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2012, Number S2

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Mediciego 2012; 18 (S2)

Risk of dying by acute myocardial infarction in hospitalized patients in Ciego de Avila province

Posada FPE, Retureta MME, Rodríguez VIM, Rodríguez HA

Language: Spanish
References: 17
Page:
PDF size: 60.67 Kb.


ABSTRACT

An analytical observational research was design with 13 cases (passed away by acute myocardial infarction) and 34 controls (alive graduated by acute myocardial infarction) with the aim to identify some risk factors in mortality in hospitalized patients from June to August/2011 in Ciego de Avila. A bivariate analysis was carried out and the confusion was controlled to use the dichotomic logistic regression. High blood pressure antecedents, diabetes mellitus, no sanitary transfer, not to apply thrombolytic treatment and more than an hour among the infarct debut and the first attention care showed a significant risk to die in hospitalized patients. If it is expected to reduce the risk of dying by this cause, it must be taking into account the intervention on the following factors: if the thrombolytic treatment will apply to the totality of infarcted patients, the mortality would reduce in a 69.25%. If the time between the infarct debut and the first medical attention is reduced at least one hour, would die 61,26% less of patients by this cause if the transfer of these patients were carried out in sanitary transport to the hospital it would avoid the 48,66% of mortality by this cause.


REFERENCES

  1. Simmons ML. Cardiovascular disease in Europe: Challenges for the medical proffession. Opening address of the 2002 Congress European Society of Cardiology. Eur Heart J. 2003; 24: 8–12.

  2. Sanagua JO, Acosta G, Rasmussen R. La rehabilitación cardiaca como prevención secundaria. 1er Congreso Virtual de Cardiología [Internet] 2010 [aprox. 3 pantallas]. Disponible en: http://www.americanheart.org/presenter.jhtml.

  3. Gómez Hernández R, Céspedes Lantigua L, Castañar Herrera JF. Infarto agudo del miocardio. En: Temas de Medicina General Integral. La Habana: MINSAP; 2001. p. 546-550.

  4. Manson JE, Tosteson H, Ridker PM. The primary prevention of mocardial infarction. New Engl J Med. 1992; 326: 1406-16.

  5. Ulbricht TL, Southgate DA. Coronary heart disease; seven dietary factors. Lancet. 1991; 338: 985-92.

  6. Bonita R, Beaglehole R, Kjellstron T. Epidemiología básica. 2 ed. Washington: OPS; 2008.

  7. Seventh report of the Joint National Committee on the Prevention, Detection, Evaluation and treatment of High Blood Presure (JNC 7): reserting the hypertension sails. Hypertension. 2003; 41:1178-9.

  8. Clement S, Braithwaite SS, Maggee MF. Management of diabetes and hyperglysemia in hospitals. Diabetes Care. 2004; 27: 553-97.

  9. Sosa Acosta A. Principios de la urgencia médica. Guías de Primera Atención. La Habana: Editorial Ciencias Médicas; 2004.

  10. Martínez Espinosa CC. IMA no complicado. En: Caballero López A. Terapia intensiva. La Habana: Editorial Ciencias Médicas; 2006. p. 795-809.

  11. Gil M, Marrugat J, Sala J, Masiá R, Elosuar R, Albert X. Relationship of therapeutic improvements and 28 days case fatality in patients hospitalized with acute myocardial infarction between 1978 and 1993 in the REGICOR study. Circulation. 1999; 99: 1763-73.

  12. Brown N, Young T, Gray D, Skene M, Hampton A. In patient deaths from acute myocardial infarction, 1982-92: analysis of data in the Nottingham heart attack register. Br Med J. 1997; 315: 159-63.

  13. Levy D, Thom TJ. Death rates from coronary disease: progress and puzzling paradox. N Engl J Med. 1998; 339: 915-7.

  14. Reilvam A, Abdelnoor M, Sivertssen E. European Secondary Prevention Study Group. Has hospital mortality from acute myocardial infarction been markedly reduced since the introduction of thrombolytics and aspirin? J Intern Med. 1998; 243: 259-63.

  15. Moreno C, Turumbay J. El infarto de miocardio en la población 25-74 años de Navarra: incidencia, letalidad y tratamiento en el periodo 1997-98. Estudio Ibérica. Navarra: Instituto de Salud Pública; 2005.

  16. Juárez Herrera V, Lasses Ojeda LA, López MC, Chuquiure E, González Pacheco H, Carrillo Cavillo J. Resultados del enfermo con infarto agudo del miocardio con terapia trombolítica. Experincia en 473 enfermos de la unidad coronaria del instituto Nacional de Cardiología “Ignacio Chavez“. Arch Inst Cardiol Mex. 2006; 68(5):401–420.

  17. Farreras R. Tratado de Medicina Interna [CD–ROM]. 14 ed. Madrid: Editorial Médica Panamericana; 2000.




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