Patients with acute myocardial infarction treated at the department of cardiology of the provincial hospital of Las Tunas
Keywords:
MYOCARDIAL INFARCTION, ACUTE CORONARY SYNDROME, THROMBOLYTIC THERAPYAbstract
Background: the epidemiological characteristics of acute myocardial infarction have changed in the last decades.
Objective: to characterize the patients with acute myocardial infarction admitted to the “Dr. Ernesto Guevara de la Serna” General Teaching Hospital of Las Tunas, from June 2018 through June 2020.
Methods: an observational, descriptive and cross-sectional study was carried out at the department of cardiology of the aforementioned hospital and during the period herein stated. The study universe was made up of 754 patients who were admitted with acute coronary syndrome and the study sample consisted of 440 patients with a confirmed diagnosis of acute myocardial infarction. For the data treatment percentage analysis was used for the qualitative variables and arithmetic mean with standard deviation for the quantitative ones.
Results: the average age of the patients was 65.9 ± 12.3 years. 64.1% were male and 76.8 % suffered from arterial hypertension. 81.8 % did not have heart failure at admission. 78.4 % presented ST-elevation infarction, thrombolysis was performed on 45.2% and out of them 83.4 % achieved total reperfusion. 31.4% developed left ventricular dysfunction. Hospital mortality was 8.8 %. In more than 90% aspirin, clopidogrel and statins were prescribed at discharge. 20.2% was referred to cardiac rehabilitation.
Conclusions: most of the patients were male, with ST-segment elevation myocardial infarction and with a low percentage of reperfusion. Arterial hypertension was the most frequent associated factor. Hospital mortality was low.
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