The Relationship Between Troponin I Levels and Mortality in Patients with Acute Myocardial Infarction at Gunung Jati General Hospital in Cirebon, 2023–2024
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The mortality rate of patients hospitalized due to Acute Coronary Syndrome (ACS) in Indonesia reached 32.3%, with Acute Myocardial Infarction (AMI) being one of the most fatal classifications. The cardiac troponin I test is the first-line standard for diagnosing AMI due to its high specificity and sensitivity. Troponin I not only reflects myocardial damage but also serves as a prognostic indicator for patient outcomes. This research aims to determine the relationship between troponin I levels and mortality in patients with Acute Myocardial Infarction at Gunung Jati Cirebon Hospital during the 2023–2024 period. This research employed a cross-sectional design using secondary data from medical records. A total sampling technique was applied, involving 240 patients who met the inclusion and exclusion criteria. Data were analyzed univariately and bivariately using the Spearman's rho correlation test. Troponin I levels had a median of 1.78 ng/mL (range: 0.03–10 ng/mL). The majority of patients were in the non-death category (207 patients; 86.25%). Bivariate analysis showed a significant relationship between troponin I levels and mortality (p = 0.009; p < 0.01) with a correlation coefficient (r) of 0.167, indicating that higher troponin I levels tend to be associated with increased mortality risk, although the correlation strength is weak. There is a significant correlation between troponin I levels and mortality in patients with Acute Myocardial Infarction, with weak correlation strength. Although the relationship is weak, these findings suggest that troponin I can still be used as one of the risk indicators for mortality in AMI patients.
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