Journal article
Prevalensi dan faktor risiko penyakit jantung koroner pada pasien diabetes melitus tipe 2 Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G. Ngoerah Denpasar
Richard Timothy Elkurnia Cokorde Istri Yuliandari Krisnawardani K Luh Oliva Saraswati Suastika Cyndiana Widia Dewi Sinardja
Volume : 14 Nomor : 1 Published : 2023, January
intisari sains Medis
Abstrak
Background: Coronary heart disease (CHD) is a complication of type 2 diabetes mellitus (DMT2). However, in the process of developing CHD in T2DM patients, other risk factors that contribute multifactorial are needed. This study aims to determine the prevalence of CHD events in T2DM patients as well as to determine the relationship between risk factors and CHD events in T2DM patients. Methods: This study is an analytic cross-sectional study conducted at Prof. Dr. I.G.N.G. Ngoerah Hospital. The population target was all T2DM patients in the period January 2021-December 2021, in which 80 patient samples were obtained according to the inclusion and exclusion criteria and were taken through secondary data on patient medical records. Data processing was carried out using the SPSS ver. 28.0.1.1. Results: The prevalence of CHD in T2DM patients was 25 people (31.3%). The risk factors for CHD in T2DM patients are hyperglycemia (HbA1c ?6.5%) (p=0.036, 95% CI=1.166-85.788, aOR=10.567), blood pressure ?140/90 mmHg p=0.008, 95%CI=11.541-17.017, aOR=5.121), and obesity (p=0.014, 95%CI=1.364-16.420, aOR=4.732) while male sex (p=0.428), age ?50 years (p=0.543), smoking (p=0.937), family history of cardiovascular disease (p=0.663), LDL ?160 mg/dL (p=0.946), triglyceride ?200 mg/dL (p=0.192, 95%CI=0.680-6.847, aOR=2.158), HDL <40 mg/dL (p=0.487), and total cholesterol level ?240 mg/dL (p=0.866) are not significantly associated with CHD events in patients DMT2. Conclusion: The prevalence of CHD in T2DM patients is 31.1% at Prof. Dr. I.G.N.G. Ngoerah Hospital in 2021. Risk factors such as hyperglycemia, blood pressure ?140/90 mmHg, and obesity are significantly associated with the incidence of CHD in T2DM patients.