Santos MR, Moré DA, Rodríguez GL, Nápoles CM

Language: Spanish
References: 20
Page: 52-57
PDF size: 258.27 Kb.

ABSTRACT

Introduction: At present, ischemic heart disease is one of the most serious health problems worldwide and also statistically considered the leading cause of death in the developed world.
Objective: To characterize the behavior of acute myocardial infarction in older adults.
Method: A retrospective descriptive study was carried out on 62 elderly belonging to the health area of the Policlínico "XX Aniversario" from Santa Clara, Cuba, who were discharged from hospital with a diagnosis of acute myocardial infarction. Main variables were risk factors, myocardial infarction location, and complications.
Results: There was a male predominance of (62.9%), age group between 60 and 69 years (59.7%). There was greater account of patients from the «Condado Sur» Family Doctor's Office (41.9%). Cardiovascular risk factor most frequently found was hypertension (53.2%), with significant difference (p ‹ 0.05), followed by alcoholism (35.5%) and obesity (29.0%). Inferior infarction was the most common, found in 24 patients (38.7%); followed by antero-septal (22.6%) and anterolateral (21.0%). Pump failure was diagnosed in 24 patients (38.7%), which represents a statistically significant difference (p=0.01), followed in frequency by electrical complications.
Conclusions: Males and age group between 60-69 years predominate. High blood pressure, as risk factor, inferior location of infarction, and pump failure as complication, were the most frequently found.

REFERENCES

1. Vega García E, Menéndez Jiménez JE, Rodríguez Rivera L, Ojeda Hernández M, Leyva Salermo B, Cardoso Lunar N, et al. Atención al adulto mayor. En: Álvarez Sintes R. Medicina General Integral. Vol I: Salud y Medicina. 2da. Ed. La Habana: ECIMED; 2008. p. 274-309.

2. González Pérez T. El anciano cubano. En: Geriatría y Gerontología. La Habana: Científico-Técnica; 2011.

3. Rocabruno Mederos JC. Tratado de gerontología y geriatría clínica. La Habana: Instituto Cubano del Libro; 1999.

4. Jin K, Simpkins JW, Ji X, Leis M, Stambler I. The Critical Need to Promote Research of Aging and Aging-related Diseases to Improve Health and Longevity of the Elderly Population. Aging Dis. 2014;6:1-5.

5. Lauro Bernal I. Familia en el ejercicio de la Medicina General Integral. En: Álvarez Sintes R. Medicina General Integral. Vol I: Salud y Medicina. 2da. Ed. La Habana: ECIMED; 2008. p. 397-419.

6. Marengoni A. The era of aging children and elderly parents: something new in emotional epidemicology. J Am Geriatr Soc. 2010;58:1622.

7. Besdine RW. Introduction to Geriatrics. En: The Merck Manual of Geriatrics [Internet]. Kenilworth, NJ: Merck Sharp & Dohme; 2013 [citado 14 Ene 2015]. Disponible en: http://www.merckmanuals.com/professional/geri atrics/approach-to-the-geriatricpatient/introduction-to-geriatrics

8. Caballero Oliva E, del Valle LLagostera JG, Pascual Simón JR. Impacto de la trombólisis en pacientes con infarto agudo del miocardio en la Atención Primaria de Salud. MEDISAN [Internet]. 2011 [citado 14 Ene 2015];15:813-9. Disponible en: http://scielo.sld.cu/pdf/san/v15n6/san12611.pdf

9. Chávez LA. Principales factores de riesgo coronario en el anciano. Hospital General “Camilo Cienfuegos” de Sancti Spiritus. Gac Méd Espirit [Internet]. 2012 [citado 10 Sep 2014];12. Disponible en: http://www.bvs.sld.cu/revistas/gme/pub/vol.12.% 283%29_07/p7.html

10. Centro de Estudios de Población y Desarrollo (CEPDE). El Envejecimiento de la Población: Cuba y sus territorios [Internet]. La Habana: Oficina Nacional de Estadísticas; 2009 [citado 14 Ene 2015]. Disponible en: http://www.one.cu/publicaciones/cepde/envejec imiento/envejecimiento2009.pdf

11. Uemura K, Sugimachi M, Kawada T, Kamiya A, Jin Y, Kashihara K, et al. A novel framework of circulatory equilibrium. Am J Physiol Heart Circ Physiol. 2004;286:H2376-85.

12. Anand SS, Islam S, Rosengren A, Franzosi MG, Steyn K, Yusufali AH, et al. Risk factors for myocardial infarction in women and men: insights from the INTERHEART study. Eur Heart J. 2008; 29:932-40.

13. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics - 2012 update: A report from de American Heart Association. Circulation. 2012; 125:e2-220.

14. National Heart, Lung, and Blood Institute. Morbidity & Mortality: 2012 Chart Book on Cardiovascular, lung, and blood diseases. Bethesda: National Institutes of Health; 2006.

15. Chong Daniel A. Aspectos biopsicosociales que inciden en la salud del adulto mayor. Rev Cubana Med Gen Integr [Internet]. 2012 [citado 14 Ene 2015];28:79-86. Disponible en: http://scielo.sld.cu/pdf/mgi/v28n2/mgi09212.pdf

16. Triana de la Paz R, López Casanova A, Pérez Alonso Y. Factores vinculados al tratamiento y la adherencia terapéutica de la insuficiencia cardíaca en un área de salud urbana. CorSalud [Internet]. 2009 [citado 16 Ene 2015];1(4). Disponible en: http://www.corsalud.sld.cu/sumario/2009/v1n4a0 9/adherencia.htm

17. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): casecontrol study. Lancet. 2004;364:937-52.

18. Avanzas P, Bayes-Genis A, Pérez de Isla L, Sanchis J. Resumen de los ensayos clínicos presentados en las sesiones científicas anuales de la American Heart Association (Chicago, Illinois, Estados Unidos, 15-19 de Noviembre 2014). Rev Esp Cardiol. 2015;68:e1-8.

19. Quintana Galende ML, Bermúdez López J, Rocha Hernández JF, Díaz Cabrera M, Monzón Vargas M. Morbilidad y mortalidad del paciente geriátrico hospitalizado: Estudio de un semestre en el servicio de Medicina Interna. Rev Cubana Med. 1988;27:11-23.

20. Hamilton BH, Hollander JE. Diagnóstico del síndrome coronario agudo en los servicios de urgencias: mejoras durante la primera década del siglo XXI. Emergencias. 2010;22:293-300.