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The Predictors of Spontaneous Coronary Reperfusion in Patients with ST-segment Elevation Myocardial Infarction

Heart Science Journal · Vol. 5 No. 3 (2024) · hlm. 34–38

DOI
10.21776/ub/hsj.2024.005.03.6
ISSN
2721-9984, 2721-9976
Terbit
2024-07-30
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BACKGROUND: In ST-segment elevation myocardial infarction (STEMI) management, some patients undergo spontaneous coronary reperfusion (SCR) with a better prognosis than those without SCR, but predictors for SCR remain unclear.OBJECTIVE: To investigate several potential predictors of SCR, including smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score.METHODS: This case-control study was conducted at the West Nusa Tenggara General Hospital in Indonesia from December 2022 to September 2023. Data collection encompassed various patient demographics and clinical parameters, including name, medical record number, age, gender, smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar, uric acid, creatinine clearance, the Syntax score, and the occurrence of SCR. Statistical analysis for this study involved multivariate logistic regression analysis.RESULTS: A total of thirty-two patients was included, evenly divided into 16 subjects allocated to the SCR group and 16 to the non-SCR group. The analysis indicated that only BMI demonstrated a statistically significant association with SCR occurrence. However, the study did not yield conclusive evidence regarding the influence of smoking status, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score on the likelihood of SCR.CONCLUSION: A normal BMI is identified as a robust predictor for the incidence of SCR in patients diagnosed with STEMI.

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  • University of Mataram
  • Universitas Airlangga
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Rekan penulisOrganisasiArtikel bersama
Basuki RahmatUniversity of Mataram4
AASM Meiswaryasti PutraUniversity of Mataram3
Budi Susetyo PikirUniversitas Airlangga2
Mulyanto MulyantoUniversity of Mataram2
Yudi Her OktavionoUniversitas Airlangga1
Budi UtomoUniversitas Airlangga1
Widjiati WidjiatiUniversitas Airlangga1
Yoga Pamungkas SusaniUniversity of Mataram1
Wahyu Sulistya AffarahUniversity of Mataram1
Putu Suwita SariUniversity of Mataram1
Ni Putu Sasmita LestariUniversity of Mataram1
Nurman SaputraUniversity of Mataram1
Alfian MuhajirUniversity of Mataram1

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">The Predictors of Spontaneous Coronary Reperfusion in Patients with ST-segment Elevation Myocardial Infarction</dc:title>
	<dc:creator xml:lang="en">Ermawan, Romi</dc:creator>
	<dc:creator xml:lang="en">Pintaningrum, Yusra</dc:creator>
	<dc:creator xml:lang="en">Sari, Dian Puspita</dc:creator>
	<dc:creator xml:lang="en">Indrayana, Yanna</dc:creator>
	<dc:creator xml:lang="en">Aprilia, Kartika</dc:creator>
	<dc:subject xml:lang="en">predictors</dc:subject>
	<dc:subject xml:lang="en">spontaneous coronary reperfusion</dc:subject>
	<dc:subject xml:lang="en">ST-segment elevation myocardial infarction</dc:subject>
	<dc:description xml:lang="en">BACKGROUND: In ST-segment elevation myocardial infarction (STEMI) management, some patients undergo spontaneous coronary reperfusion (SCR) with a better prognosis than those without SCR, but predictors for SCR remain unclear.OBJECTIVE: To investigate several potential predictors of SCR, including smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score.METHODS: This case-control study was conducted at the West Nusa Tenggara General Hospital in Indonesia from December 2022 to September 2023. Data collection encompassed various patient demographics and clinical parameters, including name, medical record number, age, gender, smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar, uric acid, creatinine clearance, the Syntax score, and the occurrence of SCR. Statistical analysis for this study involved multivariate logistic regression analysis.RESULTS: A total of thirty-two patients was included, evenly divided into 16 subjects allocated to the SCR group and 16 to the non-SCR group. The analysis indicated that only BMI demonstrated a statistically significant association with SCR occurrence. However, the study did not yield conclusive evidence regarding the influence of smoking status, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score on the likelihood of SCR.CONCLUSION: A normal BMI is identified as a robust predictor for the incidence of SCR in patients diagnosed with STEMI.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2024-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15805</dc:identifier>
	<dc:identifier>10.21776/ub/hsj.2024.005.03.6</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome; 34-38</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2024.005.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15805/418</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 Romi Ermawan, Yusra Pintaningrum, Dian Puspita Sari, Yanna Indrayana, Kartika Aprilia</dc:rights>
</oai_dc:dc>