Risk stratified in the National Registry of Acute Coronary Syndromes at the IMSS

to identify prognostic factors in the National Registry of Acute Coronary Syndromes. patients in medical care units with acute ischemic coronary syndrome (AICS) according to the criteria of the American Heart Association/American College of Cardiology/European Society of Cardiology, considering the...

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Veröffentlicht in:Revista médica (Mexico : 1983) 2010-05, Vol.48 (3), p.259-264
Hauptverfasser: Borrayo-Sánchez, Gabriela, Madrid-Miller, Alejandra, Arriaga-Nava, Roberto, Ramos-Corrales, Marco Antonio, García-Aguilar, Jorge, Almeida-Gutiérrez, Eduardo
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container_issue 3
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container_title Revista médica (Mexico : 1983)
container_volume 48
creator Borrayo-Sánchez, Gabriela
Madrid-Miller, Alejandra
Arriaga-Nava, Roberto
Ramos-Corrales, Marco Antonio
García-Aguilar, Jorge
Almeida-Gutiérrez, Eduardo
description to identify prognostic factors in the National Registry of Acute Coronary Syndromes. patients in medical care units with acute ischemic coronary syndrome (AICS) according to the criteria of the American Heart Association/American College of Cardiology/European Society of Cardiology, considering the GRACE score (GS) were studied. there were 2389 patients, 28.9 % women and 71.1 % men, mean age 63 ± 11.7 years; with AICS with ST-segment elevation (69.11 %) and 30.89 % with AICS without ST elevation. The average of GS was 168. A GS > 150 points in patients with AICS without ST elevation was associated with recurrent ischemia or angina (RR = 1.4, p = 0.05), left ventricular failure (RR = 3.1, p < 0.0001), stroke (RR = 2.9, p = 0.004) and arrhythmias (RR = 2.7, p < 0.0001). The patients with AICS with ST-segment elevation were associated with death (RR = 1.6, p = 0.01), reinfarction (RR = 1.7, p = 0.001), recurrent ischemia (RR = 1.2, p = 0.04), left ventricular failure (RR = 3.4, p < 0.001), stroke (RR = 3.9, p < 0.001) and arrhythmias (RR = 2.3, p < 0.001). Fibrinolytic therapy was used in 40.2 %. There was a negative correlation between GS and fibrinolytic therapy (r -0.04, p = 0.04). the AICS with ST-segment elevation is more frequent and have a high GS.
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The average of GS was 168. A GS &gt; 150 points in patients with AICS without ST elevation was associated with recurrent ischemia or angina (RR = 1.4, p = 0.05), left ventricular failure (RR = 3.1, p &lt; 0.0001), stroke (RR = 2.9, p = 0.004) and arrhythmias (RR = 2.7, p &lt; 0.0001). The patients with AICS with ST-segment elevation were associated with death (RR = 1.6, p = 0.01), reinfarction (RR = 1.7, p = 0.001), recurrent ischemia (RR = 1.2, p = 0.04), left ventricular failure (RR = 3.4, p &lt; 0.001), stroke (RR = 3.9, p &lt; 0.001) and arrhythmias (RR = 2.3, p &lt; 0.001). Fibrinolytic therapy was used in 40.2 %. 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The average of GS was 168. A GS &gt; 150 points in patients with AICS without ST elevation was associated with recurrent ischemia or angina (RR = 1.4, p = 0.05), left ventricular failure (RR = 3.1, p &lt; 0.0001), stroke (RR = 2.9, p = 0.004) and arrhythmias (RR = 2.7, p &lt; 0.0001). The patients with AICS with ST-segment elevation were associated with death (RR = 1.6, p = 0.01), reinfarction (RR = 1.7, p = 0.001), recurrent ischemia (RR = 1.2, p = 0.04), left ventricular failure (RR = 3.4, p &lt; 0.001), stroke (RR = 3.9, p &lt; 0.001) and arrhythmias (RR = 2.3, p &lt; 0.001). Fibrinolytic therapy was used in 40.2 %. 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source MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Acute Coronary Syndrome - epidemiology
Female
Humans
Male
Mexico
Middle Aged
Registries
Risk Assessment
title Risk stratified in the National Registry of Acute Coronary Syndromes at the IMSS
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