The Difference of Average Mean Platelet Volume (MPV) Values in Stable Angina Pectoris Patients with Symptoms of Depression and without Symptoms of Depression | Wibawa | Acta Interna: The Journal of Internal Medicine 22392 42305 1 SM

Wibawa et al.

The Difference of Average Mean Platelet Volume
(MPV) Values in Stable Angina Pectoris Patients
with Symptoms of Depression and without
Symptoms of Depression
Arief Wibawa1, Agus Siswanto2, Hariadi Hariawan2
1

Specialty Training Program, Department of Internal Medicine, Faculty of Medicine,
Universitas Gadjah Madam Dr. Sardjito General Hospital
2
The Division of Psychosomatic, Department of Internal Medicine, Faculty of Medicine,
Universitas Gadjah Mada, Dr. Sardjito General Hospital

ABSTRAK
Latar Belakang: Depresi merupakan prediktor independen kejadian kardiovaskular. Peningkatan reaktifitas
platelet merupakan salah satu dari beberapa kemungkinan mekanisme yang diajukan untuk menerangkan hubungan
antara faktor psikososial dengan penyakit jantung koroner. Mean platelet volume (MPV) merupakan indikator aktivasi
platelet.MPV berhubungan dengan kejadian kardiovaskular mayor pada penyakit jantung koroner.
Tujuan : Penelitian ini bertujuan untuk mengetahui perbedaan rerata MPV pada penderita angina pektoris stabil

(APS) dengan simtom depresi ndan tanpa simtom depresi.
Metode: Desain penelitian adalah studi potong lintang. Pengambilan sampel dilakukan secara berurutan dari
pasien APS yang dirawat di bagian Penyakit Dalam RSUP Dr Sardjito Yogyakarta. Pengukuran MPV dan skor
HAD dilakukan satu kali saat pasien masuk rumah sakit. Data disajikan dalam bentuk analisis deskriptif tentang
karakteristik subjek penelitian berupa rata-rata dan simpangan baku. Korelasi antara MPV dengan simtom depresi
pada APS diuji dengan Pearson’s correlation. Angka kemaknaan adalah p< 0.05.
Hasil Terdapat 40 subjek, terdiri dari 20 APS dengan simtom depresi dan 20 APS tanpa simtom depresi. Rerata
kadar MPV pada penelitian ini 7,56 ± 0,95 fl. Rerata MPV pada pasien APS dengan simtom depresi sebesar 8,45
± 0,82 fl, sedangkan pada pasien APS tanpa simtom depresi sebesar 7,68 ± 0,99 fl dengan nilai p 0,009.
Kesimpulan: Pada penelitian ini terdapat perbedaan rerata MPV yang bermakna secara statistik pada pasien
angina pektoris stabil dengan simtom depresi dan tanpa simtom depresi.
Kata kunci: APS, MPV, simtom depresi

ABSTRACT
Background: Depression is an independent predictor of cardiovascular events. Increased platelet reactivity
is one of several possible mechanisms proposed to explain the relationship between psychosocial factors to
coronary heart disease. Mean platelet volume (MPV) is an indicator of platelet activation. MPV associated
with major cardiovascular events in coronary heart disease.
Objective: This study aimed to determine the average difference of mean platelet volume (MPV) in stable
angina pectoris patients with symptoms of depression and without symptoms of depression.

Methods: The study design was a cross-sectional study. Sampling was carried out in sequence from Stable
Angina Pectoris patients who were treated in the internal medicine department of Dr. Sardjito hospital
Yogyakarta. MPV and HAD score were measured once on admission. Data presented as a descriptive
analysis of the subjects' characteristics on average and standard deviation. The difference average of MPV

28

The Journal of Internal Medicine, Acta Interna, Volume 5, Number 1, June 2015: 28-34

between Stable Angina Pectoris patients with symptoms, depression and without symptoms depression
assessed with Pearson's correlation. The results were considered at the significance level of p

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