Caracterización clínica, electrocardiografía y angiográfica de pacientes con infarto agudo del miocardio en el adulto joven en clínica de IV nivel de la ciudad de Barranquilla
| datacite.rights | http://purl.org/coar/access_right/c_f1cf | |
| dc.contributor.advisor | Cotes Aroca, Carlos | |
| dc.contributor.advisor | Urina Triana, Manuel | |
| dc.contributor.author | Porto Corbacho, Daniel Agustín | |
| dc.contributor.author | Acevedo Orozco, Laura Lucia | |
| dc.date.accessioned | 2025-02-07T14:16:52Z | |
| dc.date.available | 2025-02-07T14:16:52Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | Introducción: La enfermedad cardiovascular en los pacientes jóvenes es una entidad que si bien es conocida no es ampliamente estudiada, ya que la población de riesgo suelen ser personas mayores de los 50 años de edad donde los factores de riesgo convencionales como la hipertensión, enfermedad ateroesclerótica, diabetes mellitus tipo 2 son la primera relación causal, sin embargo los pacientes jóvenes también pueden compartir estos factores de riesgo, pero pueden existir otros que no son siempre estudiados, el motivo de este trabajo es caracterizar la población de estudio tratando de encontrar los factores de riesgo no convencionales en esta población. Métodos y resultados: Estudio observacional-descriptivo, retrospectivo de corte transversal, se evaluaron pacientes que ingresaron al servicio de hemodinamia, con diagnóstico de infarto agudo de miocardio jóvenes (< 40 años) que cumplían la definición de infarto agudo del miocardio, el universo fue de 2808 pacientes de los cuales 41 cumplieron los criterios de inclusión. La población estuvo distribuida entre hombres (85%) y mujeres (15%), electrocardiográficamente se encontró que el infarto agudo del miocardio sin elevación del segmento ST fue el patrón más frecuente en la población estudiada (63%), desde el punto de vista angiográfico la arteria descendente anterior como la arteria más comprometida (ADA) seguida de la arteria circunfleja (ACX). La mayoría de los pacientes tenían 2 o mas factores de riesgo cardiovascular atribuibles, el 36% de la población fue intervenida mediante IPC más implante de stent coronario. Los factores de riesgo más comúnmente asociados a los infartos en los pacientes jóvenes fueron la hipertensión arterial, hipercolesterolemia, hábito tabáquico y uso de sustancias recreativas, otros factores de riesgo como enfermedades reumatológicas, infecciosas y lipoproteína (a) y homocisteinemia fueron estudiados, pero no estuvieron presentes al momento de la caracterización de la población. | spa |
| dc.description.abstract | Cardiovascular disease in young patients is an entity that although it is known, it is not widely studied, since the risk population is usually people over 50 years of age where conventional risk factors such as hypertension, atherosclerotic disease, type 2 diabetes mellitus are the first causal relationship, however young patients may also share these risk factors, but there may be others that are not always studied, the reason for this work is to characterize the study population trying to find non conventional risk factors in this population. Methods and results: Observational descriptive, retrospective, cross-sectional study, patients who entered the haemodynamics service with a diagnosis of acute myocardial infarction were evaluated, young (< 40 years) who met the definition of acute myocardial infarction, the universe was 2808 patients of which 41 met the inclusion criteria. The population was distributed between men (85%) and women (15%), electrocardiographically it was found that the acute myocardial infarction without ST segment elevation was the most frequent pattern in the population studied (63%), from the echocardiographic point of view the most frequent segmental alterations were the involvement of 6 parietal segments, at the time of angiographic evaluation of the lesions, the anterior descending artery as the most involved artery (ADA) in 47.3% of the cases, followed by the circumflex artery (ACX) in 18%, it could be characterized that the lesions frequently found were in the proximal portion of the vessels, which was statistically significant (P-value 0.024). | eng |
| dc.format.mimetype | ||
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/16233 | |
| dc.language.iso | spa | |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | eng |
| dc.rights.accessrights | info:eu-repo/semantics/embargoedAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | |
| dc.subject | Infarto agudo del miocardio | spa |
| dc.subject | Síndrome coronario agudo | spa |
| dc.subject | Hipertensión arterial | spa |
| dc.subject | Pacientes jóvenes | spa |
| dc.subject | Diabetes | spa |
| dc.subject | Hipercolesterolemia | spa |
| dc.subject | Abuso de sustancias | spa |
| dc.subject | Lipoproteína (a) | spa |
| dc.subject | Homocisteinemia | spa |
| dc.subject.keywords | Acute myocardial infarction | eng |
| dc.subject.keywords | Acute coronary syndrome | eng |
| dc.subject.keywords | Hypertension | eng |
| dc.subject.keywords | Young patients | eng |
| dc.subject.keywords | Diabetes | eng |
| dc.subject.keywords | Hypercholesterolemia | eng |
| dc.subject.keywords | Substance abuse | eng |
| dc.subject.keywords | Lipoprotein (a) | eng |
| dc.subject.keywords | Homocysteinemia | eng |
| dc.title | Caracterización clínica, electrocardiografía y angiográfica de pacientes con infarto agudo del miocardio en el adulto joven en clínica de IV nivel de la ciudad de Barranquilla | spa |
| dc.type.driver | info:eu-repo/semantics/other | |
| dc.type.spa | Otros | |
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| oaire.version | info:eu-repo/semantics/acceptedVersion | |
| sb.programa | Especialización en Cardiología | spa |
| sb.programa | Especialización en Medicina Interna | spa |
| sb.sede | Sede Barranquilla | spa |
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