medigraphic.com
ISSN 1561-2937 (Print)

2022, Number 2

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (2)

Non-fatal complications in geriatric patients with ST-segment elevation acute coronary syndrome

de la Torre FLM, Wang L, Alarcón CR, Echevarría SL, Barreda PAM

Language: Spanish
References: 28
Page: 1-7
PDF size: 306.02 Kb.


ABSTRACT

Introduction: In acute coronary syndrome, age represents one of the most important risk variables in terms of prognostic value. The study aims to characterize the population of patients older than 65 years diagnosed with ST-segment elevation acute coronary syndrome and to identify possible associations between the occurrence of non-fatal in-hospital complications and cardiovascular risk factors, infarction topography and left ventricular ejection fraction. Methods: Observational cross-sectional study with an analytical component, of all patients of geriatric age admitted from 2016 to 2020 in the Intensive Coronary Care Unit at Comandante Manuel Fajardo Surgical Clinical University Hospital, in Havana, with acute coronary syndrome with ST segment elevation. Results: The women presented high incidence of arterial hypertension and diabetes mellitus, as well as significant statistical association with the occurrence of hemodynamic complications (77.3%; p = 0.013) and anterior topography infarction (62.8%; p = 0.02). Conclusions: The presence of cardiovascular complications in general was associated with hypertension history, anterior topography infarction and, in the specific case of hemodynamic complications, with female sex and left ventricular ejection fraction.


REFERENCES

  1. Fondo de Población de Naciones Unidas UNFPA. Envejecimiento en el Siglo XXI: Una celebración un desafío. Resumen Ejecutivo. [Internet]. Disponible en: http://www.unfpa.or.

  2. Gadó, K., Szabo, A., Markovics, D., & Virág, A. Most common cardiovascular diseases of the elderly – A review article, Developments in Health Sciences (published online ahead of print 2022). Retrieved Apr 4, 2022, Available from: https://akjournals.com/view/journals/2066/aop/article-10.1556-2066.2021.00048/article-10.1556-2066.2021.00048.xml.

  3. Zhao Q, Wang L, Kurlansky PA, Schein J, Baser O, Berger JS. Cardiovascular outcomes among elderly patients with heart failure and coronary artery disease and without atrial fibrillation: a retrospective cohort study. BMC Cardiovasc Disord [Internet].2019 Jan 15 [cited 2021 Jul 15];19(1):19. Available from: https://doi.org/10.1186/s12872-018-0991-1.

  4. Paneni F, Diaz Cañestro C, Libby P, Lüscher TF, Camici GG. The Aging Cardiovascular System: Understanding It at the Cellular and Clinical Levels. J Am Coll Cardiol [Internet].2017 Apr 18 [cited 2021 Jul 20]; 69(15):1952-67. Available from: https://doi.org/10.1016/j.jacc.2017.01.064.

  5. Sidney S, Go AS, Jaffe MG, Solomon MD, Ambrosy AP, Rana JS. Association Between Aging of the US Population and Heart Disease Mortality From 2011 to 2017. JAMA Cardiol [Internet].2019 Dec [cited 2021 Jul 20]; 4(12):1280-6. Available from: https://doi.org/10.1001/jamacardio.2019.4187.

  6. Dai X, Busby-Whitehead J, Alexander KP. Acute coronary syndrome in the older adults. Journal of geriatric cardiology: J Geriatric Cardiol [Internet].2016 Feb [cited 2021 Jul 20];13(2):101- 8. Available from: http://doi.org/10.11909/j.issn.1671-5411.2016.02.012.

  7. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Consenso ESC 2018 sobre la cuarta definición universal del infarto de miocardio. Rev Esp Cardiol [Internet]. 2019 [consultado 13 octubre 2020]; 72(1): 72. e1-e27. Disponible en: https://doi.org/10.1016/j.recesp.2018.11.011.

  8. Mohamed NT, Khalil El Desouky AI, Amin El Din GE, Abdul-Rahman SA. Atypical presentation of ischemic heart disease in Egyptian elderly. EJGG [Internet].2021 [cited 2021 Jul 20]; 8(2):25-9. Available from: https://ejgg.journals.ekb.eg/article_204175_d357fd7cb552b628b8842bf554b635fd.pdf.

  9. Wu Q, Zhang D, Zhao Q, Liu L, He Z, Chen Y, et al. Effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction in percutaneous coronary intervention: A cluster randomized controlled trial. PLoS ONE [Internet]. 2019 [cited 2021 Jul 15]; 14(5): e0217535. DOI: https://doi.org/10.1371/journal.pone.0217535.

  10. Ouellet GM, Geda M, Murphy TE, Tsang S, Tinetti ME, Chaudhry SI. Prehospital Delay in Older Adults with Acute Myocardial Infarction: The ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction Study. J Am Geriatr Soc [Internet]. 2017 [cited 2021 Jul 15]; 65(11):2391-6. Available from: https://doi.org/10.1111/jgs.15102.

  11. Dirección de Registros médicos y estadísticas de salud. Anuario Estadístico de Salud 2019. Cuba; 2020. [acceso 23 octubre 2020]. Disponible en: http://bvscuba.sld.cu/anuario-estadistico-de-cuba/.

  12. Chang AY, Skirbekk VF, Tyrovolas S, Kassebaum NJ, Dieleman JL. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017. Lancet Public Health [Internet]. 2019 Mar [cited 2021 Julio 15]; 4(3):e159-e167. Available from: https://doi.org/10.1016/S2468-2667(19)30019-2.

  13. Ghimire K, Dahal R. Geriatric Care Special Needs Assessment. [Updated 2022 Feb 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK570572/.

