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Lampiran
Lampiran 1. Formulir Penelitian
Kadar Asam Urat dan Laju Filtrasi Glomerulus sebagai Faktor Prediktor Major Adverse Cardiac Events
Pada Pasien Sindrom Koroner Akut
Data dasar
Nama Lengkap Rekam Medis Usia
Jenis Kelamin
Diagnosis UAP / NSTEMI / STEMI
Pemeriksaan Laboratorium
Anemia Ya/Tidak
Leukositosis Ya/Tidak
MACE
Ya / Tidak
Jenis MACE Kematian / Infark Miokard berulang /
Revaskularisasi ulang / Stroke
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