Clinical-epidemiological characteristics of patient admitted in a Coronary Care Unit

• Main Authors: Roberto Álvarez Tamayo, Nadia Sánchez Torres, Geovedy Martínez García, Alberto Hernández González
• Format: Article
• Language: Spanish
• Published: ECIMED 2012-01-01
• Series: Revista Cubana de Cardiología y Cirugía Cardiovascular
• Subjects: Unstable angina; ischemic heart disease; risk factors
• Online Access: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/41/236
• ISSN: 0864-2168; 1561-2937

Introduction Cardiovascular diseases represent the first morbi-mortality cause, medical care demand and hospitalization in the mature age.Objectives To analyze the clinical-epidemiological characteristics of the patients admitted with the diagnosis of unstable angina in the CoronaryCare Unit of the Hospital Militar Central "Dr. Carlos J. Finlay."Methods A descriptive, traverse and retrospective study including the 606 patients entered with unstable angina from October from 2008 toFebruary of 2011 was carried. The charts of these patients were revised, previous consultation of the statistical model of the coronaryunit, where they register all the patients admited and their diagnoses. Demographic variables were analyzed, previous cardiovascular antecedents,coronary risk factors, diagnostic at the entrance, laboratory exams, treatment used, hospital stay and clinical state at the momentof discharge..Results The mean age was 65,74 ± 11,40 years, the masculine sex (52,6%) prevail. The main factors of risk: arterial hypertension, tabaquismoand the previous heart attack. The most frequent clinical forms included the angina of progressive worsening (49,2%) and the angina ofrest (22,9%). In the electrocardiogram to the entrance, the patients' 35,8% didn't have electric changes, and 28,7% it presented investmentof the wave T. he/she was carried out coronariografía to 30,5% of the patients, being significant lesions in 84,9% of them. Themedications used with more frequency were the oral nitrates, beta-blockers, heparins and aspirin. Seven patients died during the entrance(1,2%).Conclusions The demographic, clinical variables, of treatment and our population's mortality went similar to those reported in the international registrations.