%0 Journal Article
%T Coronariograf¨ªa en personal con cardiopat¨ªa isqu¨¦mica oculta Choronariography in personnel with hidden ischemic heart disease
%A Pedro Manuel Hechavarr¨ªa Borrero
%A Ar¨ªstides P¨¦rez P¨¦rez
%A Eulogio Deschapelles Himely
%A Eddy Rosales Gubert
%J Revista Cubana de Medicina Militar
%D 2007
%I ECIMED
%X Se realiz¨® un estudio descriptivo longitudinal con personal especializado que acudi¨® al examen m¨¦dico de control de salud especializado en el Hospital Clinicoquir¨²rgico Docente "Dr. Joaqu¨ªn Castillo Duany" de Santiago de Cuba en el 2005. Hubo 2 o m¨¢s factores de riesgo de cardiopat¨ªa isqu¨¦mica, para determinar la morbilidad oculta de esta entidad mediante la coronariograf¨ªa. El universo lo constituyeron 24 pacientes que reun¨ªan los criterios de inclusi¨®n, a estos se les realiz¨® el interrogatorio, el examen f¨ªsico, la ergometr¨ªa y la coronariograf¨ªa. Se encontr¨® una morbilidad oculta de cardiopat¨ªa isqu¨¦mica elevada (70,8 %). El ¨ªndice de positividad de la coronariograf¨ªa fue mayor a partir de los 40 a os de edad, predomin¨® despu¨¦s de los 50 con el 33,3 %. El 62,5 % correspondi¨® a pacientes espec¨ªficos con 25 y m¨¢s a os de servicio que realizan trabajo con caracter¨ªsticas bien determinadas. Los factores de riesgo m¨¢s relacionados con la coronariograf¨ªa positiva fueron el estr¨¦s (66,7 %), la hipertensi¨®n arterial (62,5 %), la obesidad (54,2 %) y la hipercolesterolemia (45,8 %). Qued¨® demostrado que la cardiopat¨ªa isqu¨¦mica oculta ocurre con frecuencia en personal que labora en condiciones especiales de riesgo. A descriptive longitudinal study was conducted with specialized personnel that had a medical examination as part of their health control at "Dr. Joaquin Castillo Duany" Clinical and Surgical Teaching Hospital of Santiago de Cuba, in 2005. There were 2 or more risk factors for ischemic heart disease to determine the hidden morbidity of this entity by choronariography. The group under study was composed of 24 patients that had met the inclusion criteria. They were interviewed, and physical examination, ergometry and coronariography were performed. It was found an elevated hidden morbidity of ischemic heart disease (70.8 %). The positive index of choronariography was higher among those over 40. A predominance was observed in individuals over 50, with 33.3 %. 62.5 % corresponded to specific patients with 25 or more years of service, whose jobs have well-defined characteristis. The risk factor most related to positive choronariography were stress (66.7 %), arterial hypertension (62.5 %), obesity (54.2 %) and hypercholesterolemia (45.8 %). It was proved that hidden ischemic heart disease frequently occurs in persons working under especial risk conditions.
%K Morbilidad oculta
%K diagn¨®stico
%K coronariograf¨ªa
%K factores de riesgo
%K Hidden morbidity
%K diagnosis
%K coronariography
%K risk factors
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572007000400002