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

La 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 cardiovascular...

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2021
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Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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https://doi.org/10.48713/10336_32172
https://repository.urosario.edu.co/handle/10336/32172
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IAMSEST (infarto agudo de miocardio sin elevación del segmento ST)
Análisis de desenlaces clínicos de adultos mayores con cardiopatías
Descripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en Bogotá
Análisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en Bogotá
Enfermedades
NSTEMI (non-ST-segment elevation myocardial infarction)
Analysis of clinical outcomes in older adults with heart disease
Description of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in Bogotá
Analysis of mortality due to heart disease in a population of patients over 80 years of age in Bogotá
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network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.spa.fl_str_mv Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
dc.title.TranslatedTitle.spa.fl_str_mv In-hospital outcomes in octogenarians with NSTEMI in a specialized cardiovascular hospital in Bogota, Colombia
title Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
spellingShingle Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
IAMSEST (infarto agudo de miocardio sin elevación del segmento ST)
Análisis de desenlaces clínicos de adultos mayores con cardiopatías
Descripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en Bogotá
Análisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en Bogotá
Enfermedades
NSTEMI (non-ST-segment elevation myocardial infarction)
Analysis of clinical outcomes in older adults with heart disease
Description of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in Bogotá
Analysis of mortality due to heart disease in a population of patients over 80 years of age in Bogotá
title_short Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
title_full Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
title_fullStr Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
title_full_unstemmed Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
title_sort Desenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, Colombia
dc.contributor.advisor.none.fl_str_mv Isaza-Restrepo, Daniel
Cárdenas-Roldán, Jorge
dc.contributor.none.fl_str_mv Garnica Sepúlveda, Diego Eduardo
Navarro-Navajas, Alberto
Vásquez, Juan Felipe
Idrovo Turbay, Carolina Paola
Bonnett, Angélica
Carreño, Marisol
dc.subject.spa.fl_str_mv IAMSEST (infarto agudo de miocardio sin elevación del segmento ST)
Análisis de desenlaces clínicos de adultos mayores con cardiopatías
Descripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en Bogotá
Análisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en Bogotá
topic IAMSEST (infarto agudo de miocardio sin elevación del segmento ST)
Análisis de desenlaces clínicos de adultos mayores con cardiopatías
Descripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en Bogotá
Análisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en Bogotá
Enfermedades
NSTEMI (non-ST-segment elevation myocardial infarction)
Analysis of clinical outcomes in older adults with heart disease
Description of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in Bogotá
Analysis of mortality due to heart disease in a population of patients over 80 years of age in Bogotá
dc.subject.ddc.spa.fl_str_mv Enfermedades
dc.subject.keyword.spa.fl_str_mv NSTEMI (non-ST-segment elevation myocardial infarction)
Analysis of clinical outcomes in older adults with heart disease
Description of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in Bogotá
Analysis of mortality due to heart disease in a population of patients over 80 years of age in Bogotá
description La 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.
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-08-06T23:29:02Z
dc.date.available.none.fl_str_mv 2021-08-06T23:29:02Z
dc.date.created.none.fl_str_mv 2021-07-28
dc.type.eng.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.spa.fl_str_mv Descriptivo observacional retrospectivo
dc.type.spa.spa.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_32172
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/32172
url https://doi.org/10.48713/10336_32172
https://repository.urosario.edu.co/handle/10336/32172
dc.language.iso.spa.fl_str_mv spa
language spa
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.extent.spa.fl_str_mv 47 pp.
