Perbandingan antara Ketebalan Tunika Intima Media Arteri Karotis pada Tekanan Darah Sistolik dan Tekanan Darah Diastolik Remaja
DOI:
https://doi.org/10.35790/ykpfxd42Keywords:
remaja; tekanan darah sistolik; tekanan darah diastolik; ketebalan tunika intima media arteri karotisAbstract
Abstract: Cardiovascular disease encompasses various types of heart and blood vessel disorders. One of the major metabolic risk factors contributing to Disability-Adjusted Life Years (DALY) caused by cardiovascular disease is high blood pressure. Systolic and diastolic blood pressures each independently influence cardiovascular incidence in young adults. Thickening of the carotid intima-media layer, typically assessed in the common carotid artery, is associated with an increased risk of cardiovascular disease. This study aims to examine the differences between carotid artery intima-media thickness (CIMT) in relation to systolic and diastolic blood pressures among adolescents. This quantitative study employed an analytic observational design using a cross-sectional approach. Purposive sampling was used to select 82 students from the class of 2024 of medical degree program as participants. Instruments included CBC D60 Digital Power Doppler Ultrasonography and a digital sphygmomanometer. Data were analyzed using multiple linear regression tests. Analysis using multiple linear regression showed that systolic blood pressure (B=0.796) as an independent variable had a stronger influence on CIMT than diastolic blood pressure (B=-0.421). There is a difference in CIMT associated with systolic and diastolic blood pressures among adolescents.
Keywords: adolescents; systolic blood pressure; diastolic blood pressure; carotid artery intima-media thickness
Abstrak: Penyakit kardiovaskular (cardiovascular disease) merupakan keadaan yang mencakup berbagai jenis penyakit jantung dan pembuluh darah. Salah faktor risiko metabolik utama yang berkontribusi terhadap angka Disability-Adjusted Life Years (DALY) akibat penyakit kardiovaskular adalah tekanan darah yang tinggi. Tekanan darah sistolik dan diastolik masing-masing secara independen memengaruhi insidensi kardiovaskular pada orang dewasa muda. Penebalan lapisan intima-media karotis, yang umumnya dinilai pada arteri karotis komunis, berhubungan dengan risiko lebih tinggi terhadap penyakit kardiovaskular. Penelitian ini bertujuan untuk mengetahui perbedaan antara ketebalan tunika intima media arteri karotis dengan tekanan darah sistolik dan diastolik pada remaja. Jenis penelitian ini merupakan penelitian kuantitatif dengan rancangan observasional analitik dengan desain penelitian cross-sectional. Teknik pengambilan sampel yakni purposive sampling. Sampel dalam penelitian ini adalah 82 orang mahasiswa program studi pendidikan dokter angkatan 2024. Instrumen yang digunakan yaitu Ultrasonografi (USG) tipe CBC D60 Digital Power Doppler dan tensimeter digital. Data dianalisis dengan menggunakan uji regresi linear berganda. Analisis menunjukkan pada uji regresi linear berganda tekanan darah sistolik (B=0,796) sebagai variabel independen lebih berpengaruh dibandingkan tekanan darah diastolik (B=-0,421) terhadap ketebalan tunika intima media arteri karotis. Simpulan penelitian ini ialah terdapat perbedaan antara ketebalan tunika intima media arteri karotis pada tekanan darah sistolik dan diastolik remaja.
Kata kunci: remaja; tekanan darah sistolik; tekanan darah diastolik; ketebalan tunika intima media arteri karotis
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