Predictor factors of hospital mortality in patients with acute myocardial infarction
Introduction: cardiovascular disease is the main cause of death worldwide. Objective: to identify the predictor factors of hospital mortality in patients with acute myocardial infarction at the Hospital General Docente “Dr. Agostinho Neto” in 2017. Method: a retrospective analytical case-control...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Ciencias Médicas de Guantánamo
2021-03-01
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| Series: | Revista Información Científica |
| Subjects: | |
| Online Access: | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3339 |
| Summary: | Introduction: cardiovascular disease is the main cause of death worldwide.
Objective: to identify the predictor factors of hospital mortality in patients with acute myocardial infarction at the Hospital General Docente “Dr. Agostinho Neto” in 2017.
Method: a retrospective analytical case-control study was performed in a population of 90 patients with myocardial infarction. The case-cohort study included all patients who died during admission (n=30) and met the inclusion and exclusion criteria, while the case-control study included 60 patients who were discharged alive, randomly selected by simple random sampling.
Results: the mean age was higher in the case-cohort studied (74.06 years) than the case-control (p=0.021). The 86,6% of cases did not receive thrombolysis and 6.6% had some reperfusion criteria after the streptokinase (p=0.00). Cardiogenic shock (p=0.003), cardiac rupture (30%) (p=0.03), and cardiac tamponade (23.3%) (p=0.01) were present in 36.6% of cases.
Conclusions: the predictor factors of hospital mortality in patients with acute myocardial infarction are as follows: age, the prolonged time between the onset of symptoms and medical attention, presence of complications such as cardiogenic shock, cardiac tamponade and cardiac rupture, as well as the non-administration of thrombolytic treatment and the absence of reperfusion. |
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| ISSN: | 1028-9933 1028-9933 |