Characterization of the acute coronary syndrome in octogenarian patients

Authors

  • Luis Mariano de la Torre Fonseca Universidad de Ciencias Medicas de la Habana. Hospital Universitario Clínico Quirúrgico Comandante Manuel Fajardo https://orcid.org/0000-0002-1694-6920
  • Kendry Janero Moliner Servicio de Cirugía Vascular. Hospital Josep Trueta. Girona, España.
  • Robert Alarcón Cedeño Servicio de Hemodinámica. Hospital “Álvaro Cunqueiro”. Vigo, España. https://orcid.org/0000-0003-2389-4812
  • Lila Alicia Echeverría Sifontes Unidad de Cuidados Coronarios Intensivos. Hospital Clínico-Quirúrgico Comandante “Manuel Fajardo”. La Habana, Cuba. https://orcid.org/0000-0003-1701-1163

Keywords:

elderly 80 years or older, acute coronary syndrome, left ventricular ejection fraction.

Abstract

Introduction: Age represents one of the greatest predictors of risk of cardiovascular complications in patients with acute coronary syndrome. The prevalence of this syndrome in the group of octogenarian patients is high.

Objective: To characterize the population of octogenarian patients with acute coronary syndrome and the possible associations between the occurrence of non-lethal intrahospital complications and cardiovascular risk factors.

Methods: This is a prospective analytical cohort study of all patients admitted to the intensive coronary care unit of Manuel Fajardo University Hospital in Havana, from 2016 to 2020.

Results: The female sex (64.2%), a history of arterial hypertension (89.7%), ischemic heart disease (66.7%), and smoking habits (32%) outweighed. Significant statistical associations were found between the type of acute coronary syndrome and the presence of cardiovascular complications of any type (p=0.006); the increase in creatinine was associated with the presence of hemodynamic complications (Mdn=97; Range=97.52; p=0.012), as well as the left ventricular ejection fraction showed a highly significant association with the presence of cardiovascular complications of any type (Mdn=59; Range=63.3; p<0.001) and hemodynamic (Range=55.2; p<0.001).

Conclusions: The octogenarian population of patients with ST-segment elevation acute coronary syndrome was characterized and was associated with an increase in in-hospital cardiovascular complications, in the same way that it happened with the value of the left ventricular ejection fraction.

 

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Author Biographies

Luis Mariano de la Torre Fonseca, Universidad de Ciencias Medicas de la Habana. Hospital Universitario Clínico Quirúrgico Comandante Manuel Fajardo

Especialista de Primer Grado en Cardiología y Medicina General Integral. Profesor Asistente. Unidad de Cuidados Intensivos

Kendry Janero Moliner, Servicio de Cirugía Vascular. Hospital Josep Trueta. Girona, España.

Especialista de Angiología y Cirugía Vascular.

Robert Alarcón Cedeño, Servicio de Hemodinámica. Hospital “Álvaro Cunqueiro”. Vigo, España.

Especialista en Cardiología.

Lila Alicia Echeverría Sifontes, Unidad de Cuidados Coronarios Intensivos. Hospital Clínico-Quirúrgico Comandante “Manuel Fajardo”. La Habana, Cuba.

Especialista en Cardiología.

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Published

2023-02-08

How to Cite

1.
de la Torre Fonseca LM, Janero Moliner K, Alarcón Cedeño R, Echeverría Sifontes LA. Characterization of the acute coronary syndrome in octogenarian patients. Rev Cubana Med [Internet]. 2023 Feb. 8 [cited 2025 Feb. 6];62(1). Available from: https://revmedicina.sld.cu/index.php/med/article/view/3279

Issue

Vol. 62 No. 1 (2023): January-March: in progress

Section

Original articles

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