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad del Rosario
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv Especialización en Cardiología
publisher.none.fl_str_mv Universidad del Rosario
institution Universidad del Rosario
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spelling Garnica Sepúlveda, Diego EduardoNavarro-Navajas, Alberto28c4f9eb-f693-453c-a509-6b147638e4c8600Vásquez, Juan FelipeIdrovo Turbay, Carolina Paolawill be generated::orcid::0000-0001-5708-918X600Bonnett, AngélicaCarreño, Marisolc1292cf4-4410-4663-a30d-7f878142ae3b600Isaza-Restrepo, Danielfcfec19d-e237-44b2-a419-81e13967bec3600Cárdenas-Roldán, Jorge133c228a-b37e-494d-aaf5-0fa5748cab67600Torralba, FelipeEspecialista en CardiologíaMaestríaFull time75fd4aa3-9f69-409f-ba6c-15ffbf5b78c16002021-08-06T23:29:02Z2021-08-06T23:29:02Z2021-07-28La 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.The 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.47 pp.application/pdfBogotá, Colombiahttps://doi.org/10.48713/10336_32172 https://repository.urosario.edu.co/handle/10336/32172spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en CardiologíaAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://purl.org/coar/access_right/c_abf21. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD et al. 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Arch Cardiol Mex 2005; 75: S6-S19instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURIAMSEST (infarto agudo de miocardio sin elevación del segmento ST)Análisis de desenlaces clínicos de adultos mayores con cardiopatíasDescripción de MACE (Evento adverso cardiovascular mayor) en una corte de pacientes octogenarios en BogotáAnálisis de mortalidad por cardiopatías en población de pacientes mayores de 80 años en BogotáEnfermedades616600NSTEMI (non-ST-segment elevation myocardial infarction)Analysis of clinical outcomes in older adults with heart diseaseDescription of MACE (Major Adverse Cardiovascular Event) in a court of octogenarian patients in BogotáAnalysis of mortality due to heart disease in a population of patients over 80 years of age in BogotáDesenlaces intrahospitalarios en octogenarios con IAMSEST en un hospital cardiovascular de referencia en Bogotá, ColombiaIn-hospital outcomes in octogenarians with NSTEMI in a specialized cardiovascular hospital in Bogota, ColombiabachelorThesisDescriptivo observacional retrospectivoTrabajo de gradohttp://purl.org/coar/resource_type/c_7a1fEscuela de Medicina y Ciencias de la SaludTEXTDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdf.txtDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdf.txtExtracted texttext/plain83734https://repository.urosario.edu.co/bitstreams/12a8ab81-ca1a-498f-b865-66ccf7995233/downloadce8f77032f441b1b3c1c7150920295b3MD53THUMBNAILDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdf.jpgDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdf.jpgGenerated