ACUTE CORONARY SYNDROME: CORRELATION BETWEEN PREDISPOSING FACTORS AND CLINICAL OUTCOMES AT A HIGH-COMPLEXITY HOSPITAL IN WESTERN PARANÁ

Abstract

This article aimed to describe the predisposing factors present in patients with Acute Coronary Syndrome (ACS) and to explore their association with observed therapeutic outcomes. This was a quantitative, descriptive-exploratory, documentary, and ex-post-facto study conducted through the analysis of 150 medical records of patients treated at a high-complexity hospital in Cascavel, Paraná, over a ten-year period; data were organized and analyzed using Microsoft Excel. The mean age was 69.8 years, with a predominance of males (67%). The most frequent risk factors were hypertension (81%), dyslipidemia (42%), diabetes mellitus (39%), and active smoking (19%), alongside a mean BMI of 27.67 (overweight range). Regarding outcomes, 72% of patients underwent percutaneous coronary intervention, 15% underwent myocardial revascularization surgery, and 22% received exclusive clinical treatment, with a mortality rate of 6%. It is concluded that the convergence of multiple predisposing factors creates a complex clinical scenario that influences therapeutic choices and outcomes, reinforcing the importance of early identification and control of modifiable risk factors.