2019, Number S1
Cuban registry of acute myocardial infarction (RECUIMA), the first 1000 cases
Language: Spanish
References: 33
Page:
PDF size: 941.39 Kb.
ABSTRACT
Introduction. Most countries have health records of acute myocardial infarction that serve to make health decisions.Objetive. To characterize the patients who graduated with acute myocardial infarction included in the Cuban registry of infarction.
Methods. A prospective, longitudinal, multicenter study was carried out in 7 health units in the period between January 2018 and April 2019. The universe of study was the patients admitted with acute coronary syndrome and the sample was the 1000 patients who were They graduated with a confirmed diagnosis of infarction, who were able to collect the study variables and have their data emptied in the RESCUE software. Descriptive statistics were used through percentage analysis for descriptive variables and arithmetic mean with standard deviation for quantitative variables.
Results. The 68.2% were male. The average age was 65 + 7 years. 78.0% were hypertensive. 30.4% of patients came late. 79.1% presented IMA CEST. The reperfusion treatment was performed at 46.4%. Only 5.2% were able to have coronary angiography during admission. 29.8% presented left ventricular dysfunction. ASA, clopidogrel and statins were prescribed at hospital discharge 96.2%, 95.5% and 94.5% respectively. 45.6% of patients referred to cardiac rehabilitation.
Conclusions. The majority of the patients were male, with ST-segment elevation infarction, with a low percentage of reperfusion and coronary angiography. Hypertension was the most frequent associated factor. At hospital discharge ASA, clopidogrel and statins are prescribed to more than 90% of patients.
REFERENCES
Posnenkova OM, Kiselev AR, Popova YV, GridnevVI, Prokhorov MD, Dovgalevsky PY, et al. Impact of patient-related and treatment-related factors on in-hospital mortality of patients with ST- elevation myocardial infarction: Data of Russian Acute Coronary Syndrome Registry. COR ET VASA. 2014;56 (3): e2127-e227. Disponible en: http://dx.doi.org/10.1016/j.crvasa.2014.03.004
Socias L, Frontera G, Rubert C, Carrillo A, Peral V,Rodríguez A, et al. Análisis comparatives de 2 registros de infarto agudo de miocárdico tras una década de cambios. Estudio IBERICA (1996-1998) y Código Infarto – Illes Balears (2008-2010). Med Intensiva. 2016; 40(9):541-549. Disponible en: http://dx.doi.org/10.1016/j.medin. 2016. 04.001.
Roblova L, Tousek F, Tousek P, Pesl L, Horak D,Rokyta R, et al. Outcomes of patients hospitalized for suspected acute coronary syndrome, in whom the diagnosis was not confirmed: Results from the CZECH-1 and CZECH-2. COR ET VASA. 2015;57: e1-e-5. Disponible en: http://dx.doi.org/10/1016/j.crvasa.2014.11.002
The Joint European Society of Cardiology/American College of Cardiology Committee. Myocardial infarction redefined—a consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction. Eur Heart J. 2000;21:1502–13. J Am Coll Cardiol 2000;36: 959–69.
Thygesen K, Alpert JS, Jaffe AS, Simoons ML,Chaitman BR, White HD. Writing Group on the Joint ESC/ACC/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction.Third universal definition of myocardial infarction. Eur Heart J.2012;33:2551–67. Circulation 2012;126:2020–2035;J Am Coll Cardiol 2012;60:1581–98.
Steg PG, Bonnefoy E, Chabaud S, Lapostolle F,Dubien PY, Cristofini P, et al. Impact of time to treatment on mortality after prehospital fibrinolysis or primary angioplasty: data from the CAPTIM randomized clinical trial. Circulation. 2003 [citado el 12 de jun de 2016] ;108:2851-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/14623806.
Steg G, James SK, Atar D, Badano LP, BlomstromC, Borger MA, et al. Guía de práctica clínica de ESC para el manejo del infarto agudo de miocardio en pacientes con elevación del segmento ST. Rev Esp Cardiol [Internet].2013 [citado el 12 de ene de 2017]; 66(1): 53e1-e46. Disponible en: http://www.revespcardiol.org/en/guia-practica-clinica-esc-el/articulo/90180910/.
López Sendón J, González Juanatey JR, PintodF.Indicadores de calidad en cardiología. Principalesindicadores para medir la calidad de los resultados (indicadores de resultados) y parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): declaración de posicionamiento de consenso de SEC/SECTCV. Rev Esp Cardiol. 2015;68:976-95.) (Fernández Olmo MR. Situación actual de las Unidades de Rehabilitación Cardiaca en Andalucía: Estudio EnANPREC. Cardiocore. 2016. Disponible en: http://dx.doi.org/10/1016/j.carcor.2016.08.004.
Chew D, Huikuri H, Schmidt G, Kavanagh K,Dommasch M, Thomsen PE, et al. The degree of the left ventricular ejection fraction change following myocardial infarction predictor risk of sudden cardiac arrest. JACC 2015; 65(10S): 105.E, et al. The degree of the left ventricular ejection fraction change following myocardial infarction predictor risk of sudden cardiac arrest. JACC 2015; 65(10S): 105.