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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 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 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 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 <]>> startxref 116 %%EOF Resultados de los primeros pacientes con sospecha de síndrome coronario agudo evaluados con el algoritmo de 1 hora propuesto por la Sociedad Europea de Cardiología - Archivo PPCT

Resultados de los primeros pacientes con sospecha de síndrome coronario agudo evaluados con el algoritmo de 1 hora propuesto por la Sociedad Europea de Cardiología

Creators:Costabel, Juan Pablo, Campos, Roberto, Ariznavarreta, Paula, Lambardi, Florencia, Arbucci, Rosina, Cortes, Marcia, Vergara, Juan Manuel, Borda, Maite, Alves de Lima, Alberto, Trivi, Marcelo
2019-06-19

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Descripción

Introducción: La troponina de alta sensibilidad ha significado un aporte para el manejo de pacientes con dolor torácico. En los últimos años se han diseñado en Europa algoritmos rápidos con la medición seriada de 2 troponinas separadas por una hora. Nuestro objetivo fue validar prospectivamente dicho algoritmo con nuestros pacientes. Métodos: Evaluamos 1041 pacientes consecutivos que se presentaron con sospecha de infarto agudo de miocardio (IAM). El punto final primario fue el IAM a 30 días y el punto final secundario la tasa de revascularización coronaria a los 30 días. Resultados: La edad media de los pacientes fue de 61 ± 9 años, con un 67 % de hombres, 17,5 % de diabéticos y 35,9 % de evento coronario previo. La tasa de IAM fue del 10,3 % con una mortalidad del 0,19 %. De acuerdo a la aplicación del algoritmo  684 p fueron catalogados como “externar” (65,7%), 243 como “observar” (23,3 %) y 114 como “internar” (11%). La tasa del evento primario resultó de 0,3 % en “externar”, 6,6 % en “observar” y 78,9 % en “internar” (p&lt;0,001). Por su lado la tasa del evento secundario resultó de 4,8 % en “externar”, 14,7 % en “observar” y 65,7 % en “internar” (p&lt;0,001). Conclusión: El algoritmo de 1 hora presentó una buena capacidad para estratificar a las personas que consultan con sospecha de infarto agudo de miocardio con un gran valor predictivo negativo para excluir el evento de infarto a los 30 días, aunque dicha capacidad disminuye cuando el evento considerado es la necesidad de revascularización coronaria.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 87, No 3 (2019); 197-202, Argentine Journal of Cardiology; Vol 87, No 3 (2019); 197-202

Citación

Costabel, Juan Pablo et al., “Resultados de los primeros pacientes con sospecha de síndrome coronario agudo evaluados con el algoritmo de 1 hora propuesto por la Sociedad Europea de Cardiología,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9404.

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Autor

Costabel, Juan Pablo
Campos, Roberto
Ariznavarreta, Paula
Lambardi, Florencia
Arbucci, Rosina
Cortes, Marcia
Vergara, Juan Manuel
Borda, Maite
Alves de Lima, Alberto
Trivi, Marcelo

Fuente

Revista Argentina de Cardiología; Vol 87, No 3 (2019); 197-202
Argentine Journal of Cardiology; Vol 87, No 3 (2019); 197-202

Editor

Sociedad Argentina de Cardiología

Fecha

2019-06-19

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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eng

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