El registro MASCARA desenmascara la realidad asistencial del manejo de los síndromes coronarios agudos en España

Cequier, Ángel

doi:10.1157/13124988

Cited by 19 publications

(4 citation statements)

References 14 publications

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“…It also showed both baseline and management differences contributed to a worse outcome in women [ 29 ]. Women sex was an independent predictor of in-hospital, 1-month, and 1-year mortality (only for STEMI), in Spain [ 30 ]. Women sex was an independent predictor of hospital mortality in the STEMI subpopulation in a ARIAM-SEMICYUC registry [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Sex Difference in Risk Factors, GRACE Scores, and Management among Post-Acute Coronary Syndrome Patients in Sri Lanka

Galappatthy

Bataduwaarachchi

Ranasinghe

et al. 2020

Cardiology Research and Practice

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Objective. To assess sex-based differences in the prevalence of risk factor, their management, and differences in the prognosis among acute coronary syndrome (ACS) in Sri Lanka. Methods. Patients diagnosed with ACS were recruited from hospitals throughout the island. The Joint European Societies guidelines were used to assess recommended targets for coronary heart disease risk factors, and the GRACE score was used to assess the post-ACS prognosis. Age-adjusted regression was performed to calculate odds ratios for men versus women in risk factor control. Results. A total of 2116 patients, of whom 1242 (58.7%) were men, were included. Significant proportion of women were nonsmokers; OR = 0.11 (95% CI 0.09 to 0.13). The prevalence of hypertension (p<0.001), diabetes (p<0.001), and dyslipidemia (p=0.004) was higher in women. The LDL-C target was achieved in a significantly higher percentage of women (12.6%); OR = 0.33 (95% CI 0.10 to 1.05). When stratified by age, no significant differences were observed in achieving the risk factor targets or management strategies used except for fasting blood sugar (p<0.05) where more men achieved control target in both age categories. Majority of the ACS patients had either high or intermediate risk for one-year mortality as per the GRACE score. In-hospital and 1-year mean mortality risk was significantly higher among men of less than 65 years of age (p<0.05). Conclusions. Smoking is significantly lower among Sri Lankan women diagnosed with ACS. However, hypertension, diabetes, and dyslipidemia were more prevalent among them. There was no difference in primary and secondary preventive strategies and management in both sexes but could be further improved in both groups.

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Section: Discussionmentioning

confidence: 99%

Sex Difference in Risk Factors, GRACE Scores, and Management among Post-Acute Coronary Syndrome Patients in Sri Lanka

Galappatthy

Bataduwaarachchi

Ranasinghe

et al. 2020

Cardiology Research and Practice

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“…IHD was the leading killer disease during the last decades worldwide (2,3). In 2012, IHD caused 7.4 million deaths in the world (4) and IHD alone has been the most common cause of death in Europe, accounting for nearly 2 million deaths each year: nearly 22 per cent of all deaths in women and 21 per cent of all deaths in men (5).…”

Section: Introductionmentioning

confidence: 99%

“…Generally, mortality rates from IHD have been higher in Central and Eastern Europe than in other regions (5,6). Mediterranean countries (such as Spain, Greece) have been historically considered as those of 'low risk' for IHD (9).…”

Section: Introductionmentioning

confidence: 99%

Acute myocardial infarction trends in the population of the Nišava District

Deljanin¹,

Rančić²,

Ilic³

et al. 2021

Acta fac medic Naissensis

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Acute myocardial infarction is the leading cause of premature morbidity and premature death worldwide. The aim of the paper was to determine the trends of acute myocardial infarction in the period between 2006 and 2019 in the population of the Nišava District. A descriptive study was performed. Data about acute myocardial infarction incidence and mortality were obtained from the population registry for Acute Coronary Syndrome of Serbia. Crude, specific and age-standardized incidence and mortality rates per 100,000 persons were calculated as well as the trend lines. A total number of 12,142 new cases of acute myocardial infarction (7,595 in males and 4,547 in females) were registered. Men suffered 1.7 times more often than females. An insignificantly decreasing acute myocardial infarction incidence trend y = 0.4868x + 112.24, R² = 0.0029 was recorded. A total of 3,925 persons died (2,260 males and 1,665 females). Men died 1.4 times more often than women and a significant decreasing mortality trend was recorded both males (y = -1.6112x + 52.563, R² = 0.7779) and in females (y = -0.4956x + 22.81, R² = 0.3306). A significant increasing mortality trend of acute myocardial infarction by age was determined y = 11.152x - 34.519, R² = 0.7022. The trend of incidence tended to decrease however, without statistical significance, but insignificantly. The incidence and mortality rates were higher in men than in women for the whole observed period. Mortality trend significantly decreased both in men and in women and significantly increased with age.

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“…It is predicted that in 2030 CVD will contribute to over 23 million deaths annually [3]. In this regard, the coronary artery diseases (CAD) is the leading cause of death and morbidity in Europe [4], with acute coronary syndrome (ACS) being the most common clinical manifestation of CAD [5,6].…”

Section: Introductionmentioning

confidence: 99%

Comparative Effects of High-Intensity Interval Training vs Moderate-Intensity Continuous Training in Phase III of a Tennis-Based Cardiac Rehabilitation Program: A Pilot Randomized Controlled Trial

2020

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The aim of the present study was to investigate the effects of two tennis-based cardiac rehabilitation programs using two protocols: high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) in the body composition, physical fitness, heart rate variability, and health-related quality of life. It was performed as a single-blinded randomized controlled trial of 21 people with acute coronary syndrome. The 12-week cardiac rehabilitation program consisted of three sessions per week of 60 min with the main part consisting of 10 sets of 15 s with 15 s of active recovery at 85%–90% of their maximum heart rate or 40 min at 70%–85% of their maximum heart rate in the HIIT and the MICT groups, respectively. Results show that both cardiac rehabilitation programs improved the agility and the mental components of the health-related quality of life (p-value < 0.05). The HIIT protocol also showed a significant improvement in the flexibility of upper and lower limbs (p-value < 0.05). Moreover, significant group × time interaction was found in the handgrip strength in favor of the HIIT group (p-value = 0.035). Nevertheless, no significant effects on cardiorespiratory fitness or heart rate variability were found. Importantly, no adverse event was detected, so HIIT appears to be a safe and effective alternative for the rehabilitation of patients with acute coronary syndrome.

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El registro MASCARA desenmascara la realidad asistencial del manejo de los síndromes coronarios agudos en España

Cited by 19 publications

References 14 publications

Sex Difference in Risk Factors, GRACE Scores, and Management among Post-Acute Coronary Syndrome Patients in Sri Lanka

Sex Difference in Risk Factors, GRACE Scores, and Management among Post-Acute Coronary Syndrome Patients in Sri Lanka

Acute myocardial infarction trends in the population of the Nišava District

Comparative Effects of High-Intensity Interval Training vs Moderate-Intensity Continuous Training in Phase III of a Tennis-Based Cardiac Rehabilitation Program: A Pilot Randomized Controlled Trial

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