HUBUNGAN ANTARA PERUBAHAN ELEKTROKARDIOGRAM ISKEMIK DENGAN KEJADIAN PERIPROCEDURAL MYOCARDIAL INJURY PADA PASIEN YANG MENJALANI INTERVENSI KORENER PERKUTAN ELEKTIF DI RUMAH SAKIT ABDUL WAHAB SJAHRANIE SAMARINDA

  • Khairun Nisa Nisa Program Studi Kedokteran Universitas Mulawarman
  • Hary Nugroho Laboratorium Anatomi Fakultas Kedokteran Universitas Mulawarman
  • Muhammmad Furqon Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Mulawarman
Keywords: PCI, ECG, pMI, Ischemic

Abstract

Periprocedural myocardial injury (pMI) is one of the most common
complications after elective percutaneous coronary intervention (PCI), and has a
relationship with increased mortality. In addition, pMI can occur silently after a
successful PCI. The diagnosis of pMI is made by measuring the level of cardiac
biomarkers that will be detected a few hours after the occurrence of ischemia/ infarction.
The initial prediction of pMI will provide clinical benefit, because it can affect the initial
management strategy and patient discharge. Electrocardiogram (ECG) can detect
ischemia/infarction, making it possible to be used as an initial diagnostic modality for
pMI events. The purpose of this study was to determine the relationship of ischemic ECG
changes with pMI events in Abdul Wahab Sjahranie Samarinda Hospital. The study was
conducted with a prospective cohort study design and purposive sampling in MarchOctober 2019. The number of samples was 36 people. The results showed that 13 people
(36.1%) experienced pMI and the results of statistical analysis with Fisher's test found a
significant relationship between ECG ischemic changes with pMI events(p =0,000; p
<0.05).

Published
2020-07-13
Section
Articles
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