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ISSN 2078-7170 (Electronic)

2022, Number 4

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CorSalud 2022; 14 (4)

Distribution of risk factors according to the form of presentation of acute coronary syndrome

de la Torre FLM, Wang L, Martínez PA, Pérez FA, Echevarría SLA

Language: Spanish
References: 31
Page: 342-349
PDF size: 386.27 Kb.


ABSTRACT

Introduction: The incidence of risk factors such as high blood pressure, diabetes mellitus, dyslipidemia, obesity and tobacco smoking in increasingly aging popula-tions have contributed to the high incidence of acute coronary syndrome.
Objective: To determine the relationship of risk factors and cardiovascular compli-cations with the form of presentation of acute coronary syndrome.
Method: Descriptive cross-sectional study with analytical component was carried out. All patients with diagnosis of acute coronary syndrome, admitted to the Coro-nary Intensive Care Unit of the Hospital Universitario Manuel Fajardo of Havana, Cuba, were enrolled, between 2016 and 2020.
Results: The risk factors with greater frequency were: ischemic heart disease (51%), high blood pressure (81.3%), diabetes mellitus (29.3%) and tobacco smoking (57.2%). Approximately 19.4% of patients presented some type of cardiovascular complica-tion. A significant association between a history of ischemic heart disease (p<0.001), high blood pressure (p<0.001), diabetes mellitus (p=0.034), dyslipidemia (p=0.023), and the presence of ST-segment elevation acute coronary syndrome was found.
Conclusions: A history of ischemic heart disease, high blood pressure, diabetes mellitus, dyslipidemia and cardiovascular complications were associated with non-ST-segment elevation acute coronary syndrome, while smoking habit was associ-ated with ST-segment elevation acute coronary syndrome.


REFERENCES

  1. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Executive summary: heart disease and stroke statistics--2010 update: a report from the American Heart Association. Cir-culation. 2010;121(7):948-54. [DOI]

  2. Timmis A, Townsend N, Gale CP, Torbica A, Lettino M, Petersen SE, et al. European Society of Cardiol-ogy: Cardiovascular Disease Statistics 2019. Eur Heart J. 2020;41(1):12-85. [DOI]

  3. Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bit-tencourt MS, Callaway CW, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021; 143(8):e254-e743. [DOI]

  4. Konukoglu D, Uzun H. Endothelial Dysfunction and Hypertension. Adv Exp Med Biol. 2017;956:511-40. [DOI]

  5. Falk E, Nakano M, Bentzon JF, Finn AV, Virmani R. Update on acute coronary syndromes: the pathol-ogists' view. Eur Heart J. 2013;34(10):719-28. [DOI]

  6. Abreu D, Pinto FJ, Matias-Dias C, Sousa P. Trends of case-fatality rate by acute coronary syndrome in Portugal: Impact of a fast track to the coronary unit. JRSM Cardiovasc Dis [Internet]. 2019 [citado 9 Dic 2021];8:2048004019851952. Disponible en: http://doi.org/10.1177/2048004019851952

  7. Ministerio de Salud Pública. Anuario Estadístico de Salud 2019. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2020.

  8. Santos Medina M, Rodríguez Ramos M, Prohías Martínez J, Mata Cuevas LA, Martínez García G, Se-llén Sanchén E, et al. Registro Cubano de Infarto de Miocardio gudo (RECUIMA), los primeros 1000 casos. Rev Cuban Cardiol [Internet]. 2019 [citado 9 Dic 2021];25(Supl 1). Disponible en: https://revcar-diologia.sld.cu/index.php/revcardiologia/arti-cle/view/895/pdf

  9. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth Universal Definition of Myocardial Infarction (2018). J Am Coll Cardiol. 2018;72(18):2231-64. [DOI]

  10. Haider A, Bengs S, Luu J, Osto E, Siller-Matula JM, Muka T, et al. Sex and gender in cardiovascular medicine: Presentation and outcomes of acute cor-onary syndrome. Eur Heart J. 2020;41(13):1328-36. [DOI]

  11. Lee CY, Liu KT, Lu HT, Mohd Ali R, Fong AYY, Wan Ahmad WA. Sex and gender differences in presen-tation, treatment and outcomes in acute coronary syndrome, a 10 year study from a multi-ethnic Asian population: The Malaysian National Cardio-vascular Disease Database-Acute Coronary Syn-drome (NCVD-ACS) registry. PLoS One [Internet]. 2021 [citado 11 Dic 2021];16(2):e0246474. Disponi-ble en: https://doi.org/10.1371/journal.pone.0246474

  12. Araújo C, Laszczyńska O, Viana M, Melão F, Henri-ques A, Borges A, et al. Sex differences in present-ing symptoms of acute coronary syndrome: the EPIHeart cohort study. BMJ Open [Internet]. 2018 [citado 11 Dic 2021];8(2):e018798. Disponible en: https://doi.org/10.1136/bmjopen-2017-018798

  13. Sellén Sanchén E, Hernández Valdés E, Sellén Cro-mbet J, Ybargollín R. Diferencias de género en la presentación clínica y angiográfica del Síndrome Coronario Agudo. Rev Habanera Cienc Méd [Inter-net]. 2020 [citado 11 Dic 2021];19(2):e2918. Disponi-ble en: https://revhabanera.sld.cu/in-dex.php/rhab/article/view/2918/2520

  14. Khesroh AA, Al-Roumi F, Al-Zakwani I, Attur S, Rashed W, Zubaid M. Gender differences among patients with acute coronary syndrome in the Mid-dle East. Heart Views. 2017;18(3):77-82. [DOI]

