medigraphic.com
ISSN 2448-8909 (Print)

2007, Number 3

<< Back Next >>

Med Crit 2007; 21 (3)

Outcome of the acute coronary syndromes (ACS) treated with primary percutaneous transluminal coronary angioplasty (PTCA) at the ICU «Dr. Mario Shapiro», Centro Médico ABC

Membreño MJP, Monares ZE, Colín EV, Poblano MM, Aguirre SJ, Martínez SJ

Language: Spanish
References: 8
Page: 131-134
PDF size: 91.67 Kb.


ABSTRACT

Objective: Determinate the outcome of the acute coronary syndromes (ACS) treated with primary Percutaneous Transluminal Coronary Angioplasty (PTCA).
Methods: This is a prospective, transversal, and observational study that registrated all patients undergoing to primary PTCA from January to August 2006 at the ABC Medical Center.
Results: From the 58 patients with ACS, 45 (77.5%) were treated with primary PTCA. Male predominated 3:1, 21 patients (47%) had unstable angina (UA), 20 (44%) ST-elevation myocardial infarction (STEMI) and 4 (9%) had non-ST-elevation myocardial infarction. The main affected vessels were the left anterior descendent artery (56%), followed by the right coronary artery (20%), circunflex artery (16%), marginal vessels (2%) and main left coronary artery (2%). Four patients died (9%), all of them were ›65 years old, had a Killip and Kimball IV and 3 of them had more than 3 coronary risk factors.
Conclusion: The outcome of the ACS treated with PCA is similar to that observed in the rest of the world.


REFERENCES

  1. García CA, Jerjes SC, Martínez B et al. Registro Mexicano de Síndromes Coronarios Agudos (RENASICA). Arch Cardiol Mex 2005;75:S6-S19.

  2. Gibbons RJ, Chatterjee K, Daley J et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: A Report of The ACC/AHA Task on Practice Guidelines. J An Coll Cardiol 1999;33:2097-2197.

  3. Gabriel SP, Goldberg RJ, Gore JM et al. Baseline characteristics, management practices, and in-hospital outcomes of patients hospitalized with Acute Coronary Syndromes in the Global Registry of Acute Coronary Events (GRACE). Am J Cardiol 2002;90:358-363.

  4. Salazar E, Romero LC, Fernandez de la Reguera R et al. Natural history of the patient with acute myocardial infarction. Arch Inst Cardiol Mex 1980;50:237-244.

  5. Juárez U, Lasses LA, López MC et al. Resultados del enfermo con infarto agudo del miocardio con terapia trombolítica. Experiencia en 437 enfermos consecutivos. Arch Inst Cardiol Mex 1998;68:411-420.

  6. Grines CL, Browne KF, Marco J et al. A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. The primary angioplasty in myocardial infarction study group. N Engl J Med 1993;328: 673-679.

  7. Joint Working Group on Coronary Angioplasty of the British cardiac Society and British Cardiovascular Intervention Society. Coronary angioplasty: guidelines for good practice and training. Heart 2000;83:224-235.

  8. De la Llata Romero M, Magaña Serrano JA, Leal CC et al. El Registro Nacional de Intervenciones Coronarias Percutáneas. Primeros 1,000 casos. Arch Cardiol Mex 2006;76:226-230.




2020     |     www.medigraphic.com