HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda

O objetivo deste estudo foi determinar a relação entre stress e variáveis sociodemográficas e biomarcadores de carga alostática em doentes com doença arterial coronária aguda. Estudo transversal, em pacientes com doença arterial coronária confirmada por angiografia coronária. O stress foi medido atr...

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Autores:: Henao Pérez, Marcela
López Medina, Diana Carolina
Henao Pérez, Julieta
Lemos, Mariantonia

Tipo de recurso:: Article of journal

Fecha de publicación:: 2023

Institución:: Universidad Cooperativa de Colombia

Repositorio:: Repositorio UCC

Idioma:: spa

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network_acronym_str	COOPER2
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repository_id_str
dc.title.none.fl_str_mv	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
dc.title.translated.none.fl_str_mv	Elevated HDL as a stress-related factor in patients with acute coronary heart disease
title	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
spellingShingle	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda 610 - Medicina y salud enfermedad coronaria estrés biomarcadores colesterol HDL carga alostática HDL disfuncional enfermedad coronaria estrés biomarcadores colesterol HDL Coronaty disease carga alostática Stress Biomarkers HDL HDL disfuncional Dysfunctional HDL allostatic load
title_short	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
title_full	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
title_fullStr	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
title_full_unstemmed	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
title_sort	HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda
dc.creator.fl_str_mv	Henao Pérez, Marcela López Medina, Diana Carolina Henao Pérez, Julieta Lemos, Mariantonia
dc.contributor.author.none.fl_str_mv	Henao Pérez, Marcela López Medina, Diana Carolina Henao Pérez, Julieta Lemos, Mariantonia
dc.contributor.researchgroup.none.fl_str_mv	Infettare
dc.subject.ddc.none.fl_str_mv	610 - Medicina y salud
topic	610 - Medicina y salud enfermedad coronaria estrés biomarcadores colesterol HDL carga alostática HDL disfuncional enfermedad coronaria estrés biomarcadores colesterol HDL Coronaty disease carga alostática Stress Biomarkers HDL HDL disfuncional Dysfunctional HDL allostatic load
dc.subject.mesh.none.fl_str_mv	enfermedad coronaria estrés biomarcadores colesterol HDL carga alostática HDL disfuncional
dc.subject.proposal.spa.fl_str_mv	enfermedad coronaria estrés biomarcadores colesterol HDL Coronaty disease
dc.subject.proposal.none.fl_str_mv	carga alostática
dc.subject.proposal.eng.fl_str_mv	Stress Biomarkers HDL HDL disfuncional Dysfunctional HDL allostatic load
description	O objetivo deste estudo foi determinar a relação entre stress e variáveis sociodemográficas e biomarcadores de carga alostática em doentes com doença arterial coronária aguda. Estudo transversal, em pacientes com doença arterial coronária confirmada por angiografia coronária. O stress foi medido através da escala de stress percebido e as variáveis sociodemográficas e clínicas foram retiradas dos registos médicos. As covariáveis foram analisadas através de estatística descritiva. Foram formados dois grupos de acordo com a presença ou ausência de stress no momento da hospitalização; foi avaliada a diferença entre os grupos. A correlação foi explorada por regressão linear. Foram recrutados 138 doentes, 50% dos quais tinham 65 anos ou mais, 65,9% eram do sexo masculino, o enfarte agudo do miocárdio foi o principal diagnóstico documentado e o fator de risco mais frequente foi a hipertensão arterial. 22,8% dos doentes foram submetidos a stress. O HDL foi mais elevado nos doentes com stress (Me 45,57) em comparação com os doentes sem stress (Me 39,12), sendo um fator diferenciador (p= 0,024). A análise multivariada encontrou uma relação positiva (r: 0,3; p: 0,003) do HDL com o stress e uma relação inversa (r: -0,95; p: 0,02) do IMC com o HDL nos homens. Os resultados sugerem uma relação direta e significativa entre níveis elevados de HDL e stress, e o HDL pode atuar como um fator pró-inflamatório na fase aguda da doença coronária aguda.
publishDate	2023
dc.date.issued.none.fl_str_mv	2023-07-31
dc.date.accessioned.none.fl_str_mv	2024-02-05T16:58:12Z
dc.date.available.none.fl_str_mv	2024-02-05T16:58:12Z
dc.type.none.fl_str_mv	Artículo
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dc.type.content.none.fl_str_mv	DataPaper
