Comparison of Quality of Life for STEMI Patients Who Underwent Percutaneous Coronary Intervention (PCI) with Non-PCI at Dustira Hospital
Prihati Pujowaskito, Dinda Dwi Lazuardi Emha, Ilma Fiddiyanti, Rizki Bunawan

Medical Faculty, Universitas Jenderal Achmad Yani

Abstract

ST Segment Elevation Myocardial Infarction (STEMI) is one of the types Acute Coronary Syndrome (ACS) that often causes sudden death and one of the medical emergency cases that requires immediate reperfusion treatment. Reperfusion treatment are Percutaneous Coronary Intervention (PCI) or non-PCI (pharmacological therapy). According to the previous studies, both of the treatments differed in quality of life after the treatment. Changes in quality of life can be measured by the Seattle Angina Questionnaire (SAQ) which has five clinical dimensions, those are physical activity, frequency of pain, pain stability, patient satisfaction, and perception of the disease. The purpose of this study is to determine the difference in quality of life of STEMI patients with PCI action compared to non- PCI at Dustira Hospital Cimahi. This study used a comparative analytical method with a cross sectional study approach. Data was obtained from primary data with a questionnaire that was filled by 17 STEMI patients who were treated with PCI and 17 STEMI patients \with non-PCI in Dustira Hospital Cimahi. The data were analyzed statistically by an independent T test. The result showed that the average quality of life scores of STEMI patients who were treated by PCI in Dustira Hospital Cimahi (66.06) was 13.88 points higher than STEMI patients who were treated with non-PCI (52.18). The quality of life of the PCI group in Dustira Hospital Cimahi is better than the non-PCI group because the mechanism of breakdown of atherosclerotic plaque by PCI-treated can immediately improve coronary blood flow so that tissue reperfusion can be restored. Statistically there is a very significant difference with P-value lower than 0.01 (p <0.01) that is P-value equal to 0,000 (p=0,000).

Keywords: STEMI, PCI, Non-PCI, Quality of life, SAQ

Topic: Update Emergency Assesment and Management