Risk factors for silent myocardial ischemia in Mexicans

被引：0

作者：

Unzueta, A ^{[1
]}

Ordonez, G ^{[1
]}

Perez, P ^{[1
]}

Escobedo, J ^{[1
]}

Unzueta, A ^{[1
]}

Torres, A ^{[1
]}

Almada, J ^{[1
]}

Hernandez, H ^{[1
]}

机构：

[1] Mexican Inst Social Secur, Nat Med Ctr Siglo XXI, Hosp Cardiol, Mexico City, DF, Mexico

来源：

XIII WORLD CONGRESS OF CARDIOLOGY: FREE PAPERS | 1998年

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D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Silent myocardial ischemia is a growing world health problem. We conducted a cross-sectional study and 249 individuals were screened with a 24-hour Holter electrocardiogram All subjects were interviewed for risk factors and total serum cholesterol was measured. Silent ischemia was diagnosed in 115 patients (46%), who were older (59+/-9 yr. vs. 57+/-11 yr.; p=0.01). In a logistic regression analysis a lower risk for silent ischemia was found in patients with thrombolysis (Odds ratio (OR) 0.28; 95% Confidence interval (CI95%) 0.14-0.53), or those who followed their medical treatment (OR 0.16: CI95% 0.04-0.68). The major risk factors were hypercholesterolemia (OR 1.6; CI95% 0.9-2.9) and a more severe coronary artery disease (OR 1.5; CI95% 1.1-5.7). Some coronary risk factors are related to silent ischemia. It is still important to diagnose this entity, but modification of its related risk factors should be kept in mind to diminish its occurrence and its severe consequences.

引用

页码：55 / 59

页数：5