Susilo, Cipto (2013) Hubungan Luas Infark Miokard (Berdasarkan Skor Selvester) dengan Kadar Troponin I dan Respon Nyeri Dada pada Pasien Sindrom Koroner Akut (SKA) di RSD Dr. Soebandi Jember. Magister thesis, Universitas Brawijaya.
Abstract
Sindrom Koroner Akut (SKA) menggambarkan kegawatan kondisi jantung yang bersifat progresif mencakup angina tidak stabil, ST-elevation myocardial infarction (STEMI) dan non-ST elevation myocardial infarction (NSTEMI). Diagnosis SKA berdasar 3 komponen yang harus ditemukan yakni: gejala iskemia sakit dada, perubahan elektokardiografi (EKG) dan peningkatan enzim jantung. Penggunaan Skor Selvester dan Troponin I dapat menentukan luas dan lokasi infark miokard karena dapat menilai perubahan depolarisasi ventrikel. Penelitian bertujuan mengetahui adanya hubungan antara luas infark miokard (berdasar skor Selvester) dengan Kadar Troponin I dan respon nyeri dada pada pasien SKA.Penelitian ini termasuk observasional analitik dengan desain Cross Sectional dan teknik pengambilan sampel consecutive sampling . Hasil analisa menggunakan uji statistik Regresi Logistik menunjukkan luas infark miokard memiliki pengaruh signifikan dengan nilai p: 0.064 artinya terdapat hubungan antara luas infark miokard dengan Kadar Troponin I dan pada pengujian parsial model kedua diketahui bahwa luas infark miokard memiliki pengaruh signifikan pada model jenis respon nyeri sedang dan berat dengan nilai p; 0.045 untuk nyeri sedang dan nilai p :0.019 untuk nyeri berat. Hasil penelitian tersebut dapat disimpulkan bahwa semakin luas infark miokard akan semakin positif nilai terponin dan semakin berat nyeri dada yang dirasakan pasien dengan SKA.
English Abstract
Acute Syndrome Coroner ( ACS) is an emergency cardiac condition have character of progressive which unstable angina (UA), ST-elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI). diagnosis of ACS requere three component which must be found ischemic symptom of chest pain, elektrocardiografi ( ECG) change and serum cardiac marker elevation. Selvester skore and Troponin I can be used determine of wide and location myocardial infarction because can assess change of ventricle depolarisation. This study aims to determine correlation between wide of myocardial infarction (score of Selvester) with value of troponin I and chest pain response at patients of ACS. This study was used an analytic observational with Cross Sectional design and consecutive sampling technique. study Results of analysis used Regresi Logistics statistic test indicaed re is myocardial infarction extens have influence a significant (p=0.064) meaning re is myocardial infarction correlation between cTnI value at patient of ACS. While at examination of parsial second model known that is myocardial infarction wide correlation between chest pain response at patients of ACS have influence a significant mild chest pain with value (p=0.045) and (p=0.019) for moderate chest pain. Concluded that progressively myocardial infarction wide will be positive progressively cTnI value and wighty chest pain presenting to patients of ACS that immediately know patients respons.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/616.123/SUS/h/041307713 |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.1 Diseases of cardiovascular system |
| Divisions: | S2/S3 > Magister Keperawatan, Fakultas Kedokteran |
| Depositing User: | Endro Setyobudi |
| Date Deposited: | 03 Oct 2013 10:50 |
| Last Modified: | 03 Oct 2013 10:50 |
| URI: | http://repository.ub.ac.id/id/eprint/158285 |
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