Diferencia de presentación del síndrome coronario agudo por género en pacientes llevados al laboratorio de cateterismo en población dominicana: un estudio retrospectivo
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Date
Subject
Interventional cardiology
acute coronary syndrome
cardiovascular risk
cardiovascular event
Dominican Republic.
cardiología intervencionista
síndrome coronario agudo
riesgo cardiovascular
evento cardiovascular
República Dominicana.
acute coronary syndrome
cardiovascular risk
cardiovascular event
Dominican Republic.
cardiología intervencionista
síndrome coronario agudo
riesgo cardiovascular
evento cardiovascular
República Dominicana.
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: el síndrome coronario agudo (SCA) es una serie de signos y síntomas que se refieren a isquemia miocárdica repentina. Estas condiciones clínicas son Síndrome Coronario agudo sin Elevación del Segmento ST (SCASEST) y Síndrome Coronario Agudo con Elevación del Segmento ST (SCACEST). A nivel mundial hay hallazgos controversiales con respecto a la diferencia de presentación de SCA en hombres y mujeres.
Objetivo: determinar las diferencias en presentación del síndrome coronario agudo según el género en República Dominicana.
Métodos: en este estudio observacional retrospectivo unicéntrico, 3,548 pacientes con SCA llevados al laboratorio de cateterismo fueron observados durante el período de agosto de 2016 a septiembre de 2019.
Resultados: la edad promedio de presentación fue mayor en las mujeres, con una media de 63 años (DE ± 12.2). El SCACEST fue más frecuente en hombres (69.35 %) y la Angina Inestable en mujeres (50.14 %, p <0.0001). Angiográficamente, la enfermedad coronaria multivascular fue más común en hombres y la angiografía coronaria normal en mujeres (41.30 % y 35.37 %, p <0.0001).
Conclusión: dentro de la población dominicana, la mujer tiende a ser mayor al momento de presentación de SCA, con menor tendencia a someterse a intervención coronaria terapéutica.
Introduction: Acute Coronary Syndrome (ACS) is a series of signs and symptoms referring to sudden myocardial ischemia. These clinical conditions are: Non-ST-Acute Coronary Syndromes (NST-ACS) and ST-segment Elevation Myocardial Infarction (STEMI). Globally there are controversial findings regarding the difference in SCA presentation in both men and women. Objective: Determine differences in presentation of acute coronary syndrome by gender in the Dominican Republic. Methods: In this retrospective single-centered observational study 3,548 patients with ACS taken to the catheterization laboratory underwent observation, during the time frame of August 2016 to September 2019. Results: The average age of presentation was higher in females, with a mean of 63 years old (SD ± 12.2). STEMI was greater in males (69.35%) and females presented more with UA (50.14%, p<0.0001). Angiography findings showed that multi-vascular coronary artery disease was more common in males and normal coronary angiography more frequent in females (41.30% and 35.37%, p<0.0001). Conclusion: Within the Dominican population, females tend to be older at the time of appearance of ACS with a lower tendency of undergoing coronary intervention.
Introduction: Acute Coronary Syndrome (ACS) is a series of signs and symptoms referring to sudden myocardial ischemia. These clinical conditions are: Non-ST-Acute Coronary Syndromes (NST-ACS) and ST-segment Elevation Myocardial Infarction (STEMI). Globally there are controversial findings regarding the difference in SCA presentation in both men and women. Objective: Determine differences in presentation of acute coronary syndrome by gender in the Dominican Republic. Methods: In this retrospective single-centered observational study 3,548 patients with ACS taken to the catheterization laboratory underwent observation, during the time frame of August 2016 to September 2019. Results: The average age of presentation was higher in females, with a mean of 63 years old (SD ± 12.2). STEMI was greater in males (69.35%) and females presented more with UA (50.14%, p<0.0001). Angiography findings showed that multi-vascular coronary artery disease was more common in males and normal coronary angiography more frequent in females (41.30% and 35.37%, p<0.0001). Conclusion: Within the Dominican population, females tend to be older at the time of appearance of ACS with a lower tendency of undergoing coronary intervention.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 5 No. 2 (2021): Science and Health, may-August; 69-76
Ciencia y Salud; Vol. 5 Núm. 2 (2021): Ciencia y Salud, mayo-agosto; 69-76
2613-8824
2613-8816
10.22206/cysa.2021.v5i2
Ciencia y Salud; Vol. 5 Núm. 2 (2021): Ciencia y Salud, mayo-agosto; 69-76
2613-8824
2613-8816
10.22206/cysa.2021.v5i2