The Relationship between LDL/ HDL Ratio and Coronary Lesion Severity Measured by Syntax Score in Patients with Non-Elevation Acute Myocardial Infarction at Hajj Adam Malik General Hospital, Medan

T. Rifqi Hashmi; Harris Hasan; Hilfan Ade Putra Lubis

doi:10.47353/jsocmed.v3i5.146

The Relationship between LDL/ HDL Ratio and Coronary Lesion Severity Measured by Syntax Score in Patients with Non-Elevation Acute Myocardial Infarction at Hajj Adam Malik General Hospital, Medan

T. Rifqi Hashmi
Resident of Department of Cardiology, Faculty of Medicine, University of North Sumatra, Medan, Indonesia
Harris Hasan
Staff of Department of Cardiology, Faculty of Medicine, University of North Sumatra, Medan, Indonesia
Hilfan Ade Putra Lubis
Staff of Department of Cardiology, Faculty of Medicine, University of North Sumatra, Medan, Indonesia

Abstract

Introduction: Coronary artery disease (CAD), results from reduced myocardial perfusion leading to angina, myocardial infarction (MI), and/or heart failure. It accounts for one third to one half of cardiovascular cases. A higher SYNTAX score indicates a more complex condition and poorer prognosis in patients undergoing coronary revascularization especially with PCI. This study aims to determine how the LDL/HDL ratio relates to the complexity of coronary lesions (Syntax Score) in coronary heart disease based on characteristics.

Methods: The type of this study was observational analytic retrospective with a cross sectional design. The study was conducted using secondary data through medical record data of patients diagnosed with NSTEMI.

Results: The subjects were 60 people with an average age of 58,1±8,629. It was found that the mean value of the LDL/HDL ratio was 3,95±3,837, in patients with an LDL/HDL ratio ≥ 2.517 it was found that there were 40 sample(66.7%) of whom had a lesion severity level of Syntax score ≥23 ,27 samples (45%), and in patients with an LDL/HDL ratio < 2.517, 20 samples (33.3%) were found to have a lesion severity level of Syntax score ≥ 23 with 4 samples (6.7%).

Conclusion: There is a relationship between the LDL/HDL ratio and the severity of CAD based on the Syntax score with LDL/HDL ratio values being higher in patients with moderate-severe CAD than in patients with mild CAD.

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Published at

31. May 2024
https://doi.org/10.47353/jsocmed.v3i5.146
Issue:

Vol. 3 No. 5 (2024): May
Section:

Articles
Keywords:

Myocardial infarction LDL/HDL ratio SYNTAX score CAD
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Hashmi, T. R., Hasan, H., & Lubis, H. A. P. (2024). The Relationship between LDL/ HDL Ratio and Coronary Lesion Severity Measured by Syntax Score in Patients with Non-Elevation Acute Myocardial Infarction at Hajj Adam Malik General Hospital, Medan. Journal of Society Medicine, 3(5), 154–160. https://doi.org/10.47353/jsocmed.v3i5.146