Abstract

PINON PEREZ, Jorge et al. Mortalidad oculta por infarto agudo del miocardio. Rev cubana med [online]. 2003, vol.42, n.5. ISSN 0034-7523.

A retrospective and descriptive study was conducted among those dead patients with acute myocardial infarction detected during the necropsy studies. They were divided into 2 groups. The first one was composed of the patients that being alive were diagnosed AMI (169 patients). They were compared with a second group that was made up of the patients that were diagnosed AMI on necropsy (65 %). This group was the fundamental objective of the research. The following variables were studied in both groups: age, sex, topographical localization of the injury, complications and associated diseases. The disease proved to be more common among males over 60. On comparing, the infarctions of the inner face were more significant in the group of occult mortality from AMI, but those of mixed localization predominated in both groups. The main complications in the group of occult mortlity from AMI were heart failure and acute lung edema, whereas the associated diseases were bronchopneumonia, ischemic cerebrovascular disease, chronic kidney failure and chronic obstructive lung disease. All this influenced the non-diagnosis of AMI during their lifetime. In the group of infarctions diagnosed during their lifetime, the most frequent complications were the cardiogenic shock and the heart arrhytmias. There were a few associated diseases with no significant results

Keywords : MYOCADIAL INFARCTION [complications]; INDICATORS OF MORBIDITY AND MORTALITY; AGED.