Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
Vol.%%03,%No.%12,%December%2023%
e-ISSN:%2807-8691,|,p-ISSN:%2807-839X$
!
IJSSR!!"#$%3324
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This%work%is%licensed%under%a%Attribution-ShareAlike%4.0%International%(CC%BY-SA%4.0)
Predictors*of*Mortality*in*Acute*Coronary*Syndrome*
Patients:*A*Literature*Review*
!
Fadhila!Nafilah!Azzahra1,!Nurhayati!Adnan2#
<$("0'=$>'%-?%@(.,$=.-A-#BC%D"EFA'B%-?%!FGA.E%H$"A'&C%I>.8$0).'")%J>,->$)."C%J>,->$)."1,2%
@=".A*%?",&.A"K"&0"19L#=".A/E-=1C>(0.&"0'L#=".A/E-=2%
Keywords)
!
ABSTRACT!
Predictor,*Death,*Patient,*Acute*
Coronary*Syndrome.*
!
Acute! coronary! syndrome! (ACS)! is! a! serious! medical! condition!
that! includes! myocardial! infarction! and! unstable! angina.! This!
study!aimed!to!determine!the!factors!that!can!predict!mortality!in!
ACS!patients.!This!study!used!qualitative!research!methods.!Data!
collection! techniques! in! this! study! use! literature! study! research!
methods! obtained! from! Google! Scholar.! The! data! that! has! been!
collected!in!this!study!is!then!analyzed!using!three!stages,!namely!
data! reduction,! data! presentation! and! conclusions.! The! results!
showed!that!Acute!Coronary!Syndrome!(ACS)!occurs!because!the!
coronary!arteries!experience!the!thickening!of!lipid!plaques!and!
can! develop! into! Unstable! Angina! Pectoris! (UAP),! Non-ST!
Elevation! Myocardial! Infarction! (NSTEMI),! or! ST! Elevation!
Myocardial! Infarction! (STEMI).! Risk! factors! involve! age,! sex,!
smoking,! dyslipidemia,! diabetes,! hypertension,! and! obesity.!
Symptoms! of! Acute! Myocardial! Infarction! (IMA)! include! chest!
pain,!shortness!of!breath,!and!fatigue.!Prognosis!is!influenced!by!
treatment! speed,! left! ventricular! ejection! fraction! (FEVKi),! and!
risk! factors! for! comorbidities.! Initial! therapy! of! MONACO!
(Morphine,!Oxygen,!Nitrate,!Aspirin,!Clopidogrel/Ticagrelor)!with!
statins.! Administration! of! anticoagulants! and! reperfusion!
measures! such! as! fibrinolysis! or! percutaneous! coronary!
intervention!(IKP)!is!important.!Therapy!options!are!adjusted!to!
risk!factors!to!improve!prognosis.!
!
!
!
INTRODUCTION)
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!REFERENCES)
`"G"(-F0C%`/C%P",$#&.$&TM&"0.C%P/C%t%!">"&.C%P/%N:2::Q/%J>'0"T&-)(.'"A%=-0'"A.'B%">,%=-0G.,.'B%">,%).YT=->'&%
?-AA-V% F(% -?% ("'.$>')% V.'&% =B-E"0,."A% .>?"0E'.->/% International* Journal* of* Research* in* Medical*
SciencesC%10N11QC%:93^/%&''()*++,-./-0#+12/1^:29+:9:2T421:/.70=):2:::^:^!
`").'C%H/C%S"A.XC%M/C%t%HF$EX$0C%S/%a/%N:2:9Q/%U->TPR%P$#=$>'%@A$8"'.->%SB-E"0,."A%J>?"0E'.->/%J>%StatPearls*
[Internet]/%P'"'!$"0A)%!FGA.)&.>#/%
O&$&"GC%c/C%j">>F)C%M/%P/C%@A,.0">.C%S/C%H"))">C%H/C%R"=.=C%H/C%t%<"X.XC%H/%M/%N:21^Q/%!0$,.E'-0)%-?%J>TH-)(.'"A%
S-0'"A.'B% .>% !"'.$>')% M,=.''$,% V.'&% MEF'$% SB-E"0,."A% J>?"0E'.->% .>% "% <$8$A-(.>#% O-F>'0B/%
Cardiology*ResearchC%9N;QC%:69\:66/%&''()*++,-./-0#+12/13532+E055:V%
<$_->C% H/% M/C% S.0K"$.C% P/C% t% lm#0$TH$=)$BC% k/% N:2:2Q/% RB(.E"A% ">,% "'B(.E"A% )B=('-=)% -?% "EF'$% E-0->"0B%
)B>,0-=$*%'.=$%'-%0$'.0$%'&$%'$0=)u%Journal*of*the*American*Heart*AssociationC%9N5QC%$21;;96/%
<&"="07"'.C% M/% N:2:1Q/%Prediktor*Kematian*Pasien*Rawat*Inap*Pasca*Infark*Miokard*Akut*Dengan*Elevasi*
Segmen*St*Di*Rsup*Dr.*Sardjito:*Studi*Kohort*Re/%
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E-0->"0B%)B>,0-=$*%M%WF").T$Y($0.=$>'"A%)'F,B/% Gerontechnology:*First*International*Workshop,*
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