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ISSN 0188-2198 (Impreso)

2001, Número 2

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Rev Mex Cardiol 2001; 12 (2)


Diferencias y resultados de revascularización coronaria percutánea en mujeres y hombres

Reyes-Cisneros FA, Farell-Campa J, Abundes-Velasco A, Palomo-Villada JA, Montoya-Guerrero AS, Necoechea AJC, Ledesma-Velasco M

Idioma: Español
Referencias bibliográficas: 39
Paginas: 71-76
Archivo PDF: 161.21 Kb.


RESUMEN

Existe controversia en los resultados inmediatos y tardíos de los procedimientos de revascularización coronaria percutánea (RCP) en las mujeres, mencionando una serie de condicionantes adversos para pobres resultados. El objetivo del presente estudio fue analizar los resultados inmediatos y tardíos de procedimientos contemporáneos de RCP entre hombres y mujeres en nuestro servicio. Material y métodos: De febrero de 1995 a febrero de 1999 se analizaron retrospectivamente 1,027 pacientes consecutivos sometidos a RCP, 240 (23.4%) mujeres y 787 (76.6%) hombres. Resultados: Se realizó angioplastia coronaria convencional (ACTP) en 541 pacientes (132 mujeres y 409 hombres) y colocación de stents en 486 pacientes (108 mujeres y 378 hombres). La hipertensión arterial y la diabetes mellitus fueron más frecuentes en las mujeres (58.3% vs 40.2%, p‹ 0.05 y 33.8% vs 22.1%, p= 0.04 respectivamente). El éxito clínico fue similar en ambos sexos (mujeres 83.8% vs hombres 86.0%), con una mortalidad intrahospitalaria de 5.8% y 2.4% respectivamente (p= NS). El seguimiento fue posible en el 95.8% de los pacientes con un promedio de 26 meses (rango de 6 a 46). La sobrevida libre de eventos a los 24 meses fue semejante para ambos sexos (mujeres 88.1% vs hombres 88.8%, p= NS). No se observaron diferencias en reintervención posterior. Conclusiones: A pesar del mayor perfil de riesgo coronario de las mujeres; los resultados inmediatos y a mediano plazo son favorables y similares a los del hombre.


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