Predominance of STEMI and severity of coronary artery disease in a cohort of patients hospitalized with acute coronary syndrome: a report from ABC Medical School

被引:9
|
作者
Bacci, Marcelo Rodrigues [1 ]
Affonso Fonseca, Fernando Luiz [2 ]
Ferrari Nogueira, Leonardo Fernando [3 ]
Bruniera, Felipe Ribeiro [2 ]
Ferreira, Felipe Moreira [2 ]
de Barros, Danielle Magalhaes [4 ]
Berwanger, Otavio [5 ]
Chuen Zing, Natalia Pin [6 ]
Murad, Neif [3 ]
Palandri Chagas, Antonio Carlos [3 ]
机构
[1] Fac Med ABC FMABC, Internal Med, Santo Andre, SP, Brazil
[2] FMABC, Santo Andre, SP, Brazil
[3] FMABC, Cardiol, Santo Andre, SP, Brazil
[4] Univ Sao Paulo, Sao Paulo, SP, Brazil
[5] Hosp Coracao, Res Inst, Sao Paulo, SP, Brazil
[6] Santa Casa Sao Paulo Hosp, Sao Paulo, SP, Brazil
来源
关键词
acute coronary syndrome; myocardial infarction; unstable angina; MYOCARDIAL-INFARCTION;
D O I
10.1590/1806-9282.61.03.24
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: acute coronary syndromes (ACS) represent a widely prevalent health issue with high mortality in Brazil and worldwide. The severity of ACS is not known in patients in the city of Sao Bernardo do Campo a municipality contiguous and adjacent to the city of Sao Paulo. Objectives: to study the profile of coronary disease in patients hospitalized with ACS who underwent coronary angiography in the emergency room between 2012 and 2013. Methods: this is an observational study that included consecutive patients with ACS admitted to the emergency room of a hospital. Data collection was performed using medical records with the following variables: sex, age, risk factors for cardiovascular disease, coronary angiography. Results: the sample in this period included 131 patients, of which 64.8% were men. The most prevalent diagnosis was ST-elevation myocardial infarction (STEMI) (57.2%) followed by non-ST-elevation myocardial infarction (NSTEMI) (22.1%) and unstable angina (UA) (20.6%). There were no significant differences in the epidemiology and risk factors between the diagnoses, except that heart failure was more prevalent in patients with UA. Discussion: there were no differences between groups regarding the coronaries involved; however, STEMI patients showed similar numbers of multi-and single-vessel lesions, NSTEMI patients showed more multivessel lesions, and UA patients showed more multivessel lesions or lesion-free arteries. Although multivessel lesions were prevalent in all groups, STEMI patients showed a significantly higher number of single-vessel lesions compared with the other acute coronary syndromes. Conclusion: the study demonstrated a predominance of STEMI in the studied population, which differs from the usual results in ACS.
引用
收藏
页码:240 / 243
页数:4
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