HUBUNGAN ANTARA FUNGSI DIASTOLIK DENGAN KUALITAS HIDUP PADA PASIEN GAGAL JANTUNG KRONIK DENGAN FRAKSI EJEKSI NORMAL

Abstract

Background: Chronic heart failure still has a high morbidity and mortality although there has been some research examines the effort to improve the quality of life of the patient. Diastolic function is one of the cardiac cycle that said could be detected earlier before clinical manifestations appear, therefore it is believed to have more influence on quality of life than the systolic function. However studies revealed that there is no differences between the two. Objective: This study aimed to analyze the relationship between the quality of life and diastolic function of chronic heart failure patients with preserved ejection fraction Methods: This study is an observational analytic research using questionnaire as primary data and medical record with echocardiography as secondary data. The subjects were 32 patients who had been diagnosed with chronic heart failure with normal ejection fraction who met certain criteria. Echocardiographic results obtained from the E / e 'as an indicator of diastolic function. The patients also filled out MLHFQ (Minnesota Living with Heart Failure Questionnaire) which contains 21 questions about their daily activities. Statistical test was using the Pearson correlation test Result: Diastolic function had no significant correlation with quality of life (p> 0.05). Positive correlation was very weak in physical dimensions (r = 0.044; p = 0.810), general dimensions (r = 0.057; p = 0.757), emotional dimension (r = 0.003; p = 0.988) and the total score of MLHFQ (r = 0.042; p = 0.820). Conclusion: There was no significant relationship between diastolic function and quality of life in patients with chronic heart failure with preserved ejection fraction Key Words: Chronic heart failure with preserved ejection fraction, diastolic function, quality of life