Abstract

PONTE GONZALEZ, Giovanny; LOPEZ FERRERO, Leonardo; NOA FERNANDEZ, Lianet  and  VILLANUEVA PONTE, Luis Hilario. Invasive treatment of acute myocardial infarction at the Institute of Cardiology and Cardiovascular Surgery from 2003 to 2005. Rev Cubana Invest Bioméd [online]. 2008, vol.27, n.1, pp. 0-0. ISSN 1561-3011.

In order to identify the localization, the artery responsible for infarction, the cardiovascular risk factors and to evaluate the efficacy of emergency percutaneous transluminal angioplasty, 203 patients with diagnosis of acute myocardial infarction were studied: 155 males (59.87±11 years old) and 48 females (60±11 years old). Arterial hypertension and smoking were the most frequent cardiovascular risk factors. The procedure was successful in 92 % and mortality was 5 %. The anterior face was the most common localization of infarction. The obstructions of the anterior and right descending coronary arteries were those with the highest incidence on infarction. 69.95 % of the angioplasties performed were primary. A direct stent was implanted in 42.36%. The TIMI 0 arterial flow was reduced to 3.94 % after the procedure. Suffering from diabetes mellitus, a previous infarction, shock and presenting a TIMI 0 flow after the procedure were predictors of mortality.

Keywords : Interventional cardiology; acute myocardial infarction; percutaneous transluminal coronary angioplasty.

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