e6 Journal of Hypertension Vol 35, e-Supplement 3, November 2017
according to inclusive and exclusive criteria. Bivariate and multivariate analysis
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2400 mg/day. Prevalence of hypertension was highest 53.25% among the subjects
were done using SPSS-20 program.
Results: Among 263 hypertensive samples hospitalized, the occurrence of wors-
ening renal failure (WRF), length of stay (LOS) > 5 days, and in-hospital death
were 23.2%, 62.5%, and 3.3% respectively. After adjustment with other indepen-
dent variables, only diabetic status was significant in producing longer LOS (OR
2.21; p .028) and occurrence of WRF (OR 2.9; p .004). Systolic BP > 140 mmHg
also had a role in worsens the renal (OR 4.13; p < .001). Likewise, admission
random blood glucose level > 200 mg/dl became the only significant predictor
towards in-hospital death (OR 2.4; p .017). Surprisingly, senility, anemia, LVEF
and baseline s-Cr were not one of them.
Conclusion: In hypertensive hospitalized patients, we should pay more atten-
tions to diabetic status and blood glucose level, not only to prevent WRF and
in-hospital death, but also to shorten LOS.
Keywords: Hypertension, hospitalization, diabetes, worsening renal failure,
length of stay, in-hospital death
38 THE EFFECT OF HYPERTENSION ON COMPLEXITY OF
CHRONIC TOTAL OCCLUSION LESION
Novita Setiawan Lim, Vito A. Damay, Achmad Fauzi Yahya, M. Rizki Akbar, Au-
gustine Purnomowati, Toni M. Aprami. Department of Cardiology and Vascular
Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin Gen-
eral Hospital Bandung, Indonesia
Background: Chronic total occlusion (CTO) represents the most technically chal-
lenging lesion subset for interventional cardiologists and remains undertreated
with percutaneous techniques. Hypertension, a strong modifiable risk factor in
coronary artery disease (CAD), is known to contribute to severity of CAD through
several mechanisms such as shearing forces, reduced endothelial functions and
vascular remodeling that aggravate coronary stenosis. The aim of this study was
to analyze the effect of hypertension on complexity of CTO lesions.
Methods: It was an observational analytic study conducted on 122 patients who
had CTO based on angiographic data in Hasan Sadikin Hospital within January
2015-December2016. Subjects were divided into hypertensive and non-hyperten-
sive groups and compared with respect to components of Japan Chronic Total Oc-
clusion (J-CTO) Score. Associations of hypertension and components of J-CTO
Score were analyzed with Chi-Square test and difference of J-CTO Score between
groups was analyzed with Mann-Whitney U test.
Results: Hypertension was found in 74 (60.7%) subjects. There were no signifi-
cant different in term of age, BMI, gender, DM, smoking, dyslipidemia and family
history between groups. Hypertension was found to be significantly associated
with blunted entry shape (OR 2.625, CI 1.232–5.591, p = 0.011) and bending ves-
sels more than 45° (OR 3.4, CI 1.4–8.299, p = 0.005). We found a significant
difference in J-CTO Score between 2 groups (p = 0.000).
Conclusion: Hypertension is found as a risk factor in majority of CTO subjects. Hyper-
tensive patients are tends to have blunted entry shape, more than 45° bending vessels
and have significantly different J-CTO Score compared to non-hypertensive patients.
Keywords: Hypertension, Chronic Total Occlusion, J-CTO Score
40 A CROSS SECTIONAL STUDY ON HYPERTENSION
AND PINDANG CONSUMPTION IN THE RURAL ADULT
POPULATION OF JUNGUTBATU, NUSA LEMBONGAN, BALI
P. Nugiaswari, Nyoman Wiryawan, Wayan Wita. Department of Cardiology
and Vascular Medicine, University of Udayana, Bali, Indonesia
Background: Pindang consumption is a major habits in Jungutbatuin Nusa Lem-
bongan, Bali. Overwhelming evidence supports the conclusion that pindang con-
sumption and excess salt consumption acts synergistically with hypertension to
increase the risk of coronary heart disease. Prevalence of pindang consumption
in Bali is around 20%. The prevalence of pindang consumption in rural areas of
Nusa Lembongan among men and women 64% and 20.3%. The present study
is conducted to assess the pindang consumption association with hypertension
among the rural adult population of Jungutbatu.
Method: A community based cross sectional study was conducted in November
2016. Adults aged 30 years and above is included in the study after taking in-
formed consent, who have no acute illness and who were not pregnant. A total of
85 respondents were interviewed. Data analysis done by using SPSS 23, and a p
value of < 0.05 is taken as significant.
