Abstract

CABRERA REGO, Julio Oscar  and  PALACIO PEREZ, Héctor. Factors associated with intrahospital mortality in the acute myocardial infarction with supradepresion of ST. Rev Cubana Invest Bioméd [online]. 2008, vol.27, n.1. ISSN 0864-0300.

An epidemiological, analytical and cross-sectional investigation was undertaken among 327 patients admitted with criterion of acute myocardial infarction with supradepression of ST selected from a group of 363 patients with AMI in the Polyvalent Intensive Care Unit of “Joaquín Albarrán” Hospital from September 2004 to September 2006 in order to determine the factors associated with intrahospital mortality in this entity. The percentage statistical method and the chi square test were applied. Mortality was higher in patients of advanced age (35.9 %). A significant association was observed between age (p=0.0159), sex (p=0.0232), diabetes (p=0.0012), dyslipidemia (p=0.0041) and arterial hypertension (p=0.0189) with the state on discharge. Mortality was higher in patients with anterior localization of AMI (18 %), electrical complications (29.2 %) and class IV Killip-Kimbal (83.3 %). A marked association was found between the non carrying out of thrombolysis (p=0.0499) and therapeutic retardation (p=0.0013) with the mortality of the patients under study.

Keywords : Acute myocardial infarction; mortality; risk factors; complications; thrombolysis.

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