WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Priyo Mukti Pribadi Winoto*, Ahsan and Tina Handayani Nasution

ABSTRACT

Background: Coronary heart disease (CHD) was the biggest contributor to mortality and morbidity in the world. Patients with coronary heart disease were prone to recurrent cardiac events, so it was necessary to control the risk factors for coronary heart disease, including history of hypertension, dyslipidemia, diabetes mellitus, obesity and compliance with taking medication. Objective: This study aimed to analyze the risk factors associated with recurrence of coronary heart disease in one hospital. Methods: Observational analytic with a retrospective cohort approach was used with total sampling technique. The sample size is 189 medical records of CHD patients. Data analysis used logistic regression. Results: The results showed that risk factors of CHD were the history of hypertension (42.3%), dyslipidemia (59.8%), diabetes mellitus (17.5%), obesity (0%), adherent in taking medication (69.3%) and experienced recurrence of CHD (72.5%). The results of statistical tests using the chi-square test with ? = 0.05 were known to have a significant relationship with CHD recurrence, including diabetes mellitus (p = 0.009), medication adherence (p = 0.033). Multivariate results using logistic regression showed that the most influential factor for CHD recurrence was diabetes mellitus with a value (p= 0.02, OR = 4.489). Conclusion: Patients suffering from diabetes mellitus were at risk of experiencing recurrence of CHD.

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