Valoración del índice leucoglucémico como predictor de complicaciones del infarto agudo de miocárdico con ST elevado
Keywords:
acute myocardial infarction, heart failure, complications, mortality, leuko-glycemic indexAbstract
Introduction: A descriptive and prospective research was carried out with the intention of defining the prognostic value of the leuko-glycemic index in patients carrying acute coronary syndrome with ST elevation.
Objective: To assess the importance of the use of the leuko-glycemic index as a predictive factor of complications in acute myocardial infarction with elevated ST.
Methods: A sample of 60 patient was studied; they entered the Intensive Care Unit of the Clinical Surgical Teaching Hospital Amalia Simoni, of Camaguey, during 2021, and filled out a questionnaire from which age, color of skin, personal pathological antecedents, toxic habits, complications, status at discharge and results of the leuko-glycemic index were obtained. The extracted data were managed according to descriptive statistic to obtain results in number and percentage, which led to the final conclusions.
Results: White women over 56 years old, hypertensive and diabetic predominated, associated with smoking in a large percent, and with the appearance of multiple complications. Heart failure and arrhythmias also predominated in more than two thirds of the cases, and there were a high number of deaths with high leuko-glycemic index.
Conclusions: The results derived from this research support the theoretical-practical foundation of the use of the leuko-glycemic index as a predictor of short term complications in acute myocardial infarction with elevated ST, appreciated for its simplicity, wide availability and low cost.Downloads
References
2. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2022 [Internet]. La Habana: MINSAP; 2023 [citado 04/04/2023]. Disponible en: https://files.sld.cu/dne/files/2023/10/Anuario-Estadistico-de-Salud-2022-Ed-20231.pdf
3. Rodríguez-Martínez BS, Hernández-González MA, Borrayo-Sánchez G, et al. Índice aterogénico y su relación con la mortalidad del síndrome isquémico coronario agudo. Rev Med Inst Mex Seguro Soc [Internet]. 2023 [citado 04/04/2023];61(Supl 2):S226-32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10781428/
4. Sánchez Reyes PA, Seniscal Arredondo DA, Taracena Pacheco S, et al. Proteína C reactiva ultrasensible como marcador proinflamatorio y su asociación con la obesidad. Acta Méd [Internet]. 2023 [citado 04/04/2023];21(1):46-50. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=109021
5. Pintó X, Fanlo M, Esteve V, et al. Colesterol remanente, riesgo vascular y prevención de la arteriosclerosis. Clin Investig Arterioscler [Internet]. 2023 [citado 04/04/2023];35(4):206-17. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0214916823000086
6. Poveda Eras KF, Quezada Gonzaga WR, Ojeda Crespo AO. Diagnóstico y tratamiento actualizado del síndrome coronario agudo. Polo del Conoc [Internet]. 2023 [citado 04/04/2023];8(2):295-313. Disponible en: https://polodelconocimiento.com/ojs/index.php/es/article/view/5192
7. Ibáñez Franco EJ, Fretes Ovelar AMC, Duarte Arévalos LE, et al. Caracterización del infarto agudo de miocardio de pacientes atendidos en un centro de referencia. Rev Virtual Soc Paraguaya Med Interna [Internet]. 2022 [citado 09/04/2023];90-100. Disponible en: https://revistaspmi.org.py/index.php/rvspmi/article/view/302
8. García Sebastián C, Abellas Sequeiros M, Monteagudo Ruiz JM, et al. Infarto agudo de miocardio. SCACEST. Medicine [Internet]. 2021 [citado 09/04/2023];13(38):2177-84. Disponible en: https://www.sciencedirect.com/science/article/pii/S030454122100192X
