THE RELATIONSHIP BETWEEN CHRONIC KIDNEY DISEASE AND ISCHEMIC EVENTS IN HEMODIALYSIS PATIENTS AT RAA SOEWONDO PATI REGIONAL HOSPITAL
DOI:
https://doi.org/10.31004/prepotif.v9i3.50926Keywords:
Chronic Kidney Disease, Ischemic Events, Myocardial Ischemia, Diabetes Mellitus, HemodialysisAbstract
Diperkirakan 800 juta orang di seluruh dunia diantisipasi akan terkena penyakit ginjal kronis (PGK) pada tahun 2017, menjadikannya beban kesehatan global yang signifikan. Lanskap mortalitas telah menunjukkan tren yang memprihatinkan, dengan CKD meningkat secara signifikan dalam peringkat global penyebab utama kematian dari posisi ke-19 pada tahun 2013 menjadi ke-13 pada tahun 2016 dan ke-12 pada tahun 2017 naik menjadi penyebab kematian paling umum kelima pada tahun 2040. Kejadian iskemik, atau iskemia miokardium diam, yang ditandai dengan perubahan elektrokardiografi (EKG) asimtomatik, termasuk inversi gelombang T dan depresi segmen ST, merupakan komplikasi kardiovaskular yang meluas dan kurang dikenali yang memengaruhi pasien hemodialisis. Tujuan penelitian ini adalah untuk mengetahui hubungan antara CKD dengan kejadian iskemia pada pasien hemodialisis. Penelitian ini merupakan penelitian observasional potong lintang antara September dan November 2024, yang dilakukan di Rumah Sakit Daerah RAA Soewondo Pati. Prosedur EKG dilakukan selama hemodialisis. Kami melakukan analisis statistik menggunakan uji chi-square. Sampel dalam penelitian ini berjumlah 50 orang. Usia pasien berkisar antara 43 hingga 65 tahun dan sebagian besar berjenis kelamin laki-laki (58%). Komorbiditas yang paling umum adalah DM (38%), dan kejadian iskemik terjadi pada 56% pasien. Lamanya PGK dan kejadian iskemia berkorelasi secara statistik signifikan (95% CI: 1,262–4,220; PRR: 2,308; p = 0,005). Pasien dengan PGK ≥ 6 bulan memiliki faktor risiko 2,3 kali lebih tinggi untuk mengalami kejadian iskemik dibandingkan dengan pasien dengan PGK < 6 bulan.References
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Copyright (c) 2025 Faiz Agung Hermawan, Rebecca Rebecca, Muhammad Algifari Mufadhal Alwan, Mustika Mahbubi
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