Clinical-epidemiologist characterization of the trombolized acute myocardial infarction in the Adult Intensive Care unit.
Abstract
An observational, descriptive, prospective study was carried out with the objective to characterize some clinical and epidemiological factors related to the trombolized acute myocardial infarction, in patients admitted at the Adult Intensive Care Units of the General Teaching Hospital of Moron from January 1st to December 31st 2011. The universe was constituted by all patients with acute myocardial infarction diagnosis and the sample by patients dealt with recombinant streptokinase. Simple statistical was the used method through summary measures for qualitative and quantitative variables. Arterialhypertension and smoking were the most frequent risk factors. Most of the patients were taken care of within the first 6 hours of their arrival at the Emergency Service. The more frequent electrocardiographic presentation form was with ST elevation. The greater percent of the thrombolysis was made in the first time of arrival to the emergency department. The arterial hypotension was the more frequent adverse reaction. There were electrical complications. It was found the lightening of the pain and the ST segment depression as the most frequent reperfusion criteria.
Downloads
Author Biographies
Bernardo Luis Balmori Marin
Ignacio Martínez Rodríguez
Ezequiel Suárez Yanes
Yamaris Calero Pérez
References
Infarto agudo del miocardio. En: Caballero L. Terapia Intensiva. 2da ed. La Habana: Editorial de Ciencias Médicas; 2009. p.1381-99.
Braunwald E. Unstable angina: an etiologic approach to management. Circulation. 2006; 98(21):2219-22.
Roca Goderich R. Cardiopatía isquémica. En: Roca Goderich R, Smith Smith V, Paz Presilla E, Losada Gómez E, Serret Rodríguez B, Llamos Sierra N, et al. Temas de medicina interna. 4a ed. La Habana: Editorial de Ciencias Médicas; 2002. p. 392-418.
Harrison. Principios de medicina interna. 15va ed. México: Editorial Interamericana; México, 2005.
Cuba. Ministerio de Salud Pública. Centro Nacional Coordinador de Ensayos Clínicos. Aplicación de la estreptoquinasa recombinante en el infarto agudo del miocardio. Extensión Nacional “Estudio clínico fase IV”, Multicentro IG/Ski/IM/92 Nov; 1995: p.12- 25.
Julián DB. Angina pectoris. Descripción completa de los antecedentes históricos, epidemiología, pronóstico, hemodinamia, clasificación clínica, exploración física, datos de laboratorio y tratamiento médico y quirúrgico de la angina de pecho. New York: Dalmao Publishers; 2009.
Zapata G, Pirillo I, Tuero E, Orlandini A, Padlasso E, Díaz R. Análisis de estrategias de reperfusión, tiempo desde el inicio de los síntomas y mortalidad en 223 pacientes consecutivos ingresados al Instituto Cardiovascular de Rosario (ICR). XVIII Congreso Nacional de Cardiología. Buenos Aires; 2007.
Zapata G, Namioli D. Por el comité de unidad coronaria de la Sociedad de Cardiología de Rosario. Relevamiento epidemiológico y de mortalidad de todos los UCC de la unidad de Rosario. 4ª reunión plenaria de la Sociedad de Cardiología de Rosario; 2007.
Braunwald E, Selwin AP. Ischemic heart disease. In: Braunwald E, Isselbacher JK, Peterdorf RG, Wilson JD, Martin JB, Fucias AS. Harrison’s principles of internal medicine. 11 ed. New York: McGraw Hill; 2008.
Samama E. Cardiopatía isquémica. En: Szwarcer E, Samama E. Drogas trombolíticas. 1ª ed. Argentina: Gador; 2010. p. 458-9.
Fuster V, Badimon L, Badimon J, Enesidro J. The pathogenesis of coronary artery disease and the acute coronary syndromes. N Engl J Med. 2009; 326:245-50.
Paolasso E, Boccanera V. Manejo y tratamiento del infarto agudo del miocardio con supradesnivel del ST. Rev FAC [Internet]. 2009 [17 Ene 2003]; II Congreso Virtual de Cardiología. 18(1):1-21. Disponible en: http://www.apacher@satlink.com/manejoy tratamiento ST.htm
Topol EJ, Futer V. Unstable angina. In: Cardiovascular thrombosis. Thrombocardiology and thromboneurology. Philadelphia: Lippincott-Raven; 2007. p. 475-99.
Quirós Luis JJ, Elizalde Díaz R, Castillo Guzmán A. Reducción del tiempo puerta-aguja en el cuerpo de guardia con el tratamiento trombolítico. Rev Cubana Cardiol Cir Cardiovasc. 1999; 13(2):116-21.
Armstrong PW, Fu Y, Chong WC, Topol EJ, Grauger CB, Bedrin A, et al. Califf RM acute coronary syndromes in the Gusto IIb trial: prognostic irrigats and impact of recurrent ischemia. The Gusto IIb Investigators. Circulation. 2005; 98(18):1860-8.
Simoors M, Arnold A. Tailored thrombolytic therapy: a perspective. Circulation. 1993; 88:2556.
Hamm CW.et al: emergency room triage of pacients with acute chest pain bymeans of rapid testing for cardiac troponin T or troponin I. N Engl J Med. 1997; 337: 1648.
Bono J, Fernández C, Arballo C, Suasnábar R, Flores L, Paganini C. Arritmias en el IAM. Disociación electromecánica. Complicaciones mecánicas. Rev FAC [Internet]. 2000 [17 Ene 2003]; I Congreso Virtual de Cardiología. 3(1):1-18. Disponible en: http://www.apacher@satlink.com/arritmias en el IAM.htm
Adams JE, III Abendecheir Dr, Jaffe AS. Biochemical markers of myocardial injury. Is MB creatine kinase the choice of the 1990s? Circulation. 1993; 88(2):750-63.
Pathy MS. Clinical presentation of myocardial infarction in the elderly. Br Heart J. 1967; 29: 190-9.
Downloads
Published
How to Cite
Issue
Section
License
MediCiego does not apply publication charges. The journal is available in open access without restrictions, in compliance with the international policy on open access to information for the exchange of global knowledge.
The authors will retain their copyright and guarantee the journal the right of first publication of their work. MediCiego is licensed under the Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES), so it is allowed to copy, reproduce, distribute, publicly communicate the work and generate derivative works, as long as the original author is cited and acknowledged. However, it is not allowed to use the original work for commercial or lucrative purposes.
Authors must sign a copyright agreement through an affidavit of authorship and originality, before publishing.
The authors authorize the publication of their writings; they retain the copyright, and assign to the journal all the rights protected by the Copyright Law that governs Cuba, and implies the edition to disseminate the work.
Likewise, they may establish additional agreements for the non-exclusive distribution of the version of the work published in the journal (for example, placing it in an institutional repository or publishing it in a book), with the recognition of having been first published in this journal.
Declaration of authorship: download here the Affidavit
