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Coronary Heart Disease (CHD) is one of the leading causes of death globally with a mortality rate of nearly 17.5 million annually. Smoking accounts for 33% and hypertension accounts for 31% of all deaths from cardiovascular disease. Smoking and hypertension are major risk factors for CHD, which are a serious problem that needs to be addressed in Indonesia and the world. The purpose of this study was to determine the greater risk of smoking and hypertension with the incidence of coronary heart disease in Indonesia. The study used a retrospective cohort design. The data used are secondary data from the Indonesian Family Life Survey (IFLS-4 and IFLS-5 data for 2007-2014) with a total sample of 19,486 population respondents aged ≥18 years. Data analysis with cox regression and the amount of risk is expressed in risk ratio (RR) with a confidence interval (CI) of 95%. Data analysis using data processing software. The results of multivariate analysis after being controlled by sex and DM history showed that smoking individually was not related to CHD in Indonesia in 2007-2014 with a value (RR 1.08; 95% CI = 0.70- 1.67). Hypertension individually increases CHD risk (RR 1.19; 95% CI = 0.92-1.53). Smoking and hypertension together increase the risk of CHD compared to people who don't smoke and don't have hypertension in Indonesia in 2007-2014 (RR 1.66; 95% CI = 1.11-2.48) meaning that respondents who smoke and hypertension are at risk of experiencing CHD 1.66 times (95% CI; 1.11-2.48) compared to nonsmokers and those without hypertension.
Indonesia has a serious burden of cardiovascular disease, especially CHD. In Southeast Asia, Indonesia has the highest death rate from heart disease. The prevalence of CHD based on doctor's diagnosis did not increase, however, based on the Riskesdas 2013-2018, there was an increase in the prevalence of CHD risk factors. Several risk factors for CHD that occur together cause metabolic syndrome, the prevalence is quite high in Indonesia and increases the risk of CHD. The purpose of this study was to determine the risk of metabolic syndrome on the incidence of CHD in Indonesia. This retrospective cohort study, was followed up with a median of 6.8 years, secondary data from IFLS4 in 2007 and IFLS5 in 2014, population study 6,571 respondents, aged 40-69 years. The results of the study found that the prevalence of metabolic syndrome was 20%, based on the Joint Interim Statement criteria. New cases of CHD are 2.72%, with an incidence rate of 34 CHD per 100,000 person years. Multivariate analysis with cox regression test found HR 2.16 (95% CI 1.564-2.985), that someone with metabolic syndrome had a twice higher risk of developing CHD after adjusting gender, age, smoking status, and physical activity
