ABSTRAK
Abstrak :Obstructive Sleep Apnea (OSA) erat dikaitkan dengan penyakitmetabolik seperti hipertensi dan dislipidemia. Pasien dengan OSA juga seringditemukan pada pasien gagal jantung.Obsturctive sleep Apnea dapatmemeperberat gagal jantung.Objektif :Penelitian ini bertujuan mengetahuiprevalens dan faktor-faktor yangmemengaruhi kejadian OSA pada pasien gagal jantung kronik di RSUPPersahabatan Jakarta.Metode :Disain penelitian ini adalah potong lintang observasi. Pasien CHF FC I -II berkunjung ke poliklinik jantung dan vaskular RSUP Persahabatan yangmemenuhi kriteria inklusi dan eksklusi. Subjek dilakukan anamnesis,pemeriksaan fisis dan eko kardiografi untuk memastikan diagnosis CHFdandilanjutkan dengan wawancara menggunakan kuesioner Berlin untuk menentukanrisiko tinggi OSA kemudian dilanjutkan pemeriksaan polisomnografi laludilakukan analisis statistik.Hasil :Penelitian potong lintang ini dilakukan pada 70 sampel pasien gagaljantung. Dengan menggunakan kuesioner Berlin diperoleh sebanyak 42 pasien(60%) yang ditemukan berisiko tinggi OSA. Dengan menggunakan uji chi squareditemukan bahwa faktor usia (p=0,988), jenis kelamin (p=0,678), IMT (p=0,170),lingkar leher (p=0,605), lingkar perut (p=0,189), tekanan darah (p=0,922),merokok (p=0,678) dan fraksi ejeksi ≦40% (p= 0.109) tidak ditemukan memilikihubungan bermakna dengan risiko OSA pada pasien gagal jantung. Sementarafaktor ukuran tonsil ditemukan memiliki hubungan bermakna (p=0,005). Dari 42orang tersebut dipilih secara acak 26 orang untuk dilakukan pemeriksaan lanjutanpolisomnografi dan didapatkan pasien gagal jantung menderita OSA ringandengan nilai AHI 5 ? 15 sebanyak 7 pasien (26.7%), OSA sedang dengan AHI15-30 sebanyak 9 pasien (34.5%) dan OSA berat dengan AHI>30 sebanyak 10pasien (38.8%).Kesimpulan :prevalens pasien CHF FC I - II yang memiliki risiko tinggi OSAberdasarkan kuesioner Berlin dengan nilai >2 adalah sebanyak 42 orang (60%)dengan faktor risiko ukuran tonsil yang bermakna menyebabkan terjadinya OSApada CHF ABSTRACT
Background: Obstructive Sleep Apnea (OSA) commonly associated withmetabolic disease including hypertension and dyslipidemia. Patients with OSA isalso commonly found in conjunction with heart failure condition.Obstructivesleep apnea can cause CHF getting worstObjective:This study aims to acknowledge prevalence of OSA and influencefactors in heart failure patients in Persahabatan HospitalMethods:Thisobservational cross sectionalstudy was being done in 70 sampleschronic heart failure patients who visited in cardio and vascular disease clinic inPersahabatan Hospital with fuctional class I - II who met the inclusion andexclusion criteria. Subjects were asked for history of disease, physicalexamination and echocardiography then underwentBerlins Questionnaire thenfollowed by polysomnography examination to detect the presence of OSA.Results: Observational cross sectionalstudy done in 70 samples chi square testcan be concluded that age (p=0,988), gender (p=0,678), Body Mass Index(p=0,170), neck circumference(p=0,605), abdominal circumference (p=0,189),blood pressure (p=0,922),smoking (p=0,678) and ejection fraction ≦40%(p=0.109),many factors are not significantly related to the risk of OSA in heartfailure patients.Meanwhile, tonsillar size is found to have significantly related toincidence of OSA in heart failure patients (p=0,005). 