Resultados Chilenos del registro internacional de factores de riesgo y tratamiento de angina inestable e infarto al miocardio sin supradesnivel del segmento ST: ACCORD (ACute CORonary syndrome Descriptive study)

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dc.contributor.authorStockins, Benjamin
dc.contributor.authorAlbornoz, Francisco
dc.contributor.authorMartinez, Dario
dc.contributor.authorCampos, Pabla
dc.contributor.authorGajardo, Jorge
dc.contributor.authorLamich, Ruben
dc.contributor.authorManriquez, Leopoldo
dc.contributor.authorPerez, Victor
dc.contributor.authorRojo, Pamela
dc.contributor.authorSepulveda, Pablo
dc.contributor.authorGabriela Pumarino, M.
dc.contributor.authorCorbalan, Ramon
dc.date.accessioned2024-01-10T12:11:09Z
dc.date.available2024-01-10T12:11:09Z
dc.date.issued2011
dc.description.abstractBackground: Guidelines for the management of unstable angina (UA) and non ST elevation myocardial infarction (NSTEMI) have been issued, however current practices are unknown in Chile. Aim: To evaluate in a prospective cohort of NSTEMI patients the current practices, treatments and risk factors. Material and Methods: One year prospective International non interventional registry, conducted in Chile between January 2005 and November 2006. Results: Two hundred thirty three Chilean NSTEMI patients were enrolled. Mortality was 5.5% at the end of the follow-up. Mean age was 61.6 years, and 30.6% were female. Most of the patients had at least one risk factor (98%): hypertension (84%), previous myocardial infarction (33%), dyslipidemia (54%), diabetes (33%), current smoking (30%). Main procedures during the hospitalization were coronary angiogram (67%), angioplasty (33%; 88% with stent) and coronary bypass surgery (7%). During procedures, 31% of patients received clopidogrel, and 4.2% glycoprotein IIb/IIIa antagonists. Medical management was selected for 60% of patients. In comparison to men, women received less interventional procedures despite having more risk factors. Treatments prescribed at discharge were aspirin (97%), clopidogrel (49%), beta blockers (78%), diuretics (21%), lipid lowering agents (78%), oral hypoglycemic agents (13%) and insulin (9%). At the end of the 1-year follow-up, treatments were aspirin (84%), beta blockers (72%), diuretics (19%), and dual antiplatelet therapy with clopidogrel (16%). Conclusions: A high prevalence of multiple risk factors for cardiovascular disease in Chilean patients with NSTEMI was observed. More aggressive primary and secondary preventive measures are urgently needed. Use of therapies proposed in the guidelines is high, but dual antiplatelet therapy is less than 50% at discharge and decreases during the one year-follow-up. (Rev Med Chile 2011; 139: 19-26).
dc.fechaingreso.objetodigital2024-05-30
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872011000100003
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:21526313
dc.identifier.urihttps://doi.org/10.4067/S0034-98872011000100003
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76635
dc.identifier.wosidWOS:000288683400003
dc.information.autorucFacultad de Medicina; Sepulveda Varela, Pablo Andres; S/I; 1095919
dc.issue.numero1
dc.language.isoes
dc.nota.accesoContenido parcial
dc.pagina.final26
dc.pagina.inicio19
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso restringido
dc.subjectCoronary artery disease
dc.subjectMyocardial infarction
dc.subjectRisk factors
dc.subjectASSOCIATION TASK-FORCE
dc.subjectAMERICAN-COLLEGE
dc.subjectANTIPLATELET THERAPY
dc.subjectCLOPIDOGREL
dc.subjectMANAGEMENT
dc.subjectOUTCOMES
dc.subjectGUIDELINES
dc.subjectCOMMITTEE
dc.subjectPATTERNS
dc.subjectSTRATEGY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleResultados Chilenos del registro internacional de factores de riesgo y tratamiento de angina inestable e infarto al miocardio sin supradesnivel del segmento ST: ACCORD (ACute CORonary syndrome Descriptive study)
dc.title.alternativeChilean results of the international registry of risk factors and treatment of unstable angina and non ST elevation myocardial infarction: ACCORD (ACute CORonary syndrome Descriptive study)
dc.typeartículo
dc.volumen139
sipa.codpersvinculados1095919
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga SIPA;09-01-2024
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