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

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.