Acute coronary syndrome with ST elevation in La Macandona Comprehensive Diagnostic Center

Authors

Keywords:

ST ELEVATION MYOCARDIAL INFARCTION, THROMBOLYTIC THERAPY, MORTALITY, CRITICAL CARE.

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.

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Author Biography

Rafael Miranda Pedroso, Hospital Clínico Quirúrgico Dr. León Cuervo Rubio, Pinar del Río, Cuba

 ESPECIALISTADE PRIMER y SEGUNDO GRADO EN MEDICINA GENERAL INTEGRAL Y MEDICINA INTENSIVA Y EMERGENCIAS.

MASTER EN URGENCIAS MEDICAS EN ATENCION PRIMARIA DE SALUD. AUXILIAR 

References

1. Jiménez AJ. Manual de Protocolos de Actuación y Urgencias, Complejo Hospitalario de Toledo. 4ta Ed. (Reimpresión 2016). p.219-231.

2. Batista González M, Escalona Ballester Y. Caracterización del infarto agudo de miocardio en pacientes atendidos en Centro Médico Diagnóstico Integral Ezequiel Zamora de Venezuela. CCM [Internet]. 2015 [citado 24/01/2019]; 19(4): [aprox. 9 p.]. Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/1673

3. Reyes Hernández LM, Correa Morales AM, Toledo Pérez Y, Alonso Bonilla N, Ramírez Gómez JI, Garcés Guerra O. Enfoque clínico y epidemiológico del síndrome coronario agudo, una experiencia. Acta Médica del Centro [Internet]. 2019 [citado 24/01/2019]; 13(1): [aprox. 8 p.]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/917

4. Poll Pineda JA, Rueda Macías NM, Poll Rueda A, Linares Despaigne MJ. Caracterización clinicoepidemiológica de pacientes con síndrome coronario agudo según sexo. MEDISAN [Internet]. 2017 Oct [citado 24/01/2019]; 21(10): [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017001000002&lng=es

5. Aguiar Pérez JE, Giralt Herrera A, González Mena M, Rojas Velázquez JM, Machín Legón M. Caracterización de fallecidos por Infarto de Miocardio en una Unidad de Cuidados Coronarios Intensivos. Rev haban cienc méd [Internet]. 2018 [citado 24/01/2019]; 17(6): 872-884. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/2412

6. Ríos A. Infarto agudo del miocardio con elevación del segmento ST. ¡Todavia existe un rol para terapia trombolitica! Rev Guatem Cardiol [Internet]. 2013 [citado 24/01/2019]; 17(Sup 1): [aprox. 3 p.]. Disponible en: http://revista.asomigua.org/wp-content/uploads/2014/01/Rev-MI-Guate-vol-17supl1-2013-09-INFARTO-AGUDO-AL-MIOCARDIO-CON-ELEVACI%C3%93N-DEL-SEGMENTO-ST-corregido.pdf

7. Prieto Domínguez T, Doce Rodríguez V, Serra Valdés M. Factores predictores de mortalidad en infarto agudo de miocardio. Rev. Finlay [Internet]. 2017 Dic [citado 24/01/2019]; 7(4): [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342017000400002

8. Torres F. Fibrinolíticos en el infarto agudo de miocardio. Análisis de una cohorte uruguaya en un período de cuatro años. Rev. Urug. Cardiol. [Internet]. 2017 Ago [citado 24/01/2019]; 32(2): [aprox. 10 p.]. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-04202017000200121&lng=es

9. Moldes Acanda M, González Reguera M, Hernández Rivero MC, Prado Solar L A, Pérez Barberá M. Comportamiento del infarto agudo del miocardio en Cuidados Intensivos. Centro Diagnóstico Integral Simón Bolívar. Venezuela. Rev. Med. Electrón. [Internet]. 2017 Feb [citado 24/01/2019]; 39(1): [aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000100006&lng=es

10. Estevez Rubido Y, Cairo Sáez G, Quintero Valdivie I, Perez Rodriguez RM, Gonzalez Lopez D. Infarto agudo de miocardio en pacientes menores de 50 años. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2018 [citado 24/01/2019]; 24(1): [aprox. 14 p.]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/732

11. Escobar-Cruz L, Mariño-Serrano R. Factores de riesgo de infarto agudo del miocardio en pacientes con diagnóstico de hipertensión arterial. MULTIMED [Internet]. 2016 [citado 24/01/2019]; 20(5): [aprox. 14 p.]. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/393

12. Mier Raymi F, Martínez García G, Ravelo Dopico R. Diferencias entre sexos en pacientes con síndrome coronario agudo sometidos a intervención coronaria percutánea. Rev Cub Med Mil [Internet]. 2016 Dic [citado 24/01/2019]; 45(4): [aprox. 11 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572016000400008&lng=es

13. Caraballoso García L, Caraballoso García VJ, Orea Cordero I, Solís de la Paz D. Estrategia invasiva, inmediata, mediata y tardía en el síndrome coronario agudo sin elevación del segmento ST. CorSalud [Internet]. 2018 Sep [citado 24/01/2019]; 10(3): [aprox. 9 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2078-71702018000300003&lng=es

14. Santos Medina M, Góngora Cortés DR, Parra Siscar JL, Rabert Fernández AR. Factores predictivos de mortalidad hospitalaria en el infarto agudo de miocardio con elevación del segmento ST. CorSalud [Internet]. 2018 Sep [citado 24/01/2019]; 10(3): [aprox. 8 p.]. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/355/763

15. Santos Medina M, Parra Siscar JL, Rabert Fernández AR, Góngora Cortés D. Factores predictivos de eventos cardiacos adversos mayores en pacientes con infarto agudo del miocardio. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2018 [citado 24/01/2019]; 24(3): [aprox. 15 p.]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/768

16. Kotseva K, Wood D, De Bacquer D, De Backer G, Rydén L, Jennings C, et al. EUROASPIRE IV: A European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries. Eur J Prev Cardiol [Internet]. 2016 [citado 27/03/2017]; 23(6): [aprox. 12 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25687109

17. Santos Medina D, Barreiro García D, García González DC, Barreiro Noa DE. Factores de riesgo de mortalidad hospitalaria post infarto agudo de miocardio. Rev Cuban Cardiol [Internet]. 2017 [citado 05/11/2019]; 23(3): [aprox. 15 p.]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/710

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Published

2019-12-16

How to Cite

1.
Miranda Pedroso R, González Simon CM, Morales Valdez Y. Acute coronary syndrome with ST elevation in La Macandona Comprehensive Diagnostic Center. Rev Ciencias Médicas [Internet]. 2019 Dec. 16 [cited 2026 Feb. 13];24(1):e4142. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/4142

Issue

Vol. 24 No. 1 (2020)

Section

ORIGINAL ARTICLES

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