<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000100045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome coronario agudo con elevación del segmento ST en el Centro de Diagnóstico Integral La Macandona]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute coronary syndrome with ST elevation in La Macandona Comprehensive Diagnostic Center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Pedroso]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Simon]]></surname>
<given-names><![CDATA[Claudia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Valdez]]></surname>
<given-names><![CDATA[Yelina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Clínico Quirúrgico Dr. León Cuervo Rubio ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>45</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000100045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el síndrome coronario agudo con elevación del segmento ST, se debe a la oclusión completa de una de las arterias responsables del miocardio.  Objetivo: determinar el comportamiento clínico epidemiológico del SCACEST en la sala de terapia intensiva del CDI La Macandona, del municipio Maracaibo, estado Zulia desde el año 2014 al 2017.  Métodos:  se realizó una investigación, observacional, longitudinal, descriptiva y retrospectiva, el universo de estudio fue los 82 portadores de la enfermedad. Se utilizaron las historias clínicas de cada paciente, las variables se agruparon en tablas según frecuencias absolutas y relativas.  Resultados: predominó en el sexo masculino (73,17 %), en las edades de 60 a 69 años (55,84 %), como principal factor de riesgo la hipertensión arterial (80,48 %), la mayoría recibió tratamiento trombolítico con estreptoquinasa (88,23 %) y al final de la investigación el 96, 34 % fueron egresados vivos.  Conclusiones:  se deben diseñar protocolos de actuación en los centros de diagnóstico integral que garanticen una atención pronta y segura del SCACEST, para de e forma garantizar un mejor tratamiento y supervivencia en los pacientes portadores del mismo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[INFARTO DEL MIOCARDIO CON ELEVACIÓN DEL ST]]></kwd>
<kwd lng="es"><![CDATA[TERAPIA TROMBOLÍTICA]]></kwd>
<kwd lng="es"><![CDATA[MORTALIDAD]]></kwd>
<kwd lng="es"><![CDATA[CUIDADOS CRÍTICOS]]></kwd>
<kwd lng="en"><![CDATA[ST ELEVATION MYOCARDIAL INFARCTION]]></kwd>
<kwd lng="en"><![CDATA[THROMBOLYTIC THERAPY]]></kwd>
<kwd lng="en"><![CDATA[MORTALITY]]></kwd>
<kwd lng="en"><![CDATA[CRITICAL CARE]]></kwd>
</kwd-group>
</article-meta>
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