Análisis del dolor precordial en el Area de Emergencia del Hospital Luis Vernaza
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Los Síndromes Coronarios Agudos comprenden un grupo de entidades caracterizadas por
dolor anginoso o sus equivalentes, cambios electrocardiográficos y la existencia o no de
alteraciones en los indicadores biológicos séricos. Objetivo General: Evaluar las
características del dolor precordial en pacientes con Síndrome Coronario Agudo. Materiales
y Métodos:El presente trabajo de investigación tiene un enfoque cuantitativo, descriptivo, no
experimental, transversal retrospectiva y en modalidad correlacional al establecer relación
entre las variables del trabajo de investigación, se desarrollo en el área de Emergencias del
Hospital Luis Vernaza recolectando la información de los pacientes con dolor precordial
desde enero 2014 a enero 2016, empleando el programa estadístico SPSS y Minitab para
obtener los resultados utilizando Chi cuadrado, porcentajes y nivel de significancia.
Resultados: De una muestra de 175 pacientes las prevalencias fueron el género masculino con 54.3%,
el dolor precordial de mediana probabilidad con 44%, ECG dentro del rango de la normalidad con
35.4%, las edades mayores de 65 años con 43%, Factores de Riesgo relevantes como la Hipertensión
como único factor con el 37%, seguido de la asociación Hipertensión - Diabetes con el 24%, Sin
antecedentes coronarios previos con el 84%, y Troponinas con valores de 14 a 50 ng/L con el 35.4%.
Conclusión: Los Factores de Riesgo varían del resto debido a nuestras características
poblacionales e idiosincrasia, que el dolor precordial el electrocardiograma y la Troponina si
bien son definitivas para el pronóstico, en este estudio llegó a rangos intermedios haciéndose
necesario correlacionarlo con las demás variables
Acute Coronary Syndromes comprise a group of entities characterized by anginal pain or its equivalents, electrocardiographic changes and the existence or not of alterations in serum biological indicators. General Objective: To evaluate the characteristics of precordial pain in patients with Acute Coronary Syndrome. Materials and Methods: The present research work has a quantitative, descriptive, non-experimental, cross-sectional and retrospective approach in establishing a relationship between the variables of the research work, it was developed in the Emergency area of the Luis Vernaza Hospital by collecting the information Of patients with precordial pain from January 2014 to January 2016, using the statistical program SPSS and Minitab to obtain the results using Chi square, percentages and level of significance. Results: From a sample of 175 patients, the prevalence was of the male gender with 54.3%, precordial pain with a median probability of 44%, ECG within the normal range with 35.4%, ages greater than 65 years with 43%, Factors Risk factors such as Hypertension as the only factor with 37%, followed by the association Hypertension - Diabetes with 24%, No previous coronary history with 84%, and Troponins with values of 14 to 50 ng / L with 35.4%. Conclusion: The risk factors vary from the rest due to our population characteristics and idiosyncrasy, that precordial pain the electrocardiogram and Troponin although they are definitive for the prognosis, in this study it reached intermediate ranges and it was necessary to correlate it with the other variables.
Acute Coronary Syndromes comprise a group of entities characterized by anginal pain or its equivalents, electrocardiographic changes and the existence or not of alterations in serum biological indicators. General Objective: To evaluate the characteristics of precordial pain in patients with Acute Coronary Syndrome. Materials and Methods: The present research work has a quantitative, descriptive, non-experimental, cross-sectional and retrospective approach in establishing a relationship between the variables of the research work, it was developed in the Emergency area of the Luis Vernaza Hospital by collecting the information Of patients with precordial pain from January 2014 to January 2016, using the statistical program SPSS and Minitab to obtain the results using Chi square, percentages and level of significance. Results: From a sample of 175 patients, the prevalence was of the male gender with 54.3%, precordial pain with a median probability of 44%, ECG within the normal range with 35.4%, ages greater than 65 years with 43%, Factors Risk factors such as Hypertension as the only factor with 37%, followed by the association Hypertension - Diabetes with 24%, No previous coronary history with 84%, and Troponins with values of 14 to 50 ng / L with 35.4%. Conclusion: The risk factors vary from the rest due to our population characteristics and idiosyncrasy, that precordial pain the electrocardiogram and Troponin although they are definitive for the prognosis, in this study it reached intermediate ranges and it was necessary to correlate it with the other variables.
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Dolor en el pecho, Síndrome coronario agudo, Protocolos, Epidemiologia descriptiva, Estudios retrospectivos, Servicio de emergencia del hospital, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador