35 Profile of Hypertension in Young Adult Patient in Malang City, Indonesia

Abstract

Background: Coronary artery disease (CAD) patients with a history of hypertension and underlying comorbidities are at high risk of developing major adverse cardiac events (MACE) and increase the mortality of the patients.Objective: This study aims to determine the association of hypertension and MACE in CAD patients admitted to ICCU.Method: This research is an analytic study with a cross-sectional approach. The data used is secondary data from the records of patients who were admitted to ICCU at Sanglah Hospital on 1 January 2021-31 December 2021 with total sampling technique.Result: There were 376 patients included in this study. The majority of patients were male (n=291,77.4%) with the median overall patient age of 58 years old. Most of MACE found in the patients were revascularization (n=113;30.1%). The prevalence of hypertension was 19.1%. There were signifi cant differences in length of in hemoglobin (p=0.006), lymphocytes count (p=0.002), uric acid (p=0.032) and GFR (p=0.000) in the patients classifi ed based on MACE. MACE was signifi cantly associated with hypertension (PR=1.285;95%CI=1.102-1.498;p=0.006). Chisquare analysis showed that stroke (PR=2.386;95%CI=1.271-4.480;p=0.007), heart failure (PR=2.533;95%CI=1.574-4.078;p=0.000), and malignant arrhythmia (PR=1.820;95%CI=1.229-2.694;p=0.004) were signifi cantly associated with hypertension. Association of hypertension and kidney disease were signifi cantly associated with stroke (PR= 2.386;p=0.007), malignant arrhythmia (PR=1.820;95%CI=1.229-2.694;p=0.004) and heart failure (PR=2.533;95%CI=1.574-4.078;p=0.000). Association of hypertension and COVID-19 were also signifi cantly associated with malignant arrhythmia (PR= 2.253;p=0.011). Conclusion:There were signifi cant association between hypertension with MACE in the patients. Intervention on these factors can prevent further mortality.

Analysis of Hypertension Risk Behavior

“…Younger people with hypertension have a family history of hypertension of 73%, of which most are current or previous smokers (Sari et al, 2022). Based on research adolescents who smoke today have a link to increased hypertension.…”