pISSN 1978-2071 | eISSN 2580-5967
Jurnal Ilmiah Kedokteran Wijaya Kusuma 13(1): 63-69, March 2024
63 | Page
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ARTICLE INFO
AUTHOR’S AFFILIATIONS
Internal Medicine
Department, Faculty of
Medicine Sultan Agung Islamic
University – Sultan Agung
Islamic Teaching Hospital,
Semarang Indonesia
1
Research Assistant, Division of
Respirology and Critical Illness,
Department of Internal Medicine
Faculty of Medicine Universitas
Indonesia – Cipto
Mangunkusumo General
Hospital, Jakarta, Indonesia
2
CORRESPONDING AUTHOR
Muhammad Rizki Triono
Research Assistant Division of
Respirology and Critical Illness,
Department of Internal
Medicine
Faculty of Medicine Universitas
Indonesia – Cipto
Mangunkusumo General
Hospital, Jakarta, Indonesia
E-mail:
m.rizkitriono@gmail.com
Article history
Received 23-01-2024
Revised 26-01-2024
Accepted 22-03-2024
Available online
Please cite this article in APA 7
th
edition style as:
Abduh, M. S., Triono, M. R.,
Widyastuti, R. (2024). Role of
Anemia and Leukocytosis as
Severity Predictors of Coronary
Artery Disease Stenosis : A
Retrospective Cross-sectional
Study. Jurnal Ilmiah Kedokteran
Wijaya kusuma, 13(1), XX-XXX
https://doi.org/10.30742/jikw.v1
3i1.3555
Role of Anemia and Leukocytosis as Severity
Predictors of Coronary Artery Disease Stenosis: A
Retrospective Cross-sectional Study
M Saugi Abduh
1
, Muhammad Rizki Triono
2*
, Retno
Widyastuti
1
Abstract
Background: Anemia and leukocytosis were found to be
associated with conditions that higher the risk for the
formation of atherosclerotic plaque which will develop into
cardiovascular disease. Basic laboratory parameters such as
anemia and leukocytosis are not routinely used to assess
Coronary Artery Disease (CAD) severity based on its stenosis.
This study aimed to analyze the role of simple laboratory
examiantion anemia and leukocytosis as predictors of the
severity of stenosis in CAD. Methods: Cross-sectional
approach was used in this study. Secondary data on CAD
patients treated at Sultan Agung Islamic Hospital Semarang in
2022 were analyzed. Anemia and leukocytosis are the main
risk factors analyzed in this study. Other risk factors such as
gender, age, smoking status, hypertension and diabetes
mellitus (DM) were also included in the analysis of this study.
We performed bivariate analysis and multivariate analysis to
see the relationship between these risk factors and the CAD
stenosis severity. Results: Bivariate analysis with chi-square
showed that anemia had a significant relationship with CAD
severity (P<0.05). Multivariate analysis between anemia and
smoking status reported that anemia was the most significant
risk factor for the CAD stenosis severity (P<0.05). Conclusion:
No association found between leukocytosis and CAD severity.
Keywords: anemia, severity, coronary artery disease,
immunity, leukocytosis, stenosis
Original Research Article
INTRODUCTION
Coronary Artery Disease (CAD) is a condition of an imbalance between the need for blood and oxygen
delivered to the myocardium, resulting in a lack of supply to the myocardium (Cassar et al., 2009). This
imbalance is caused by plaque blocking blood flow in the coronary arteries, which ultimately causes
dysregulation of the supply and demand of oxygen throughout the body (Shahjehan, 2022). This