Predictors of cardiovascular complications in geriatric patients with acute coronary syndrome

Abstract

Introduction: acute coronary syndromes (ACS) complications have an adverse impact on patient
morbidity and mortality, and are related to certain risk factors. Aim: to determine the predictors of cardiovascular complications in geriatric patients with ACS. Materials and methods: cohort study, retrospective and cross-sectional study in 827 patients over 60 years of age, admitted to the Hospital Docente Clínico Quirúrgico Comandante Manuel Fajardo, between 2016 - 2021. Results: The average age was 76.59 years and 58.89% of the patients were female. Hypertensive patients (88.1%) and a history of ischemic heart disease (62.3%) prevailed. There were 199 patients (24.06%) with cardiovascular complications, associated with a history of ischemic heart disease (p=0.002, OR>1); while hemodynamic complications (73.87%) were associated with female sex, history of HTN and unstable angina (p<0.05, OR>1). The risk of cardiovascular complications was increased in diabetics (p<0.05) and the risk of hemodynamic complications was also increased in women, patients with a history of diabetes mellitus and HTN (p<0.05). Conclusions: in ACS, diabetes mellitus is a predictor of cardiovascular complications; and female sex, diabetes mellitus and hypertension are predictors of hemodynamic complications.