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Revista Habanera de Ciencias Médicas

versión On-line ISSN 1729-519X


SELLEN SANCHEN, Elizabeth; HERNANDEZ VALDES, Enmanuel; SELLEN CROMBET, Joaquín  y  YBARGOLLIN, Rosendo. Gender differences in the clinical and angiographic presentation of Acute Coronary Syndrome. Rev haban cienc méd [online]. 2020, vol.19, n.2, e2918.  Epub 22-Abr-2020. ISSN 1729-519X.


Acute Coronary Syndrome is a complication of atherosclerosis with high morbidity and mortality in both sexes. It has an important socioeconomic impact which is evidenced in the years of potential life lost.


To characterize women and men diagnosed with acute coronary syndrome by performing angiography in the clinical practice.

Material and Methods:

A descriptive cross-sectional study was carried out with 214 patients from the Cardiology Service of Manuel Ascunce Domenech University Hospital in Camagüey from January 2015 to January 2017. The primary source was the written report of the results of the coronary angiography performed at Ernesto Che Guevara Health Center in Villa Clara and the clinical record of each patient. A database was developed for the following variables: age groups, sex, risk factors, clinical presentation, result of coronary angiography and medical behavior. This document was computerized; tests of statistical significance were applied and the results were illustrated in four tables.


Men and age over 60 years predominated in the study; arterial hypertension was the most representative coronary risk factor in both sexes and the anterior descending artery was significantly affected.


With advancing age, women are at the same or greater risk of presenting coronary artery disease than men. In both genders, the risk factors increase. The differences in the clinical an angiographic features of the disease determine the medical behavior.

Palabras clave : Acute Coronary Syndrome without ST elevation; acute angina; acute myocardial infarction; coronary angioography; angiography; gender.

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