PROFIL MANAJEMEN INFARK MIOKARD DENGAN ELEVASI SEGMEN ST (STEMI) DI RUMAH SAKIT HASAN SADIKIN PADA TAHUN 2010.

ABSTRACT

The standard management of ST Elevation Myocardial Infarction
(STEMI) patients according to guidelines from the American College of
Cardiology /American Heart Association (ACC/AHA) is percutaneous coronary
intervention (PCI) therapy. There are several factors that can affect this
therapy as time from onset of infarction, the availability of the PCI laboratory, the
time for transport to the PCI laboratory, door-to-balloon time, and the financial
capability of the patient. Based on this, management profile of STEMI in Hasan
Sadikin Hospital, Bandung need to be known.
This descriptive study was conducted by analyzing medical records of
patients.
From the 79 data of STEMI patients treated at Hasan Sadikin Hospital,
Bandung in 2010,19% of patients receive reperfusion therapy (40% received
primary PCI and 60% thrombolytic) and the remainder (81%) did not receive any
reperfusion therapy. From 81% patients who did not receive reperfusion therapy,
as many as 78.1% due to financial problems, 1.6% due to patient choice, 1.6%
due to go to another hospital, and the remaining 18.8% due to onset of
infarction> 12 hours.
The conclusions drawn from this research is the reperfusion therapy
either primary PCI or fibrinolytic in Hasan Sadikin Hospital, Bandung still low.

Keywords: Myocardial infarction, STEMI, management.

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ABSTRAK

Manajemen standar pasien infark miokard dengan elevasi segmen ST (ST
Elevation Myocardial Infarction/STEMI) menurut petunjuk dari American
College of Cardiology/American Heart Association (ACC/AHA) adalah dengan
terapi intervensi koroner perkutan (percutaneous coronary intervention/PCI).
Terdapat beberapa faktor yang dapat mempengaruhi dilakukannya terapi ini
seperti waktu awitan infark pasien, ketersediaan laboratorium PCI, waktu untuk
transportasi ke laboratorium PCI, door-to-balloon time, maupun kemampuan
finansial pasien. Berdasarkan hal tersebut, profil manajemen STEMI di Rumah
Sakit Hasan Sadikin, Bandung perlu diketahui.
Penelitian ini bersifat deskriptif dengan menggunakan metode cross
sectional dengan melihat data rekam medis pasien.
Dari 79 data pasien STEMI yang dirawat di Rumah Sakit Hasan Sadikin,
Bandung pada tahun 2010 didapatkan 19% pasien mendapatkan terapi reperfusi
(40% mendapatkan primary PCI dan 60% medapatkan fibrinolisis) dan sisanya

(81%) tidak mendapatkan terapi reperfusi. Dari 81% pasien yang tidak
mendapatkan terapi reperfusi, sebanyak 78.1% dikarenakan masalah kurangnya
biaya, 1.6% karena pilihan penderita, 1.6% karena pindah rumah sakit, dan
sisanya yaitu 18.8% karena awitan infark >12 jam.
Dengan demikian, kesimpulan yang didapat dari penelitian ini adalah
tindakan reperfusi baik primary PCI maupun fibrinolitik di Rumah Sakit Hasan
Sadikin, Bandung masih rendah.
Kata kunci: Infark miokard, STEMI, manajemen

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