Insuficiencia cardiaca de novo tras un síndrome coronario agudo en pacientes sin insuficiencia cardiaca ni disfunción ventricular izquierda

Cordero, Alberto; Rodríguez‐Mañero, Moisés; Bertomeu-González, Vicente; García-Acuña, José M.; Baluja, Aurora; Agra-Bermejo, Rosa; Álvarez‐Álvarez, Belén; Cid, Belén; Zuazola, Pilar; González-Juanàtey, José Ramón

doi:10.1016/j.recesp.2020.03.020

Cited by 18 publications

(4 citation statements)

References 38 publications

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“…Finally, long-term outcomes could be subject to different circumstances outside the scope of our center’s follow-up protocol. Since clinical features and outcomes were similar to previous reports [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 14 , 15 , 16 , 17 , 26 , 27 , 28 ], we believe that our results are reasonably representative of current practice.…”

Section: Discussionsupporting

confidence: 87%

“…Coronary heart disease is the leading risk factor for heart failure incidence [ 1 , 2 , 3 ], and acute coronary syndrome (ACS) is the most frequent and threatening clinical presentation. The falling of in-hospital and short-term mortality of ACS patients has shifted the impact of the disease, increasing the percentage of patients with chronic coronary heart disease at risk of heart failure (HF) readmissions [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Predictive Value of Pro-BNP for Heart Failure Readmission after an Acute Coronary Syndrome

Cordero

Rey-Rañal

Moreno

et al. 2021

JCM

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Background: N-terminal pro-brain natural peptide (NT-pro-BNP) is a well-established biomarker of tissue congestion and has prognostic value in patients with heart failure (HF). Nonetheless, there is scarce evidence on its predictive capacity for HF re-admission after an acute coronary syndrome (ACS). We performed a prospective, single-center study in all patients discharged after an ACS. HF re-admission was analyzed by competing risk regression, taking all-cause mortality as a competing event. Results are presented as sub-hazard ratios (sHR). Recurrent hospitalizations were tested by negative binomial regression, and results are presented as incidence risk ratio (IRR). Results: Of the 2133 included patients, 528 (24.8%) had HF during the ACS hospitalization, and their pro-BNP levels were higher (3220 pg/mL vs. 684.2 pg/mL; p < 0.001). In-hospital mortality was 2.9%, and pro-BNP was similarly higher in these patients. Increased pro-BNP levels were correlated to increased risk of HF or death during the hospitalization. Over follow-up (median 38 months) 243 (11.7%) patients had at least one hospital readmission for HF and 151 (7.1%) had more than one. Complete revascularization had a preventive effect on HF readmission, whereas several other variables were associated with higher risk. Pro-BNP was independently associated with HF admission (sHR: 1.47) and readmission (IRR: 1.45) at any age. Significant interactions were found for the predictive value of pro-BNP in women, diabetes, renal dysfunction, STEMI and patients without troponin elevation. Conclusions: In-hospital determination of pro-BNP is an independent predictor of HF readmission after an ACS.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Predictive Value of Pro-BNP for Heart Failure Readmission after an Acute Coronary Syndrome

Cordero

Rey-Rañal

Moreno

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

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“…Historial familiar: Si algún miembro de la familia ha tenido síndrome coronario agudo, hay un mayor riesgo de desarrollar la enfermedad. (7) Tabaco: Fumar tabaco es un factor de riesgo importante para el síndrome coronario agudo.…”

Section: Factores De Riesgounclassified

“…En un estudio realizado en el Instituto de Cardiología de Punjab -Pakistán, se demostró que cesar el hábito de fumar es difícil y requiere mayores esfuerzos para fomentar su cese en pacientes con infarto de miocardio. (7) Otros factores de riesgo estudiados incluyen niveles elevados de lípidos séricos, hipertensión arterial, diabetes mellitus, obesidad mórbida, sedentarismo, bajo consumo diario de frutas y verduras, consumo problemático de alcohol y factores psicosociales. Estos factores aún son prevalentes en la mayoría de los países en vías de desarrollo.…”

Section: Factores De Riesgounclassified

Compendio Sobre Sindrome Coronario Agudo

Castellano¹,

Dillon²,

Inga³

et al. 2023

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Este material va dirigido sobre todo a los médicos jóvenes o estudiantes en etapa de formación con el afán de recordar y adquirir conocimientos básicos sobre Síndrome Coronario Agudo que serán aplicados durante su vida en residencia. Teniendo en cuenta la gran importancia que significa manejar este tema, por la alta incidencia según la epidemiologia reportada en nuestro país y de forma mundial. Este texto y la información contenido en el mismo no pretenden reemplazar el consejo de un profesional sobretodo en una situación de emergencia.

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A Real-World Analysis of New-Onset Heart Failure After Anterior Wall ST-Elevation Acute Myocardial Infarction in the United States

Van Tassell,

Talasaz,

Redlich

et al. 2024

The American Journal of Cardiology

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Insuficiencia cardiaca de novo tras un síndrome coronario agudo en pacientes sin insuficiencia cardiaca ni disfunción ventricular izquierda

Cited by 18 publications

References 38 publications

Predictive Value of Pro-BNP for Heart Failure Readmission after an Acute Coronary Syndrome

Predictive Value of Pro-BNP for Heart Failure Readmission after an Acute Coronary Syndrome

Compendio Sobre Sindrome Coronario Agudo

A Real-World Analysis of New-Onset Heart Failure After Anterior Wall ST-Elevation Acute Myocardial Infarction in the United States

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