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Revista Finlay
versão On-line ISSN 2221-2434
Resumo
SUAREZ ROSALES, Edislaimy et al. Characterization of Patients with Acute Myocardial Infarction Treated at the General University Hospital Dr. Gustavo Aldereguía Lima. Rev. Finlay [online]. 2023, vol.13, n.2, pp. 163-172. Epub 30-Jun-2023. ISSN 2221-2434.
Background:
ST-segment elevation acute myocardial infarction poses a great challenge to health systems, therefore its diagnosis and management are important.
Objective:
to determine the main clinical-epidemiological characteristics of patients diagnosed with ST-segment elevation acute myocardial infarction.
Methods:
a descriptive and cross-sectional study was carried out on a series of patients treated at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos, from January to June 2021. The universe consisted of 77 patients. Variables such as: age, sex, skin color, origin, comorbidities, toxic habits, clinical manifestations, thrombolysis, place where they were thrombolyzed, causes of non-thrombolysis, topography of acute myocardial infarction, discharge status, infarction complications and of thrombolytic treatment. For the processing and analysis of the information, a database was created in the statistical package SPSS version 21.0 that allowed the calculation of the absolute frequencies and the percentages.
Results:
the mean age was 66.08 (±9.43). There was a predominance of the male sex (64.7 %); 59.7 % of the patients were thrombolyzed; typical chest pain was the main clinical manifestation with 71.4 %; 12 patients died, of which 10.4 % did not receive thrombolytic treatment.
Conclusions:
the main reason for consultation continues to be chest pain. Age and comorbidities are risk factors to take into account when preventing this entity. Thrombolysis is a therapeutic measure that has a direct impact on the state at discharge of patients, this procedure is performed mostly in the hospital.
Palavras-chave : st elevation myocardial infarction; thrombolytic therapy; treatment adherence and compliance.