<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572019000400002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Volumen plaquetario medio y posible valor pronóstico en pacientes con infarto agudo de miocardio]]></article-title>
<article-title xml:lang="en"><![CDATA[Mean platelet volume and possible prognostic value in patients with acute myocardial infarction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Garlobo]]></surname>
<given-names><![CDATA[Daniel Lázaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ravelo Dopico]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Rivero]]></surname>
<given-names><![CDATA[Birsy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perera Lombillo]]></surname>
<given-names><![CDATA[Carmen Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Rodríguez]]></surname>
<given-names><![CDATA[Liz Odelnis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Gómez]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central "Dr. Carlos J. Finlay" Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Dirección de Servicios Médicos  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572019000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Numerosos factores están relacionados con las complicaciones intrahospitalarias en pacientes con infarto agudo de miocardio, la utilidad del volumen plaquetario medio como factor pronóstico es polémica actualmente.  Objetivo: Describir la asociación entre el volumen plaquetario medio en pacientes con infarto agudo de miocardio, con los factores de riesgo cardiovascular y la evolución clínica.  Método: Estudio observacional en 188 pacientes con infarto agudo del miocardio, que ingresaron en el servicio de Cardiología del Hospital Militar Central "Dr. Carlos J. Finlay". Fueron vigiladas las siguientes complicaciones: muerte cardiaca, insuficiencia cardiaca, angina postinfarto, reinfarto y todas combinadas. Se determinó el volumen plaquetario mediante hemograma automatizado al ingreso y se utilizaron como valores de corte &lt; 9 fL y &#8805; 9 fL.  Resultados:  Predominó el sexo masculino (69,7 %) y mayores de 50 años (91,5 %). Los pacientes hipertensos, diabéticos y fumadores presentaron mayor volumen plaquetario (82,9 %, p= 0,00; 90,4 %, p= 0,03; 89,1 %, p= 0,00 respectivamente). El 22,3 % presentó complicaciones combinadas; la insuficiencia cardiaca (45,2 %) y la angina postinfarto (3,3 %) fueron las más frecuentes. La insuficiencia cardiaca constituyó la complicación asociada con volumen plaquetario elevado (p= 0,027). El volumen plaquetario &#8805; 9 fL constituyó un predictor independiente de eventos adversos (p= 0,00; IC 95 %: 3,89-112,908).  Conclusiones:  El volumen plaquetario medio elevado estuvo asociado a peor evolución clínica intrahospitalaria y la insuficiencia cardiaca la complicación más prevalente. Se asoció además a la hipertensión arterial, tabaquismo y diabetes mellitus.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Numerous factors are related to in-hospital complications in patients with acute myocardial infarction, the usefulness of the mean platelet volume as a prognostic factor is currently controversial.  Objective:  To describe the association between mean platelet volume in patients with acute myocardial infarction, with cardiovascular risk factors and clinical evolution.  Method:  Observational study in 188 patients with acute myocardial infarction, who were admitted to the Cardiology Department of the Central Military Hospital "Dr. Carlos J. Finlay ". The following complications were monitored: cardiac death, heart failure, post-infarction angina, reinfarction and all combined. Platelet volume was determined by automated blood count at admission and &lt;9 fL and &#8805; 9 fL were used as cut-off values.  Results:  The male sex (69.7%) and over 50 years (91.5%) predominated. Hypertensive, diabetic and smoking patients presented higher platelet volume (82.9%, p = 0.00; 90.4%, p = 0.03; 89.1%, p = 0.00 respectively). 22.3% presented combined complications; Heart failure (45.2%) and post-infarction angina (3.3%) were the most frequent. Heart failure was the complication associated with high platelet volume (p = 0.027). Platelet volume &#8805; 9 fL was an independent predictor of adverse events (p = 0.00; 95% CI: 3.89-112.908).  Conclusions:  The high mean platelet volume was associated with worse intrahospital clinical evolution and heart failure the most prevalent complication. It was also associated with high blood pressure, smoking and diabetes mellitus.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[volumen plaquetario medio]]></kwd>
<kwd lng="es"><![CDATA[infarto agudo de miocardio]]></kwd>
<kwd lng="es"><![CDATA[infarto del miocardio, complicaciones]]></kwd>
<kwd lng="en"><![CDATA[mean platelets volume]]></kwd>
<kwd lng="en"><![CDATA[ST elevation]]></kwd>
<kwd lng="en"><![CDATA[acute myocardial infarction, complications]]></kwd>
</kwd-group>
</article-meta>
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