Pulido IM, Loyd SS

Language: Spanish
References: 15
Page:
PDF size: 195.11 Kb.

ABSTRACT

Introduction:The same as developed many countries, in the last century, the developing countries are being witnesses of an alarming increment and hurried in the rates of cardiovascular illness, where acute infarction of the myocardium plays an important role. At the moment, it constitutes the first cause of death in all the regions of the world.
Objective: To characterize the behavior of acute infarction of the myocardium with elevation of ST, in patient the 65 years or older hospitalized in coronary cares of the hospital Calixto Garcia, from January 2020 until July 2020, period in that our country and the world is being whipped by the pandemic of COVID 19.
Method: We study observational, descriptive of traverse court. The sample was constituted by 32 patients. Demographic variables were studied: age and sex, factors of cardiovascular risk and pathological personal antecedents: HTA, diabetes mellitus (DMK), dislipidemia, habit of smoking, obesity, consumption of alcoholic drinks, EPOC, psychiatric dysfunctions and thyroid illness.
Results: They participated in the investigation 32 patients. With same sex prevalence. The group predominant was of 65-70 years (46,9 %). 37,5 % received thrombolysis of them 66,5 % it was successful. The heart attack of inferior face prevailed. The coexistence of 2 factors of risk (28,1 %) prevailed. The deceased represented 9,4 % of the studied sample.
Conclusions: 46,9 % of the studied cases was understood in 65 - 70 years of age. I prevail the heart attack of inferior face. Alone 37 % received thrombolysis and 66,5 % it was successful.

REFERENCES

1. OMS. Enfermedades cardiovasculares [Internet]. WHO. [citado 12 de octubre de 2015]. Disponible en: http://www.who.int/mediacentre/factsheets/fs317/es/

2. Coll MY, Valladares CFJ, González RC. Infarto agudo del miocardio. Actualización de la guía práctica clínica. Revista Finlay [revista en Internet]. 2016 [citado 2017 Jun 14]; 6(2): [aprox. 20p.]. Disponible en: http://www.revfinlay.sld.cu/index.php/finlay/article/view/403.

3. Benjamin EJ, Virani SS, Callaway CW. Heart disease and stroke statistics-2018 update: A report from the American Heart Association. Circulation. 2018; 137: e67–492.

4. Roth GA, Huffman MD, Moran AE, et al. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation. 2015;132:1667-1678.

5. Levine GN, Bates ER, Bittl JA, et al. 2016 ACC/AHA guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2016; 134:e123-e155.

6. Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC/ AHA/HFSA focusedupdate of the 2013 ACCF/AHA Guideline for the Management of HeartFailure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Am Coll Cardiol. 2017; 70:776–803

7. Piironen M, Ukkola O, Huikuri H, Havulinna AS, Koukkunen H, Mustonen J, et al. Trends in long-term prognosis after acute coronary syndrome. Eur J PrevCardiol. 2017; 24(3):274-80.

8. Marzilli M, Merz CN, Boden WE, et al. Obstructive coronary atherosclerosis and ischemic heart disease: an elusive link!. J Am Coll Cardiol. 2012;60(11):951-956.

9. Dai X, Busby-Whitehead J, Alexander KP. Acute coronary syndrome in the older adults. Journal of geriatric cardiology: JGC. 2016;13(2):101-108.

10. Pang PS, Collins SP, Gheorghia de M. Acutedyspnea and decompensated heart failure. Cardiol Clin.2018; 36:63–72

11. Saunderson CE, Brogan RA, Simms AD, et al. Acute coronary syndrome management in older adults: guidelines, temporal changes and challenges. Age Ageing. 2014;43(4):450-455.

12. O’Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:e362.

13. Daniel E. Forman, Jerome L. Fleg, Nanette Kass WEenger.Enfermedad cardiovascular en personas mayores. En: Braunwald E, Bonow OP, Mann LD, Zipes PD, Libby P, editores. Tratado de Cardiología undécima edición. España; 2020.p. 1743-1746.

14. Tamayo V, Nidia D, Ochoa MLA, Vilches I, García OE. Infarto miocárdico crónico como factor de riesgo de muerte súbita cardíaca. Revista Cubana de Investigaciones Biomédicas. 2015;34(2):145-56.

15. Reyes CR, Pérez VE, Gamboa PL. Variables cardiovasculares en la estadía por Infarto Agudo del Miocardio. Rev. Inf. Cient. 2015; 93(5):1163-71.