2019, Number 3
<< Back Next >>
AMC 2019; 23 (3)
Acute myocardial infarction in women admitted to the Cardiology service of the 'JoaquínAlbarrán' Hospital
Domínguez-Cervantes JA, Delgado-Fernández RI, Hernández-Ruiz A, Jiménez-Soto AC
Language: Spanish
References: 28
Page: 319-328
PDF size: 677.44 Kb.
ABSTRACT
Background: ischemic heart disease is the leading cause of death in women, one third of female deaths worldwide.
Objective: to characterize myocardial infarction in female patients.
Methods: a descriptive cross-sectional study was carried out, with a sample of 47 female patients, who met the inclusion and exclusion criteria.
Results: 80.7 % of patients older than 60 years, the predominant age group were those between 61 and 70 years. The personal history of hypertension was present in 70% of the patients admitted, followed by hypertriglyceridemia. Among the most frequent manifestations, precordial pain is treated in 85 % of the population. 51.06 % of the patients studied had a myocardial infarction with ST segment elevation. The most frequent complications are cardiac arrhythmia followed by heart failure and intrahospital sepsis.
Conclusions: it was shown that the female sex is a predictor of worse outcomes among patients with acute myocardial infarction is still a topic in the discussion and that there is great heterogeneity in the published data.
REFERENCES
Organización Mundial de la Salud. Enfermedades cardiovasculares: nota descriptiva [Internet]. WHO; 2019 [citado 6 Abr 2019]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD, et al. Third universal defi-nition of myocardial infarction. Circulation. 2012 Oct;126(16):2020-35.
Murray CJ, Barber RM, Foreman KJ, Ozgoren AA, Abd-Allah F, Abera SF, et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life ex-pectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition. Lancet [Internet]. 2015 Nov [citado 06 Abr 2019];386(10009):[aprox. 46 p.]. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61340-X/fulltext
Mehta LS, Beckie TM, De Von HA, Grines CL, Krumholz HM, Johnson MN, et al. Acute myocardial infarction in women: a scientific statement from the American Heart Association. Circulation. 2016;133(9):916-47.
Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadísitico de Salud 2016. La Habana: Ecimed; 2017.
Langabeer JR, Henry TD, Fowler R, Champagne-Langabeer T, Kim J, Jacobs AK. Sex-Based Differ-ences in Discharge Disposition and Outcomes for ST-Segment Elevation Myocardial Infarction Pa-tients Within a Regional Network. J Women's Health (Larchmt) [Internet]. 2018 [citado 06 Abr 2019];27(8):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29319393
Bucholz EM, Butala NM, Rathore SS, Dreyer RP, Lansky AJ, Krumholz HM. Sex differences in long-term mortality after myocardial infarction: a systematic review. Circulation. 2014 Aug:130(9): 757-67.
McSweeney JC, Rosenfeld AG, Abel WM, Braun LT, Burke LE, Daugherty SL, et al. Preventing and experiencing ischemic heart disease as a woman: state of the science: a scientific statement from the American Heart Association. Circulation. 2016;133(13):1302-31.
Vaccarino V, Krumholz HM, Berkman LF, Horwitz RI. Sex differences in mortality after myocardial infarction: is there evidence for an increased risk for women? Circulation. 1995;91(6):1861-71.
Young ALN, Mehta PK, Herbst A, Ahmed B. Sex-Specific Differences in Acute Myocardial Infarc-tion. En: Mehta JL, McSweeney JC, editors. Gender Differences in the Pathogenesis and Management of Heart Disease. Switzerland: Springer International Publishing; 2018. p. 191-213.
Yusuf S, Rangarajan S, Teo K, Islam S, Li W, Liu L, et al. Cardiovascular risk and events in 17 low-, middle-, and high-income countries. N Engl J Med. 2014 Aug;371(9):818-27.
Gulati M, Shaw LJ, Merz B, Noel C. Myocardial ischemia in women: lessons from the NHLBI WISE study. Clin Cardiol. 2012;35(3):141-8.
Vila-Córcoles A, Forcadell M, Diego C, Ochoa-Gondar O, Satué E, Rull B, et al. Incidencia y mor-talidad por infarto agudo de miocardio en la población mayor de 60 años del área de Tarragona. Rev Esp Salud Pública. 2015;89(6):597-605.
Chakrabarti S, Morton JS, Davidge ST. Mechanisms of estrogen effects on the endothelium: an overview. Can J Cardiol. 2014;30(7):705-11.
Eindhoven DC, Hilt AD, Zwaan TC, Schalij MJ, Borleffs CJW. Age and gender differences in medi-cal adherence after myocardial infarction: Women do not receive optimal treatment–The Netherlands claims database. Eur J Prev Cardiol. 2018 Jan;25(2):181-9.
Borges Moreno YR, Nápoles Sierra I, Batista Herrera E, Hechevarría Pouymiro S, Guevara Mirabal G, Borges Moreno YC. Enfermedad arterial coronaria en la mujer en el Instituto de Cardiologia y Cirugía Cardiovascular. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2015 [citado 06 Abr 2019];21(1):[aprox. 5 p.]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/563
Aggarwal NR, Patel HN, Mehta LS, Sanghani RM, Lundberg GP, Lewis SJ, et al. Sex Differences in Ischemic Heart Disease: Advances, Obstacles, and Next Steps. Circ Cardiovasc Qual Outcomes. 2018 Feb;11(2):e004437.
Banet Gorbea M, Varona Pérez P.III Encuesta nacional de factores de riesgo y actividades pre-ventivas de enfermedades no transmisibles Cuba 2010-2011. La Habana: ECIMED; 2014.
Armas Rojas NA, Dueñas Herrera A, de la Noval García R, Ortega Torres Y, Acotsa González M, Morales Salinas A. Cardiopatía Isquémica en Cuba. Una puesta al día. 2015. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2015 [citado 06 Abr 2019];21(3):[aprox. 5 p.]. Disponible en: http://revcardiologia.sld.cu/index.php/revcardiologia/article/view/597
Liao D, Myers R, Hunt S, Shahar E, Paton C, Burke G, et al. Familial history of stroke and stroke risk. Stroke. 1997;28:1908–1912.
Rubini Gimenez M, Reiter M, Twerenbold R, Reichlin T, Wildi K, Haaf P, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014 Feb;174(2):241-9.
O'Donnell S, McKee G, Mooney M, O'Brien F, Moser DK. Slow-onset and fast-onset symptom presentations in acute coronary syndrome (ACS): new perspectives on prehospital delay in patients with ACS. J Emerg Med. 2014 Apr;46(4):507-23.
De Von HA, Rosenfeld A, Steffen AD, Daya M. Sensitivity, specificity, and sex differences in symptoms reported on the 13-item acute coronary syndrome checklist. J Am Heart Assoc. 2014 Apr;3(2):e000586.
Araújo C, Laszczyńska O, Viana M, Melão F, Henriques A, Borges A, et al. Sex differences in pre-senting symptoms of acute coronary syndrome: the EPIHeart cohort study. BMJ. 2018 Feb;8(2):e018798.
Eindhoven DC, Hilt AD, Zwaan TC, Schalij MJ, Borleffs CJW. Age and gender differences in medi-cal adherence after myocardial infarction: Women do not receive optimal treatment–The Netherlands claims database. Eur J Prev Cardiol. 2018 Jan;25(2):181-89.
Martínez Carrillo A, Sainz González de la Peña BA, Ramos Gutiérrez B, Pacheco Álvarez E, Zorio Suarez BY, Castañeda Rodríguez GC. Infarto agudo con elevación del ST en el servicio de urgencias del Instituto de Cardiología. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2017 [citado 06 Abr 2019];23(1):[aprox. 9 p.]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/677/html_76
Trueba Rodríguez D, Álvarez Toledo O, Mendoza Ortiz JL, Castillo López B, Salazar Rodríguez T, Mederos Villamisar A. Infarto agudo del miocardio en la mujer. Rev Cubana Med Inten Emerg. 2009;8(3):21-8.
D'Onofrio G, Safdar B, Lichtman JH, Strait KM, Dreyer RP, Geda M, et al. Sex differences in reperfusion in young patients with ST-segment elevation myocardial infarction: results from the VIR-GO study. Circulation. 2015;131(15):1324-32.