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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

CASANOVA CORONA, Gabriel et al. C-reactive protein as evolutionary evidence in patients with acute myocardial infarction. AMC [online]. 2014, vol.18, n.1, pp.12-14. ISSN 1025-0255.

Background: myocardial ischemia is nowadays one of the most serious health problems worldwide and among its clinical presentations the acute myocardial infarction is the one that has the greatest morbidity and mortality. The high concentrations of C-reactive protein indicate instability of patches and inflammation and may be interpreted as the most important predictive risk factor in the ischemic episode. Objective: to evaluate the results of C-reactive protein as evolutionary evidence in patients with acute myocardial infarction. Methods: an analytical, prospective observational study was carried out at Manuel Ascunce Domenech University Provincial Hospital of Camagüey. The universe was composed of 210 patients diagnosed with acute myocardial infarction; the sample consisted of 70 patients: 35 cases with the diagnosis of non-complicated acute myocardial infarction and 35 cases with the diagnosis of complicated acute myocardial infarction, their C-reactive protein levels were determined at the admission and discharge from hospital.  Results: in the analysis of the risk factors behavior, regarding complicated acute myocardial infarction and non-complicated acute myocardial infarction, it was observed that 32 patients with complicated acute myocardial infarction presented high C-reactive protein levels for a 91,42 %, followed by smoking, sedentary lifestyle, hypertension, and obesity. Besides, in the first determination made in patients with complicated acute myocardial infarction, the 94, 28 % of the cases presented high C-reactive protein levels; in the second one, in a 97, 14 % of the cases, the levels were also high. During the hospital stay of the patients with complicated acute myocardial infarction it was stated that in a 94, 28 % of them there was a relation between the high C-reactive protein levels and the clinical evolution of patients.  Conclusions: high C-reactive protein levels are a predictive factor in the favorable or unfavorable evolution of the patient with acute myocardial infarction.

Keywords : C-REACTIVE PROTEIN; MYOCARDIAL INFARCTION; MYOCARDIAL ISCHEMIA; PREDICTIVE VALUE OF TESTS; OBSERVATIONAL STUDIES.

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