Background: Atrial fibrillation (atrial fibrillation, AF) is supraventricular tachycardia with uncoordinated characteristics of atrial activation. The incidence of AF is increasing especially with increasing life expectancy. AF management is still a problem. Until now, there have been two basic intervention choices: restore and maintain a sinus rhythm or control the heart rate.

Purpose: To find out the relationship between symptomatic and asymptomatic atrial fibrillation and heart failure classification according to the New York Heart Association in the Tulip Room of the RSUD Dr. H. Abdul Moeloek Lampung Province in 2018

Methods: The sampling technique used in this study used accidental sampling technique. The research institute uses a medical record. Data analysis using univariate (average) and bivariate (t test).

Results: Most of the patients at the Tulip Room of the Regional General Hospital Dr. H. Abdul Moeloek Lampung Province in 2018 is a patient with New York Heart Association (NYHA) 2-4 heart failure, which is 33 people (89.2%). Most of them are in the Tulip Room of the Regional General Hospital Dr. H. Abdul Moeloek Lampung Province in 2018 is a patient with Atrial Fibrillation, which is as many as 30 people (81.1%). There is a relationship between symptomatic and asymptomatic atrial fibrillation with the classification of heart failure according to the New York Heart Association in the Tulip Room of the RSUD Dr. H. Abdul Moeloek Lampung Province in 2018 with p-value = 0.016 and OR = 2.046.

Conclusion: There is a relationship between symptomatic and asymptomatic atrial fibrillation and the classification of heart failure according to the New York Heart Association in the Tulip Room of the RSUD Dr. H. Abdul Moeloek Lampung Province in 2018.

Keywords: Atrial Fibrillation Symptomatic, Asymptomatic, Heart Failure

DAFTAR PUSTAKA

Afni. (2012). Studi Kasus Pasien dengan Atrial Fibrilasi. Diakses: http:/anissacindy.blogspot.co.id/2013/03/studi-kasus-pasien-dengan-atrial-fibrilasi

Alpert, Craig T. January, Samuel Wann. (2014). Guideline for The Management of Patients With Atrial Fibrilation. Diakses: http://circ.ahajournals.org/content/130/23/e199.

Ambarish Pandey, Curtiss Moore, Sunghee Kim. (2017). Predictors and Prognostic Implications of Incident Heart Failure in Patients With Prevalent Atrial Fibrilation. Diakses: http://heartfailure.onlinejacc.org/content/5/1/44.

Aprina. (2017). Riset Keperawatan. Universitas Malahayati: Bandar Lampung.

Bagian Rekam Medik RSUD dr. H. Abdul Moeloek Provinsi Lampung (2016). Laporan sepuluh Penyakit Terbanyak RSUD dr. H. Abdul Moeloek Provinsi Lampung.

Bagian Rekam Medik RSUD dr. H. Abdul Moeloek Provinsi Lampung (2017). Laporan sepuluh Penyakit Terbanyak RSUD dr. H. Abdul Moeloek Provinsi Lampung.

Brookes. (2008). Incorect Classification of Patients by The AHA/ACC Stages of Heart Failure. Diakses: http://www.medscape.com/viewarticle/490041#vp2.

Brunner &Suddarth. (2009). Keperawatan Medikal Bedah. Jakarta: EGC.

Burk C. (2015). Development and Validation of The Atrial Fibrilation Effect on Quality of Life (AFEQT). Diakses: http://www.ncbi.nlm.nih.gov/21160035.

Chugh. (2013). World Health Organization Study: Atrial Fibrilation is a Growing Global Health Concern. Diakses: http://www.cerdas-sinai.org/content/cedars-sinai.html.

Cutugno, Christine L. (2015). Atrial Fibrilation Updated management Guidelines and Nursing Implications. Diakses: http://journals.lww.com/ajnonline/fulltext/2015/050000/CE_Atrial_Fibrilation_Updated_Management.20.aspx.

Effendi. (2017). Tatalaksana Fibrilasi Atrium. Diakses: http://cdk,249 vol.44 no.2 th.2017.

