<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2078-7170</journal-id>
<journal-title><![CDATA[CorSalud]]></journal-title>
<abbrev-journal-title><![CDATA[CorSalud]]></abbrev-journal-title>
<issn>2078-7170</issn>
<publisher>
<publisher-name><![CDATA[Cardiocentro Ernesto Che Guevara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2078-71702020000400372</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización del síndrome coronario agudo en mujeres]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of acute coronary syndrome in women]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Rodríguez]]></surname>
<given-names><![CDATA[Liz O.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gato Ramos]]></surname>
<given-names><![CDATA[Rosa M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ravelo Dopico]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Fernández]]></surname>
<given-names><![CDATA[Yoanis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Carrazana]]></surname>
<given-names><![CDATA[Eliset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bulies de Armas]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Dr. Carlos J. Finlay Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Docente Carlos Manuel Portuondo  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Científico Ortopédico Internacional Frank País  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Cardiocentro del Hospital Hermanos Ameijeiras Departamento de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>12</volume>
<numero>4</numero>
<fpage>372</fpage>
<lpage>382</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702020000400372&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702020000400372&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702020000400372&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las mujeres afectadas por síndromes coronarios agudos (SCA) tienen peor pronóstico y son más propensas a presentar complicaciones.  Objetivo:  Caracterizar las pacientes con SCA ingresadas en el Hospital Dr. Carlos J. Finlay (La Habana, Cuba) entre junio de 2012 y junio de 2018.  Método:  Estudio descriptivo transversal con 1252 mujeres. Fueron definidos 2 grupos: SCA con (SCACEST) y sin elevación del segmento ST (SCASEST). Las variables de estudio fueron: grupos de edad, factores de riesgo, características angiográficas y complicaciones intrahospitalarias.  Resultados:  La media de edad fue 66,2 ± 11,9 años, predominó el SCASEST (73,4% vs. 26,6%). La hipertensión arterial (95,2%), el tabaquismo (37,9%) y la diabetes mellitus (36,3%) fueron factores de riesgo más prevalentes, con diferencias significativas a favor del SCASEST (p&lt;0,004). Los valores de glucemia (69,1% vs. 51,5%; p&lt;0,0001) y colesterol total (46,2% vs. 16,6%; p&lt;0,0001) fueron significativamente mayores en el SCASEST. A un 29,3% de los casos se les realizó coronariografía, donde se encontró una alta prevalencia de lesiones significativas (73,3%) y una incidencia de enfermedad de tronco de 4,9%. Un 23% presentó complicaciones, las más prevalentes fueron la insuficiencia cardíaca (35,1%) y el shock cardiogénico (18,1%), esta última predominó como causa de muerte en el SCACEST (45,1 vs. 11,8; p&lt;0,0001). Ambas complicaciones se relacionaron directamente con la mortalidad (3,8%).  Conclusiones:  En las mujeres con SCA predominó el SCASEST en edades posmenopáusicas. La hipertensión arterial, la diabetes mellitus y el tabaquismo constituyeron las principales características clínicas. La insuficiencia cardíaca y el shock cardiogénico se asociaron frecuentemente a la mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTARCT  Introduction:  Women suffering from acute coronary syndromes (ACS) have worse prognosis and are prone to major adverse events.  Objective:  To characterize female patients with ACS admitted to the Hospital Dr. Carlos J. Finlay (Havana, Cuba) between June 2012 and June 2018.  Method:  A cross-sectional descriptive study with 1252 women was carried out. Two groups were defined: ST-segment elevation ACS (STE-ACS) and non-ST-segment elevation ACS (NSTE-ACS). Study variables were: age groups, risk factors, angiographic characteristics and in-hospital major adverse events.  Results:  Mean age was 66.2 ± 11.9 years old, NSTE-ACS predominated (73.4% vs 26,6%). High blood pressure (95.2%), tobacco smoking (37.9%) and diabetes mellitus (36.3%) were the prevailing risk factor, with significant differences in favor of NSTE-ACS (p &lt;0.004). Glycemia values (69.1% vs 51.5%, p &lt;0.00001) and total cholesterol (46.2% vs 16.6%, p &lt;0.00001) were significantly higher in the NSTE-ACS. A 29.3% of cases underwent coronary angiography where a high prevalence of serious lesions of 73.3% and an incidence of left main coronary artery disease of 4.9% were found. A 23% presented major adverse events, heart failure (35.1%) and cardiogenic shock (18.1%) being the most prevalent ones. Cardiogenic shock predominated as cause of death in STE-ACS (45.1 vs 11,8; p&lt;0,0001). Both major adverse events were directly related to mortality (3.8%).  Conclusions:  There is a predominance of NSTE-ACS in women with ACS in postmenopausal ages. High blood pressure, diabetes mellitus and tobacco smoking were the main clinical characteristics. Cardiogenic shock and heart failure were the major adverse events most frequently associated to mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome coronario agudo]]></kwd>
<kwd lng="es"><![CDATA[mujeres]]></kwd>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="es"><![CDATA[shock cardiogénico]]></kwd>
<kwd lng="en"><![CDATA[Acute coronary syndrome]]></kwd>
<kwd lng="en"><![CDATA[females]]></kwd>
<kwd lng="en"><![CDATA[Rsik factors]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
<kwd lng="en"><![CDATA[Cardiogenic shock]]></kwd>
</kwd-group>
</article-meta>
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