Aim:

to analyze the clinic’s suitability prior to the diagnosis of Acute Coronary Syndrome in women from three health areas of Barcelona. The secondary objective was to determine whether there is a therapeutic delay in the women analyzed.

Methods:

cross-sectional, descriptive, observational study on women with a new diagnosis of ACS during 2015-2019 by means of data collection from the medical history. Clinical suitability was estimated using the percentage of women who presented or did not present typical symptoms of ACS (dependent variable). The existence of other suggestive symptoms and cardiovascular risk factors (independent variables) was considered. The cumulative number of visits prior to diagnosis, the gap between diagnosis and treatment, and treatment and performance in primary care the month prior to diagnosis (covariables) were taken into account.

Results:

a total of 102 women with a mean age of 75 years were included; 49% presented typical symptoms. The most common histories were hypertension and dyslipidaemia. Of the patients analyzed, 11 (10.8%) presented weakness, of whom 9 (81.8%) presented typical clinical symptoms. This was statistically significant. Immediate treatment was performed in 66.3% and immediate catheterization was performed in 22.5%.

Conclusions:

half of the patients presented typical symptoms and none of the atypical symptoms was more prevalent. Only half the women received early treatment with a minority of invasive treatments. Improved recording of symptoms in the clinical histories could be beneficial to improve the times to establish treatment.

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