The Influence of Diabetes and Dyslipidemia on Coronary Heart Disease Survival and Mortality at H. Adam Malik General Hospital, Medan

Coronary heart disease (CHD) is one of the cardiovascular diseases and the main cause of death throughout the world. Based on WHO data, CHD is the first cause of death worldwide from 2000 to 2019. CHD is the second biggest cause of death in Indonesia (Age-standardised years of life lost (YLL) rate 2735 per 100,000 population). The average death rate due to CHD in North Sumatra exceeds the national average (Age-standardised years of life lost (YLL) rate of 3014 per 100,000 population). The aim of this study is to determine the effect of diabetes and dyslipidemia on survival and death in people with CHD. The study used a prospective cohort design with a sample size of 87 people. This research was conducted at the Haji Adam Malik Hospital in Medan from May to December 2023. The study population were all hospitalized patients of CHD at the H. Adam Malik Hospital Medan during the period research time. The research sample was a research population that met the inclusion and exclusion criteria. Data analysis used SPSS with Poisson and Cox regression tests. The results showed that dyslipidemia (p=0.035) and diabetes (p=0.016) had a significant effect on coronary heart disease mortality. Cox regression analysis showed that diabetes (p=0.032; HR 5,519; 95% CI=1.160–26.260) has a significant effect on differences in survival from coronary heart disease. The public is expected to control diabetes and lipid levels to reduce deaths due to CHD. Keywords: Coronary Heart Disease Survival, Dyslipidemia, Diabetes.