FRECUENCIA DE INFARTO AGUDO AL MIOCARDIO COMO COMPLICACION DE LA HEMORRAGIA DE TUBO DIGESTIVO ALTO EN EL SERVICIO DE URGENCIAS

Abstract

Background: In Mexico the rate of ischemic heart disease mortality has been a rise in the last thirty years. Forecast over the next two decades, CHD mortality increased three times. In the pathophysiology of acute coronary syndromes is insufficient evidence to support the participation of systemic inflammation. The most studied C-reactive protein is and its relationship with inflammation and coronary heart disease, but we have other inflammatory markers which we can draw as aids in the differential diagnosis and the globular sedimentation rate (GSR). Objective: To evaluate the GSR as a marker in the differential diagnosis in patients with acute coronary syndrome who were admitted to the emergency room. Methods. Upon authorization by the research committee in the study were included all patients admitted to emergency department with a diagnosis of acute coronary syndrome. After signing an informed consent were interviewed about general variables and it took a 4-ml blood sample which was processed according to the Westergren technique. We performed a descriptive analysis and comparison Studen t for all groups (infarction or angina). Results: Were a total of 71 patients. The 50.7% were to males. The mean age was 66.54 + -10.13 years. The 62% were in Unstable Angina of recent onset and 38% in Myocardial Infarction, in relation to the faces of the Infarction, the anteroseptal predominated. The Student t test found no significant difference in GSR values between infarction and angina- Conclusions: The GSR is not useful as a marker difference between patients with angina and myocardium infarction. Will be needed investigations to explore other options that could serve to aid in the differential diagnosis in patients with acute coronary syndrome.