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All Journal Indonesian Journal of Medicine Sumatera Medical Journal Majalah Kedokteran Neurosains
Cut Aria Arina
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Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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The Difference of Stroke Risk Factor between Bataknese and Non-Bataknese at H. Adam Malik General Hospital Medan Tambunan, Laura Panca Susila; Sjahrir, Hasan; Arina, Cut Aria
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke risk factors disparities in race-ethnic. Bataknese is the most stroke rates compared to non-Bataknese at H. Adam Malik General Hospital Medan. This may be due to genetics and lifestyles that have a link to increase stroke risk factors in Bataknese. Bataknese has a characteristic lifestyle that are more eating, typical foods also contain lots of cholesterol, and have a habit of drinking traditional alcoholic beverages.Subjects and Method: This was a cross-sectional study selected by consecutive sampling tech­niques, clinically proven stroke patients and computed tomography (CT) scan studied at H. Adam Malik General Hospital Medan from June to November 2018. This study aimed to know the difference of stroke risk factor between stroke patient of Bataknese and non-Bataknese.Results: This study recruited 70 samples consisting of 45 Bataknese and 25 non-Bataknese. There were no significant differences in risk factors for hypertension, dyslipidemia, heart disease, dia­betes mellitus, smoking, and obesity among stroke patients in the Bataknese and non-Bataknese. But the distribution of hypertension was higher in Bataknese (50%) compared non-Bataknese (30%) (PR=0.67, 95%CI= 0.19 to 2.40, p= o.755). Dislipidemia was higher in Bataknese (38.6%) compared non-Bataknese (18.6%) (PR=1.39, 95% CI= 0.52 to 3.71, p=0.692). Heart disease was higher in Bataknese (17.1%) compared non-Bataknese (8.6%) (PR=1.15, 95% CI= 0.37 to 3.57, p=1.000).  Diabetes mellitus was higher in Bataknese (17.1%) compared non-Bataknese (10%) (PR=1.10, 95% CI= 0.31 to 2.87, p=1.000). Smoke was higher in Bataknese (27.1%) compared non-Bataknese (14.3%)(PR= 1.59, 95% CI= 0.38 to 6.61, p=1.000). Obesity was higher in Bataknese (11.4%) compared non-Bataknese (4.3%) (PR=1.59, 95% CI= 0.38 to 6.61, p=0.735). There was significant differences in risk factors for alcohol consumption between stroke patients in the Bataknese and non-Bataknese, where alcohol consumption was higher in the Bataknese (15.7%) compared non-Bataknese (1.4%) (PR=7.77, 95% CI= 0.94 to 64.22, p=0.045).Conclusion: A significant difference in stroke risk factors between stroke patients in Bataknese and non-Bataknese was alcoholic consumption.Keywords: stroke, risk factor, Bataknese, Non-BatakneseCorespondence: Laura Panca Susila Tambunan. Neurology Resident, Department of Neurology, Faculty of Medicine, Universitas Sumatra Utara/H. Adam Malik General Hospital, Medan, North Sumatra, Indonesia. Email: oyamakmur@gmail.com. Mobile: 081361525456.Indonesian Journal of Medicine (2019), 4(2): 122-134https://doi.org/10.26911/theijmed.2019.04.02.06
HUBUNGAN DDIMER GULA DARAH DAN ASAM URAT DENGAN VOLUME INFARK DAN KELUARAN PADA STROKE ISKEMIK Maria Thessarina Sitepu, Darulkutni Nasution, Cut Aria Arina
NEURONA Vol 31 No. 4 September 2014
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION THERE ARE SOME FACTORS THAT CAN INFLUENCE THE OUTCOME OF ACUTE ISCHEMIC STROKE SUCH AS DDIMER LEVEL BLOOD GLUCOSE LEVEL AND URIC ACID LEVEL IT IS STILL CONTROVERSIAL WHETHER THESE FACTORS ACT AS A RISK FACTOR OR PROTECTIVE FACTOR
Correlation of ACE Gene Polymorphism and Hypertension in Stroke Ischemic Patients Chandra, Vincent Alexander; Siregar, Yahwardiah; Arina, Cut Aria
Sumatera Medical Journal Vol. 3 No. 1 (2020): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v3i1.3310

Abstract

Stroke is the third highest cerebrovascular disease in the world with high mortality and disability rate that is mostly dominated by ischemic stroke. Genetic factor that had been reported to have an indirect effect in increasing the incidence of ischemic stroke is ACE gene polymorphism. ACE gene polymorphism is characterized by the insertion marked by letter (I) or deletion marked by letter (D) on intron 16, chromosome 17. ACE gene polymorphism has drawn a lot of attention from scientists and had been reported to have an indirect effect in increasing the ischemic stroke incidence through pathogenesis of hypertension and atherosclerosis. In this study, 78 subjects of ischemic stroke consist of 43 subjects with hypertension and 35 subjects with normotension. I allele of ACE gene polymorphism was more dominant than D allele in hypertensive ischemic stroke patients (72.1% > 27,9%) and this dominance was also seen in the incidence of hypertension vs normotension (55.4% > 44.6%). However, the correlation of ACE gene polymorphism with the incidence of hypertension was not statistically significant when compared based on its genotype (p=0.280) and allele (p=0.948).
The Relationship between Smoking and The Incidence of Stroke at Haji Adam Malik General Hospital in 2018 Tazzya Shailla Elfazi; Cut Aria Arina
Sumatera Medical Journal Vol. 4 No. 3 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i3.6416

Abstract

Abstract. Stroke is a clinical sign that develops rapidly due to a disturbance of Focal (or global) brain function, with symptoms lasting for 24 hours or more, can lead to death, without any other cause than vascular. In Indonesia it is estimated that every year there are 500,000 inhabitants affected by stroke. One of the risk factors of stroke is the unhealthy lifestyle, such as smoking. The harmful content contained in cigarettes can become oxidizing substances in the blood so that there is damage to the artery walls and will be the location of fat-saving, platelet cells, cholesterol, and the thickening of the smooth muscle layers of the artery walls resulting in an aterotrombotic. This is what can cause a stroke. Goal. To know the relationship between smoking and the incidence of stroke in RSUP Haji Adam Malik Medan in 2018. Method. This type of research is analytic research with cross-sectional design. The data used in this research is secondary data that is data of the medical record of ischemic stroke patients and hemorrhagic stroke patients years 2018 obtained from RSUP Haji Adam Malik Medan medical record installation. The research method used is non-randomized consecutive sampling, with a side-total technique. The Data obtained is subsequently processed by computerization. Results. The hypothesis testing was conducted using a Chi-square test at a signification level of p < 0.05 and obtained a P value of 0.000 and also prevelence ratio > 1 with a value of 1.7418. Conclusion. There is a significant relationship between smoking and the incidence of stroke, especially in the event of ischemic stroke in RSUP Haji Adam Malik Medan in 2018.
Co-Authors Chandra, Vincent Alexander Sjahrir, Hasan Tambunan, Laura Panca Susila Tazzya Shailla Elfazi Yahwardiah Siregar