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dc.identifier.citation.none.fl_str_mv	Henao-Pérez, M., López Medina, D. C. , Henao Pérez, J. , & Lemos, M. (2023). HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda. Pinelatinoamericana, 3(2), 138-155.
dc.identifier.issn.none.fl_str_mv	2796-8677
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12494/54187
dc.identifier.eissn.none.fl_str_mv	2796-8677
identifier_str_mv	Henao-Pérez, M., López Medina, D. C. , Henao Pérez, J. , & Lemos, M. (2023). HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda. Pinelatinoamericana, 3(2), 138-155. 2796-8677
url	https://hdl.handle.net/20.500.12494/54187
dc.language.iso.none.fl_str_mv	spa
language	spa
dc.relation.citationendpage.none.fl_str_mv	155
dc.relation.citationstartpage.none.fl_str_mv	138
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spelling	Henao Pérez, MarcelaLópez Medina, Diana CarolinaHenao Pérez, JulietaLemos, MariantoniaInfettare2024-02-05T16:58:12Z2024-02-05T16:58:12Z2023-07-31Henao-Pérez, M., López Medina, D. C. , Henao Pérez, J. , & Lemos, M. (2023). HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda. Pinelatinoamericana, 3(2), 138-155.2796-8677https://hdl.handle.net/20.500.12494/541872796-8677O objetivo deste estudo foi determinar a relação entre stress e variáveis sociodemográficas e biomarcadores de carga alostática em doentes com doença arterial coronária aguda. Estudo transversal, em pacientes com doença arterial coronária confirmada por angiografia coronária. O stress foi medido através da escala de stress percebido e as variáveis sociodemográficas e clínicas foram retiradas dos registos médicos. As covariáveis foram analisadas através de estatística descritiva. Foram formados dois grupos de acordo com a presença ou ausência de stress no momento da hospitalização; foi avaliada a diferença entre os grupos. A correlação foi explorada por regressão linear. Foram recrutados 138 doentes, 50% dos quais tinham 65 anos ou mais, 65,9% eram do sexo masculino, o enfarte agudo do miocárdio foi o principal diagnóstico documentado e o fator de risco mais frequente foi a hipertensão arterial. 22,8% dos doentes foram submetidos a stress. O HDL foi mais elevado nos doentes com stress (Me 45,57) em comparação com os doentes sem stress (Me 39,12), sendo um fator diferenciador (p= 0,024). A análise multivariada encontrou uma relação positiva (r: 0,3; p: 0,003) do HDL com o stress e uma relação inversa (r: -0,95; p: 0,02) do IMC com o HDL nos homens. Os resultados sugerem uma relação direta e significativa entre níveis elevados de HDL e stress, e o HDL pode atuar como um fator pró-inflamatório na fase aguda da doença coronária aguda.The aim of this study was to determine the relationship between stress and sociodemographic variables and biomarkers of allostatic load in patients with acute coronary artery disease. Cross-sectional study, in patients with coronary artery disease confirmed by coronary angiography. Stress was measured by means of the perceived stress scale and the sociodemographic and clinical variables were taken from the medical records. Covariables were analyzed using descriptive statistics. Two groups were formed according to the presence or absence of stress at the time of hospitalization; the difference between the groups was evaluated. Correlation was explored by linear regression. A total of 138 patients were recruited, 50% of them were 65 years of age or older, 65.9% were men, acute myocardial infarction was the main diagnosis documented and the most frequent risk factor was arterial hypertension. Twenty-two-point eight percent of patients scored for stress. HDL was higher among patients with stress (Me 45.57) versus those without stress (Me 39.12), being a differentiating factor (p= 0.024). In the multivariate analysis, a positive relationship was found (r: 0.3; p: 0.003) of HDL with stress and an inverse relationship (r: -0.95; p: 0.02) of BMI with HDL in men. The results suggest a direct and significant relationship between elevated HDL levels and stress, and HDL may act as a proinflammatory factor in the acute stage of acute coronary disease.El objetivo de este estudio fue determinar la relación entre estrés con variables sociodemográficas y biomarcadores de carga alostática, en pacientes con enfermedad coronaria aguda. Es un estudio cross sectional, en pacientes con enfermedad coronaria confirmada por coronariografía. El estrés se midió a través de la escala de estrés percibido y las variables sociodemográficas y clínicas fueron tomadas de las historias clínicas. Por medio de estadística descriptiva se analizaron las covariables. Se conformaron dos grupos