Risk factors associated with clinical variants of acute coronary syndrome

Authors

  • Carlos Alejandro Fonseca Marrero Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas Manuel Fajardo. La Habana, Cuba.
  • José Alejandro Ávila Cabreja Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas Manuel Fajardo. La Habana, Cuba.
  • Luis Mariano de la Torre Fonseca Hospital Clínico Quirúrgico Comandante Manuel Fajardo. La Habana, Cuba.

Keywords:

síndrome coronario agudo, SCACEST, SCASEST, factor de riesgo

Abstract

Introduction: Currently, there is a lack of studies that relate cardiovascular risk factors with clinical forms of acute coronary syndrome. If these studies happen, it would be possible to develop more targeted and individualized prevention strategies.

Objective: To identify if there is an association between the clinical forms of acute coronary syndrome and some classic vascular risk factors.

Methods: A cross-sectional analytical observational study was carried out in patients admitted to the coronary care service at Comandante Manuel Fajardo Clinical Surgical Hospital from 2013 to 2018. Patients with diagnosis of acute coronary syndrome were included. Data were pulled out from medical records. To test the hypothesis, univariate and multivariate models were used. A value of p˂0.05 was considered significant.

Results: Three hundred ninety three (393) patients were studied, of which 25.7% were diagnosed with acute coronary syndrome with ST segment elevation and 74.3% with acute coronary syndrome without ST segment elevation. In the first group, the median age of the patients was significantly higher (p <0.001). Smoking was a predictor variable for ST segment elevation (OR: 3.89; 95% CI: 2.24-6.73, p <0.001). A history of ischemic heart disease (OR: 0.13; 95% CI: 0.07-0.25; p <0.001) and arterial hypertension (OR: 0.38; 95% CI: 0, were inversely related). 20-0.72; p = 0.003).

Conclusions: It is concluded that smoking is a predictor of acute coronary syndrome with ST segment elevation, while history of ischemic heart disease and arterial hypertension were related to non-ST segment elevation.

Keywords: acute coronary syndrome; risk factor; smoking.

Downloads

Download data is not yet available.

Downloads

Published

2020-11-13

How to Cite

1.
Fonseca Marrero CA, Ávila Cabreja JA, de la Torre Fonseca LM. Risk factors associated with clinical variants of acute coronary syndrome. Rev Cubana Med [Internet]. 2020 Nov. 13 [cited 2025 Mar. 12];60(3). Available from: https://revmedicina.sld.cu/index.php/med/article/view/1364

Issue

Vol. 60 No. 3 (2021): julio-septiembre

Section

Original articles

License

The Cuban Journal of Medicine protects the author's patrimonial rights. However, it is licensed under a Creative Commons Licensehttps://creativecommons.org/licenses/by-nc/4.0/deed.es_ES which permits unrestricted non-commercial use, distribution and reproduction in any medium, provided that the primary source of publication is duly cited. The author always retains his moral rights.

 

You are free to:

- Share - copy and redistribute the material in any medium or format.

- Adapt - remix, transform and build upon the material

- The license cannot revoke these freedoms as long as you follow the terms of the license.

Under the following terms:

- Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is supported by the licensor.

- Non-Commercial Purpose- You may not make use of the material for commercial purposes.

- No Additional Restrictions - You may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.