Characterization of Patients with Acute Myocardial Infarction Treated at the General University Hospital Dr. Gustavo Aldereguía Lima

• Published in: Finlay Vol. 13; no. 2; pp. 163 - 172
• Main Authors: Edislaimy Suárez Rosales, Rodolfo Javier Rivero Morey, Lourdes María Roca Surí, Francisco de Jesús Valladares Carvajal, Evelyn Delgado Rodríguez, Lourdes María Fernández García
• Format: Journal Article
• Language: Spanish
• Published: Universidad de las Ciencias Médicas de Cienfuegos 01.05.2023
• Subjects: cumplimiento y adherencia al tratamiento; infarto de miocardio con elevación del segmento st; terapia trombolítica
• ISSN: 2221-2434

Background: ST-segment elevation acute myocardial infarction poses a great challenge to health systems, therefore its diagnosis and management are important. Objective: to determine the main clinical-epidemiological characteristics of patients diagnosed with ST-segment elevation acute myocardial infarction. Methods: a descriptive and cross-sectional study was carried out on a series of patients treated at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos, from January to June 2021. The universe consisted of 77 patients. Variables such as: age, sex, skin color, origin, comorbidities, toxic habits, clinical manifestations, thrombolysis, place where they were thrombolyzed, causes of non-thrombolysis, topography of acute myocardial infarction, discharge status, infarction complications and of thrombolytic treatment. For the processing and analysis of the information, a database was created in the statistical package SPSS version 21.0 that allowed the calculation of the absolute frequencies and the percentages. Results: the mean age was 66.08 (±9.43). There was a predominance of the male sex (64.7 %); 59.7 % of the patients were thrombolyzed; typical chest pain was the main clinical manifestation with 71.4 %; 12 patients died, of which 10.4 % did not receive thrombolytic treatment. Conclusions: the main reason for consultation continues to be chest pain. Age and comorbidities are risk factors to take into account when preventing this entity. Thrombolysis is a therapeutic measure that has a direct impact on the state at discharge of patients, this procedure is performed mostly in the hospital.