Hubungan Parameter Ekokardiografi dengan Kejadian Kardiovaskular Mayor pada Penderita Infark Miokard Akut ST Elevasi di RSUP H Adam Malik Medan

Abstract

Introduction-Echocardiography is an examination that is easy to do and interpreted in clinical situations and effective for risk stratification of patients with acute myocardial infarction (AMI). Echocardiographic pararneters can be used to estimate the risk of mortality or reinfarction time of hospitalization. Objective-To detennine the relationship between echocardiographic parameters with major cardiovascular events (MACE) in patients with acute ST elevation myocardial infarction (STEMI) in the hospital. Methods- During Nov 22nd-Dec 22nd,2015 there were 65 patients who confirmed with diagnosis of acute STEMI were involved in this study prospectively. All patients underwent echocardiography at the latest 24 hours the patient arrives at the hospital to assess the ejection fraction (EF) Simpson left venfficle, Wall Motion Score tndex (WMSI), Tricuspid Annular plane Systolic Excursion (TAPSE), and Right Ventricle Fractional Area Change (RVFAC). Results-Of the 65 people found 4 people (6.2%) were died, LVEDD parameter (Left ventricle End Diastolic Diameter) p value = 0.024; LVESD (Left ventricle End Systolic Diameter) p value = 0.0008; PWD (Posterior Wall Diastolic thickness) p value : 0.018; PWS (Posterior Wall Systolic thickness) p value :0.032; WMSI p value:0.0029; EF Simpson p value = 0.008; and RVFAC p value = 0.003 were had relationship with MACE. WMSI, EF Simpson, RVFAC, and TAPSE were associated with death. LVESD, PWD, PWS, and RVFAC were associated with arrhythmias. WMS[, RVFAC, and TAPSE associated with cardiogenic shock. The diameter of the left atrium, LVESD, WMSI, and EF Simpson were associated with heart failure. Conclusions-The results showed that the echocardiographic pararneters such as EF Simpson, WMSI, RVFAC, and TAPSE whose performed within 24 hours inhospital were associated with MACE in patients with acute STEMI