<?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>S2078-71702019000200120</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hiperglucemia como factor pronóstico de complicaciones intrahospitalarias en el infarto agudo de miocardio con supradesnivel del segmento ST]]></article-title>
<article-title xml:lang="en"><![CDATA[Hyperglycemia as a prognostic factor for in-hospital complications in ST segment elevation acute myocardial infarction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez García]]></surname>
<given-names><![CDATA[Geovedy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central Dr. Carlos J. Finlay Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>120</fpage>
<lpage>128</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702019000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702019000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702019000200120&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  A pesar de la introducción de nuevas técnicas para la reperfusión del vaso en el infarto agudo de miocardio, las complicaciones y la mortalidad en estos pacientes, es elevada. La hiperglucemia se ha descrito en varios trabajos como factor de riesgo y de peor pronóstico.  Objetivos:  Demostrar la importancia de la hiperglucemia como factor de riesgo de complicaciones intrahospitalarias del infarto agudo de miocardio con elevación del segmento ST.  Método:  Estudio analítico, longitudinal y prospectivo de cohorte, desde 2013 hasta 2017, que incluyó a 307 pacientes consecutivos que ingresaron en la Unidad de Cuidados Coronarios Intensivos del Hospital Militar Central Dr. Carlos J. Finlay, con el diagnóstico de infarto agudo de miocardio con elevación del segmento ST.  Resultados:  La edad media fue de 63,8±11,8 años y predominó el sexo masculino (61,8%). Los principales factores de riesgo fueron la hipertensión arterial y el tabaquismo. Del total de pacientes, 119 (38,8%) sufrieron complicaciones intrahospitalarias. La edad &#8805; 60 años, la clase funcional Killip-Kimball &#8805; II, la no realización de intervención coronaria percutánea y la estadía hospitalaria, constituyeron factores pronósticos independientes de eventos adversos durante el ingreso. La hiperglucemia en ayunas se mostró como un factor predictor independiente de complicaciones a partir de la regresión logística binaria (p=0,0035, &#946;=0,2971).  Conclusiones:  La hiperglucemia, medida a través de la glucemia en ayunas, es un predictor independiente de complicaciones intrahospitalarias en pacientes con infarto agudo de miocardio con elevación del segmento ST.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Mortality and complications remains high in acute myocardial infarction (AMI) patients despite newer reperfusion techniques were being introduced. Hyperglycemia has been described in several studies as a risk factor and worse prognosis.  Objectives:  To demonstrate the importance of hyperglycemia as a risk factor for in-hospital complications in ST-segment elevation AMI.  Method:  Analytical, longitudinal and prospective cohort study, from 2013 to 2017, which included 307 consecutive patients who were admitted to the Intensive Coronary Care Unit of the Hospital Militar Central Dr. Carlos J. Finlay, with an ST-segment elevation AMI diagnosis.  Results:  Mean age was 63.8±11.8 years and the male sex prevailed (61.8%). The main risk factors were high blood pressure and smoking. Of all patients, 119 (38.8%) suffered in-hospital complications. Age &#8805; 60 years, Killip-Kimball functional class &#8805; II, non-performance of percutaneous coronary intervention and hospital stay were independent prognostic factors of adverse events during admission. Fasting hyperglycemia was shown as an independent predictor of complications from binary logistic regression (p=0.0035, &#946;=0.2971).  Conclusions:  Hyperglycemia, measured through fasting blood glucose, is an independent predictor of in-hospital complications in patients with ST-segment elevation AMI.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto de miocardio]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="es"><![CDATA[Hiperglucemia]]></kwd>
<kwd lng="en"><![CDATA[Myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
<kwd lng="en"><![CDATA[Hyperglycemia]]></kwd>
</kwd-group>
</article-meta>
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