  14. Kerola AM, Palomäki A, Rautava P, Nuotio M, Kytö V. Sex Differences in Cardiovascular Outcomes of Older Adults After Myocardial Infarction. J Am Heart Assoc [Internet]. 2021 Dec 7 [cited 2022 Jan 12]; 10(23):e022883. DOI: https://doi.org/10.1161/JAHA.121.022883.

  15. Fong HK, Desai R, Faisaluddin M, Parekh T, Mahmood A, Shah V, Shah P, Varakantam VR, Abu Hassan F, Savani S, Doshi R, Gangani K. Sex disparities in cardiovascular disease outcomes among geriatric patients with prediabetes. Prim Care Diabetes [Internet]. 2021 Feb [cited 2021 Jul 15]; 15(1):95-100. Available from: https://doi.org/10.1016/j.pcd.2020.06.005.

  16. The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med [Internet]. Nov [cited 2021 Jul 15]; 157(21):2413–46. Available from: https://doi.org/10.1001/archinte.157.21.2413.

  17. Shih JY, Chen ZC, Chang HY, Liu YW, Ho CH, Chang WT. Risks of age and sex on clinical outcomes post myocardial infarction. Int J Cardiol Heart Vasc [Internet]. 2019 Mar 28 [cited 2021 Jul 15];23:100350. DOI: https://doi.org/10.1016/j.ijcha.2019.100350.

  18. Richards AM, Nicholls MG, Troughton RW, Lainchbury JG, Elliot J, Frampton C et al. Antecedent hypertension and heart failure after myocardial infarction. J Am Coll Cardiol [Internet]. 2002 Apr [cited 2021 Jul 15]; 39(7):1182-8. Available from: https://doi.org/10.1016/s0735-1097(02)01737-0.

  19. Berthillot C, Stephan D, Chauvin M, Roul G. In-hospital complications after invasive strategy for the management of Non STEMI: womenj fare as ell as men. BMC Cardiovasc Discord [Internet]. 2010 Jun 24 [cited 2021 Jul 15]; 10:31. Available from: https://doi.org/10.1186//1471-2261-10-31.

  20. Kosuge M, Kimura K, Kojima S, Sakamoto T, Ishihara M, Asada Y et al; Japanese Acute Coronary Syndrome Study (JACSS) Investigators. Sex differences in early mortality of patients undergoing primary stenting for acute myocardial infarction. Circ [Internet]. 2006 Mar [cited 2021 Jun 10];70(3):217-21. Available from: https://doi.org/10.1253/circj.70.217.

  21. Santoro GM, Carrabba N, Migliorini A, Parodi G, Valenti R. Acute heart failure in patients with acute myocardial infarction treated with primary percutaneous coronary intervention. Eur J Heart Fail [Internet]. 2008 Aug [cited 2021 Jul 15];10(8):780-5. Available from: https://doi.org/10.1016/j.ejheart.2008.06.004.

  22. Hochman JS, Buller CE, Sleeper LA, Boland , Dzavik V, Sanborn TA et al. Cardiogenic shock complicating acute myocardial infarction—etiologies, management and outcome: a report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries for cardiogenic shock? J Am Coll Cardiol [Internet]. 2000 Sep [cited 2021 Jun 15]; 36(3) Suppl A):1063-70. Available from: https://doi.org/10.1016/s0735-1097(00)00879-2.

  23. Rakugi H, Yu H, Kamitani A, Nayamura Y, Ohishi M, Kamide K et al. Links between hypertension and myocardial infarction. Am Heart J [Internet]. 1996 Jul [citado 10 julio 2021];132(1Pt 2 Su):213-21. P Available from: https://pubmed.ncbi.nlm.nih.gov/8677859/.

  24. Vogt M, Strauer BE. Systolic ventricular dysfunction and heart failure due to coronary microangiopathy in hypertensive heart disease. Am J Cardiol [Internet]1995 Nov [cited 2021 Jul 10];76 (2):48D–53D. Available from: https://doi.org/10.1016/S0002-9149(99)80492-5.

  25. Richards AM, Nicholls MG, Troughton RW, Lainchbury JG, Elliot J, Frampton C et al. Antecedent hypertension and heart failure after myocardial infarction. J Am Coll Cardiol [Internet]. 2002 Apr [cited 2021 Jul 10];39(7)1182-8. Available from: https://doi.org/10.1016/s0735(02)01737-0.

  26. Rembek M, Goch A, Goch J. The clinical course of acute ST-elevation myocardial infarction in patients with hypertension. Kardiol Pol [Internet]. 2010 Feb [cited 2021 Jul 15];68(2):157-63. Available from: https://pubmed.ncbi.nlm.nih.gov/20301024/.

  27. Maury S. Fracción de eyección del ventrículo izquierdo: Correlación con el tamaño del infarto y la reserva de perfusión miocárdica posinfarto agudo de miocardio. Arch Cardio lMex [Internet]. 2013 [citado 15 julio 2021];83 (supl 3):1-41. Disponible en: https://www.researchgate.net/publication/265078871.

  28. Sutton NR, Li S, Thomas L, Wang TY, de Lemos JA, Enriquez JR et al. The association of left ventricular ejection fraction with clinical outcomes after myocardial infarction: Findings from the Acute Coronary Treatment and Intervention Outcomes Network (ACTION) Registry-Get With the Guidelines (GWTG) Medicare-linked database. Am Heart [Internet]. 2016 Aug [cited 2021 Jul 15];178:65-73. Available from: https://doi.org/10.1016/j.ahj.2016.05.003




2020     |     www.medigraphic.com