Systolic Blood Pressure, Blood Glucose, and Mortality of Patients with Acute Coronary Syndrome

Sri Haryuni; Chatarina Umbul Wahyuni; Moh Alimansur; Jatmiko Jatmiko; Kun Ika Nur Rahayu; Ani Sutriningsih; Siti Nur Hasina

doi:10.3889/oamjms.2022.9110

Authors

Sri Haryuni Doctoral Program of Public Health Student, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia; Department of Nursing, Faculty of Health Science, Universitas Kadiri, Kediri, Indonesia https://orcid.org/0000-0001-9788-0814
Chatarina Umbul Wahyuni Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia
Moh Alimansur Department of Nursing, Faculty of Health Science, Universitas Kadiri, Kediri, Indonesia https://orcid.org/0000-0002-9967-4763
Jatmiko Jatmiko Department of Nursing, Faculty of Health Science, Universitas Kadiri, Kediri, Indonesia
Kun Ika Nur Rahayu Department of Nursing, Faculty of Health Science, Universitas Kadiri, Kediri, Indonesia
Ani Sutriningsih Department of Nursing, Faculty of Health Science, Universitas Tribhuwana Tunggadewi, Malang, Indonesia https://orcid.org/0000-0003-2815-1559
Siti Nur Hasina Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia https://orcid.org/0000-0001-5873-0602

DOI:

https://doi.org/10.3889/oamjms.2022.9110

Keywords:

Acute coronary syndrome, Blood glucose, Mortality, Systolic blood pressure

Abstract

BACKGROUND: Acute coronary syndrome (ACS) is a cardiovascular disease causing a high number of patient mortality in the world as well as Indonesia. Systolic blood pressure (SBP) and blood glucose (BG) are suspected to be important indicators for determining the risk stratification and prognostic information of ACS.

AIM: This study aims to evaluate blood pressure and BG alongside the mortality of patients with ACS.

METHODS: This was a quantitative study conducted using a retrospective survey method and the secondary data used were obtained from the medical records in Dr. Iskak Hospital between January and December 2020. The study sample consists of 110 respondents selected with a proportionate stratified random sampling. Meanwhile, the independent variables were SBP (X₁) and BG (X₂) while the dependent variable was mortality in ACS patients (Y).

RESULTS: The multivariate analyses results with logistic regression show that SBP is associated with mortality with p = 0.008 and an odds ratio of 0.673. Furthermore, the BG was slightly higher in the multivariate model which has an odds ratio of 3.052 and was associated with mortality having p = 0.000.

CONCLUSION: Based on the result, a low SBP and high BG lead to ACS patient mortality, consequently, serious attention is needed on the SBP and blood sugar.

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