Impacto de los factores de riesgo coronario en mujeres de edad media

Background: In Chile, 40% of deaths due to acute myocardial infarction occur in women. Aim: To assess the presence of cardiovascular risk factors in women with acute coronary syndromes. Patients and methods: Thirty four women aged 46 to 55 years old, admitted to the hospital due to an acute coronary...

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Autores principales:	Blümel M,Juan E, Prieto D,Juan Carlos, Leal I,Tatiana, Cruz A,María Natalia, Gallardo H,Ligia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Coronary disease Hypertension Menopause Postmenopause
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900004
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spelling	oai:scielo:S0034-988720010009000042005-11-24Impacto de los factores de riesgo coronario en mujeres de edad mediaBlümel M,Juan EPrieto D,Juan CarlosLeal I,TatianaCruz A,María NataliaGallardo H,Ligia Coronary disease Hypertension Menopause Postmenopause Background: In Chile, 40% of deaths due to acute myocardial infarction occur in women. Aim: To assess the presence of cardiovascular risk factors in women with acute coronary syndromes. Patients and methods: Thirty four women aged 46 to 55 years old, admitted to the hospital due to an acute coronary syndrome and 102 age matched healthy women were studied. A clinical history was obtained, blood pressure and fasting serum lipids were measured. Results: A history of high blood pressure was present in 65 and 16% of patients and healthy controls respectively. Seventy seven percent of patients and 36% of controls smoked, 76% of patients and 48% of controls were postmenopausal, 21% of patients an 5% of controls were diabetic. In patients and controls respectively serum total cholesterol was 230.1±36.2 and 211.2±34.8 mg/dl, serum triacylglycerol was 213.4±109.4 and 143.2±76.9 mg/dl and serum HDL cholesterol was 44.1±10.8 and 49.8±13.3 mg/dl (p<0.001 or less). In univariate analysis, the risk of acute coronary syndrome increased with high blood pressure (OR: 9.3, CI: 2.5-18.6), menopause (OR: 8.3, CI: 2,2-31:5), smoking (OR: 6.9, CI: 2.5-18.6), diabetes mellitus (OR: 5.0, CI: 1.4-17.5), a high total cholesterol/HDL cholesterol ratio (OR: 6.6, CI: 1.8-12.5) and hypertriglyceridemia (OR: 3.6, CI: 1.5-8.5). Logistic regression analysis showed that hypertension and menopause had the higher predictive values for acute coronary syndrome. Conclusions: In this group of women with acute coronary syndromes, the main coronary risk factors were high blood pressure and menopause (Rev Méd Chile 2001; 129: 995-1002)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.9 20012001-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900004es10.4067/S0034-98872001000900004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronary disease Hypertension Menopause Postmenopause
spellingShingle	Coronary disease Hypertension Menopause Postmenopause Blümel M,Juan E Prieto D,Juan Carlos Leal I,Tatiana Cruz A,María Natalia Gallardo H,Ligia Impacto de los factores de riesgo coronario en mujeres de edad media
description	Background: In Chile, 40% of deaths due to acute myocardial infarction occur in women. Aim: To assess the presence of cardiovascular risk factors in women with acute coronary syndromes. Patients and methods: Thirty four women aged 46 to 55 years old, admitted to the hospital due to an acute coronary syndrome and 102 age matched healthy women were studied. A clinical history was obtained, blood pressure and fasting serum lipids were measured. Results: A history of high blood pressure was present in 65 and 16% of patients and healthy controls respectively. Seventy seven percent of patients and 36% of controls smoked, 76% of patients and 48% of controls were postmenopausal, 21% of patients an 5% of controls were diabetic. In patients and controls respectively serum total cholesterol was 230.1±36.2 and 211.2±34.8 mg/dl, serum triacylglycerol was 213.4±109.4 and 143.2±76.9 mg/dl and serum HDL cholesterol was 44.1±10.8 and 49.8±13.3 mg/dl (p<0.001 or less). In univariate analysis, the risk of acute coronary syndrome increased with high blood pressure (OR: 9.3, CI: 2.5-18.6), menopause (OR: 8.3, CI: 2,2-31:5), smoking (OR: 6.9, CI: 2.5-18.6), diabetes mellitus (OR: 5.0, CI: 1.4-17.5), a high total cholesterol/HDL cholesterol ratio (OR: 6.6, CI: 1.8-12.5) and hypertriglyceridemia (OR: 3.6, CI: 1.5-8.5). Logistic regression analysis showed that hypertension and menopause had the higher predictive values for acute coronary syndrome. Conclusions: In this group of women with acute coronary syndromes, the main coronary risk factors were high blood pressure and menopause (Rev Méd Chile 2001; 129: 995-1002)
author	Blümel M,Juan E Prieto D,Juan Carlos Leal I,Tatiana Cruz A,María Natalia Gallardo H,Ligia
author_facet	Blümel M,Juan E Prieto D,Juan Carlos Leal I,Tatiana Cruz A,María Natalia Gallardo H,Ligia
author_sort	Blümel M,Juan E
title	Impacto de los factores de riesgo coronario en mujeres de edad media
title_short	Impacto de los factores de riesgo coronario en mujeres de edad media
title_full	Impacto de los factores de riesgo coronario en mujeres de edad media
title_fullStr	Impacto de los factores de riesgo coronario en mujeres de edad media
title_full_unstemmed	Impacto de los factores de riesgo coronario en mujeres de edad media
title_sort	impacto de los factores de riesgo coronario en mujeres de edad media
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000900004
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Impacto de los factores de riesgo coronario en mujeres de edad media

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