• Talitha Syifa Laili Universitas Pembangunan Nasional Veteran Jakarta
  • Wiwin Winarti Universitas Pembangunan Nasional Veteran Jakarta
Keywords: Myocardial infarction, Non-PCI, Survival, Cardiogenic shock


Background: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings. Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia. Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status. Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality. Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.  


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Afana, M., Koenig, G. C., Seth, M., Sukul, D., Frazier, K. M., Fielding, S., … Gurm, H. S. (2020). Trends and outcomes of non-primary PCI at sites without cardiac surgery on-site: The early Michigan experience. PLoS ONE, 15(8 August), 1–15. DOI:

Aggarwal, N. R., Patel, H. N., Mehta, L. S., Sanghani, R. M., Lundberg, G. P., Lewis, S. J., … Mieres, J. H. (2018). Sex Differences in Ischemic Heart Disease: Advances, Obstacles, and Next Steps. Circulation: Cardiovascular Quality and Outcomes, 11(2), 1–14. DOI:

Alencar Neto, J. N. de. (2018). Morphine, Oxygen, Nitrates, and Mortality Reducing Pharmacological Treatment for Acute Coronary Syndrome: An Evidence-based Review. Cureus, 10(1), 1–13. DOI:

Alhabib, K. F., Kinsara, A. J., Alghamdi, S., Al-Murayeh, M., Hussein, G. A., AlSaif, S., … AlHarbi, I. A. (2019). The first survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and long-term outcomes (STARS-1 Program). PLoS ONE, 14(5), 1–20. DOI:

Banks, E., Joshy, G., Korda, R. J., Stavreski, B., Soga, K., Egger, S., … Lopez, A. D. (2019). Tobacco smoking and risk of 36 cardiovascular disease subtypes: Fatal and non-fatal outcomes in a large prospective Australian study. BMC Medicine, 17(1), 1–18. DOI:

British Heart Foundation. (2022). UK Factsheet. British Heart Foundation, (August), 1–21. Retrieved from

Chen, S., Huang, Z., Chen, L., Zhao, X., Kang, Y., Lai, W., … Chen, J. (2021). Does Diabetes Mellitus Increase the Short- and Long-Term Mortality in Patients With Critical Acute Myocardial Infarction? Results From American MIMIC-III and Chinese CIN Cohorts. Frontiers in Endocrinology, 12(797049), 1–8. DOI:

Degano, I. R., Subirana, I., Fusco, D., Tavazzi, L., Kirchberger, I., Farmakis, D., … Marrugat, J. (2017). Percutaneous coronary intervention reduces mortality in myocardial infarction patients with comorbidities: Implications for elderly patients with diabetes or kidney disease. International Journal of Cardiology, 249, 83–89. DOI:

Dharma, S., Andriantoro, H., Purnawan, I., Dakota, I., Basalamah, F., Hartono, B., … Rao, S. V. (2016). Characteristics, treatment and in-hospital outcomes of patients with STEMI in a metropolitan area of a developing country: an initial report of the extended Jakarta Acute Coronary Syndrome registry. BMJ Open, 6(8), 1–10. DOI:

Dharmarajan, K., McNamara, R. L., Wang, Y., Masoudi, F. A., Ross, J. S., Spatz, E. E., … Curtis, J. P. (2017). Age differences in hospital mortality for acute myocardial infarction: Implications for hospital profiling. Annals of Internal Medicine, 167(8), 555–564. DOI:

Duckworth, R. (2020). Nitroglycerin: Major actions and misconceptions. Retrieved June 17, 2023, from effects and indications of nitroglycerin&text=For EMS providers%2C typical nitroglycerin,as pulmonary edema with

Gawinski, L., Burzynska, M., Marczak, M., & Kozlowski, R. (2023). Assessment of In-Hospital Mortality and Its Risk Factors in Patients with Myocardial Infarction Considering the Logistical Aspects of the Treatment Process-A Single-Center, Retrospective, Observational Study. International Journal of Environmental Research and Public Health, 20(4), 1–20. DOI:

Hashmi, K. A., Abbas, K., Hashmi, A. A., Irfan, M., Edhi, M. M., Ali, N., & Khan, A. (2018). In-hospital mortality of patients with cardiogenic shock after acute myocardial infarction; Impact of early revascularization. BMC Research Notes, 11(1), 1–5. DOI:

Kochar, A., Chen, A. Y., Sharma, P. P., Pagidipati, N. J., Fonarow, G. C., Cowper, P. A., … Wang, T. Y. (2018). Long-term mortality of older patients with acute myocardial infarction treated in US clinical practice. Journal of the American Heart Association, 7(13). DOI:

Medina, M. S., Cortés, D. R. G., Siscar, J. L. P., & Fernández, A. R. R. (2018). Predictive Factors of Mortality in Acute Myocardial Infarction. CorSalud, 10(3), 202–210.

Mozaffarian, S., Etemad, K., Aghaali, M., Khodakarim, S., Ghorbani, S. S., & Nazari, S. S. H. (2021). Short and long-term survival rates following myocardial infarction and its predictive factors: A study using national registry data. Journal of Tehran University Heart Center, 16(2), 68–74. DOI:

Pramudyo, M., Yahya, A. F., Martanto, E., Tiksnadi, B. B., Karwiky, G., Rafidhinar, R., & Putri, G. N. I. (2022). Predictors of In-Hospital Mortality in Patients with Acute Coronary Syndrome in Hasan Sadikin Hospital, Bandung, Indonesia: A Retrospective Cohort Study. Acta Medica Indonesiana, 54(3), 379–388.

Rafi, A., Sayeed, Z., Sultana, P., Aik, S., & Hossain, G. (2020). Pre-hospital delay in patients with myocardial infarction: An observational study in a tertiary care hospital of northern Bangladesh. BMC Health Services Research, 20(1), 1–12. DOI:

Shah, A. H., Puri, R., & Kalra, A. (2019). Management of cardiogenic shock complicating acute myocardial infarction: A review. Clinical Cardiology, 42(4), 484–493. DOI:

Subahi, A., Abdullah, A., Yassin, A. S., Abubakar, H., Abugroun, A., Eigbire, G., … Mohamad, T. (2018). Impact and Outcomes of Patients with Congestive Heart Failure Complicating Non-ST-Segment Elevation Myocardial Infarction,Results from a Nationally-Representative United States Cohort. Cardiovascular Revascularization Medicine, 20(8), 659–662. DOI:

Takagi, K., Tanaka, A., Yoshioka, N., Morita, Y., Yoshida, R., Kanzaki, Y., … Murohara, T. (2021). In-hospital mortality among consecutive patients with ST-Elevation myocardial infarction in modern primary percutaneous intervention era ~ Insights from 15-year data of single-center hospital-based registry ~. PLoS ONE, 16(6), e0252503. DOI:

Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Alonso, A., Beaton, A. Z., Bittencourt, M. S., … Martin, S. S. (2022). Heart Disease and Stroke Statistics-2022 Update: A Report from the American Heart Association. Circulation, 145(8), E153–E639. DOI:

Wasyanto, T., & Tridamayanti, A. (2019). Blood Urea Nitrogen as a Predictor of In-Hospital Mortality in Acute Coronary Syndrome Patients. Indonesian Journal of Medicine, 4(3), 241–251. DOI:

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