki-laki (78,6%). MVD ditemukan pada 92,3% pasien, dengan stenosis paling sering di arteri Left Anterior Descending (99,1%), diikuti Right Coronary Artery (94,0%), Left Circumflex (88,0%), dan Left Main Artery (29,9%). Pasien usia ≥45 tahun memiliki prevalensi MVD lebih tinggi dibandingkan pasien <45 tahun, namun hubungan ini tidak signifikan (p=0,057). Tidak terdapat hubungan signifikan antara usia dan lokasi stenosis koroner (p>0,05). Penelitian ini menunjukkan usia tua memiliki kecenderungan peningkatan risiko MVD pada pasien PJK, meskipun hubungan ini tidak signifikan. Penelitian lebih lanjut dengan sampel lebih besar diperlukan untuk validasi.

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