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Changes in acute coronary syndrome in a decade in a provincial referral hospital
Cambios en el síndrome coronario agudo en una década en un hospital de referencia provincial
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José Javier Gómez-Barradoa,b,
Corresponding author
jjgomezbarrado@gmail.com

Corresponding author.
, Carolina Ortiz-Cortésa, Paula Gómez-Turéganoa, Luis Enrique Lezcano-Gorta, Zineb Kounkaa, María José Romero-Castroa
a Departamento de Cardiología, Hospital San Pedro de Alcántara, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain
b Departamento de Ciencias Biomédicas, Facultad de Medicina, Universidad de Extremadura, Badajoz, Spain
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Tables (2)
Table 1. General characteristics of the patients of both registers.
Table 2. Use of recommended drugs in ACS and evolutionary characteristics.
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Abstract
Introduction and objective

To determine the changes in the clinical and prognostic characteristics of patients admitted due to acute coronary syndrome (ACS) during the period between the years 2005 and 2015 in a provincial referral hospital.

Material and method

Cross-sectional observational study was conducted comparing the characteristics of ACS between 2005 and 2015. An analysis was made of the cardiovascular risk factors, treatment at discharge, complications, and mortality.

Results

The incidence of ACS in 2015 was 15.3% lower. The incidence of hypertension, diabetes and dyslipidaemia was similar, but there were more smokers in 2015 (25.9% vs 18.3%, P = .005). Coronary reperfusion and the prescription of secondary prevention treatments increased compared to 2005. Hospital mortality was similar.

Conclusion

The incidence of ACS has decreased in the last decade, in parallel with an improvement in the prognosis related to a more frequent use of the treatments recommended in the guidelines.

Keywords:
Acute coronary syndrome
Prognostic
Registry
Mortality
Resumen
Introducción y objetivo

Determinar el cambio en las características clínicas y pronósticas de pacientes ingresados por síndrome coronario agudo (SCA) durante un periodo de los años 2005 y 2015 en un hospital de referencia provincial.

Material y método

Estudio observacional transversal que compara las características del SCA de los años 2005 y 2015. Se analizaron factores de riesgo cardiovascular, tratamientos al alta, complicaciones y mortalidad.

Resultados

La incidencia de SCA en 2015 fue un 15,3% menor. La incidencia de hipertensión arterial, diabetes y dislipemia fue similar, pero hubo más fumadores en 2015 (25,9% vs 18,3%; P = 0,005. La reperfusión coronaria y la prescripción de tratamientos de prevención secundaria aumentaron respecto a 2005. La mortalidad hospitalaria fue similar.

Conclusión

La incidencia de SCA ha disminuido en la última década en paralelo a una mejoría en el pronóstico relacionado con un uso más frecuente de los tratamientos recomendados en las guías.

Palabras clave:
Síndrome coronario agudo
Pronóstico
Registro
Mortalidad

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