SciELO - Scientific Electronic Library Online

 
vol.39 número3Prevalencia de patología musculoesquelética asociada al síndrome de falla cardiaca índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Acta Medica Colombiana

versión impresa ISSN 0120-2448

Resumen

PAILLIER, Jaime Enrique; TRESPALACIOS, Erik Javier  y  CALLE, Jaime Andrés. Asymptomatic bacteriuria as a factor associated to acute myocardial infarction. Acta Med Colomb [online]. 2014, vol.39, n.3, pp.228-232. ISSN 0120-2448.

Introduction: atherosclerosis is an inflammatory disease in which the stability of coronary plaque and its rupture with the onset of acute myocardial infarction could be influenced by microbial infections through production of inflammatory mediators. These molecules also occur in patients with asymptomatic bacteriuria, common condition after age 65. Objective: a comparative study to determine if asymptomatic bacteriuria is associated with acute myocardial infarction was developed. Material and methods: patients over 65 with atherosclerotic coronary artery disease or patients at high risk of developing it, were included . Patients with acute myocardial infarction in two hospitals in fourth level in Medellin (Colombia) were chosen. The calculation of adjusted Odds ratio was performed using a logistic regression model. Results: 60 cases and 120 controls were studied. The mean age was 74.94 ± 7.08 years. 37 cases of asymptomatic bacteriuria among 180 patients were documented, for a prevalence equal to 20.6% with female predominance (12.4 vs 32%). The proportion of asymptomatic bacteriuria in the cases was 15% and in controls 23.3% for a crude OR of 0.58 (95% CI 0.25 - 1.32) and an adjusted OR of 1.31 (95% CI 0.53 - 3.26). Conclusion: no association between asymptomatic bacteriuria and acute myocardial infarction was found. Further studies are required to determine whether this association exists.

Palabras clave : bacteriuria; myocardial infarction; atherosclerosis; coronary disease; risk factors; logistic models; urinary tract; infection.

        · resumen en Español     · texto en Español     · Español ( pdf )