Abstract

GONZALEZ-PLIEGO, José Angel; GUTIERREZ-DIAZ, Gonzalo Israel; CELIS, Alfredo  and  GUDINO-AMEZCUA, Diego Armando. Registry of non-ST elevation acute coronary syndromes in a tertiary hospital (RESCATA-SEST registry). Arch. Cardiol. Méx. [online]. 2014, vol.84, n.2, pp.92-99. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2013.11.006.

Objective: To describe the clinical-epidemiologic profile and the process of care of the non-ST elevation acute coronary syndromes in a tertiary hospital. Method: We analyzed the clinical information, the risk stratification and diagnostic methods, the revascularization therapy and the prescription trends at discharge, of patients with non-ST elevation acute coronary syndromes cared for in one year. Results: Two hundred and eighty-three patients with mean age of 58 years were included (63% men). The largest number of non-ST elevation acute coronary syndromes (88.6%) was found between 50 to 59 years of age. The most common risk factor was hypertension; 82.5% of the patients had a low-intermediate TIMI score; residual ischemia was demonstrated in 37% and coronary obstructions were seen in 80 patients (70%). In 90%, a percutaneous coronary intervention was performed, mainly with drug-eluting Stents (87.5%). At discharge, even though antiplatelet agents and statins were prescribed in more than 90%, other drugs were indicated in a few more than 50% of patients. Conclusions: In this population, non-ST elevation acute coronary syndromes predominates in relatively young men, often with hypertension. To stratify risk, to look for residual ischemia and to revascularize with drug-eluting stents are common practices, but the evidence-based guidelines compliance is still suboptimal.

Keywords : Unstable angina; Non-ST elevation acute myocardial infarction; Acute coronary syndromes; Non-ST elevation acute coronary syndromes; Registries; Mexico.

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