Abstract

FERNANDEZ MOSQUEDA, Juan Rafael; DESPAIGNE BENITEZ, Beatriz  and  DE LA FE VEGA, Niurka. Specialized and primary care in patients with acute arterial insufficiency. MEDISAN [online]. 2012, vol.16, n.8, pp. 1262-1266. ISSN 1029-3019.

A descriptive and observational study was carried out in patients with acute arterial insufficiency of the limbs, admitted to the Angiology Department of "Dr. Ambrosio Grillo Portuondo" Clinical Surgical Teaching Hospital of Santiago de Cuba, from January 2008 to April 2011, with the purpose of monitoring their progress as for an early diagnosis and treatment. All the members of the series had the classic symptoms of the condition, but the majority did not undergo the examination of arterial pulses in the primary health care, and although more than 50% of them were treated at the first 4 hours after the onset of symptoms, most of them received specialized care between 9 and 24 hours of its manifestation. Similarly, age group of 61 years and over, urban origin, obliterating atherosclerosis (alone or combined with other diseases) prevailed as the clinical entity most associated and surgical revascularization as an initial procedure. A significant percentage of those who were operated before 8 hours saved the limb, but those that were operated after 24 hours of acute onset were amputees.

Keywords : acute arterial insufficiency; obliterating atherosclerosis; primary health care; Angiology Department.

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