Abstract

GARCIA FERNANDEZ, Raymid; CAMARGO FERO, Felicita; GARCIA BARRETO, David  and  HERNANDEZ CANERO, Alberto. Behavior of some variables associated with treatment of acute myocardial infarction. Maracaibo. Venezuela. Rev Cubana Invest Bioméd [online]. 2009, vol.28, n.4, pp. 0-0. ISSN 1561-3011.

In spite of the evident benefits of prompt medical treatment to reduce mortality and other important clinical events, there are still failures in the care of patients with acute myocardial infarction. A cross-wise descriptive study was performed in patients who were seen at four integral diagnostic centers located in Maracaibo, Zulia state, in Venezuela in the period from October 2006 to August 2007. The objective was to evaluate the behaviour of some variables associated with the treatment of heart attack with increased ST segment. The universe of study was made up of all the patients with cardiovascular diseases admitted to the integral diagnostic centers. The sample covered the medical histories of 44 patients diagnosed with acute myocardial infarction, grouped according to study variables and followed the inclusion and exclusion criteria. Males and the over 60 years-old age group prevailed. Fibrinolytic treatment was used in 71,7% of patients. The needle-door time was delayed. There was more reperfusion in patients with needle door below 60 minutes. Beta blockers and IECAs were used in 79,5% and 65,9% of cases, respectively. Pump failure was the most frequent complication in 35,2% of cases. It is necessary to comply with the set standards for the treatment of acute myocardial infarction based on evidence of available studies, with the aim of reducing mortality from this health problem

Keywords : acute myocardial infarction; fibrinolytic treatment; pump failure.

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