Abstract

REMIS PEREZ, Carlos José et al. Morbidity and mortality associated with acute myocardial infarction. Coronary Intensive Care Unit, 2006-2010. Rev Ciencias Médicas [online]. 2012, vol.16, n.4, pp.55-63. ISSN 1561-3194.

Introduction: the adequate care of patients suffering from acute myocardial infarction and the rapid thrombolysis, are the cornerstone of the patient's survival. Objective: to characterize the myocardial infarction in the Coronary Intensive Care Unit at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio. Material and Method: an applied, descriptive, cross-sectional research carried out at "Abel Santamaria Cuadrado" University Hospital from January 1st 2006 to December 31 2010. Results: the total of patients admitted was 3922 who suffered from ischemic heart disease and 1396 with myocardial infarction. The majority of them showed ST-segment elevation (1205), thrombolysis was applied to 800 patients (66,4%), intra-hospital to 157 (19,65); prevailing extra-hospital 643 (80,4%). Thrombolysis was not applied in 405 patients (33,6%). In 1396 patients the mortality rate behaved the following: general 117 (8,4% infarction), during 2009 was the highest (9.7%); those undergoing thrombolysis (6,1%), intra-hospital (8.2%), extra-hospital a 5,5%. The educational intervention applied to the Primary Health Care Doctors and Secondary Care (Emergency Services) showed a prevalence of lees than 5 years of working experience (69.2%), with an occupational profile in Comprehensive Medicine 12 (46.1%), which means an increase of competences in the majority of health professionals; results were statistically significant when applying McNemar test 5.26. A management action plan to design the strategy was created. Conclusion: the majority of the patients admitted suffered from acute myocardial infarction with ST-segment elevation. Mortality rate was lower in patients undergoing thrombolysis. The rate of thrombolysis must be outnumbered.

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