PROFIL PASIEN INFARK MIOKARD AKUT YANG MENGALAMI IN- STENT THROMBOSIS PASCAREVASKULARISASI DI RSUP DR. M. DJAMIL PADANG 2022-2024

Gibrar, Ridha Abdillah (2025) PROFIL PASIEN INFARK MIOKARD AKUT YANG MENGALAMI IN- STENT THROMBOSIS PASCAREVASKULARISASI DI RSUP DR. M. DJAMIL PADANG 2022-2024. S1 thesis, UNIVERSITAS ANDALAS.

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Abstract

The World Health Organization (WHO) recorded approximately 17.9 million deaths from cardiovascular diseases such as acute myocardial infarction (AMI), angina pectoris, rheumatic heart disease, and stroke. Primary IMA therapy is reperfusion therapy applied in ST-Elevation Myocardial Infarction (STEMI) patients. In-stent thrombosis (IST) is the formation of blood clots inside a stent that has been placed in a blood vessel. Knowing the profile of acute myocardial infarction patients who experienced in-stent thrombosis after revascularization at Dr. M. Djamil Padang Hospital for the period 2022-2024. This research method uses a descriptive approach through taking medical record data at Dr. M. Djamil Padang Hospital for the period 2022-2024. This study obtained 13 samples and used total sampling techniques. In this study, univariate analysis was carried out. The results of this study showed that acute myocardial infarction patients who experienced the most IST events were aged> 59 years as many as 7 patients (53.8%), male gender as many as 12 patients (92.3%), STEMI as many as 11 patients (84.6%), experienced the most IST events very late onset as many as 8 patients (61, 5%), had a history of smoking as many as 11 patients (84.6%), Drug Elugting Stent (DES) type as many as 13 patients (100%), stent length <31.5 mm as many as 9 patients (69.2%), stent diameter <3 mm as many as 7 patients (53.8%), using DAPT in sub acute as many as 5 patients (100%) and at very late as many as 6 patients (75%). The conclusion of this study is that the most patients who experienced acute myocardial infarction with IST were patients with age more than 59 years, male gender, experienced STEMI, very late event time, and had smoking risk factors. Patients mostly used stents with length < 31.5 mm, diameter < 3 mm, and all patients used DES type. The use of DAPT was the most common drug use.

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