Revista Cubana de Medicina General Integral
versão On-line ISSN 1561-3038
JORNA CALIXTO, Ana Rosa; VELIZ MARTINEZ, Pedro Luis e CUELLAR ALVAREZ, Rosabel. Myocardial acute infarction in integral diagnosis centers of Vargas, Venezuela. Rev Cubana Med Gen Integr [online]. 2010, vol.26, n.4, pp. 712-720. ISSN 1561-3038.
INTRODUCTION: the acute myocardial infarction was over the 12 % of deceased from ischemic heart disease in Venezuela in 2006 without evidence of decrease in mortality despite the technological improvement of emergences services. OBJECTIVE: to characterize its behavior in the integral diagnostic centers of the Vargas State from June, 2006 to June, 2009. METHODS: a retrospective and descriptive study was conducted to characterize the behavior of myocardial acute infarction in urgency and emergency services of integral diagnostic centers using the Barrio Adentro's Statistics. RESULTS: a total of 186 patients were seen due to myocardial acute infarction with predominance of intensive therapy admissions (2,4 %) on the hospitalization services. Those deceased from this cause included 35 persons the 17,1 % of total of deceased. The 39,2 % was thrombolized where the higher figure was achieved in 2008 with a 51,2 %. The mortality from myocardial acute infarction fluctuated between rates of 17,3 and 20 by each 100 patients treated. The crude mortality rate was of 9,58 by 100 000 inhabitants. CONCLUSIONS: the figure of cases seen due to infarction had a stable increasing behavior, accounting for the 0,7 % of total of admissions in these centers with predominance of intensive therapy admissions over the hospitalization services. Thrombolytic treatment was applied using recombinant streptokinase in a significant percentage of patients. In the hospitalization services mortality from this cause was higher. The death risk not decreased for patients presenting with this disease and the general mortality during the study period was of 35 patients for a rate of 9,58 x 100 000 inhabitants.
Palavras-chave : Myocardial acute infarction; thrombolytic treatment; integral diagnostic centers.