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Asam Urat sebagai Prediktor Kelainan EKG pada Usia Lanjut
At elderly there is structural and metabolic distortion which is recognized as degenerative diseases. The metabolic disturbance can influence circulation lipoprotein concentration. Elevated of lipoprotein concentration as part of acute phase response to atherosclerosis and acts as the strong risk factor to heart diseases. The aim of this study was to determine the types of laboratory which can be used to predict disparity of heart at elderly patients. The Materials in this study is patient serum of ambulatory elderly patients in polyclinics of Geriatry Moewardi Hospital Surakarta. The inclusion criteria was the patient of ≥ 60 year old with two or more diagnosis. Serum cholesterol, trigliserid, HDL, LDL, and uric acid ware measured. The presence of this disparity of heart was checked by ECG. From 57 subjects, 33 (57.9%) were woman. There were 15 patients (26.3%) diagnosed as old myocard infarc (OMI), 8 patients (14%) iskemik, and 6 patients (10.5%) had Right Bundle Branch Bock (RBBB). Uric acid level was higher in patient with abnormality of ECG composed to normal ECG (p < 0.005). Uric acid can be used as the predictor of disparity of ECG at elderly.
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