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65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <<7A0BD036941436489CB937F5ACEC440E>]>> startxref 116 %%EOF Infarto agudo de miocardio con supradesnivel persistente del segmento ST. Registro multicéntrico SCAR (Síndromes Coronarios Agudos en Argentina) de la Sociedad Argentina de Cardiología - Archivo PPCT

Infarto agudo de miocardio con supradesnivel persistente del segmento ST. Registro multicéntrico SCAR (Síndromes Coronarios Agudos en Argentina) de la Sociedad Argentina de Cardiología;
Acute Myocardial Infarction with Persistent ST-segment Elevation. SCAR (Acute Coronary Syndromes in Argentina) Multicenter Registry from the Argentine Society of Cardiology

Creators:Garcia Aurelio, Mauro Javier; Area de Investigacion de la Sociedad Argentina de Cardiologia, Cohen Arazi, Hernán, Higa, Claudio, Gómez Santa María, Héctor R., Mauro, Víctor M., Fernández, Horacio, Iglesias, Ricardo, Piombo, Alfredo, Romeo, Esteban, Blanco, Patricia
2014-08-15

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Descripción

Objetivos: describir las características de la población, el tratamiento y la evolución del infarto con supradesnivel del segmento ST (IAMST) en Argentina y determinar las variables asociadas a la mortalidad. Materiales y Métodos: Se analizaron pacientes con diagnostico de IAMST incluidos en el registro SCAR (Síndromes Coronarios Agudos en ARgentina).  Se analizaron las características demográficas, antecedentes, estrategias adoptadas, tratamiento durante la internación y la evolución clínica.  Se identificaron a aquellas variables predictores de mortalidad hospitalaria. Resultados:  Se incluyeron 476 pacientes (p) que ingresaron con IAMST en el ECG.  La edad promedio fue de 61 ± 12.3 años, 75% eran varones, 20% tenían antecedentes de diabetes, 42% de  tabaquismo, 51% de dislipemia y 63% de hipertensión.  El 13% tenían IAM previo, 2% antecedentes de revascularización quirúrgica y 10% por angioplastia.  Al ingreso, 374 p (79%) se encontraban en Killip y Kimball (KK) 1.  El tiempo promedio desde el inicio del dolor hasta el ingreso fue 120 min (RIC 60-330).  92 p recibieron tratamiento de reperfusión con trombolíticos (TL); tiempo desde el inicio del dolor hasta tratamiento fibrinolítico fue 180 min (110-250) y puerta aguja de 55 min (29-90).  285 p se trataron con angioplastia coronaria (ATC), 29 p con ATC rescate, 16 p con ATC farmacoinvasiva y 2 con ATC facilitada. La mortalidad fue de 8%, asociándose a edad [OR=1.1 (1.04-1.2), p=0.001], TIMI 0-1 final [OR=16 (3.24-89), p=0.001], KK 3-4 [OR=7.9 (2-31), p=0.003] y uso de inotrópicos [OR=27 (7.4-99), p&lt; 0.001]. Conclusiones: En este registro la mortalidad de IAMST fue del 8%, con una tasa de reperfusión cercana al 80%.  La mortalidad se asocio a la edad, el TIMI final, el KK y el uso de inotrópicos.

Introduction: Acute coronary syndrome registries made by the Argentine Society of Cardiology provide current and comparative information on their evolution, whose analysis allows to know mortality rate and different regional treatment patterns,and to evaluate the relationship between outcomes and demographic variables, clinical characteristics and therapy appliedin “real life”.Objectives: To analyze the clinical, therapeutic and outcome characteristics of ST segment elevation acute myocardial infarction(STEMI) included in a multicenter registry conducted by the Argentine Society of Cardiology in 2011.Methods: Patients diagnosed with STEMI included in the multicenter SCAR (Acute Coronary Syndromes in Argentina) registrywere analyzed. Data from centers that participated in the 2005 and 2011 registries were compared.Results: The study included 476 patients. Twenty-five percent of patients were women, mean age was 61 ± 12.3 years, and70% received reperfusion therapy: 20% (n = 92) with thrombolytics and 50% (n = 238) with primary angioplasty. In-hospitalmortality rate due to STEMI was 8%. Independent predictors of death were age over 70 years (OR 2, 95% CI 1.2-3.3, p = 0.003),not having received reperfusion therapy (OR 1.72, 95% CI 1.1-2.0, p = 0.01) and cardiogenic shock (OR 37, 95% CI 12-117, p&lt; 0.0001). Comparison of the same centers showed that in 2011 the number of cases that did not receive reperfusion therapywas reduced by 30%, with increased use of primary angioplasty [OR 3.7 (95% CI 1.6-4, p &lt; 0.001)]. A reduction of in-hospitalmortality [OR 0.40 (95% CI 0.23-0.83, p = 0.01)] was also identified.Conclusions: Seventy percent of patients with STEMI included in the SCAR registry received reperfusion therapy, while mortalityrate was 8%. Compared with 2005, an increase of primary angioplasty and decreased in-hospital mortality was found,among other findings.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 82, No 4 (2014); 275-284, Argentine Journal of Cardiology; Vol 82, No 4 (2014); 275-284

Citación

Garcia Aurelio, Mauro Javier; Area de Investigacion de la Sociedad Argentina de Cardiologia et al., “Infarto agudo de miocardio con supradesnivel persistente del segmento ST. Registro multicéntrico SCAR (Síndromes Coronarios Agudos en Argentina) de la Sociedad Argentina de Cardiología,” Archivo PPCT, consulta 4 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8224.

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Autor

Garcia Aurelio, Mauro Javier; Area de Investigacion de la Sociedad Argentina de Cardiologia
Cohen Arazi, Hernán
Higa, Claudio
Gómez Santa María, Héctor R.
Mauro, Víctor M.
Fernández, Horacio
Iglesias, Ricardo
Piombo, Alfredo
Romeo, Esteban
Blanco, Patricia

Fuente

Revista Argentina de Cardiología; Vol 82, No 4 (2014); 275-284
Argentine Journal of Cardiology; Vol 82, No 4 (2014); 275-284

Editor

Sociedad Argentina de Cardiología

Fecha

2014-08-15

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion