ANALYSIS OF DEMOGRAPHIC PROFILE AND CHARACTERISTICS OF ACUTE CORONARY SYNDROME PATIENTS: AN OBSERVATIONAL STUDY

Muhammad Perdana Airlangga^1*, Irma Kartikasari², Juliana Juliana³, Saski Yasmin Alfina⁴, Frida Nur Rohmatin⁵,

^1,2 Faculty of Medicine, Muhammadiyah Surabaya University, Indonesia

³ General Practitioner, Siti Khodijah Muhammadiyah Sepanjang Hospital, Indonesia

^4,5 Internship doctor, Siti Khodijah Muhammadiyah Sepanjang Hospital, Indonesia

                                                  * Correspondence Author: angga.cardio@gmail.com                

Cardiovascular disease (CVD) is the leading cause of death globally. Based on the 2018 Indonesia Basic Health Research data, the prevalence of heart disease in Indonesia reached 1.5% including Acute Myocardial Infarction (AMI). Blockage or total occlusion of the coronary arteries in ST-Elevation Myocardial Infarction (STEMI) patients requires immediate reperfusion (Percutaneous Coronary Intervention (PCI) or fibrinolytic therapy). Based on data from the Sidoarjo Health Office in 2023, there was 3968 cases of AMI. This study aims to identify the profile of Acute Coronary Syndrome (ACS) patients in Sidoarjo, This is a descriptive observational study with a retrospective cohort study design. This study used secondary data from the medical records with an inclusion and exclusion criteria. There were 150 samples which predominantly males (85%) with aged 50-60 years (47%).  The most  systolic blood pressure was  ≤120 mmHg (55%). The result of PCI in patients showed that the most was Coronary Artery Disease (CAD) triple vessel disease (44%). A total of 67 of 150 patients experienced occlusion, 36 were chronic total occlusion (CTO) and 31 others were acute total occlusion. The location of the most common cause of blockage was in the Left Anterior Descendens (LAD) artery, which was 121 patients. This study showed that the most PCI patients were male, aged 51-60 years, systolic blood pressure <120 mmHg, multi vessel disease, chronic total occlusion, the most arterial blockage was located in the LAD artery, and had normal creatinine serum.

Keywords: Acute coronary syndrome, cardiovascular diasease, chronic total occusion