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Medicina clínica y social

On-line version ISSN 2521-2281


ALFONSO, Laura Catalina Wiegert  and  GALEANO, Ignacio Ortiz. Psychological factors in acute coronary syndrome patients admitted to the cardiology service of the “Hospital de Clínicas” of the National University of Asunción. Med. clín. soc. [online]. 2020, vol.4, n.3, pp.88-92. ISSN 2521-2281.


Anxiety, depression and stress are psychosocial factors that favor the development of acute coronary syndrome. Objective: To analyze the frequency of cardiovascular risk factors and psychological factors in patients admitted for acute coronary syndrome in the Cardiology Service of the “Hospital de Clínicas”, National University of Asunción.


Observational, descriptive, and cross-sectional design study, performed in patients with acute coronary syndrome, hospitalized in the Cardiology Service from January to August 2017. Sociodemographic and anthropometric variables, cardiovascular risk factors and psychosocial factors were measured. The Goldberg Hospital Depression and Anxiety Scales (HADS) was used to measure psychosocial risk factors. Results: 62 patients were included in the study, 60% were male, 56% were in the age range of 51 to 70 years and 43% were married. The most frequent cardiovascular risk factors present in patients with acute coronary syndrome were: sedentary lifestyle (90.3%), hypertension (69.4%), and dyslipidemia (62,9%). In relation to psychological risk factors, 48.2% had anxiety, 39.2% symptoms of anxiety, 45.1% symptoms of depression, and 24.1% had depression. Regarding the level of stress: 22.6% low level of stress, 46.8% medium level of stress and 30.6% high level of stress.


most of the patients studied with acute coronary syndrome were men, married, between 51 and 70 years. The most frequent cardiovascular risk factors were sedentary lifestyle, hypertension, and dyslipidemia. The majority presented symptoms of anxiety, symptoms of depression and a medium level of stress.

Keywords : anxiety; depression; stress; hypertension; dyslipidemias; sedentary lifestyle.

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