Hubungan laju detak jantung dengan rehospitalisasi pada penderita gagal jantung di RSUP Prof. dr. I.G.N.G. Ngoerah, Bali, Indonesia

Ni Komang Yovita Mirah Pradnyani; I Made Putra Swi Antara; I Wayan Wita; Luh Oliva Saraswati Suastika

doi:10.15562/ism.v14i1.1623

Hubungan laju detak jantung dengan rehospitalisasi pada penderita gagal jantung di RSUP Prof. dr. I.G.N.G. Ngoerah, Bali, Indonesia

Ni Komang Yovita Mirah Pradnyani ,

I Made Putra Swi Antara ,

I Wayan Wita ,

Luh Oliva Saraswati Suastika ,

pdf |
DOI: https://doi.org/10.15562/ism.v14i1.1623 |
Published: 2023-04-30

Abstract

Background: Heart failure is one of the main causes of death in Indonesia. Many factors can cause it, and one factor which is still being debated is heart rate. This research aims to find the correlation between heart rate and rehospitalization in patients with heart failure at Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali.

Methods: Cross-sectional analytical research design is used in this research. The data are taken through consecutive sampling methods from medical records and hospital management information systems, starting from January 2021 - January 2022. The research subjects are the patients who have undergone heart failure hospitalization at the Integrated Cardiac Service (PJT) in Prof.Dr. I.G.N.G. Ngoerah Hospital. The heart rate is taken at the time the patients are discharged after being hospitalized. The bivariate data are analyzed with Spearman correlation and simple regression tests.

Results: Most of the study respondents were male (54.10%), did not have a history of CHD (77.60%), did not have hypertension (54.10%), did not smoke (70.60%), their heart rate was not optimal (≥70 times/minute) (74.10%), and more than 1 hospitalization (51.80%). Based on the results of the bivariate analysis of 85 samples; there are ≥70 with non-optimal heart rate, and there are 60,3 who underwent rehospitalization (>1 hospitalization) (p = 0.007; r=0.290).

Conclusion: This research concludes that heart rate has both significant and weak correlation in increasing the risk of rehospitalization in patients with heart failure. It is not just a single factor, since it is also influenced by hypertension.

Latar Belakang: Penyakit gagal jantung adalah salah satu penyebab utama kematian di Indonesia. Banyak faktor yang dapat menjadi penyebab gagal jantung. Salah satu faktor yang masih menjadi perdebatan adalah laju detak jantung. Tujuan dari penelitian ini adalah mengetahui hubungan laju detak jantung dengan rehospitalisasi pada penderita gagal jantung di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar Bali.

Metode: Desain penelitian potong-lintang analitik dilakukan Data diambil dengan metode consecutive sampling dari rekam medis dan sistem informasi manajemen rumah sakit dari periode januari 2021 sampai januari 2022. Subjek penelitian adalah pasien yang mengalami hospitalisasi gagal jantung di pelayanan jantung terpadu (PJT) RSUP Prof.Dr. I.G.N.G. Ngoerah. Laju detak jantung diambil pada saat pasien dipulangkan setelah mengalami hospitalisasi. Analisis data secara bivariat dengan uji korelasi spearman dan regresi sederhana.

Hasil: Sebagian besar responden penelitian berjenis kelamin laki-laki (54,10%), tidak memiliki riwayat PJK (77,60%), tidak hipertensi (54,10%), tidak merokok (70,60%), laju detak jantung tidak optimal (≥70 kali/menit) (74,10%), dan lebih dari 1 kali rawat inap (51,80%). Berdasarkan hasil analisis secara bivariat dari 85 sampel. Pada laju detak jantung tidak optimal ≥70 yang mengalami rehospitalisasi >1 kali rawat inap 60,3 (p = 0,007; r=0,290).

Kesimpulan: Kesimpulan dari penelitian ini adalah laju detak jantung berhubungan signifikan dan lemah dalam meningkatkan risiko rehospitalisasi pada penderita gagal jantung. Laju detak jantung bukan merupakan faktor tunggal melainkan dipengaruhi juga oleh faktor hipertensi.

