11. PREVALENCE OF HYPERTENSIVE HEART DISEASE COMPARED TO CORONARY ARTERY DISEASE BASED ON ECHOCARDIOGRAPHY FINDINGS IN BANDUNG REGIONAL PUBLIC HOSPITAL FROM SEPTEMBER 2020-DECEMBER 2020

Abstract

Background: Hypertension was defined as SBP 140 mmHg and/or DBP 90 mmHg. The prevalence according to Indonesia Family Life Survey-5, among males and females were 31.0% and 35.4%. Hypertension could cause cardiac manifestations, including Hypertensive Heart Disease (HHD) and Coronary Artery Disease (CAD). HHD was a heart response to the afterload burden on the left ventricle caused by the progression of arterial pressure and total peripheral resistance, characterized by increased left ventricular mass associated with left ventricular hypertrophy (LVH), which was recommended echocardiography by ESH/ESC 2013 Guideline. This research was conducted to find out the prevalence of HHD compared to CAD based on echocardiography in Bandung Regional Public Hospital. Methods: This is a descriptive study. We conducted a search of echocardiograph from all inpatients and outpatients that came first time to the cardiology clinic, from September 2020-December 2020. The patients included all gender and age. Data collected included Posterior Wall (PW) thickness, Inter Ventricular Septum (IVS) thickness and Left Ventricle Ejection Fraction (LVEF). LVH was defined if the PW or IVS thickness was greater than 11 mm as measured by M-mode echocardiography. LVH with LVEF >55% was interpreted as HHD. Results: A total of 205 patients were analyzed. There were 75 (36.58%) diagnosed with HHD, 81 (39.52%) diagnosed with CAD, and 49 (23.90%) diagnosed with others. From 75 patients with HHD, 36 (48%) were males and 39 (52%) were females. Conclusion: The prevalence of HHD was 36.58%, with 48% males and 52% females. This study matched with the IFLS-5 findings.