según la presencia o no de estrés, al momento de la hospitalización; se evaluó la diferencia entre los grupos. Se exploró la correlación por medio de regresión lineal. Se reclutaron 138 pacientes, 50% de ellos tenían 65 o más años, 65.9% eran hombres, el infarto agudo de miocardio fue el principal diagnostico documentado y el factor de riesgo más frecuente fue la hipertensión arterial. El 22,8% de los pacientes puntuaron para estrés. El HDL fue mayor entre los pacientes con estrés (Me 45,57) frente a aquellos sin estrés (Me 39,12), siendo un factor diferenciador (p= 0,024). En el análisis multivariable se encontró relación positiva (r: 0.3; p: 0.003) del HDL con el estrés y una relación inversa (r: -0.95; p: 0.02) del IMC con el HDL en los hombres. Los resultados sugieren una relación directa y significativa entre niveles elevados de HDL y el estrés, pudiendo actuar el HDL como un factor proinflamatorio en el momento agudo de la enfermedad coronaria aguda.1.Introducción. -- 2. Materiales y métodos. --3. Resultados. --4. Discusión.--4. Conclusiones y recomendaciones.--5.BibiliografíaEstudio observacional, analítico, cross sectional. Análisis secundarios del proyecto “Estrés y depresión como factores pronósticos en pacientes con enfermedad coronaria” (Henao-Pérez, 2021). Se realizó un estudio transversal en pacientes con diagnóstico de síndrome coronario agudo, de una unidad de cuidado coronario de una institución privada del oriente Antioqueño de Colombia, con un periodo de observación desde el 1° de septiembre de 2013 al 30 de junio de 2015. Los datos se analizaron utilizando el programa estadístico SPSS (V25.0) y se realizó por fases de análisis (descriptiva, analítica y exploratoria relacional). En la fase descriptiva las variables cualitativas se describieron por medio de frecuencias (absolutas y relativas). Para el análisis de las variables cuantitativas se utilizaron medidas de tendencia central y dispersión, según la distribución a la prueba de normalidad de Kolmogorov Smirnov. En la fase inferencial se realizaron estudios analíticos de comparación según la presencia de estrés, se clasificó la muestra según el punto de corte con los valores de la media más una desviación estándar en el cuestionario PSS, quedando en el grupo con estrés los participantes que puntuaron ≥ 32 y sin estrés ≤31. Para evaluar la relación del estrés al momento del evento coronario agudo con las variables sociodemográficas y clínicas se analizó la diferencia entre los promedios con la prueba t de Student y para determinar la diferencia entre las medianas se empleó la prueba U de Mann Whitney. En la última fase de análisis, se realizó exploración de la relación del nivel del HDL y el estrés con control de las variables sociodemográficas y clínicas, se efectuó regresión líneal múltiple y se hizo control de la confusión ajustando por sexo. Para el control de la confusión y evitar el sobreajuste se incluyeron en el modelo las variables reconocidas por la literatura y con diferencia estadísticamente significativa en el análisis de correlación de Pearson o de Spearman, y diferencia entre los grupos en la prueba t de student o la prueba de U de Mann Whitney. Para todas las pruebas se aceptó una significancia estadística con un valor de p menor de 0.05 de dos colas, con un intervalo de confianza del 95%. Este estudio no realizó imputación de datos faltantes por lo tanto los tamaños de muestra son diferentes en cada fase de análisis .Clínicaapplication/pdfspaArgentinaUniversidad Nacional de Córdoba, ArgentinaLicencia internacional Creative Commons Atribución-NoComercial 4.0.http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://purl.org/coar/access_right/c_abf2https://revistas.unc.edu.ar/index.php/pinelatam/article/view/41862/42015610 - Medicina y saludenfermedad coronariaestrésbiomarcadorescolesterol HDLcarga alostáticaHDL disfuncionalenfermedad coronariaestrésbiomarcadorescolesterol HDLCoronaty diseasecarga alostáticaStressBiomarkersHDLHDL disfuncionalDysfunctional HDLallostatic loadHDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria agudaElevated HDL as a stress-related factor in patients with acute coronary heart diseaseArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85DataPaperinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersion1551382https://revistas.unc.edu.ar/index.php/pinelatam/article/view/41862/42015PinelatinoamericanaAnsell, B. 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HDL elevado como factor relacionado al estrés en pacientes con enfermedad coronaria aguda

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