<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332025000100032</article-id>
<article-id pub-id-type="doi">10.24875/rccar.23000047</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La asociación entre las puntuaciones de riesgo y el desenlace clínico en pacientes con síndrome coronario agudo]]></article-title>
<article-title xml:lang="en"><![CDATA[The association between risk scores and clinical outcome in acute coronary syndrome patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farag]]></surname>
<given-names><![CDATA[Shereen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mostafa]]></surname>
<given-names><![CDATA[Shaimaa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[El-Rabbat]]></surname>
<given-names><![CDATA[Khaled]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[El-Aziz]]></surname>
<given-names><![CDATA[Ahmed Abd]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Facultad de Medicina, Benha University Departamento de Cardiología ]]></institution>
<addr-line><![CDATA[Benha ]]></addr-line>
<country>Egipto</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>32</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000100032&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El síndrome coronario agudo (SCA) y sus complicaciones son uno de los principales problemas de salud a nivel mundial. Se han utilizado numerosos puntajes de riesgo clínico para estratificar a los pacientes con SCA.  Objetivo: evaluar la relación entre las puntuaciones de riesgo (TIMI, PURSUIT y GRACE) y los resultados a corto plazo en pacientes con síndrome coronario agudo (SCA).  Método: el estudio inscribió a 500 pacientes con SCA. Las puntuaciones de riesgo se evaluaron al ingreso y se correlacionaron con los resultados durante el ingreso hospitalario y tres meses después del alta.  Resultados: el estudio incluyó a 500 pacientes con SCA, con edad media fue de 57.4 ± 11.8 años. La puntuación media de TIMI, GRACE y PURSUIT fue de 2.7 ± 1.9, 138.8 ± 39.6 y 10.9 ± 4.9, respectivamente. Las puntuaciones más altas de TIMI, GRACE y PURSUIT se asociaron con una mayor morbilidad y mortalidad hospitalaria y a corto plazo. La puntuación PURSUIT fue el predictor más significativo entre las tres puntuaciones para la incidencia de insuficiencia cardíaca intrahospitalaria utilizando un valor de corte &gt; 15.5, una sensibilidad del 82.2% y una especificidad del 96.9%. A su vez, el score GRACE fue el predictor más preciso de isquemia recurrente e insuficiencia cardíaca durante tres meses de seguimiento, utilizando valores de corte &gt; 117.5 y &gt; 118.5, con una sensibilidad del 100%, 100% y especificidad del 64%, 62.2% respectivamente.  Conclusión: los puntajes de riesgo son sencillos, aplicables al lado de la cama y capaces de predecir malos resultados durante la hospitalización y tres meses después del alta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Acute coronary syndrome (ACS) and its complication are one of the major health problems worldwide. Numerous clinical risk scores have been used to stratify ACS patients.  Objective: to evaluate the relationship between risk scores (TIMI, PURSUIT, and GRACE) and short-term outcomes in acute coronary syndrome (ACS) patients.  Method: the study enrolled 500 patients with ACS. Risk scores were evaluated at admission and correlated with outcomes during in-hospital admission and three months following discharge.  Results: the study included 500 patients with ACS, mean age was 57.4 ± 11.8 years. The mean TIMI, GRACE, and PURSUIT score was 2.7 ± 1.9, 138.8 ± 39.6, and 10.9 ± 4.9, respectively. Higher TIMI, GRACE, and PURSUIT scores were associated with higher in-hospital and short-term morbidity and mortality. PURSUIT score was the most significant predictor among the three scores for the incidence of in-hospital heart failure using a cut-off value &gt; 15.5 with a sensitivity of 82.2% and specificity of 96.9%. At the same time, the GRACE score was the most accurate predictor of recurrent ischemia and heart failure during three months of follow-up, using cut-off values &gt; 117.5 and &gt; 118.5, with a sensitivity 100%, 100% and specificity of 64%, 62.2%, respectively.  Conclusion: risk scores are straightforward, bedside-applicable, and capable of predicting adverse outcomes during hospitalization and three months after.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome coronario agudo]]></kwd>
<kwd lng="es"><![CDATA[Puntuación TIMI]]></kwd>
<kwd lng="es"><![CDATA[Puntuación GRACE]]></kwd>
<kwd lng="es"><![CDATA[Puntuación PURSUIT]]></kwd>
<kwd lng="en"><![CDATA[Acute coronary syndrome]]></kwd>
<kwd lng="en"><![CDATA[TIMI score]]></kwd>
<kwd lng="en"><![CDATA[GRACE score]]></kwd>
<kwd lng="en"><![CDATA[PURSUIT score]]></kwd>
</kwd-group>
</article-meta>
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