Result: The study shows, 13 (28.96%) respondents were hypertensive stage 2 and
followed by 12 (27.58%) were normotensives. In the present study, 45.63% con-
sumed pindang less than 2400 mg/day and 54.37% consumed pindang more than
who consumed pindang more. The prevalence of hypertension was least, 39.29%,
among the subjects who consumed pindang less. The association of pindang con-
sumption and hypertension is statistically significant.
Conclusion: Pindang consumption related with excess salt consumption, and it
is associated with hypertension. This finding warrants the need for multicenter
studies.
Keywords: Pindang, Hypertension, Rural
41 COMPLIANCE WITH NON-PHARMACOLOGICAL
RECOMMENDATIONS IN HYPERTENSIVE PATIENTS
UNDERGOING HEMODIALYSIS
Prio Wibisono1, Akhil Deepak Vatvani1, Kalis Waren1, Karunia Valeriani Japar1,
Vivien Puspitasari2, & Theo Audi Yanto Lemuel3. 1Faculty of Medicine, Universitas
Pelita Harapan, Tangerang, Indonesia, 2Department of Neurology, Faculty of Medi-
cine, Universitas Pelita Harapan, Tangerang, Indonesia, 3Department of Internal
Medicine, Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia
Background: Management of hypertension in patients with end stage renal disease
receiving dialysis provides a significant challenge for healthcare professionals, one
of the which is caused by patient’s non-compliance to treatment. Patient’s noncom-
pliance to dietary and fluid intake can lead to build up of toxic fluids and metabolic
end products in the bloodstream and this leads to an increased morbidity and pre-
mature death. The aim of this study is to evaluate the compliance in fluid restriction
and dietary recommendations in ESRD patients undergoing routine hemodialysis.
Methods: This is a multicenter cross sectional study that took place in 4 hemodi-
alysis clinics in Jakarta from October to December 2016. Compliance was measured
using End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ). Hyperten-
sion is defined as systolic BP 140 mmHg or diastolic BP 90 mmHg or taking
antihypertensive medications. The data was presented using descriptive statistics.
Results: There was a total of 106 patients, out of which 66(62.3%) were male.
The mean age of the patients were 52.4(±12.8) years. The median duration of HD
was 32(1–216) months.
Over the past week, fluid recommendations were followed by 25(23.5%) patients
most of the time, 20(18.9%) patients about half of the time, 17(16.0%) patients
seldomly and 8(7.5%) none of the time. Over the past week, dietary recommenda-
tions were followed by 20(18.9%) patients most of the time, 14(13.2%) patients
about half of the time, 22(20.8%) patients seldomly and 6(5.7%) patients none
of the time.
Conclusion: There is still quite a number of patients not compliant to fluid re-
strictions and diet recommendations. Physicians need to give more education to
the patients inorder to increase the compliance of the patients.
43 CORRELATION BETWEEN DEPRESSION OR ANXIETY AND
UNCONTROLLED HYPERTENSION IN HAEMODIALYSIS
PATIENTS IN SARDJITO HOSPITAL YOGYAKARTA
Metalia Puspitasari, Heru Prasanto, Bambang Djarwoto, Iri Kuswadi. Division
of Hypertension and Renal, Department of Internal Medicine, Sardjito General
Hospital / Gadjah Mada University, Yogyakarta, Indonesia
Background: Chronic kidney disease patients undergoing hemodialysis often expe-
rience uncontrolled hypertension. Psychosocial stress can be the cause or the conse-
cuence of hypertension. The objective of this study is to investigate correlation be-
tween depression or anxiety and uncontrolled hypertension in hemodialysis patients
Subjects and Methods: Patients with diagnosed hypertension were recruited to
complete the hospital anxiety and depression scale (HADS) questionnaire. There
are seventhteen patients with uncontrolled hypertension with blood pressure
>160/100 mmHg, and sixteen patients with blood pressure < 140/90 mmHg
Result: Based on statistical analysis showed that the correlation between depres-
sion and hypertension was positive (r = 0.188), but not significant (p = 0.547),
the correlation between anxiety and hypertension was not significant (r = 0.245,
P = 0.549).
Conclusion: There were no significant differences between depression and anxi-
ety in raising blood pressure.
Keywords: Depression, Anxiety, Hypertension, Hemodialysis
48 PREVALENCE OF HYPERTENSION IN MILITARY
PERSONNEL DURING ROUTINE MEDICAL CHECK UP
Rima Rinanty, Prihadi Estu Widodo, Arinta Setyasari, Prihati Pujowaskito. Dusti-
ra Military Hospital, Cimahi Indonesia