Evolutionary and Prognostic Aspects of Thrombolysed Patients for Acute Coronary Syndrome ST+ at CHU Ernesto Guevara De La Serna. Las Tunas (Cuba)

• 作者: Amadou Khalil Traoré Asmaou Keita Boubacar Sonfo Coulibaly Souleymane Coumba Thiam Hamidou Oumar Bâ Ibrahima Sangaré Ilo Bella Diall Maikel Santos Medina Massama Konaté Menta Ichaka Sako Mariam Sidibé Samba Youssouf Camara Yudelquis Ojeda Riquenes
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: Acute Coronary Syndrome THROMBOLYSIS CHU Las Tunas CUBA
• 年，卷（期）: xxgbyw_2020,（7）
• 页码范围: 437-445
• 页数: 9页
• 分类号: R54

摘要

<strong>Introduction:</strong><b><span style="font-family:Verdana;"> </span></b><span style="font-family:Verdana;">Acute myocardial infarction (IDM) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AMI) is undoubtedly the most revolutionary performed to date in this context, with a significant reduction in the mortality rate. The aim of our study was to describe the epidemiological aspects, the criteria for myocardial reperfusion post thrombolysis, the complications during thrombolysis and the complications of acute myocardial infarction in the cardiology department of the CHU Ernesto Guevara De La Serna of Las Tunas (Cuba)</span><span style="font-family:Verdana;">.</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Methods:</span></b></span><b><span style="font-family:Verdana;"> </span></b><span style="font-family:Verdana;">A retrospective cross</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">sectional descriptive study was carried out from June 2009 to December 2011. The patients hospitalized during this period in the USIC (coronary intensive care unit) for SCA ST(+) were included in the study. The variables studied were: Age, sex, myocardial reperfusion criteria, complications during thrombolysis and complications of myocardial infarction.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 207 patients were included. The male sex represented 72.5% of the cases, giving a sex ratio of 2.63. The age group > 60 years was predominant with 54.2% of the cases. Thrombolysed patients represented 65.2% of the cases. Myocardial reperfusion criteria were observed in the majority of thrombolysed patients: relief of precordial pain (77%), regression of the ST segment to 50% of its previous level (81.5% of patients).