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Revista Información Científica
versión On-line ISSN 1028-9933
Resumen
CREAGH-CAZULL, Abel et al. Predictor factors of hospital mortality in patients with acute myocardial infarction. Rev. inf. cient. [online]. 2021, vol.100, n.2 Epub 01-Mar-2021. ISSN 1028-9933.
Introduction:
Cardiovascular disease is the main cause of death worldwide.
Objective:
To identify the predictor factors of hospital mortality in patients with acute myocardial infarction at the Hospital General Docente “Dr. Agostinho Neto” in 2017.
Method:
A retrospective analytical case-control study was performed in a population of 90 patients with myocardial infarction. The case-cohort study included all patients who died during admission (n=30) and met the inclusion and exclusion criteria, while the case-control study included 60 patients who were discharged alive, randomly selected by simple random sampling.
Results:
The mean age was higher in the case-cohort studied (74.06 years) than the case-control (p=0.021). The 86,6% of cases did not receive thrombolysis and 6.6% had some reperfusion criteria after the streptokinase (p=0.00). Cardiogenic shock (p=0.003), cardiac rupture (30%) (p=0.03), and cardiac tamponade (23.3%) (p=0.01) were present in 36.6% of cases.
Conclusions:
The predictor factors of hospital mortality in patients with acute myocardial infarction are as follows: age, the prolonged time between the onset of symptoms and medical attention, presence of complications such as cardiogenic shock, cardiac tamponade and cardiac rupture, as well as the non-administration of thrombolytic treatment and the absence of reperfusion.
Palabras clave : predictor factors of mortality; acute myocardial infarction; hospital mortality.