Estimación de riesgo en pacientes con infarto agudo de miocardio con elevación del segmento ST: Su realidad en Cuba

Ailed E. Rodríguez Jiménez, Elibet Chávez González

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Resumen

El infarto agudo de miocardio con elevación del segmento ST es una de las enfermedades cardiovasculares con mayor mortalidad. Su pronóstico se relaciona con la probabilidad de desarrollar complicaciones a corto o largo plazo y depende en mayor medida de las condiciones al ingreso que de factores de riesgo coronario previos. Los estudios encaminados a desarrollar una fórmula que permita cuantificar riesgo de muerte o complicaciones de un paciente con infarto agudo de miocardio mediante una puntuación o score se remontan a la década de 1950. Las diferencias en la aplicabilidad de estas escalas de estratificación de riesgo existentes a la población cubana, derivan del hecho de haber sido desarrolladas en países de ingresos altos, por lo cual su extrapolación es cuestionable. Existen diferencias sociodemográficas, étnicas, genéticas e idiosincráticas, que pueden ser causales de que los resultados predichos en los estudios originales no sean reproducibles conexactitud en poblaciones diferentes

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