Comorbid conditions in individuals assessed by SPECT: Study of a reference cardiology center in Mexico City
Por:
Antonio-Villa N.E., Espinola-Zavaleta, Nilda, Carvajal-Juarez, Isabel, Flores-Garcia A.N., Alexanderson-Rosas, Erick
Publicada:
1 ene 2019
Resumen:
Background: There is an increasing prevalence of comorbidities in patients with ischemic heart disease (IHD) in developing countries. The aim of this work is to assess the prevalence of comorbidities and associated factors for IHD among patients at a reference cardiology center. Design and Methods: This was a cross-sectional study. A complete clinical history which focused on the main comorbidities, previous myocardial infarction, and the main reason of referral was assessed. A single-photon emission computed tomography (SPECT) myocardial perfusion study (MPS) with two protocols was performed. Results: We included 1998 patients, 64.2% male, median age 63 (I.R.: 56–71) years. 1514 (75.8%) subjects had at least one associated comorbidity. The main comorbidity was diabetes (T2D) (772: 38.6%), followed by systemic hypertension (737: 36.9%), smoking (518: 25.9%), and dyslipidemia (517: 25.9%). 806 (40.3%) had histories of previous myocardial infarctions. The main cause of referral was angina (923: 46.2%). We identified 1330 (66.5%) abnormal MPS. 460 (23%) had ischemia, 292 (14.6%) infarction, and 578 (28.9%) ischemia and infarction. Conclusion: An increased prevalence of comorbidities was found in patients who were studied in the Nuclear Cardiology Department (NCD): most of them had traditional risk factors attributable to myocardial infarction. A great percentage were newly diagnosed with both ischemia and infarction. © 2019, American Society of Nuclear Cardiology.
Filiaciones:
Antonio-Villa N.E.:
Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico
Espinola-Zavaleta, Nilda:
Nuclear Cardiology Department, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Seccion XVI, Tlalpan, Mexico City, P. C. 14030, Mexico
Inst Nacl Cardiol Ignacio Chavez, Nucl Cardiol Dept, Juan Badiano 1,Colonia Secc 16, Mexico City 14030, DF, Mexico
Carvajal-Juarez, Isabel:
Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico
Nuclear Cardiology Department, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Seccion XVI, Tlalpan, Mexico City, P. C. 14030, Mexico
PET/CT Ciclotrón, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico
Inst Nacl Cardiol Ignacio Chavez, Nucl Cardiol Dept, Juan Badiano 1,Colonia Secc 16, Mexico City 14030, DF, Mexico
Univ Nacl Autonoma Mexico, Fac Med, PET CT Ciclotron, Mexico City, DF, Mexico
Flores-Garcia A.N.:
Nuclear Cardiology Department, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Seccion XVI, Tlalpan, Mexico City, P. C. 14030, Mexico
Alexanderson-Rosas, Erick:
Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico
Nuclear Cardiology Department, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Colonia Seccion XVI, Tlalpan, Mexico City, P. C. 14030, Mexico
Physiology Department, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico
Inst Nacl Cardiol Ignacio Chavez, Nucl Cardiol Dept, Juan Badiano 1,Colonia Secc 16, Mexico City 14030, DF, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Physiol Dept, Mexico City, DF, Mexico
Univ Nacl Autonoma Mexico, Fac Med, Mexico City, DF, Mexico
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