~proemamB6oK 1G A
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Asocoiha
Sant eae ricd 20 8
19 - 22 Aprit 2018
Ritz Carlton Hotel Jakarta(PP2.50. Association Between Glyeated Hemoglabin with Severity af Corenary Artery
Disease in Nan-Diabetic Patients
LM Radia’, M. Syatri, ML Yanni
culty of Medicine, Andalas Unwersity, Padang, tadonesia. “Department of
Cordiobey and Vascutar Medicine, I. Djemil General Hospital, Padang,
Indamesis
PP2.51. Correlation between Mesn Carotid Intima-Media Thickness and Body Mass
Index amongMinahasa Adults
T Sumampouw, G. & Lumentut, N, Ramtung, H, Pribadi, A. Panda,
J Pangemanan, M. Ratty
Focultyof Medicine, University of Sam Ratutang), Menac, tneonesia
PP 2.52. Prevaiencec of Cardiovascular Disease in Women at Sampang Generat
Hospital During The Year 2017
A Pram
srtiology and Vascutar Medicine Department, Facutity of Medicine,
‘Airlangga University, Surabaya Indonesia,
‘Reduced Laft Ventricular Ejection Fraction as & Predictor In-Hospital Mer
Cardiovascular Event in Patients Admitted with Acute Myocardial Infarction
at Sang al Bal
Faculty af Medicine, University of Ucryana, Bali Indonesia “Casciology and
Vasculae Medicine Department, Sangiah Genera! Hospital Balk, Indonesia
pP2.54, Resolution of ST-Segment, Pain Lavel, and Arrythinia as A Toot For Assessing
‘The Efficacy of Repertusion Therapy in STEMI Patient Hospital Kanjuruhan
ALN, Lubito', G. A. Pawintn! . A. 8. Santoso’
Regional Public Hasnital Kanjuruhan Kepanjen, Malang, Indonesia
Dicpion of Cardiology, Regional Public Hospital Hospital Kanjuruhan.
Malang, Indonesia
PP 2.55. Clinical Prfie of patients with Acute Coronary Syndrome in Public Hospital
inBekasi, West Java, indonesie
B.A Pratams’. 1S Pumaia’, K, Priyantoro
Betas) General Hospital, West Java, indonesie
‘Coraislogist. Bekasi General Hospital, West Java, indonesieReduced Left Ventricular Ejection Fraction as A Predictor In-Hospital Major
Cardiovascular Event in Patients Admitted with Acute Myocardial Infaretion at
SanglahGeneral Hospital Bali
LD.G.D, Sumajaya', LO. S. Suastika’, A.A.A.D.A.Yasmin’?, LG.N.P. Gunadhi®
‘Faculty of Medicine, University of Udayana, Bali, Indonesia
*Cardiology and Vascular Medicine Department, SanglahGeneralHospital, Bali,
indonesia
Abstract
Background: Acute myocardial infarction, which consists of ST elevation myocardial
infarction (STEMI) and non-ST elevation myocardial infarction (NSTEML), is still
leading as cause of death worldwide. Proper recognition of high risk patient and early
reperfusion strategy is vital to improve survival and also reduce morbidity and
mortality, In this study, we investigate the role of left ventricular ejection fraction
(LVEF) as a predictor of in-hospital major adverse cardiovascular event (MACE) in
AMI patients
Methods:This was a retrospective cohort study conducted at Sanglah Hospital
Denpasar Bali, involving all AMI patientsadmitted during January 1” — December
312016, All data including demographic, diagnosis, risk factors, echocardiography
and MACE was collected from medical record, tabulated and analysis using computer
software program,
Result:Majority of patients presented with STEMI (78.6%) diagnosis and MACE
happened in 25 patients (35.7%). There are 16 (22.9%) patients with reduced LVEF
and $4 (77.1%) patient with normal LVEF. In reduced LVEF group, there were
68.8% with MACE and 31.2% without MACE, Bivariste analysis showed that
reduced LVEF had 6 times-fold risk of MACE compared to normal LVEF (HR
6.286, 95% CI 1856-21287). In multivariate analysis adjusted to other confounding
variables, HR were 3.830 (95% CI 1.600-9.168, p-0,003), showing that reduced
LVEF is an independent predictor of MACE, Survival analysis with Kaplan-Meier
showed that patients with reduced LVEF had worse survival than normal LVEF
{mean survival 56,313 hours, 95% Cl 32.228-80.397, p-0.001)
‘Conelusion: This study showed the importance of LVEF assessment to prediet worse
outcome in AMI patient and may be a guidance whether early reperfusion strategy
will be beneficialto reduce morbidity and even mortality
Keywords: Leff ventricular ejection fraction; acure myocardial infarction; majar
adverse cardiovascular ever.Seeretariat indonesian Heart Asseciation
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