CARDIAC CACHEXIA AND CLINICAL OUTCOME OF CHRONIC HEART FAILURE DUE TO RHEUMATIC HEART DISEASE

Background: Rheumatic Heart Disease (RHD) is still a significant cause of cardiovascular morbidity and death in developing countries like Indonesia. However, despite being one the most preventable chronic diseases, RHD receives less attention, especially Southeast Asia. PJR that not treated immediately can develop into heart failure. When failure has entered stage congestive failure, there activation complex network metabolic, immune, characteristic neurohormonal factors result cachexia. Cachexia be an indicator decreased survival patients with due to RHD. Objective: To determine relationship between cachexia clinical outcomes at RSUD Dr. Soetomo. Methods: This study was analytic observational using retrospective cohort design. Data were collected by taking secondary data form patient medical records. There 106 who taken non-probability sampling technique. Correlation determined Mann-Whitney test Chi-square test. Result: A total consisted 53 people without cachexia, represented both groups dominated female (57.6%), largest age range late adulthood (36-45 years) (32.1%). Education level mostly came from schools 71 (66.9%) groups. The common type valve lesion mitral stenosis (53.7%). frequency hospitalization more frequent average 1.25 times compared 1.02 times. Mortality higher as many 7 per (0.13%) 3 (0.06%). With chi-square tests, it found had no effect on (p=0.453) mortality (p=0.319). Conclusion: Clinical are