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Síndrome coronario agudo en mujeres jóvenes por disección coronaria espontánea;
Acute Coronary Syndrome in Young Women due to Spontaneous Coronary Artery Dissection

Creators:Burgos, Lucrecia María; Instituto Cardiovascular de Buenos Aires (ICBA)., Trivi, Marcelo; Instituto Cardiovascular de Buenos Aires (ICBA)., Di Niro, Cecilia; Instituto Cardiovascular de Buenos Aires (ICBA)., Gil Ramírez, Andreína; Instituto Cardiovascular de Buenos Aires (ICBA)., Costabel, Juan Pablo; Instituto Cardiovascular de Buenos Aires (ICBA)., Pedernera, Gustavo

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Descripción

Introducción: La disección coronaria espontánea (DCE) es una causa infrecuente de síndrome coronario agudo (SCA). Esconocida su mayor frecuencia en mujeres jóvenes; sin embargo, sus características clínicas y evolutivas permanecen insuficientementeestudiadas.Objetivo: Evaluar las características clínicas y la evolución de la DCE y su comparación con el síndrome coronario agudoateroesclerótico (SCAA) en mujeres jóvenes.Material y métodos: Estudio de cohorte prospectivo, realizado entre 2015 y 2017, en el que se compararon mujeres menoresde 60 años que ingresaron por SCA por DCE con otro cohorte que presentaba SCAA.Resultados: Se incluyeron 49 pacientes, 7 (14,29%) presentaban DCE. La mediana de seguimiento fue de 10 meses (Pc 25-752-18). La mediana de edad fue de 44 años (Pc 25-75 38-45) en grupo DCE y de 55 (Pc 25-75 49-58) en SCAA (P = 0,002), conmayor prevalencia de hipertensión arterial, dislipemia en grupo SCAA (69% vs. 14,3% P = 0,006 y 71% vs. 14% P = 0,004respectivamente). En el grupo DCE hubo mayor estrés (57,1% vs. 4,8% P = 0,001) y uso de ergotamina (28,6% vs. 0%P = 0,0001) y se presentaron más frecuentemente como infarto agudo de miocardio con elevación del ST (71,4% vs. 28,6%;P = 0,02. El punto final primario ocurrió en 3 pacientes (42,9%) del grupo con DCE y fue menor en el SCAA (9,5%, P = 0,02.En el seguimiento, el 14,9% del grupo DCE y el 14,8% de SCAA presentaron el punto final secundario (P = 0,9).Conclusiones: Las mujeres con DCE tuvieron menor prevalencia de factores de riesgo cardiovascular y presentaron un SCAcon peor impacto hemodinámico y mayores complicaciones. La evolución a largo plazo no mostró diferencias significativas.

Background: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). Its prevalenceis higher in young women, but its clinical characteristics and outcome remain insufficiently studied.Objective: The aim of this study was to evaluate the baseline characteristics and outcome of SCAD compared with atheroscleroticacute coronary syndrome (AACS) in young women.Methods: This prospective cohort study compared women &lt;60 years admitted with ACS due to SCAD with another cohortwith AACS, between 2015 and 2017.Results: A total of 49 patients were included, 7 of which (14.29%) presented SCAD. Median follow-up was 10 months (25-75IQR: 2-18). Median age was 44 years (25-75 IQR: 38-45) in the SCAD group and 55 years (25-75 IQR: 40-58) in the AACSgroup (p=0.002), with greater prevalence of hypertension and dyslipidemia (69% vs. 14.3%, p=0.006 and 71% vs. 14% p=0.004,respectively). Episodes of acute stress (57.1% vs. 4.8%, p=0.001) and use of ergotamine (28.6% vs. 0%, p=0.0001) were morecommon in the SCAD group, and ST-segment elevation myocardial infarction was the most frequent presentation (71.4% vs.28.6%; p=0.02). The primary endpoint occurred in 3 patients (42.9%) of the SCAD group and was less frequent in the AACSgroup (9.5%, p=0.02). During follow-up, 14.9% of patients in the SCAD group and 14.8% in the AACS group presented thesecondary endpoint (p=0.9).Conclusions: Women with SCAD had lower prevalence of cardiovascular risk factors and presented ACS with worse hemodynamicimpact and more complications. The long-term outcome did not show significant differences.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 86, No 5 (2018); 347-351, Argentine Journal of Cardiology; Vol 86, No 5 (2018); 347-351

Citación

Burgos, Lucrecia María; Instituto Cardiovascular de Buenos Aires (ICBA). et al., “Síndrome coronario agudo en mujeres jóvenes por disección coronaria espontánea,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9437.

Dublin Core

Autor

Burgos, Lucrecia María; Instituto Cardiovascular de Buenos Aires (ICBA).
Trivi, Marcelo; Instituto Cardiovascular de Buenos Aires (ICBA).
Di Niro, Cecilia; Instituto Cardiovascular de Buenos Aires (ICBA).
Gil Ramírez, Andreína; Instituto Cardiovascular de Buenos Aires (ICBA).
Costabel, Juan Pablo; Instituto Cardiovascular de Buenos Aires (ICBA).
Pedernera, Gustavo

Fuente

Revista Argentina de Cardiología; Vol 86, No 5 (2018); 347-351
Argentine Journal of Cardiology; Vol 86, No 5 (2018); 347-351

Editor

Sociedad Argentina de Cardiología

Fecha

2018-10-30

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.

Idioma

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eng

Tipo

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