{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T12:22:15Z","timestamp":1772886135928,"version":"3.50.1"},"reference-count":8,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>Summary Introduction: acute coronary syndromes (ACS) represent a widely prevalent health issue with high mortality in Brazil and worldwide. The severity of ACS is not known in patients in the city of S\u00e3o Bernardo do Campo a municipality contiguous and adjacent to the city of S\u00e3o Paulo. Objectives: to study the profile of coronary disease in patients hospitalized with ACS who underwent coronary angiography in the emergency room between 2012 and 2013. Methods: this is an observational study that included consecutive patients with ACS admitted to the emergency room of a hospital. Data collection was performed using medical records with the following variables: sex, age, risk factors for cardiovascular disease, coronary angiography. Results: the sample in this period included 131 patients, of which 64.8% were men. The most prevalent diagnosis was ST-elevation myocardial infarction (STEMI) (57.2%) followed by non-ST-elevation myocardial infarction (NSTEMI) (22.1%) and unstable angina (UA) (20.6%). There were no significant differences in the epidemiology and risk factors between the diagnoses, except that heart failure was more prevalent in patients with UA. Discussion: there were no differences between groups regarding the coronaries involved; however, STEMI patients showed similar numbers of multi- and singlevessel lesions, NSTEMI patients showed more multivessel lesions, and UA patients showed more multivessel lesions or lesion-free arteries. Although multivessel lesions were prevalent in all groups, STEMI patients showed a significantly higher number of single-vessel lesions compared with the other acute coronary syndromes. Conclusion: the study demonstrated a predominance of STEMI in the studied population, which differs from the usual results in ACS.<\/jats:p>","DOI":"10.1590\/1806-9282.61.03.24","type":"journal-article","created":{"date-parts":[[2015,7,30]],"date-time":"2015-07-30T01:38:50Z","timestamp":1438220330000},"page":"240-243","source":"Crossref","is-referenced-by-count":7,"title":["Predominance of STEMI and severity of coronary artery disease in a cohort of patients hospitalized with acute coronary syndrome: a report from ABC Medical School"],"prefix":"10.1590","volume":"61","author":[{"given":"Marcelo Rodrigues","family":"Bacci","sequence":"first","affiliation":[{"name":"Faculdade de Medicina do ABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Luiz Affonso","family":"Fonseca","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Fernando Ferrari","family":"Nogueira","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Ribeiro","family":"Bruniera","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Moreira","family":"Ferreira","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle Magalh\u00e3es de","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otavio","family":"Berwanger","sequence":"additional","affiliation":[{"name":"Institute at Hospital do Cora\u00e7\u00e3o, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia Pin Chuen","family":"Zing","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo Hospital, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neif","family":"Murad","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Carlos Palandri","family":"Chagas","sequence":"additional","affiliation":[{"name":"FMABC, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","first-page":"671","article-title":"ACC\/AHA guidelines for the management of patients with ST-elevation myocardial infarction-executive summary. A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction)","volume":"44","author":"Antman EM","year":"2004","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1161\/CIR.0b013e318282ab8f","article-title":"Executive summary: heart disease and stroke statistics--2013 update: a report from the American Heart Association","volume":"127","author":"Go AS","year":"2013","journal-title":"Circulation"},{"issue":"8","key":"ref3","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1001\/jama.2009.1227","article-title":"Sex differences in mortality following acute coronary syndromes","volume":"302","author":"Berger JS","year":"2009","journal-title":"JAMA"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"461","DOI":"10.7326\/0003-4819-130-6-199903160-00002","article-title":"A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group","volume":"130","author":"Levey AS","year":"1999","journal-title":"Ann Intern Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4137\/CMC.S2118","article-title":"Age-related alteration of risk profile, inflammatory response, and angiographic findings in patients with acute coronary syndrome","volume":"3","author":"Badran HM","year":"2009","journal-title":"Clin Med Cardiol"},{"issue":"12","key":"ref6","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1093\/eurheartj\/ehm031","article-title":"STEMI and NSTEMI: are they so different? 1 year outcomes in acute myocardial infarction as defined by the ESC\/ACC definition (the OPERA registry)","volume":"28","author":"Montalescot G","year":"2007","journal-title":"Eur Heart J"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.amjcard.2012.03.008","article-title":"Angiographic lesion severity and subsequent myocardial infarction","volume":"110","author":"Zaman T","year":"2012","journal-title":"Am J Cardiol"},{"issue":"5","key":"ref8","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/MCA.0b013e3283030b3b","article-title":"Coronary lesion type, location, and characteristics of acute ST elevation myocardial infarction in young adults under 35 years of age","volume":"19","author":"Colkesen AY","year":"2008","journal-title":"Coron Artery Dis"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ramb\/v61n3\/0104-4230-ramb-61-03-0240.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T21:55:01Z","timestamp":1567029301000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302015000300240&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["S0104-42302015000300240"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.61.03.24","relation":{},"ISSN":["0104-4230"],"issn-type":[{"value":"0104-4230","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}