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Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia

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dc.contributorGarnica Sepúlveda, Diego Eduardo
dc.contributorNavarro-Navajas, Alberto
dc.contributorVásquez, Juan Felipe
dc.contributorIdrovo Turbay, Carolina Paola
dc.contributorBonnett, Angélica
dc.contributorCarreño, Marisol
dc.contributor.advisorIsaza-Restrepo, Daniel
dc.contributor.advisorCárdenas-Roldán, Jorge
dc.creatorTorralba, Felipe
dc.creator.degreeEspecialista en Cardiologíaspa
dc.creator.degreeLevelMaestría
dc.creator.degreetypeFull timespa
dc.date.accessioned2021-08-06T23:29:02Z
dc.date.available2021-08-06T23:29:02Z
dc.date.created2021-07-28
dc.descriptionLa disminución de la natalidad global y el aumento de la expectativa de vida ha ocasionado una inversión de la pirámide poblacional, con una población de adultos mayores de 80 años que se encuentra en constante crecimiento. En este trabajo se describe los desenlaces intrahospitalarios cardiovasculares de los pacientes mayores de 80 años con diagnóstico de infarto agudo de miocardio sin elevación del ST (IAMSEST), que ingresaron a la Fundación Cardio Infantil entre 2018 y 2020. Se describe las características demográficas y clínicas, y se identifica las enfermedades y factores de riesgo más prevalentes en esta población y se comparan estos datos con los de la población de pacientes menores de esta edad. Este es un estudio descriptivo, retrospectivo, observacional, con un cálculo de muestra no probabilístico por conveniencia. Los octogenarios son pacientes más comórbidos en comparación con los de menor edad, siendo concordante con lo reportado en la literatura, pero que para algunas patologías tuvo mayor magnitud propio de la distribución geográfica local. Hubo mayor prevalencia de bloqueo AV, falla cardiaca descompensada y fibrilación auricular aguda en el grupo de octogenarios, hallazgos de gran impacto pronóstico a largo plazo. La mortalidad intrahospitalaria, el choque cardiogénico y las arritmias ventriculares tuvieron una prevalencia similar, siendo estos, hallazgos no esperados, pero que se pueden explicar por el seguimiento intrahospitalario y la falta de registro a mediano plazo. Se trata del primer trabajo de desenlaces intrahospitalarios de pacientes colombianos mayores de 80 años con síndrome coronario agudo sin elevación del segmento ST.spa
dc.description.abstractThe decline in the global birth rate and the increase in life expectancy have led to a reversal of the population pyramid, showing a constantly growing population of adults over 80. This paper describes the cardiovascular in-hospital outcomes of patients older than 80 years with a diagnosis of NSTEMI, who were admitted to Fundación Cardioinfantil between 2018 and 2020. We describe demographic and clinical characteristics of this population, and also, the most prevalent diseases and risk factors, to be compared with those of the population of patients younger than this age It is a descriptive, retrospective, observational study with a non-probabilistic sample calculation for convenience. Octogenarians are more comorbid patients compared to younger ones, being consistent with what is reported in the literature. There was a higher prevalence of AV block, decompensated heart failure, and acute atrial fibrillation in the octogenarian group, findings with a high long-term prognostic impact. In-hospital mortality, cardiogenic shock, and ventricular arrhythmias had a similar prevalence, being an unexpected finding, which can be explained by the shot in-hospital follow-up and the lack of a mid-term registry. This is the first in-hospital outcomes study of Colombian patients older than 80 years with NSTEMI.spa
dc.format.extent47 pp.spa
dc.format.mimetypeapplication/pdf
dc.geoLocationBogotá, Colombiaspa
dc.identifier.doihttps://doi.org/10.48713/10336_32172
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/32172
dc.language.isospaspa
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Cardiología
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectIAMSEST (infarto agudo de miocardio sin elevación del segmento ST)spa
dc.subjectAnálisis de desenlaces clínicos de adultos mayores con cardiopatíasspa
dc.subjectDescripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en Bogotáspa
dc.subjectAnálisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en Bogotáspa
dc.subject.ddcEnfermedadesspa
dc.subject.keywordNSTEMI (non-ST-segment elevation myocardial infarction)spa
dc.subject.keywordAnalysis of clinical outcomes in older adults with heart diseasespa
dc.subject.keywordDescription of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in Bogotáspa
dc.subject.keywordAnalysis of mortality due to heart disease in a population of patients over 80 years of age in Bogotáspa
dc.titleDesenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombiaspa
dc.title.TranslatedTitleIn-hospital outcomes in octogenarians with NSTEMI in a specialized cardiovascular hospital in Bogota, Colombiaspa
dc.typebachelorThesiseng
dc.type.documentDescriptivo observacional retrospectivospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
local.department.reportEscuela de Medicina y Ciencias de la Saludspa
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