9. Rossello X, Mas-Lladó C, Pocock S, et al. Las diferencias por sexo en la mortalidad tras un síndrome coronario agudo se incrementan en los países de menor riqueza y mayor desigualdad de ingresos. Rev Esp Cardiol [Internet]. 2022 [citado 04/04/2023];75(5):392-400. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0300893221002281
10. Tertulien T, Broughton ST, Swabe G, et al. Association of Race and Ethnicity on the Management of Acute N on− ST‐Segment Elevation Myocardial Infarction. J Am Heart Assoc [Internet]. 2022 [citado 05/04/2023];11(12):e025758. Disponible en: https://www.ahajournals.org/doi/full/10.1161/JAHA.121.025758
11. Islek D, Alonso A, Rosamond W, et al. Racial Differences in Fatal Out-of-Hospital Coronary Heart Disease and the Role of Income in the Atherosclerosis Risk in Communities Cohort Study (1987 to 2017). Am J Cardiol [Internet]. 2023 [citado 04/04/2023];194:102-10. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0002914923000504
12. León-Alvarez J, Ventura-Chaure A, Gutiérrez-Rojas A. Riesgo cardiometabolico en pacientes con hipertension arterial esencial no complicada. Rev Cubana Med [Internet]. 2022 [citado 05/04/2023];61(4):e2925. Disponible en: https://revmedicina.sld.cu/index.php/med/article/view/2925
13. Licea-Puig M. Aterosclerosis y diabetes mellitus. Revisión bibliográfica. Rev Cubana Med [Internet]. 2022 [citado 05/04/2023];25(12). Disponible en: https://revmedicina.sld.cu/index.php/med/article/view/3041
14. Mera Shugulí AR. Índice leucoglucémico, predictor de mortalidad en infarto agudo de miocardio. Revisión narrativa [tesis en Internet]. Quito: Universidad Central del Ecuador; 2022 [citado 05/04/2023]. Disponible en: http://www.dspace.uce.edu.ec/handle/25000/26116
15. Martínez Saldaña A, Mendoza Rodríguez M, López González A. Índice leuco glucémico como predictor de complicaciones en el síndrome coronario agudo. Med Crit [Internet]. 2018 [citado 08/04/2023];32(1):27-33. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78366
16. Gutiérrez-Noguera MP, Durán-Pérez JC, Acosta-Atencia N, et al. Prevalencia de infarto de miocardio sin enfermedad coronaria aterosclerótica obstructiva (MINOCA). Rev Colomb Cardiol [Internet]. 2023 [citado 04/04/2023];30(1):10-4. Disponible en: http://www.scielo.org.co/pdf/rcca/v30n1/0120-5633-rcca-30-1-10.pdf
17. Ozuna Mazariegos E. Determinación de complicaciones de infarto agudo de miocardio con elevación del segmento ST en pacientes del servicio de urgencias de la UMAE HE no. 14, CMN ARC, Veracruz, durante el periodo del 1 marzo al 31 agosto 2019 [tesis en Internet]. Veracruz: Universidad Veracruzana; 2022 [citado 04/04/2023]. Disponible en: https://cdigital.uv.mx/bitstream/handle/1944/52230/OzunaMazariegosEdivaldo.pdf?sequence=1
18. Auquilla Soria PJ. Índice leuco-glucémico como predictor en pacientes con infarto agudo de miocardio con elevación del ST [tesis en Internet]. Cuenca: Universidad Católica de Cuenca; 2023 [citado 04/04/2023]. Disponible en: https://dspace.ucacue.edu.ec/handle/ucacue/13565
19. Roldán Rivas CA. Correlación entre el índice leucoglucémico y la letalidad en pacientes con síndrome coronario agudo [tesis en Internet]. Callao: Universidad Cesar Vallejo; 2022 [citado 04/04/2023]. Disponible en: https://repositorio.ucv.edu.pe/handle/20.500.12692/87418
20. Qi LY, Liu HX, Cheng LC, et al. Prognostic value of the leuko-glycemic index in acute myocardial infarction patients with or without diabetes. Diabetes Metab Syndr Obes [Internet]. 2022 [citado 05/04/2023];15:1725-36. Disponible en: https://www.tandfonline.com/doi/full/10.2147/DMSO.S356461
Downloads
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.