Lipoproteína(a) y fibrinógenocomopredictores de complicaciones en pacientes con síndromecoronarioagudo /Lipoprotein(a) and fibrinogen as predictors of complications in patients with acute coronary syndrome
Introduction: Cardiovascular diseases are the cause of the largest number of anualdeaths in the developed world, so they are considered a scourge on mankind; these include ischemic heart disease. Objectives: To determine the value of lipoprotein(a), fibrinogen and fibrinogen-lipoprotein(a) index i...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
Cardiocentro Ernesto Che Guevara
2015-12-01
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Series: | CorSalud |
Subjects: | |
Online Access: | http://www.revcorsalud.sld.cu/index.php/cors/article/download/75/164 |
Summary: | Introduction: Cardiovascular diseases are the cause of the largest number of anualdeaths in the developed world, so they are considered a scourge on mankind; these include ischemic heart disease.
Objectives: To determine the value of lipoprotein(a), fibrinogen and fibrinogen-lipoprotein(a) index in predicting short-term complications in patients with acute coronary syndrome.
Method: A cross-sectional descriptive study was conducted in 115 patients admitted with acute coronary syndrome to the Dr. CelestinoHernández Robau Hospital in Santa Clara, from November 2012 to October 2013.
Results: The study included 43 female and 72 male patients. The most frequent risk factors included hypertension (70.43%), dyslipidemia (50.43%) and a family history of coronary artery disease (47.83%). Complications occurred in 39 patients (33.9%). Cutoff points were established at 4.50 g/L for fibrinogen, 341 mg/L for lipoprotein(a) and 1.50 for fibrinogen-lipoprotein(a) index, which showed a sensitivity of 89%, specificity of 94% and a predictive ability given by an odds ratio of 122. Therefore it was classified as having a very good predictive value.
Conclusions: The fibrinogen-lipoprotein(a) index showed an excellent predictive value for short-term complications in patients with acute coronary syndrome.
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ISSN: | 2078-7170 2078-7170 |