HUBUNGAN ANTARA LUAS INFARK INTIOKARD AKUT (BERDASARKAN SKOR SELVESTER) DENGAN RADAR GULA DARAH SEWAKTU

Abstract

Background. Hyperglycaemia and impaired tolerance glucose were common in patients with AMI. Stress hiperglycemia was associated with an increased risk of mortality even in diabetic and non diabetic patients after AMI. Stress hyperglycaemia might be a marker of more extensive cardiac damage in acute myocardial infarction. Myocardial infarction size could be estimated by a simple method of electrocardiographic ( ECG ) with Selvester scoring system. The aim of this study was to know the correlation between Selvester score with a random blood glucose level on acute myocardial infarction event. Methods : A cross sectional analysis was undertaken in patients of intensive coronary care room of Dr. Kariadi —Hospital, Semarang from July 2000 up to April 2003. Result : 35 patients ( 30 M and 5 F ; mean age 56 ± 8,73 years ) with diagnosis of AMI according to WHO criteria that proceeded less than 24 hours, and not a re-infarction. 12-lead ECGs and a random blood glucose were performed on admission. Data were made by from Selvester score and a random blood glucose level, and tested by statistic Spearman correlation. Coefficient correlation r = 0,478 and signification level of 0,004 were found. a positive correlation between score Selvester and a random blood glucose was indicated. Conclution : There was a significant correlation between infarct size (Selvester score ) with a random blood glucose level in patient of acute myocardial infarction new event. Latar belakang dan tujuan. Hiperglikemia dan gangguan toleransi glukosa sering terjadi pada IMA. Stres hiperglikemia yang terjadi pada IMA berkaitan dengan resiko mortalitas baik pada pasien diabetes maupun tanpa diabetes. Stres hiperglikemia mungkin sebagai petanda atas lebih luasnya kerusakan jantung pada IMA. Secara sederhana ukuran infark miokard dapat diperkirakan secara elektrokardiografik ( EKG) dengan menggunakan sistem skor Selvester. Penelitian ini bertujuan ntuk mengetahui hubungan antara skor Selvester dengan kadar gula darah sewaktu pada kejadian barn infark miokard akut. Metoda : Penelitian ini menggunakan metoda belah lintang. Penelitian dilakukan terhadap pasien rawat Map di ruang rawat koroner intensif RSVP Dr. Kariadi Semarang pada bulan Juli 2000 s/d Maret 2003. Hasil : Didapatkan 35 pasien ( 30 pria dan 5 vvanita ; rerata umur 56 ± 8,73 ) dengan diagnosis IMA sesuai kriteria WHO. IMA berlangsung kurang dan 24 jam, dan bukan infark ulangan. Pemeriksaan EKG standar 12 sadapan dan kadar gula darah sewaktu dikeijakan pada saat masuk rawat inap. Didapatkan koefisien korelasi Spearman r = 0,478 dan tingkat signifikansi 0,004. Hasil tersebut mengindikasikan adanya hubungan yang positif antara skor Selvester dengan kadar gula darah sewaktu. Kesimpulan. Ada hubungan yang signifikan antara luas infark (nilai skor Selvester) dengan kadar gula darah sewaktu pada penderita infark miokard akut baru.