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Ultima descărcare din IBN: 2023-09-15 17:55 |
SM ISO690:2012 RABOVILA, Ala, CIOBANU, Gheorghe, CATANOI, Natalia, PEȘTEREANU, Mihail. Acute coronary syndrome in women – challenges and difficulties. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 254. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 254-254 | ||||||
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Background. Heart disease is the leading cause of hospitalization and death in elderly women. The role of conventional cardiovascular risk factors in women is incompletely understood and the manifestations of acute coronary syndrome are generally believed to be atypical in the elderly women. Objective of the study. To evaluate the risk factors, clinical features, outcomes in eldery women with acute coronary syndrome (ACS) Material and Methods. The study was based on the retrospective analysis of 78 medical records, during june-december 2018. The primary outcome of interest was major adversive cardiac events (MACE) represented by death, acute myocardial infarction, heart failure and arrhythmias. Results. 78 cases of ACS were categorized in two groups: -(a) Group I - age < 60 years, (b) Group II - age >60 years. Data on clinical history, complications, cardiovascular risk factors and relevant paraclinical parameters were analyzed. Complications at onset, during hospitalization and 30 days after discharge from hospital were assessed. The MACE rate was significantly higher among the group I patients with (P<0.001)). In a multivariable analysis kidney failure at admission(OR 1.5, 95% CI 1.23-4.357) were assocated with MACE among those the group I patients with ST-elevation ACS. Conclusion. This study revealed that the manifestations of ACS are more subtle in the elderly women, with different risk factors. The elderly subjects have higher complication and mortality rate. Detection and prevention of risk factors could increase life expectancy in patients with ACS. |
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Cuvinte-cheie acute coronary syndrome, women, risk factors, sindrom coronarian acut, femei, factori de risc |
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