Risk factors in patients with acute coronary syndrome referred for coronary angiography
Abstract
Introduction: Coronary risk factors are biological characteristics that increase the likelihood of cardiovascular disease.
Objective: To characterize the presence of modifiable risk factors in patients referred for coronary angiography from Pinar del Rio to the CIMEQ Hospital, in the context of an acute coronary syndrome.
Method: Retrospective study of patients treated at the Laboratory of Hemodynamics of the CIMEQ Hospital, from October 1997 to August 2008. The study population consisted of 5 297 patients who underwent coronary angiography in the specified period, of which 147 emergency cases sent from Pinar del Rio province with a diagnosis of acute coronary syndrome, with or without ST segment elevation, were analyzed. The data were obtained from the ANGYCOR database.
Results: In the 126 patients with that syndrome and without ST elevation (85.7%), the most prevalent risk factor was hypertension (64%); and in those with ST elevation, it was smoking (61.9%). Patients between 50 and 70 years of age (66.7%), and males (75.5%), were the most affected.
Conclusions: In both groups, there was a predominance of males and the age group of 50-70 years. Nine out of ten patients had at least two of the classic risk factors; and smoking and hypertension were the most frequent ones.
Downloads
References
1. Ministerio de Salud Pública. Anuario estadístico de salud 2010. Cuba: MINSAP; 2011.
2. Martínez MA, González CJ. Rol de la angioplastia primaria en la actualidad. Boletín educativo SOLACI. 2008;4(6):3-7.
3. Aroche Aportela R, Obregón Santos AG, Alfonso Garriga M, Padrón KM. Aterosclerosis coronaria en pacientes tratados con intervencionismo percutá-neo [Internet]. 2006 [citado 7 Jul 2008]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/urgencia/113_-_ateroesclerosis_coronariaen_pacientes_tratados_con_intervencionismo_percutaneo.pdf
4. González Fajardo I, Rojas Álvarez E, Moreno Martín G, Vargas González O, Cabrera Cabrera JR. Compor-tamiento de la letalidad por IMA en la unidad de cuidados coronarios del H.A.S. en el año 2004. Revista Universidad Médica Pinareña [Internet]. 2005 [citado 4 Feb 2012];1(1):[aprox. 4 p.]. Dis-ponible en: http://publicaciones.pri.sld.cu/rev-estud/rev-estud91/rev-estud911.html
5. Al-Huthi MA, Raja'a YA, Al-Noami M, Abdul AR. Prevalence of coronary risk factors, clinical pre-sentation, and complications in acute coronary syndrome patients living at high vs low altitudes in Yemen. Med Gen Med 2006;8(4):28.
6. Ortega-Gil J, Pérez-Cardona JM. Unstable angina and non ST elevation acute coronary syndromes. P R Health Sci J. 2008;27(4):395-401.
7. Wijpkema JS, Tio RA, Zijlstra F. Quantification of coronary lesions by 64-slice computed tomography compared with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2006;47(4):891.
8. Spinler SA. Managing acute coronary syndrome: evidence-based approaches. Am J Health Syst Pharm. 2007;64(11 Suppl 7):S14-24.
9. Graham I, Atara D, Borch-Johnsenb K, Boysend G, Burell G, Cifkova R, Dallongeville J, et al. Guías de práctica clínica sobre prevención de la enfermedad cardiovascular: Versión resumida. Rev Esp Cardiol. 2008;61(1): 82.e1-82.e49.
10.Debs G, de La Noval R, Dueñas A, González JC. Prevalencia de factores de riesgo coronario en “10 de Octubre”. Su evolución a los 5 años. Rev Cubana Cardiol Cir Cardiovas. 2001;15(1):15-20.
11.Masia R, Pena A, Marrugat J, Sala J, Vila J, Pavesi M, et al. High prevalence of cardiovascular risk factors in Gerona, Spain, a province with low myocardial infarction incidence. REGICOR Investigators. J Epi-demiol Community Health. 1998;52:707-15.
12.Menotti A, Lanti M, Puddu PE, Kromhout D. Co-ronary heart disease incidence in northern and southern European populations: a reanalysis of the seven countries study for a European coronary risk chart. Heart. 2008;84(3):238-44.
13.Artaud-Wild SM, Connor SL, Sexton G, Connor WE. Differences in coronary mortality can be explained by differences in cholesterol and saturated fat intakes in 40 countries but not in France and Fin-land. A paradox. Circulation. 1993;88(6):2771-9.
14.Marrugat J, Solanas P, D'Agostino R, Sullivan L, Ordovás J, Cordón F, et al. Estimación del riesgo coronario en España mediante la ecuación de Fra-mingham calibrada. Rev Esp Cardiol. 2003;56(3): 253-61.
15.Laguna F, Vicente I, Mostaza Prieto JM, Lahoz Rallo C, Taboada M, Echániz A, García Iglesias F, et al. La aplicación de las tablas del SCORE a varones de edad avanzada triplica el número de sujetos clasifi-cados de alto riesgo en comparación con la función de Framingham. Med Clin (Barc). 2005;124(13): 487-90.
16.Pyorala K. Assessment of coronary heart disease risk in populations with different levels of risk. Eur Heart J. 2000;21:348-50.
17.Barrios V, Gómez-Huelgas R, Rodríguez R. Pablos-Velasco P. Adiponectina, un factor de riesgo cardio-vascular emergente. Estudio REFERENCE. Rev Esp Cardiol. 2008;61(11):1159-67.
18.Organización Mundial de la Salud y la Sociedad Internacional de Hipertensión. Prevención de las enfermedades cardiovasculares. Guía de bolsillo para la estimación y el manejo del riesgo cardiovas-cular [Internet]. Ginebra: OMS; 2008 [citado 6 Feb 2009]. Disponible en:
http://www.who.int/publications/list/cadio_pocket_guidelines/es/index.html
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