Jagmeet P. Singh, Sunu s. Thomas. (2017). Atrial Fibrilation and Heart Failure Prevention. Diakses: http://heartfailure.onlinejacc.org/content/5/1/53.

Jhon Camm. (2010). Guidelines for The Management of Atrial Fibrilation : The Task for The Management of Atrial Fibrilation of The European Society of Cardiology. Diakses: http://academic,oup.com/eurhearthj/article-abstract/31/19/2369/442190.

Jhon Camm. (2015). European Hearth Rhythm Association score of atrial Fibrilation. Diakses: http://www. European Hearth Rhythm Association.ac.id.

Judith. (2012). Buku Saku Diagnosa Keperawatan: Diagnosis Nanda, Intervensi Nic, Kriteria Hasil Noc. Edisi 9. Jakarta: Buku Kedokteran EGC.

Kriswiastiny. (2014). Hubungan kadar glukosa darah puasa dan 2 jam postprandial pada pasien diabetes melitus tipe 2 dengan kejadian penyakit jantung koroner di rsud dr. H. Abdoel moeloek. Diakses: http://www.ejournal malahayati.ac.id.

Melly. (2017). Laporan Kasus Stroke Non Hemoragic di RS. Pertamina Bintang Amin. Diakses: http://www.laporankasusstroke.universitasmalahayati.ac.id.

Michalis Efremidis, Loukas Pappas. (2009). Atrial Fibrilation in Heart Patients ECR Journal. Diakses : http://www.ecrjournal.com/articles/atrial-fibrilation-heart-failure-patients.

Notoadmojo. (2008). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Nurarif, Kusuma. (2016). Asuhan Keperawatan Praktis : Berdasarkan Penerapan Diagnosa Nanda, Nic, Noc dalam Berbagai Kasus. Jilid 1. Jogjakarta: Mediaction Jogja.

Prima. (2016). Klasifikasi CCS untuk Angina Pektoris. Diakses: http://documents/klasifikasi-ccs-untuk-angina-pektoris-html.

Pusdatin. (2013). Prevalensi Gagal Jantung di Indonesia. Diakses: http://www.depkes.go.id.pusdatin.pdf.

Rapael (2008). Sistem klasifikasi Fungsional New York Health Association. Diakses: http://newyorkhealthassociationclasification.go.id.

Siswanto. (2015). Pedoman tata Laksana Gagal Jantung. Jakarta: Perhimpunan Dokter Spesialis Kardiovaskuler Indonesia.

Smeltzer S, Brenda G. (2013). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Vol 2. Jakarta: Buku Kedokteran EGC.

Syamsudin. (2011). Buku Ajar Farmakoterapi Kardiovaskuler dan Renal. Jakarta: Salemba Medik.

Trisnawati. (2015). Jurnal Hubungan Hipertensi dengan Kejadian Penyakit Gagal Jantung di RS Pertamina Bintang Amin. Diakses: http://www.ejournalmalahayati.ac.id.

Tumiwa. (2009). Journal Mengatasi Fibrilasi Atrium RVR dengan Bisoprolol. Diakses: http://jurnal biomedikvol.1

Yancy. (2013). Prevalensi Gagal Jjantung. Diakses: http:/yancy.blogspot.co.id/2013/03/prevalensi-gagal-jantung.

Yuniadi. (2014). Pedoman Tata Laksana Fibrilasi Atrium. Jakarta: Perhimpunan Dokter Spesialis Kardiovaskuler Indonesia.

Naziah, N., Nuraini, N., & Zainaro, M. A. (2018). PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA BOOKLET TENTANG PENCEGAHAN PRIMER & SEKUNDER TERHADAP PENGETAHUAN PASIEN CORONARY ARTERY DISEASE (CAD) DI KLINIK SEHAT NATURAL CILEDUG TANGERANG SELATAN TAHUN 2016. HOLISTIK JURNAL KESEHATAN, 12(1), 10-20.