  15. Assiri AS. Gender differences in clinical presenta-tion and management of patients with acute coro-nary syndrome in Southwest of Saudi Arabia. J Saudi Heart Assoc. 2011;23(3):135-41. [DOI]

  16. Iorga A, Cunningham CM, Moazeni S, Ruffenach G, Umar S, Eghbali M. The protective role of estrogen and estrogen receptors in cardiovascular disease and the controversial use of estrogen therapy. Biol Sex Differ [Internet]. 2017 [citado 15 Dic 2021]; 8(1):33. Disponible en: https://doi.org/10.1186/s13293-017-0152-8

  17. Alberty R, Studenčan M, Kovář F. Prevalence of Conventional Cardiovascular Risk Factors in Pa-tients with Acute Coronary Syndromes in Slovakia. Cent Eur J Public Health. 2017;25(1):77-84. [DOI]

  18. González-Pacheco H, Vargas-Barrón J, Vallejo M, Piña-Reyna Y, Altamirano-Castillo A, Sánchez-Ta-pia P, et al. Prevalence of conventional risk factors and lipid profiles in patients with acute coronary syndrome and significant coronary disease. Ther Clin Risk Manag. 2014;10:815-23. [DOI]

  19. Lingman M, Herlitz J, Bergfeldt L, Karlsson T, Caidahl K, Hartford M. Acute coronary syndromes--the prognostic impact of hypertension, diabetes and its combination on long-term outcome. Int J Cardiol. 2009;137(1):29-36. [DOI]

  20. Zhang L, Hailati J, Ma X, Liu J, Liu Z, Yang Y, et al. Analysis of risk factors for different subtypes of acute coronary syndrome. J Int Med Res [Inter-net]. 2021 [citado 15 Dic 2021];49(5): 3000605211008326. Disponible en: https://doi.org/10.1177/03000605211008326

  21. Brunori EH, Lopes CT, Cavalcante AM, Santos VB, Lopes Jde L, de Barros AL. Association of cardio-vascular risk factors with the different presenta-tions of acute coronary syndrome. Rev Lat Am En-fermagem. 2014;22(4):538-46. [DOI]

  22. Alhassan SM, Ahmed HG, Almutlaq BA, Alanqari AA, Alshammari RK, Alshammari KT, et al. Risk factors associated with acute coronary syndrome in northern Saudi Arabia. In search of a perfect outfit. J Cardiol Curr Res [Internet]. 2017 [citado 20 Dic 2021];8(3):00281. Disponible en: http://bit.ly/3FY52HZ

  23. Ralapanawa U, Kumarasiri PVR, Jayawickreme KP, Kumarihamy P, Wijeratne Y, Ekanayake M, et al. Epidemiology and risk factors of patients with types of acute coronary syndrome presenting to a tertiary care hospital in Sri Lanka. BMC Cardiovasc Disord [Internet]. 2019 [citado 20 Dic 2021];19(1): 229. Disponible en: https://doi.org/10.1186/s12872-019-1217-x

  24. Brilakis ES, Hernandez AF, Dai D, Peterson ED, Banerjee S, Fonarow GC, et al. Quality of care for acute coronary syndrome patients with known atherosclerotic disease: results from the Get With the Guidelines Program. Circulation. 2009;120(7): 560-7. [DOI]

  25. Himbert D, Klutman M, Steg G, White K, Gulba DC; GRACE Investigators. Cigarette smoking and acute coronary syndromes: a multinational observation-al study. Int J Cardiol. 2005;100(1):109-17. [DOI]

  26. Venkatason P, Salleh NM, Zubairi Y, Hafidz I, Ah-mad WA, Han SK, et al. The bizzare phenomenon of smokers' paradox in the immediate outcome post acute myocardial infarction: an insight into the Malaysian National Cardiovascular Database-Acute Coronary Syndrome (NCVD-ACS) registry year 2006-2013. Springerplus [Internet]. 2016 [cita-do 20 Dic 2021];5:534. Disponible en: https://doi.org/10.1186/s40064-016-2188-3

  27. Rosengren A, Wallentin L, Simoons M, Gitt AK, Behar S, Battler A, et al. Cardiovascular risk factors and clinical presentation in acute coronary syndromes. Heart. 2005;91(9):1141-7. [DOI] 28. Che-Muzaini CM, Norsa'adah B. Complications of Acute Coronary Syndrome in Young Patients. Iran J Public Health. 2017;46(1):139-40. [Enlace]

  28. Jenča D, Melenovský V, Stehlik J, Staněk V, Kettner J, Kautzner J, et al. Heart failure after myocardial infarction: incidence and predictors. ESC Heart Fail. 2021;8(1):222-37. [DOI]

  29. Timoteo A, Aguiar Rosa S, Mano T, Cruz Ferreira R, ProACS Investigators. What are the predictors of heart failure in patients admitted with acute coro-nary syndrome? Data from a large national regis-try. Eur Heart J. 2021;42(Supl 1):1322 [Resumen]. [DOI]

  30. Aggarwal G, Patlolla SH, Aggarwal S, Cheungpasit-porn W, Doshi R, Sundaragiri PR, et al. Temporal Trends, Predictors, and Outcomes of Acute Is-chemic Stroke in Acute Myocardial Infarction in the United States. J Am Heart Assoc [Internet]. 2021 [citado 22 Dic 2021];10(2):e017693. Disponible en: https://doi.org/10.1161/JAHA.120.017693

  31. Elbadawi A, Elgendy IY, Mahmoud K, Barakat AF, Mentias A, Mohamed AH, et al. Temporal Trends and Outcomes of Mechanical Complications in Pa-tients With Acute Myocardial Infarction. JACC Car-diovasc Interv. 2019;12(18):1825-36. [DOI]




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