Resumo

MENDIETA-ZERON, Hugo; CHITIVA-ARDILA, Diana Marcela  e  RIVERO-NAVARRO, Miguel Ángel. Poor prognostic factors in patients older than 70 years with acute coronary syndrome. Acta méd. peruana [online]. 2015, vol.32, n.3, pp.151-156. ISSN 1728-5917.

Since the information about prognostic scales in geriatric patients with acute coronary syndrome (ACS) is scarce, our main objective was to search the factors that conditioned deterioration in cardiac function and evaluate them in this age group in the Mexican population. Patients and method. This was a descriptive, retrospective study. Data from patients older than 70 years diagnosed with acute coronary syndrome at the Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM), during the period from January 1 of 2006 to May 30 of 2010 and these were statistically analyzed. Results. The data of 119 patients were recorded, with 26 women and 93 men, with mean age of 75,91 ± 4,68 and range 70-94. The lesion of the anterior descending artery was found as predictive for mortality with the models linear regression analysis (enter method), multinomial logistic regression, weighted estimation (for sex), Cox regression and binary logistic regression (only for male). Conclusions. The underlying diseases not controlled properly and lesion of the anterior descending artery are the most important predictive variables of death in the Mexican population older of 70 years with acute coronary syndrome.

Palavras-chave : ischemia; prognosis; aged; anterior descending artery; cardiovascular diseases.

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