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Revista de Ciencias Médicas de Pinar del Río

On-line version ISSN 1561-3194

Abstract

MIRANDA PEDROSO, Rafael; GONZALEZ SIMON, Claudia María  and  MORALES VALDEZ, Yelina. Acute coronary syndrome with ST elevation in La Macandona Comprehensive Diagnostic Center. Rev Ciencias Médicas [online]. 2020, vol.24, n.1, pp.45-51.  Epub Jan 01, 2020. ISSN 1561-3194.

Introduction:

acute coronary syndrome with ST elevation is due to complete occlusion of one of the arteries responsible for the myocardium.

Objective:

to determine the clinical epidemiological behavior of acute coronary syndrome with ST elevation in the intensive care unit of La Macandona Comprehensive Diagnostic Center, Maracaibo municipality, Zulia state from 2014 to 2017.

Methods:

an observational, longitudinal, descriptive and retrospective study was conducted where the target group comprised 82 patients suffering from this pathology, the variables used: age, sex, smoking habit, hypercholesterolemia, diabetes mellitus, ischemic heart disease, whether they received thrombolytic treatment and hospital discharge status. To obtain the data the source used was the clinical histories of each patient; the variables were grouped in tables according to absolute and relative frequencies.

Results:

male sex 60 (73,17 %) predominated, 45 of them were from ages 60 to 69 (55,84 %), 66 suffered from hypertension (80,48 %) which was the main risk factor, most of them underwent thrombolytic treatment with streptokinase 75 (88,23 %) and 76 (96,34 %) were discharged alive from the hospital.

Conclusions:

protocols of actions must be designed in the Comprehensive Diagnostic Center that guarantee prompt and safe care, in order to guarantee better treatment and the survival of patients with acute coronary syndrome with ST elevation.

Keywords : ST ELEVATION MYOCARDIAL INFARCTION; THROMBOLYTIC THERAPY; MORTALITY; CRITICAL CARE.

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