<?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>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342020000300209</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El índice tobillo-brazo como predictor de enfermedad coronaria multivaso en pacientes con síndrome coronario agudo y enfermedad arterial periférica]]></article-title>
<article-title xml:lang="en"><![CDATA[The Ankle-brachial Index as a Predictor of Multivess el Coronary Disease in Patients with Acute Coronary Syndrome and Peripheral Arterial Disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Negrín Valdés]]></surname>
<given-names><![CDATA[Tessa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Jiménez]]></surname>
<given-names><![CDATA[Ailed Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fardales Rodríguez]]></surname>
<given-names><![CDATA[Raikel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellanos Gallo]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses Jiménez]]></surname>
<given-names><![CDATA[José Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Callejas]]></surname>
<given-names><![CDATA[Magda Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Universitario Camilo Cienfuegos Gorriarán  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Cardiocentro Ernesto Che Guevara  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<numero>3</numero>
<fpage>209</fpage>
<lpage>221</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342020000300209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342020000300209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342020000300209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: la coexistencia de la enfermedad arterial periférica y el síndrome coronario agudo se asocia con peor pronóstico. El índice tobillo-brazo ha demostrado ser un marcador de ateroesclerosis multisitios.  Objetivo:  determinar la relación entre el índice tobillo-brazo y la enfermedad arterial coronaria multivasos.  Método:  se realizó un estudio observacional analítico que incluyó a todos los pacientes egresados de la unidad de cuidados coronarios del Hospital Provincial Universitario Camilo Cienfuegos Gorriarán, de la provincia Sancti Spíritus, en el período comprendido entre el primero de marzo de 2011 al 30 de febrero de 2018, con diagnóstico de síndrome coronario agudo, con y sin elevación del segmento ST. Se recogieron datos clínicos, de índice tobillo-brazo, ecocardiográficos y de angiografía coronaria y se determinó la implicación pronóstica del índice en la enfermedad multivaso a través de un árbol de clasificación con las variables incluidas en el modelo de regresión logística binaria.  Resultados:  la enfermedad multivaso se presentó en 85,2 % pacientes, de ellos eran hombres el 81,9 %, el 85,9 % de ellos con enfermedad multivaso, la edad media fue de 59,1 años, el 52,3 % presentó SCACEST con enfermedad multivaso el 78,8 %. Los factores de riesgo más frecuentes fueron: el hábito de fumar (86,8 %), la dislipidemia (85,8 %) y la hipertensión arterial (84,8 %) en el grupo con enfermedad multivaso e ITB=0,9 (DE=0,3). Recibieron tratamiento con clopidogrel (86,1 %), ácido acetilsalicílico (86,3 %), IECA o ARA II (85,8 %), estatinas (73,2 %), betabloqueantes (87,5 %) y nitratos (86,3 %). En la angiografía, el 85,2 % presentó una enfermedad coronaria severa. Las dos variables predictoras fueron: el SCASEST y el ITB&#8804;0,9 que mostraron un elevado valor predictivo positivo en el pronóstico de enfermedad arterial coronaria multivaso.  Conclusiones:  el índice tobillo-brazo&lt;0,9 mostró una capacidad predictiva para la enfermedad multivaso que se incrementa si se asocia a la diabetes mellitus y el hábito de fumar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  the coexistence of peripheral arterial disease and acute coronary syndrome is associated with a worse prognosis. The ankle-brachial index has been shown to be a marker of multisite atherosclerosis.  Objective:  to determine the relationship between the ankle-brachial index and coronary artery disease.  Method:  an analytical observational study was carried out that included all the patients discharged from the coronary care unit of the Camilo Cienfuegos Gorriarán Provincial University Hospital, of the Sancti Spíritus province, in the period from March 1, 2011 to February 30 of 2018, with a diagnosis of acute coronary syndrome, with and without ST segment elevation. Clinical data, ankle-brachial index, echocardiography and coronary angiography were collected and the prognostic implication of the index in disease was determined through a classification tree with the variables included in the binary logistic regression model.  Results:  multivessel disease occurred in 85.2 % patients, 81.9 % of them were men, 85.9 % of them with multivessel disease, the mean age was 59.1 years, 52.3 % presented STEACS with multivessel disease 78.8 %. The most frequent risk factors were: smoking (86.8 %), dyslipidemia (85.8 %) and arterial hypertension (84.8 %) in the group with multivessel disease and ABI = 0.9 (SD = 0.3). They received treatment with clopidogrel (86.1 %), acetylsalicylic acid (86.3 %), ACEI or ARB (85.8 %), statins (73.2 %), beta-blockers (87.5 %) and nitrates (86, 3 %). On angiography, 85.2 % had severe coronary disease. The two-predictor variables were: NSTEACS and ABI&#8804;0.9, which showed a high positive predictive value in the prognosis of multivessel coronary artery disease.  Conclusions:  ankle-brachial index &lt;0.9 showed a predictive capacity for multivessel disease that increases if it is associated with diabetes mellitus and smoking.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad coronaria]]></kwd>
<kwd lng="es"><![CDATA[ateroesclerosis]]></kwd>
<kwd lng="es"><![CDATA[tratamiento con fármacos]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[coronary disease]]></kwd>
<kwd lng="en"><![CDATA[atherosclerosis]]></kwd>
<kwd lng="en"><![CDATA[drug treatment]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
</kwd-group>
</article-meta>
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