1,720,973 research outputs found

    Frequency of Patients with NSTEMI Electrocardiographic Changes that Have Potential to Become STEMI

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    Acute Coronary Syndrome (ACS) can be divided into a subgroup of ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and Unstable Angina (UA). ACS carries significant morbidity and mortality and the prompt diagnosis, and appropriate treatment is essential. STEMI diagnosis and management are discussed elsewhere. NSTEMI and unstable angina are very similar, with NSTEMI having positive cardiac biomarkers. While the cause of this mismatch in STEMI is nearly always coronary plaque rupture resulting in thrombosis formation occluding a coronary artery, there are several potential causes of this mismatch in NSTEMI. There may be a flow-limiting condition such as a stable plaque, vasospasm as in Prinzmental angina, coronary embolism, or coronary arteritis. The "typical" presentation of NSTEMI is a pressure-like substernal pain, occurring at rest or with minimal exertion. The pain generally lasts more than 10 minutes and may radiate to either arm, the neck, or the jaw. History, ECG, and cardiac biomarkers are the mainstays in the evaluation. An ECG should be performed as soon as possible in patients presenting with chest pain or those with a concern for ACS. A normal ECG does not exclude ACS and NSTEMI. ST-elevation or anterior ST depression should be considered a STEMI until proven otherwise and treated as such. Findings suggestive of NSTEMI include transient ST elevation, ST depression, or new T wave inversions. ECG should be repeated at predetermined intervals or if symptoms return

    The Overview of Echocardiography of Acute Coronary Syndrome Patients at Universitas Kristen Indonesia Hospital on January – April 2018

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    This study discusses the description of echocardiography in patients with an acute coronary syndrome at the General Hospital of Universitas Kristen Indonesia (UKI Hospital) on January – April 2018 using a secondary data in the form of medical records. This study used a descriptive method with a retrospective approach. Echocardiography in this study was left ventricular ejection fraction (LVEF). The data from this study were obtained from 151 patients with the acute coronary syndrome. The results showed that LVEF values in patients with the acute coronary syndrome in the UKI Hospital in the period January to April 2018 were 33 male patients (21.9%) with normal interpretations, 42 female patients (27.8%) with normal interpretation, 19 male patients - men (12.6%) with mildly abnormal interpretations, 35 female patients (23.2%) with mildly abnormal interpretations, ten male patients (6.6%) with moderately abnormal interpretations, nine female patients (6.0 %) with moderately abnormal interpretations, three male patients (2.0%) with severely abnormal interpretations

    Hypertension In Patients Who Admitted To The Emergency Unit Of The Indonesian Christian University General Hospital 2017

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    Hypertension is a common risk factor for cardiovascular disease. Based on JNC VII, hypertension is defined as condition of systolic blood pressure greater than or equal to 140 mmHg or diastolic blood pressure greater than or equal to 90 mmHg. In developed countries, the prevalence of hypertension in man 35.9%, woman 37.2%. According to Riskesdas 2013, prevalence of hypertension in Indonesia at age ≥18 year equal to 25,8%. Only 36.8% detected by health workers, 63.2% cases of hypertension in the community are undiagnosed. The prevalence of DM, hyperthyroidism and hypertension in women tends to be higher than in men.1 Based on the results of our research on patients entered to the UKI General Hospital during January-November 2017, patients diagnosed with hypertension were 81 people. Patient with only hypertension-diagnosed were 49 people. Hypertension and CKD 7 people. Hypertension and DM 12 people. Hypertension with CHD 5 people, and Hypertension with Stroke 1 person. Patient with hypertension and CKD and DM were found 5 people. Hypertension with CKD and CHD 1 person, Hy- pertension with CKD and Stroke not founded. Hypertension and DM and CHD 1 person, Hypertension and DM and Stroke not founded. Hypertension with CHD and Stroke is also not founde

    Comparison of hypertension risk factors in Hemorric Stroke with Non-Hemorric Stroke in UKI General Hospital, East Jakarta

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    Stroke is a disease that often causes death in Indonesia. Prevalence of stroke in Indonesia from Riskesdas 2007 is 8, 3 per 1000. This research aims to identify different hypertension as risk factors of ischemic and hemorrhagic stroke in inpatient patients of a stroke at UKI General Hopital 2017. The study was conducted by analyzing secondary data from patient medical records using a cross-sectional study. Results showed that there were patients with ischemic stroke (85,8%) and hemorrhagic (14,2%) with hypertension (74,02%), and characteristic age > 60 years (49,6%), male (59,1%), and most of them have been in senior high school or more (63,0%). Based on difference analysis, the result shows a statistical difference between the risk factor of hypertension and the incidence of ischemic and hemorrhagic stroke. Keywords: stroke, risk factor, hypertensio
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