Thumbnailimage/jpeg2359https://repository.urosario.edu.co/bitstreams/32fd2bfa-2920-4cfe-ac1b-17391469fd30/download4130f23c5daf58e23576c7e224a575c9MD54LICENSElicense.txtlicense.txttext/plain1475https://repository.urosario.edu.co/bitstreams/f2c1b940-4766-4cad-b123-f7f79ec50bf4/downloadfab9d9ed61d64f6ac005dee3306ae77eMD52ORIGINALDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdfDESENLACES OCTOGENARIOS IAMSEST - DR TORRALBA - REPOSITORIO.pdfDOCUMENTO FINALapplication/pdf449954https://repository.urosario.edu.co/bitstreams/876a0fb6-5860-4657-826b-369c397443ea/download05ad17d91201821509d65a10285f01e0MD5110336/32172oai:repository.urosario.edu.co:10336/321722022-02-22 08:54:53.634https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.coRUwoTE9TKSBBVVRPUihFUyksIG1hbmlmaWVzdGEobWFuaWZlc3RhbW9zKSBxdWUgbGEgb2JyYSBvYmpldG8gZGUgbGEgcHJlc2VudGUgYXV0b3JpemFjacOzbiBlcyBvcmlnaW5hbCB5IGxhIHJlYWxpesOzIHNpbiB2aW9sYXIgbyB1c3VycGFyIGRlcmVjaG9zIGRlIGF1dG9yIGRlIHRlcmNlcm9zLCBwb3IgbG8gdGFudG8gbGEgb2JyYSBlcyBkZSBleGNsdXNpdmEgYXV0b3LDrWEgeSB0aWVuZSBsYSB0aXR1bGFyaWRhZCBzb2JyZSBsYSBtaXNtYS4gCgpQQVJHUkFGTzogRW4gY2FzbyBkZSBwcmVzZW50YXJzZSBjdWFscXVpZXIgcmVjbGFtYWNpw7NuIG8gYWNjacOzbiBwb3IgcGFydGUgZGUgdW4gdGVyY2VybyBlbiBjdWFudG8gYSBsb3MgZGVyZWNob3MgZGUgYXV0b3Igc29icmUgbGEgb2JyYSBlbiBjdWVzdGnDs24sIEVMIEFVVE9SLCBhc3VtaXLDoSB0b2RhIGxhIHJlc3BvbnNhYmlsaWRhZCwgeSBzYWxkcsOhIGVuIGRlZmVuc2EgZGUgbG9zIGRlcmVjaG9zIGFxdcOtIGF1dG9yaXphZG9zOyBwYXJhIHRvZG9zIGxvcyBlZmVjdG9zIGxhIHVuaXZlcnNpZGFkIGFjdMO6YSBjb21vIHVuIHRlcmNlcm8gZGUgYnVlbmEgZmUuIAoKRUwgQVVUT1IsIGF1dG9yaXphIGEgTEEgVU5JVkVSU0lEQUQgREVMIFJPU0FSSU8sICBwYXJhIHF1ZSBlbiBsb3MgdMOpcm1pbm9zIGVzdGFibGVjaWRvcyBlbiBsYSBMZXkgMjMgZGUgMTk4MiwgTGV5IDQ0IGRlIDE5OTMsIERlY2lzacOzbiBhbmRpbmEgMzUxIGRlIDE5OTMsIERlY3JldG8gNDYwIGRlIDE5OTUgeSBkZW3DoXMgbm9ybWFzIGdlbmVyYWxlcyBzb2JyZSBsYSBtYXRlcmlhLCAgdXRpbGljZSB5IHVzZSBsYSBvYnJhIG9iamV0byBkZSBsYSBwcmVzZW50ZSBhdXRvcml6YWNpw7NuLgoKLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0KClBPTElUSUNBIERFIFRSQVRBTUlFTlRPIERFIERBVE9TIFBFUlNPTkFMRVMuIERlY2xhcm8gcXVlIGF1dG9yaXpvIHByZXZpYSB5IGRlIGZvcm1hIGluZm9ybWFkYSBlbCB0cmF0YW1pZW50byBkZSBtaXMgZGF0b3MgcGVyc29uYWxlcyBwb3IgcGFydGUgZGUgTEEgVU5JVkVSU0lEQUQgREVMIFJPU0FSSU8gIHBhcmEgZmluZXMgYWNhZMOpbWljb3MgeSBlbiBhcGxpY2FjacOzbiBkZSBjb252ZW5pb3MgY29uIHRlcmNlcm9zIG8gc2VydmljaW9zIGNvbmV4b3MgY29uIGFjdGl2aWRhZGVzIHByb3BpYXMgZGUgbGEgYWNhZGVtaWEsIGNvbiBlc3RyaWN0byBjdW1wbGltaWVudG8gZGUgbG9zIHByaW5jaXBpb3MgZGUgbGV5LiBQYXJhIGVsIGNvcnJlY3RvIGVqZXJjaWNpbyBkZSBtaSBkZXJlY2hvIGRlIGhhYmVhcyBkYXRhICBjdWVudG8gY29uIGxhIGN1ZW50YSBkZSBjb3JyZW8gaGFiZWFzZGF0YUB1cm9zYXJpby5lZHUuY28sIGRvbmRlIHByZXZpYSBpZGVudGlmaWNhY2nDs24gIHBvZHLDqSBzb2xpY2l0YXIgbGEgY29uc3VsdGEsIGNvcnJlY2Npw7NuIHkgc3VwcmVzacOzbiBkZSBtaXMgZGF0b3MuCgo=

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