THE RELATIONSHIP BETWEEN HISTORY OF HYPERTENSION AND ISCHEMIC ELECTROCARDIOGRAM FINDINGS IN CHRONIC HEART FAILURE PATIENTS

Zahra Maharani; Ni Made Elva Mayasari; Santhy Annisa; Yudi Fadilah

Zahra Maharani

Faculty of Medicine, Muhammadiyah Palembang University, Palembang, Indonesia

Ni Made Elva Mayasari

Department of Cardiology, Faculty of Medicine, Muhammadiyah Palembang University, Palembang, Indonesia

Santhy Annisa

Lecturer, Faculty of Medicine, Muhammadiyah Palembang University, Palembang, Indonesia

Yudi Fadilah

Department of Internal Medicine, Faculty of Medicine, Muhammadiyah Palembang University, Palembang

Abstract
References

Heart failure is a condition in which the heart is unable to pump blood effectively throughout the body due to structural and functional impairments. It is a serious complication of hypertension, which can affect the heart's electrical activity and lead to abnormalities on electrocardiograms (ECG). This study aimed to determine the relationship between a history of hypertension and ECG abnormalities in chronic heart failure patients. This study used a cross-sectional study design, using primary data from ECG recordings, and ECG recording results interpreted by one expert. The study population included all chronic heart failure patients at the Cardiology Clinic of Muhammadiyah Palembang Hospital who met the inclusion and exclusion criteria. A total of 30 samples were analyzed. Among the patients, 25 (83,3%) had a history of hypertension. The results of the Fisher Exact Test statistical test between history of hypertension and abnormal ECG images obtained a value of p = 0,622 (p > 0.05). These findings indicate no association between a history of hypertension with ECG ischemic in chronic heart failure patients.

Keywords: Hypertension Electrocardiogram Chronic Heart Failure

1. Chun KH, Kang SM. Blood pressure and heart failure: focused on treatment. Clin Hypertens. 2024;30(1):15.
2. Harigustian Y, Dewi A, Khoiriyati A. Gambaran Karakteristik Pasien Gagal Jantung Usia 45–65 Tahun Di Rumah Sakit Pku Muhammadiyah Gamping Sleman. IJNP (Indonesian J Nurs Pract. 2016;1(1):55-60.
3. Hasanusi AFA, Kailola NE. GAMBARAN ABNORMALITAS ELEKTROKARDIOGRAM PADA PASIEN GAGAL JANTUNG DEWASA DI RSUD DR. M. HAULUSSY KOTA AMBON TAHUN 2019-2021. PAMERI Pattimura Med Rev. 2022;4(1):17-26.
4. Hasari AP. Karakteristik Gambaran EKG Pasien Hipertensi Di Rumah Sakit Ibnu Sina Makassar Periode Januari-Juni 2017. UMI Med J. 2019;4(1):71-80.
5. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022;79(17):e263-e421.
6. J SO, M AJ, Hava I, et al. Lateral Wall Dysfunction Signals Onset of Progressive Heart Failure in Left Bundle Branch Block. JACC Cardiovasc Imaging. 2021;14(11):2059-2069. doi:10.1016/j.jcmg.2021.04.017
7. Jiayu F, Yuhui Z, Jian Z. Epidemiology and Burden of Heart Failure in Asia. JACC Asia. 2024;4(4):249-264. doi:10.1016/j.jacasi.2024.01.013
8. Jumayanti J, Wicaksana AL, Akhmad Budi Sunaryo EY. Kualitas hidup pasien dengan penyakit kardiovaskular di Yogyakarta. J Kesehat. 2020;13(1):1-12.
9. Letmi SO, Yanni M, Revilla G. Hubungan Hipertrofi Ventrikel Kiri pada Elektrokardiogram Peguero-Lo Presti Dengan Ekokardiografi pada Hipertensi. J Ilmu Kesehat Indones. 2023;4(1):59-66.
10. Linggariyana L, Trismiyana E, Furqoni PD. Asuhan keperawatan dengan teknik rendam kaki untuk menurunkan tekanan darah pada penderita hipertensi di Desa Sri Pendowo Lampung Timur. J Kreat Pengabdi Kpd Masy. 2023;6(2):646-651.
11. Lippi G, Sanchis-Gomar F. Global epidemiology and future trends of heart failure. AME Med J. 2020;5.
12. Malik RHA. Prevalensi Penyakit Jantung Hipertensi pada Pasien Gagal Jantung Kongestif di RSUP H. Adam Malik Prevalence of Hypertensive Heart Disease in Congestive Heart Failure Patients at.
13. Mayasari NME, Salsabilah R. RIWAYAT HIPERTENSI TERHADAP KEJADIAN ABNORMALITAS GAMBARAN ELEKTROKARDIOGRAM PADA PASIEN DIABETES MELITUS TIPE 2. J Kedokt dan Kesehat Publ Ilm Fak Kedokt Univ Sriwij. 2019;6(2).
14. Nikolaidou T, Samuel NA, Marincowitz C, Fox DJ, Cleland JGF, Clark AL. Electrocardiographic characteristics in patients with heart failure and normal ejection fraction: A systematic review and meta‐analysis. Ann Noninvasive Electrocardiol. 2020;25(1):e12710.
15. Nugraha BA, Pebrianti S, Platini H. Gambaran kelelahan pada pasien gagal jantung. J Med Cendikia. 2018;5(01):16-21.
16. Paramita AAKY, Saraswati MR, Wiryawan N. The characteristics of heart failure in patients with diabetes mellitus in Sanglah Hospital Denpasar. J Penyakit Dalam Udayana. 2021;5(2):37-45.
17. Poznyak A V., Sadykhov NK, Kartuesov AG, et al. Hypertension as a risk factor for atherosclerosis: Cardiovascular risk assessment. Front Cardiovasc Med. 2022;9. doi:10.3389/fcvm.2022.959285
18. ROADMAP WHF, LARANJO L, LANAS F, et al. World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update. Published online 2024.
19. Taufikurrahman T, Wahid A, Rizany I. Perbedaan Gambaran Ekg Pada Pasien Hipertensi Dengan Lama Riwayat Menderita< 5 Tahun Dan â‰¥ 5 Tahun Di Poli Penyakit Dalam Rumah Sakit H. Damanhuri Barabai. Din Kesehat J KEBIDANAN DAN KEPERAWATAN. 2019;10(1):427-439.
20. Waty M, Hasan H. Prevalensi penyakit jantung hipertensi pada pasien gagal jantung kongestif di RSUP H. Adam Malik. E-Journal FK USU. 2013;1(1):1-5.