References

Yusuf AM, Nuraeni A. Spiritual Well-Being Pasien Gagal Jantung. Journal of Nursing Care. 2019;2(1):32-39.
Suwandi JF, Putri GT, Permatasari PI. Mekanisme Ivabradine sebagai Terapi Gagal Jantung dengan Penurunan Fraksi Ejeksi Mechanism of Ivabradine as Heart Failure-Reduced-Ejection Fraction Therapy. 2019;3(1):198–204.
Imaligy UE. Gagal jantung pada Geriatri. Ckd212. 2014;4(1):19–24.
Sari PD, Yonata A, Haryadi, Swadharma B. Penatalaksanaan Gagal Jantung NYHA II disertai Pleurapneumonia pada Laki-laki Usia 38 Tahun. Jurnal Medula Unila. 2016;6(1):114–119.
PERKI. Pedoman Tatalaksana Gagal Jantung. 4th IEEE International Conference on Nano/Micro Engineered and Molecular Systems-NEMS 2009. 2015;848–853.
Rachma LN. Patomekanisme Penyakit Gagal Jantung Kongestif. 2014;4(2):81–90.
Luthfiyah S. Faktor yang mempengaruhi derajat Gagal jantung di R. Rawat Inap Penyakit Dalam RSUD Kebumen. Jurnal Penelitian Kesehatan. 2014;12(1):36–46.
Purbianto AD. Analisis Faktor Risiko Gagal Jantung di RSUD dr. H. Abdul Moeloek Provinsi Lambung. Jurnal Keperawatan. 2015;11(2):194–203.
Maulina N, Sayuti M, Said BH. Hubungan Konsumsi Kopi Dengan Frekuensi Denyut Nadi Pada Mahasiswa Program Studi Pendidikan Dokter Universitas Malikussaleh Tahun 2019. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh. 2020;6(1):17-28.
Hori M, Okamoto H. Heart rate as a target of treatment of chronic heart failure. J Cardiol. 2012;60(2):86–90.
Kurgansky KE, Schubert P, Parker R, Djousse L, Riebman JB, Gagnon DR, et al. Association of pulse rate with outcomes in heart failure with reduced ejection fraction: A retrospective cohort study. BMC Cardiovasc Disord. 2020;20(1):1-11.
Lam PH, Dooley DJ, Deedwania P, Singh SN, Bhatt DL, Morgan CJ, et al. Heart Rate and Outcomes in Hospitalized Patients With Heart Failure With Preserved Ejection Fraction. J Am Coll Cardiol. 2017;70(15):1861–1871.
Tian J, Yan J, Zhang Q, Yang H, Chen X, Han Q, et al. Analysis of re-hospitalizations for patients with heart failure caused by coronary heart disease: Data of first event and recurrent event. Ther Clin Risk Manag. 2019;15(1):1333–1341.
Mesquita ET, Jorge AJL, Rabelo LM, Souza Jr. CV. Understanding Hospitalization in Patients with Heart Failure. International Journal of Cardiovascular Sciences. 2017;30(1);81-90.
Nanchen D, Leening MJG, Locatelli I, Cornuz J, Kors JA, Heeringa J, et al. Resting heart rate and the risk of heart failure in healthy adults the rotterdam study. Circ Heart Fail. 2013;6(3):403–10.
Ho JE, Bittner V, DeMicco DA, Breazna A, Deedwania PC, Waters DD. Usefulness of Heart Rate at Rest as a Predictor of Mortality, Hospitalization for Heart Failure, Myocardial Infarction, and Stroke in Patients With Stable Coronary Heart Disease (Data from the Treating to New Targets [TNT] Trial). American Journal of Cardiology. 2010;105(7):905–911.
Kaneko H, Suzuki S, Goto M, Arita T, Yuzawa Y, Yagi N, et al. Incidence and Predictors of Rehospitalization of Acute Heart Failure Patients. International Herat Journal. 2015;56(2):219-225.
Sari LS, Gunawijaya E, Arhana BNP, Yantie NPVK. Correlation between heart failure score and estimation glomerulus filtration rate based on cystatin C in children. Bali Medical Journal. 2019;8(3):755-758
Riska Pertiwi GA, Ngurah Aryawangsa AA, Prabawa IPY, Putra Manuaba IBA, Bhargah A, Sri Ratni NW, et al. Factors associated with visit-to-visit variability of blood pressure in hypertensive patients at a Primary Health Care Service, Tabanan, Bali, Indonesia. Family Medicine and Community Health. 2018;6(4): 191-199.
Saputra BMI, Wibhuti IBR, Suastika LOS, Sari NMAW. The comparison of mitral annular plane systolic excursion (MAPSE) and mitral annular systolic velocity (Sm) in determining subclinical left ventricular systolic dysfunction in patients with type 2 diabetes mellitus. Indonesia Journal of Biomedical Science. 2022;16(2):70–77.

[1] Yusuf AM, Nuraeni A. Spiritual Well-Being Pasien Gagal Jantung. Journal of Nursing Care. 2019;2(1):32-39.

[2] Suwandi JF, Putri GT, Permatasari PI. Mekanisme Ivabradine sebagai Terapi Gagal Jantung dengan Penurunan Fraksi Ejeksi Mechanism of Ivabradine as Heart Failure-Reduced-Ejection Fraction Therapy. 2019;3(1):198–204.

