THE EFFECT OF DYSLIPIDEMIA ON THE INCIDENCE OF CORONARY HEART DISEASE IN WOMEN

Adang Muhammad Gugun, Aldina Sheina Fernanda, Nabila Ardia Pramono, Sartika Pradhipta Cahya, Vella Febri Ferryana
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Abstract

Coronary heart disease (CHD) is one of the non-communicable diseases that causes the highest mortality in the world. Dyslipidemia is an important risk factor for CHD. This study aims to determine the relationship of dyslipidemia in detail including increased cholesterol, increased triglycerides, increased LDL cholesterol and decreased HDL cholesterol on the incidence of CHD in women at PKU Muhammadiyah Hospital Yogyakarta. This study used a case-control design involving 58 women as research subjects. The case group consisted of 29 women diagnosed with CHD and the control group consisted of 29 women diagnosed as non-CHD patients, including chronic lung disease, pneumonia, heart failure, dyspepsia and malignancy. Data tracing through medical records was carried out in March-September 2019. The results of this study the age range in the case group was 45-84 years and in the control group was 42-90 years. Based on the Chi-Square test, there was a significant relationship between dyslipidemia (RO = 7.04 (1.73-28.6), p = 0.003), high total cholesterol levels (RO = 5.14 (1.54-17.2), p = 0.012), high LDL cholesterol levels (RO = 9.286 (2.29-37.6), p = 0.001) and the incidence of CHD in women. From the Chi-Square test there was no significant relationship between high triglyceride levels (OR=2.16 (CI:0.62-7.49), p=0.358), low HDL cholesterol levels (RO=2,554 (0.83-7.84), p=0.167) and CHD incidence in women. The conclusion of this study is the effect of dyslipidemia including increased cholesterol and LDL cholesterol on the incidence of CHD in women at PKU Muhammadiyah Hospital Yogyakarta.
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血脂异常对女性冠心病发病率的影响
冠心病(CHD)是导致全球最高死亡率的非传染性疾病之一。血脂异常是冠心病的一个重要危险因素。本研究旨在确定血脂异常的详细情况,包括胆固醇升高、甘油三酯升高、低密度脂蛋白胆固醇升高和高密度脂蛋白胆固醇降低与日惹PKU Muhammadiyah医院妇女冠心病发病率的关系。本研究采用病例对照设计,以58名妇女为研究对象。病例组包括29名确诊为心脏病的妇女,对照组包括29名确诊为非心脏病患者的妇女,包括慢性肺病、肺炎、心力衰竭、消化不良和恶性肿瘤患者。2019年3月至9月期间,通过病历进行了数据追踪。研究结果显示,病例组的年龄范围为 45-84 岁,对照组的年龄范围为 42-90 岁。根据 Chi-Square 检验,血脂异常(RO = 7.04 (1.73-28.6),P = 0.003)、总胆固醇水平高(RO = 5.14 (1.54-17.2),P = 0.012)、低密度脂蛋白胆固醇水平高(RO = 9.286 (2.29-37.6),P = 0.001)与女性冠心病发病率之间存在显著关系。根据 Chi-Square 检验,甘油三酯水平高(OR=2.16(CI:0.62-7.49),P=0.358)、高密度脂蛋白胆固醇水平低(RO=2 554(0.83-7.84),P=0.167)与女性心脏病发病率之间无明显关系。本研究的结论是,血脂异常(包括胆固醇和低密度脂蛋白胆固醇升高)对日惹北京大学穆罕默迪亚医院妇女的冠心病发病率有影响。
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