2014, Number 3
Clinical epidemiological characterization of patients with Acute Coronary Syndrome. Integral Diagnostic Center ¨La Chamarreta¨, Maracaibo, Zulia. 2009- 2010
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Language: Spanish
References: 19
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ABSTRACT
It was performed a longitudinal prospective observational study in patients with Acute Coronary Syndrome (ACS) hospitalized in the Integral Diagnostic Center (IDC) La Chamarreta, Maracaibo, Zulia State in the Bolivarian Republic of Venezuela, since May 1st, 2009 until December 31st , 2010 with the aim to determine the behaviour of some clinical epidemiological variables in patients with ACS. The universe was constituted by 256 patients and the sample was about 94 patients whose reason to come to the hospital was the ACS within the reported period. In the IDC La Chamarreta, the ACS is the first cause for hospitalization, followed by hypertension and diabetes mellitus (DM). The masculine sex was the most affected and the age group of 45 to 54 years prevailed. The most frequent risk factor was the smoking habit, preceded by hypertension and diabetes mellitus. The greater percentage of the patients came to the IDC between the 61 and 360 minutes after having the symptoms. The most frequent way of electrocardiography presentation was the ACS with supra uneven of the ST segment. The mostly used drugs were the aspirin, the nitro glycerine and the inhibitors of the conversion enzyme of the angiotensin. The greatest percent of patients were thrombolized in the second hour after the symptoms begun. The most frequent reactions of the thrombolysis with streptokinase were the hypotension and the vomits.REFERENCES
The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2011; 32 (23):2999–3054.
Grupo de Trabajo para el manejo del síndrome coronario agudo (SCA) en pacientes sin elevación persistente del segmento ST de la Sociedad Europea de Cardiología (ESC). Guía de práctica clínica de la ESC para el manejo del síndrome coronario agudo en pacientes sin elevación persistente del segmento ST. Rev Esp Cardiol. 2012; 65(2):173.e1-e55.
Grupo de Trabajo para el manejo del infarto agudo de miocardio con elevación del segmento ST de la Sociedad Europea de Cardiología (ESC). Guía de práctica clínica de la ESC para el manejo del infarto agudo de miocardio en pacientes con elevación del segmento ST. Rev Esp Cardiol. 2013; 66(1):53.e1-e46.
Rodríguez Domínguez L, Herrera Gómez V, Dorta Morejón E. Algunos factores de riesgo que favorecen la aparición del infarto agudo de miocardio. Rev Cubana Med Gen Integr. [Internet]. 1998 [citado 22 Ago 2014]; 14(3):243-49.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_artt ext&pid=S0864- 21251998000300008&lng=es.
Rubiera Jiménez R, Lara Negret A, Ramos Torres NI, Palacio Pérez H,Vignier D. Síndrome coronario agudo. Caracterización clínico-epidemiológica. A propósito de nuestro primer año. Rev Cub Med Inten Emerg. [Internet]. 2009 [citado 22 Ago 2014]; 8(3): 28-32. Disponible en: http://bvs.sld.cu/revistas/mie/vol8_3_09/mie07309.htm)
Velázquez Monroy Ó, Barinagarrementería Aldatz FS, Rubio Guerra AF, Verdejo J, Méndez Bello M Á, Violante R, et al. Morbilidad y mortalidad de la enfermedad isquémica del corazón y cerebrovascular en México. 2005. Arch. Cardiol. Méx. Internet]. 2007 Mar [citado 21 Ago 2014]; 77(1): 31-39. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S 1405-99402007000100005&lng=es.