[3] Imaligy UE. Gagal jantung pada Geriatri. Ckd212. 2014;4(1):19–24.

[4] Sari PD, Yonata A, Haryadi, Swadharma B. Penatalaksanaan Gagal Jantung NYHA II disertai Pleurapneumonia pada Laki-laki Usia 38 Tahun. Jurnal Medula Unila. 2016;6(1):114–119.

[5] PERKI. Pedoman Tatalaksana Gagal Jantung. 4th IEEE International Conference on Nano/Micro Engineered and Molecular Systems-NEMS 2009. 2015;848–853.

[6] Rachma LN. Patomekanisme Penyakit Gagal Jantung Kongestif. 2014;4(2):81–90.

[7] Luthfiyah S. Faktor yang mempengaruhi derajat Gagal jantung di R. Rawat Inap Penyakit Dalam RSUD Kebumen. Jurnal Penelitian Kesehatan. 2014;12(1):36–46.

[8] Purbianto AD. Analisis Faktor Risiko Gagal Jantung di RSUD dr. H. Abdul Moeloek Provinsi Lambung. Jurnal Keperawatan. 2015;11(2):194–203.

[9] Maulina N, Sayuti M, Said BH. Hubungan Konsumsi Kopi Dengan Frekuensi Denyut Nadi Pada Mahasiswa Program Studi Pendidikan Dokter Universitas Malikussaleh Tahun 2019. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh. 2020;6(1):17-28.

[10] Hori M, Okamoto H. Heart rate as a target of treatment of chronic heart failure. J Cardiol. 2012;60(2):86–90.

[11] Kurgansky KE, Schubert P, Parker R, Djousse L, Riebman JB, Gagnon DR, et al. Association of pulse rate with outcomes in heart failure with reduced ejection fraction: A retrospective cohort study. BMC Cardiovasc Disord. 2020;20(1):1-11.

[12] Lam PH, Dooley DJ, Deedwania P, Singh SN, Bhatt DL, Morgan CJ, et al. Heart Rate and Outcomes in Hospitalized Patients With Heart Failure With Preserved Ejection Fraction. J Am Coll Cardiol. 2017;70(15):1861–1871.

[13] Tian J, Yan J, Zhang Q, Yang H, Chen X, Han Q, et al. Analysis of re-hospitalizations for patients with heart failure caused by coronary heart disease: Data of first event and recurrent event. Ther Clin Risk Manag. 2019;15(1):1333–1341.

[14] Mesquita ET, Jorge AJL, Rabelo LM, Souza Jr. CV. Understanding Hospitalization in Patients with Heart Failure. International Journal of Cardiovascular Sciences. 2017;30(1);81-90.

[15] Nanchen D, Leening MJG, Locatelli I, Cornuz J, Kors JA, Heeringa J, et al. Resting heart rate and the risk of heart failure in healthy adults the rotterdam study. Circ Heart Fail. 2013;6(3):403–10.

[16] Ho JE, Bittner V, DeMicco DA, Breazna A, Deedwania PC, Waters DD. Usefulness of Heart Rate at Rest as a Predictor of Mortality, Hospitalization for Heart Failure, Myocardial Infarction, and Stroke in Patients With Stable Coronary Heart Disease (Data from the Treating to New Targets [TNT] Trial). American Journal of Cardiology. 2010;105(7):905–911.

[17] Kaneko H, Suzuki S, Goto M, Arita T, Yuzawa Y, Yagi N, et al. Incidence and Predictors of Rehospitalization of Acute Heart Failure Patients. International Herat Journal. 2015;56(2):219-225.

[18] Sari LS, Gunawijaya E, Arhana BNP, Yantie NPVK. Correlation between heart failure score and estimation glomerulus filtration rate based on cystatin C in children. Bali Medical Journal. 2019;8(3):755-758

[19] Riska Pertiwi GA, Ngurah Aryawangsa AA, Prabawa IPY, Putra Manuaba IBA, Bhargah A, Sri Ratni NW, et al. Factors associated with visit-to-visit variability of blood pressure in hypertensive patients at a Primary Health Care Service, Tabanan, Bali, Indonesia. Family Medicine and Community Health. 2018;6(4): 191-199.

[20] Saputra BMI, Wibhuti IBR, Suastika LOS, Sari NMAW. The comparison of mitral annular plane systolic excursion (MAPSE) and mitral annular systolic velocity (Sm) in determining subclinical left ventricular systolic dysfunction in patients with type 2 diabetes mellitus. Indonesia Journal of Biomedical Science. 2022;16(2):70–77.

Hubungan laju detak jantung dengan rehospitalisasi pada penderita gagal jantung di RSUP Prof. dr. I.G.N.G. Ngoerah, Bali, Indonesia

Abstract

References

How to Cite

Search Panel