46 patients who have highrisk of OSA by Berlins questionnaire selected by random to get 26 patients whowill follow polysomnography examination, result for patients CHF with mildOSA AHI 5 -15 are 7 patients (26.7%), moderate OSA with AHI 15 - 30 are 9patients (34.5%) and severe OSA with AHI ≥ 30 are 10 patients (38.8%).Conclusion:The prevalence of CHF FC I - II with high risk OSA that screenedby Berlins Questionnaire in CHF patiens are 43 patients (60%) with tonsillar sizeis found to have significantly related to incidence of OSA.;Background: Obstructive Sleep Apnea (OSA) commonly associated withmetabolic disease including hypertension and dyslipidemia. Patients with OSA isalso commonly found in conjunction with heart failure condition.Obstructivesleep apnea can cause CHF getting worstObjective:This study aims to acknowledge prevalence of OSA and influencefactors in heart failure patients in Persahabatan HospitalMethods:Thisobservational cross sectionalstudy was being done in 70 sampleschronic heart failure patients who visited in cardio and vascular disease clinic inPersahabatan Hospital with fuctional class I - II who met the inclusion andexclusion criteria. Subjects were asked for history of disease, physicalexamination and echocardiography then underwentBerlins Questionnaire thenfollowed by polysomnography examination to detect the presence of OSA.Results: Observational cross sectionalstudy done in 70 samples chi square testcan be concluded that age (p=0,988), gender (p=0,678), Body Mass Index(p=0,170), neck circumference(p=0,605), abdominal circumference (p=0,189),blood pressure (p=0,922),smoking (p=0,678) and ejection fraction ≦40%(p=0.109),many factors are not significantly related to the risk of OSA in heartfailure patients.Meanwhile, tonsillar size is found to have significantly related toincidence of OSA in heart failure patients (p=0,005). 46 patients who have highrisk of OSA by Berlins questionnaire selected by random to get 26 patients whowill follow polysomnography examination, result for patients CHF with mildOSA AHI 5 -15 are 7 patients (26.7%), moderate OSA with AHI 15 - 30 are 9patients (34.5%) and severe OSA with AHI ≥ 30 are 10 patients (38.8%).Conclusion:The prevalence of CHF FC I - II with high risk OSA that screenedby Berlins Questionnaire in CHF patiens are 43 patients (60%) with tonsillar sizeis found to have significantly related to incidence of OSA.;Background: Obstructive Sleep Apnea (OSA) commonly associated withmetabolic disease including hypertension and dyslipidemia. Patients with OSA isalso commonly found in conjunction with heart failure condition.Obstructivesleep apnea can cause CHF getting worstObjective:This study aims to acknowledge prevalence of OSA and influencefactors in heart failure patients in Persahabatan HospitalMethods:Thisobservational cross sectionalstudy was being done in 70 sampleschronic heart failure patients who visited in cardio and vascular disease clinic inPersahabatan Hospital with fuctional class I - II who met the inclusion andexclusion criteria. Subjects were asked for history of disease, physicalexamination and echocardiography then underwentBerlins Questionnaire thenfollowed by polysomnography examination to detect the presence of OSA.Results: Observational cross sectionalstudy done in 70 samples chi square testcan be concluded that age (p=0,988), gender (p=0,678), Body Mass Index(p=0,170), neck circumference(p=0,605), abdominal circumference (p=0,189),blood pressure (p=0,922),smoking (p=0,678) and ejection fraction ≦40%(p=0.109),many factors are not significantly related to the risk of OSA in heartfailure patients.Meanwhile, tonsillar size is found to have significantly related toincidence of OSA in heart failure patients (p=0,005). 46 patients who have highrisk of OSA by Berlins questionnaire selected by random to get 26 patients whowill follow polysomnography examination, result for patients CHF with mildOSA AHI 5 -15 are 7 patients (26.7%), moderate OSA with AHI 15 - 30 are 9patients (34.5%) and severe OSA with AHI ≥ 30 are 10 patients (38.8%).Conclusion:The prevalence of CHF FC I - II with high risk OSA that screenedby Berlins Questionnaire in CHF patiens are 43 patients (60%) with tonsillar sizeis found to have significantly related to incidence of OSA. |
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