title: [Registry of non-ST elevation acute coronary syndromes in a tertiary hospital (RESCATA-SEST registry)].
abstract: OBJECTIVE
  To describe the clinical-epidemiologic profile and the process of care of the non-ST elevation acute coronary syndromes in a tertiary hospital.
  
  
  METHODS
  We analyzed the clinical information, the risk stratification and diagnostic methods, the revascularization therapy and the prescription trends at discharge, of patients with non-ST elevation acute coronary syndromes cared for in one year.
  
  
  RESULTS
  Two hundred and eighty-three patients with mean age of 58 years were included (63% men). The largest number of non-ST elevation acute coronary syndromes (88.6%) was found between 50 to 59 years of age. The most common risk factor was hypertension; 82.5% of the patients had a low-intermediate TIMI score; residual ischemia was demonstrated in 37% and coronary obstructions were seen in 80 patients (70%). In 90%, a percutaneous coronary intervention was performed, mainly with drug-eluting Stents (87.5%). At discharge, even though antiplatelet agents and statins were prescribed in more than 90%, other drugs were indicated in a few more than 50% of patients.
  
  
  CONCLUSIONS
  In this population, non-ST elevation acute coronary syndromes predominates in relatively young men, often with hypertension. To stratify risk, to look for residual ischemia and to revascularize with drug-eluting stents are common practices, but the evidence-based guidelines compliance is still suboptimal.
authors.affiliation: Departamento de Cardiología Clínica, Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. Electronic address: gopa1@att.net.mx.
authors.forename: José Angel
authors.initials: JA
authors.lastname: González-Pliego
authors.affiliation: Departamento de Cardiología Clínica, Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Gonzalo Israel
authors.initials: GI
authors.lastname: Gutiérrez-Díaz
authors.affiliation: Unidad de Investigación en Epidemiología Clínica, Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Celis
authors.affiliation: Departamento de Cardiología Clínica, Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Diego Armando
authors.initials: DA
authors.lastname: Gudiño-Amezcua
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D017677:Age Distribution; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use; D006973:Hypertension / Q000150:complications; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D017678:Sex Distribution; D062606:Tertiary Care Centers
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D010975:Platelet Aggregation Inhibitors
keywords: Acute coronary syndromes; Angina inestable; Infarto de miocardio sin elevación del ST; Mexico; México; Non-ST elevation acute coronary syndromes; Non-ST elevation acute myocardial infarction; Registries; Registros; Síndrome coronario agudo; Síndrome coronario agudo sin elevación del ST; Unstable angina