Caracterización del síndrome coronario agudo sin onda q en la unidad de cuidados intensivos
Palabras clave:
cuidados intensivos, coronariopatiaResumen
Fueron caracterizados 50 pacientes atendidos en la unidad de cuidados intensivos con diagn óstico de síndrome coronario agudo sin onda Q patológica (SCANQ), que incluía los diagnósticos de angina inestable, infarto agudo del miocardio con y sin supradesnivel del st que no desarrollaron onda Q, a los que se les realizóangiografía y electrocardiograma entre el 28 de febrero del 2004 hasta el 1ro de marzo del 2006 Los resultados mostraron un predominio del sexo masculino y mayores de 60 años. El 70% tuvieron alteraciones electrocardiográficas; el s-t negativo, el s-t positivo y la onda t invertida fueron las más frecuentes. El 90% de los pacientes tuvo lesiones angiográficas coronarias, la enfermedad de dos vasos fue la predominante, seguida por la de uno y de tres vasos respectivamente. Se recomienda abordar estas entidades como integrantes de un mismo síndrome con el fin de encauzar las pruebas diagnósticas y aplicar la terapéutica más eficaz.
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