Infark Miokard di Indonesia: Tinjauan Literatur Terbaru terhadap Faktor Risiko, Karakteristik Klinis, Manajemen Keperawatan, dan Prediktor Prognostik

Lutfillah Asshidiq; Wisudawan Wisudawan; Theo Deus

doi:10.55606/jurrike.v4i3.6653

Authors

Lutfillah Asshidiq Universitas Muslim Indonesia
Wisudawan Wisudawan Universitas Muslim Indonesia
Theo Deus Universitas Muslim Indonesia

DOI:

https://doi.org/10.55606/jurrike.v4i3.6653

Keywords:

Myocardial Infarction, Nursing, Prognosis, Relaxation, Risk Factors

Abstract

Acute myocardial infarction is a leading cause of death both in Indonesia and globally, with incidence rates remaining quite high. This disease is closely associated with various modifiable risk factors, including hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking. Various literature reviews confirm that patients with myocardial infarction often have complex clinical conditions, especially when comorbidities worsen the prognosis and increase the burden on healthcare services. This study reviews the latest national literature on risk factors, clinical profiles, nursing management, prognostic predictors, and non-pharmacological interventions such as relaxation techniques. The analysis demonstrates the need for a comprehensive and integrative approach to the management of myocardial infarction patients. This includes early detection using clinical risk scores, intensive nursing interventions in severe cases such as Killip III NSTEMI, and the use of simple prognostic tools that are easily implemented in healthcare facilities. A supportive approach also plays a crucial role in improving patient comfort and adherence to therapy. The integration of these strategies is expected to improve clinical outcomes, reduce morbidity and mortality, and enhance patients' overall quality of life. This study emphasizes the importance of updating local evidence-based clinical practices tailored to the needs of the Indonesian healthcare system, so that the management of myocardial infarction does not only focus on medical therapy, but also on aspects of prevention, non-pharmacological interventions, and ongoing care.

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References

Amelia, D. (2025). Gambaran faktor risiko dan karakteristik klinis pasien infark miokard akut. Universitas Diponegoro.

Amrullah, S., Rosjidi, C. H., Dhesa, D. B., Wurjatmiko, A. T., & Hasrima, H. (2022). Faktor resiko penyakit infark miokard akut di rumah sakit umum Dewi Sartika kota Kendari. Jurnal Ilmiah Karya Kesehatan, 2(2), 21–29.

Anggraini, P. (2025). Manajemen keracunan pada pasien NSTEMI Killip III: Sebuah studi kasus. Jurnal Ners Lentera, 1, 45–56.

Arifani, N. S., & Kusmaryani, R. E. (2021). Intensi turnover pada perusahaan perhotelan: Sebuah kajian beban kerja sebagai determinan. Acta Psychologia, 3(1), 60–68. https://doi.org/10.21831/ap.v3i1.36044

Astri Amriani, E., Nurhikmawati, N., & Maricar, F. (2024). Karakteristik infark miokard akut pada usia muda. Prepotif: Jurnal Kesehatan Masyarakat, 8(2), 2996–3005. https://doi.org/10.31004/prepotif.v8i2.30186

Barangkau, B., Salsabila, A., Darwis, N., & Yammar, Y. (2023). Faktor risiko kejadian infark miokard akut di RSUD Lamaddukelleng. Innovative: Journal of Social Science Research, 3(5), 3124–3131.

Bergmark, B. A., Mathenge, N., Merlini, P. A., Lawrence-Wright, M. B., & Giugliano, R. P. (2022). Acute coronary syndromes. The Lancet, 399(10332), 1347–1358. https://doi.org/10.1016/S0140-6736(21)02391-6

Herawati, W., & Sudibyo, J. (2023). Karakteristik pasien NSTEMI (Non ST Segment Elevation Myocardial Infarction) dan UAP (Unstable Angina Pectoris) yang dirawat inap di RS PKU Muhammadiyah Gamping periode 1 Januari 2018–31 Desember 2020. Jurnal Kefarmasian Akfarindo, 8(2), 98–106. https://doi.org/10.37089/jofar.v8i2.209

Ibrahim, S. A., Moonti, F., & Simbala, F. (2020). Analisis hubungan kepatuhan mengontrol faktor risiko kardiovaskuler dengan kejadian infark miokard akut rekuren. Jambura Nursing Journal, 2(1), 112–123. https://doi.org/10.37311/jnj.v2i1.4480

Lutfiah, Aqilla, & Mustika, A. (2025). Prevalensi dan profil penderita sindroma koroner akut dengan ST segmen elevasi (STEMI) di Rumah Sakit Umum Daerah dr. Fauziah Bireuen tahun 2022–2023. Protein: Jurnal Ilmu Keperawatan dan Kebidanan, 3(3), 313–324.

Putri, D. N., Huriani, E., & Afriyanti, E. (2019). Fatigue dan aktivitas fisik pada pasien pasca infark miokard. NERS Jurnal Keperawatan, 14(2), 64–70. https://doi.org/10.25077/njk.14.2.45-52.2018

Salsabila, A. (2025). Validasi skor risiko EZ-CVD pada pasien sindrom koroner akut non-ST elevasi di RS Immanuel Bandung. Jurnal Keperawatan dan Sains Kardiovaskular, 4(2), 112–120. https://doi.org/10.24198/jcns.v4i2.45001

Suhestin, C. W., Mappahya, A. A., Nurhikmawati, N., Wisudawan, W., & Safitri, A. (2024). Faktor risiko kejadian infark miokard akut dengan elevasi segmen ST di Rumah Sakit Ibnu Sina Makassar tahun 2022. Jurnal Pendidikan Tambusai, 8(2), 17361–17370.

Wibawa, N. A. K., & Rahadiyan, T. (2023). Akurasi simplified clinical electrocardiogram score sebagai prediktor rehospitalisasi dan mortalitas pasien infark miokard akut yang dirawat di RSUD Raden Mattaher Provinsi Jambi periode 2019–2021. Scientific of Environmental Health and Diseases (e-SEHAD), 4(1), 31–36. https://doi.org/10.22437/esehad.v4i1.29335

Yulianti, Noneng, Rosidawati, I., Hidayat, N., & Afifah, U. (2025). Efektivitas teknik relaksasi Benson terhadap penurunan nyeri pada pasien akut miokard infark: Literature review. Tasikmalaya Nursing Journal, 3(1), 18–25.