DESCRIPTION OF LOW DENSITY LIPOPROTEIN (LDL) LEVELS AND FASTING COMPLIANCE IN OUTPATIENT CARDIAC PATIENTS AT RSU PRIMA MEDIKA DENPASAR IN THE MONTHS OF FEBRUARY TO MARCH 2025
DOI:
https://doi.org/10.62567/micjo.v2i3.938Keywords:
Low Density Lipoprotein, Fasting, Cardiac patientsAbstract
Cardiovascular disease remains a leading cause of death both globally and nationally, with Low Density Lipoprotein(LDL) levels serving as a key biochemical indicator in the screening and management of heart disease. Accurate LDL testing requires adherence to pre-analytical procedures, particularly fasting for 10-12 hours. This study aimed to describe LDL levels and fasting compliance among outpatient cardiac patients at RSU Prima Medika Denpasar. A descriptive cross-sectional design was used with purposive sampling, involving 35 cardiac outpatients from February to March 2025. Data were collected through interviews and laboratory examinations using the Furuno CA-270 device. Results showed that 71% of respondents had LDL levels >100 mg/dL, indicating high levels, while 29% hadnormal levels (<100 mg/dL). All respondents (100%) complied with the fasting requirement. These findings indicate that high LDL levels are still commonly found among outpatient cardiac patients, particularly in productive-age males. The high level of fasting compliance reflects the effectiveness of pre-analytical patient education. This study emphasizes the importance of routine lipid screening and continuous education to enhance laboratory diagnostic accuracy and prevent cardiovascular complications.
Downloads
References
Abdillah, A. M. H. (2021). Persentase Pencapaian Target K-LDL Pada Pasien Rawat Jalan Penyakit Jantung Di Pusat Jantung Terpadu RSUP. Dr. Wahidin Sudirohusodo Tahun 2019 [Universitas Hasanuddin]. https://repository.unhas.ac.id/id/eprint/11910/2/C011181050_skripsi.pdf 1-2.pdf
Anies. (2017). Kolesterol & Penyakit Jantung Koroner. Ar-Ruzz Media.
Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., Leeuwenburgh, C., & Mattson, M. P. (2018). Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting. Obesity, 26(2), 254–268. https://doi.org/10.1002/oby.22065
Aswara, H., Efendi, H., & Bestari, R. (2022). Perbandingan Kadar Low Density Lipoprotein Pada Penderita Penyakit Jantung Koroner Dengan Penderita Non-Penyakit Jantung Koroner. Jurnal Kedokteran Ibnu Nafis, 11(1), 22–30. https://doi.org/10.30743/jkin.v11i1.360
Djasang, S. (2019). Analisis Hasil Pemeriksaan Kadar Low-Density Lipoprotein (LDL-Chol) Metode Direk Dan Indirek. Jurnal Media Analis Kesehatan, 8(2), 43. https://doi.org/10.32382/mak.v8i2.846
Fahreza, F., Hasni, D., Vani, A. T., & Jelmila, S. N. (2020). Gambaran Kadar Total Kolesterol Pada Pasien Prolanis Yang Mendapat Terapi Simvastatin Di Puskesmas Air Dingin 2018. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara, 19(2), 53–62. https://doi.org/10.30743/ibnusina.v19i2.37
Ference, B. A., Ginsberg, H. N., Graham, I., Ray, K. K., Packard, C. J., Bruckert, E., Hegele, R. A., Krauss, R. M., Raal, F. J., Schunkert, H., Watts, G. F., Borén, J., Fazio, S., Horton, J. D., Masana, L., Nicholls, S. J., Nordestgaard, B. G., van de Sluis, B., Taskinen, M.-R., … Catapano, A. L. (2017). Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel. European Heart Journal, 38(32), 2459–2472. https://doi.org/10.1093/eurheartj/ehx144
Guyton, A. C., & Hall, J. E. (2017). Textbook of Medical Physiology (13th ed.). Elsevier.
Harris, E. (2024). Study Examines Intermittent Fasting and Cardiovascular Mortality. JAMA, 331(17), 1440. https://doi.org/10.1001/jama.2024.5158
Isman, T. Bin, Makmun, A., Ningsih, I. W., Mukhtar, S., & Murfat, Z. (2024). Pengaruh Puasa Terhadap Kadar Kolesterol Pada Hewan Mencit (Mus Musculus) Hiperkolesterolemia. MAHESA : Malahayati Health Student Journal, 4(5), 2036–2047. https://doi.org/10.33024/mahesa.v4i5.14574
Krismaya, D. L. A. (2021). Gambaran Kadar Kolesterol Pasien Penyakitjantung Koroner Di Rumah Sakit Umum Daerah Klungkung Periode Januarisampai Desember 2020. Poltekkes Kemenkes Denpasar.
Lin, Q., Fu, Y., Zang, X., Liu, Q., & Liu, L. (2021). The Role of Fasting LDL-C Levels in Their Non-fasting Reduction in Patients With Coronary Heart Disease. Frontiers in Cardiovascular Medicine, 8. https://doi.org/10.3389/fcvm.2021.686234
Muhtaromin, F. A. (2021). Gambaran Pemeriksaan Kadar Kolesterol Total Keadaan Puasa Dan Tidak Puasa [Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Ciamis]. http://repository.stikesmucis.ac.id/id/eprint/108/
Naomi, W. S., Picauly, I., & Toy, S. M. (2021). Faktor Risiko Kejadian Penyakit Jantung Koroner. Media Kesehatan Masyarakat, 3(1), 99–107. https://doi.org/10.35508/mkm.v3i1.3622
Regitz-Zagrosek, V., Oertelt-Prigione, S., Prescott, E., Franconi, F., Gerdts, E., Foryst-Ludwig, A., Maas, A. H. E. M., Kautzky-Willer, A., Knappe-Wegner, D., Kintscher, U., Ladwig, K. H., Schenck-Gustafsson, K., & Stang, V. (2016). Gender in cardiovascular diseases: impact on clinical manifestations, management, and outcomes. European Heart Journal, 37(1), 24–34. https://doi.org/10.1093/eurheartj/ehv598
Salman, Y., & Norhasanah. (2018). Hubungan Indikator Obesitas Terhadap Kadar Total Kolesterol Dan Trigliserida Pasien Penyakit Jantung. Jurnal Kesehatan Indonesia, VIII(2), 46–50.
Sidhu, D., & Naugler, C. (2012). Fasting time and lipid levels in a community-based population: a cross-sectional study. Archives of Internal Medicine, 172(22), 1707–1710.
Welton, S., Minty, R., O’Driscoll, T., Willms, H., Poirier, D., Madden, S., & Kelly, L. (2020). Intermittent fasting and weight loss: Systematic review. Canadian Family Physician Medecin de Famille Canadien, 66(2), 117–125.
Winpenny, E., Miani, C., Pitchforth, E., Ball, S., Nolte, E., King, S., Greenhalgh, J., & Roland, M. (2016). Outpatient services and primary care: scoping review, substudies and international comparisons. Health Services and Delivery Research, 4(15), 1–290. https://doi.org/10.3310/hsdr04150
Zhang, P., Su, Q., Ye, X., Guan, P., Chen, C., Hang, Y., Dong, J., Xu, Z., & Hu, W. (2020). Trends in LDL-C and Non-HDL-C Levels with Age. Aging and Disease, 11(5), 1046. https://doi.org/10.14336/AD.2019.1025
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ni Putu Martiana Prawita Sari, Nyoman Sudarma, Didik Prasetya

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.