Clinical, epidemiological, echocardiographic and therapeutic characterization of patients with acute myocardial infarction
Keywords:
acute myocardial infarction, echocardiography, thrombolytic treatment, acute coronary syndrome, complications.Abstract
Introduction: Although the general incidence of acute myocardial infarction has diminished in many developed countries in the last decades, it still generates high numbers of morbidity and mortality in those with low income; showing higher figures in times of coronavirus.
Objective: To characterize patients with diagnosis of acute myocardial infarction according to clinical, epidemiological, echocardiographic and therapeutic variables.
Methods: A descriptive and retrospective investigation was carried out from January, 2018 to November, 2022, of 835 patients with diagnosis of acute myocardial infarction, assisted in the Cardiology and Cardiovascular Surgery Center of Santiago de Cuba. Among the analyzed variables there were age, sex, topography of infarction, complications, echocardiographic disorders and thrombolytic treatment.
Results: In the series there was a prevalence of the male sex and the 65 or less age group. A higher frequency of infarction in the lower topography (177, for 67.3 %) was observed; of these patients, 52.9 % had complications. Also, the complication of more frequency was the paroxysmal atrial fibrillation, followed by the infarction of the right ventricle; while the ejection fraction smaller than 45 %, the volume of the left auricle and the parietal motility presented statistical significance.
Conclusions: Clinical, epidemiological, echocardiographic and therapeutic characteristics of patients with acute myocardial infarction in Santiago de Cuba province do not differ from the world epidemiological context.
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References
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