4. HYPERTENSION RISK ASSOCIATION TO CORONARY HEART DISEASES IN OBESITY PATIENTS AT PUBLIC HOSPITALS OF THE CHRISTIAN UNIVERSITY OF INDONESIA FOR THE YEAR 2019

Abstract

Background: Modern developments have influenced various fields. Especially changes in lifestyle to diet. Modern lifestyle and diet are starting to appear to increase the risk of cardiovascular disease, one of which is coronary heart disease. According to the World Health Organization (WHO), in 2012 Coronary Heart Disease (CHD) is one of the most common cardiovascular diseases and is a cause of death globally with a high enough figure, scoring 7.4 million and increasing every day. In Indonesia, the prevalence of CHD cases is quite high for cardiovascular disease, amounting to 1.5% in 2013. According to age groups, CHD occurs mostly in age groups. 65-74 years (3.6%) age group 75 years and over (3.2%), age group 55-64 years (2.1%) and age group 35-44 years (1.3%). Obesity is one of the risk factors in the increased incidence of CHD. According to Jean Vaguen, there is a close relationship between differences in body morphology or distribution of body fat with health problems related to obesity risk factors. Obesity caused by excessive fat accumulation. Heart and Blood Vessel Disease which is caused by the accumulation of fat in the central part of the body. Another risk factor is hypertension. Hypertension can cause atherosclerosis in the coronary blood vessels in various ways, affecting the force of blood flow, coronary artery endothelial function, permeability of blood vessel walls, adhesiveness of platelets, and remodeling of blood vessels Objective: To study the association of hypertension risk factors in patients with coronary heart disease and obesity at the Hospital of the Faculty of Medicine, Christian University of Indonesia, Jakarta. Method: This type of research is an observational study. This study only made observations to patients and did not provide any treatment to patients. The research design used was cross sectional. Research Location: General Hospital of Christian University of Indonesia, Time of study: April to June 2020 The target population in this study were patients with coronary heart disease, both outpatient and inpatient. The sample selection used purposive sampling method. Conclusion: There is a significant relationship between hypertension, hypercholesterolemia, and diabetes on CHD in obese patients at the General Hospital of the Christian University of Indonesia, Jakarta for the period 2019.