Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru
To determine the epidemiological and clinical characteristics of patients with acute myocardial infarction, a descriptive study was conducted in 175 patients in a referral hospital in Lima. The average age of the patients was 68.7 ± 10.8 years and 74.8% were male. The main reperfusion strategy used...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
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Instituto Nacional de Salud
2020-03-01
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| Series: | Revista Peruana de Medicina Experimental y Salud Pública |
| Subjects: | |
| Online Access: | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4527 |
| _version_ | 1818162390566436864 |
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| author | Patricia Rios Navarro Marcos Pariona Juan Antonio Urquiaga Calderón Francisco J. Méndez Silva |
| author_facet | Patricia Rios Navarro Marcos Pariona Juan Antonio Urquiaga Calderón Francisco J. Méndez Silva |
| author_sort | Patricia Rios Navarro |
| collection | DOAJ |
| description | To determine the epidemiological and clinical characteristics of patients with acute myocardial infarction, a descriptive study was conducted in 175 patients in a referral hospital in Lima. The average age of the patients was 68.7 ± 10.8 years and 74.8% were male. The main reperfusion strategy used was percutaneous transluminal coronary angioplasty + stent, however, the use of primary angioplasty was low (19.5% of patients with ST elevation myocardial infarction). Time to reperfusion therapies (angioplasty or fibrinolysis) were longer than recommended and the percentage of surgical revascularization was high. Almost 60% of the patients had a length of stay longer than seven days. In-hospital mortality was 3.4%, with cardiogenic shock being the most frequent cause of death. Myocardial infarction mainly affects men over 60 years, the clinical and epidemiological variables are like other regional reports. The main reperfusion strategy is angioplasty, although the use of primary angioplasty is low. Time to performing reperfusion is longer than recommended and the percentage of surgical revascularization is high. |
| first_indexed | 2024-12-11T16:32:54Z |
| format | Article |
| id | doaj.art-0ea1f21a674949518ae9b3a251d4daaf |
| institution | Directory Open Access Journal |
| issn | 1726-4634 1726-4642 |
| language | Spanish |
| last_indexed | 2024-12-11T16:32:54Z |
| publishDate | 2020-03-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Revista Peruana de Medicina Experimental y Salud Pública |
| spelling | doaj.art-0ea1f21a674949518ae9b3a251d4daaf2022-12-22T00:58:33ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422020-03-01371748010.17843/rpmesp.2020.371.45272295Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, PeruPatricia Rios Navarro0Marcos Pariona1Juan Antonio Urquiaga Calderón2Francisco J. Méndez Silva3Hospital Nacional Edgardo Rebagliati Martins, Departamento de Cardiología, Lima, Perú. Médico cirujano, especialista en CardiologíaHospital Nacional Edgardo Rebagliati Martins, Departamento de Cardiología, Lima, Perú. Universidad de Piura, Facultad de Medicina, Lima, Perú. Médico cirujano, especialista en CardiologíaSanofi Aventis del Perú, Lima, Perú. Médico cirujano, especialista en CardiologíaPRA Health Sciences, Lima, Perú. médico cirujanoTo determine the epidemiological and clinical characteristics of patients with acute myocardial infarction, a descriptive study was conducted in 175 patients in a referral hospital in Lima. The average age of the patients was 68.7 ± 10.8 years and 74.8% were male. The main reperfusion strategy used was percutaneous transluminal coronary angioplasty + stent, however, the use of primary angioplasty was low (19.5% of patients with ST elevation myocardial infarction). Time to reperfusion therapies (angioplasty or fibrinolysis) were longer than recommended and the percentage of surgical revascularization was high. Almost 60% of the patients had a length of stay longer than seven days. In-hospital mortality was 3.4%, with cardiogenic shock being the most frequent cause of death. Myocardial infarction mainly affects men over 60 years, the clinical and epidemiological variables are like other regional reports. The main reperfusion strategy is angioplasty, although the use of primary angioplasty is low. Time to performing reperfusion is longer than recommended and the percentage of surgical revascularization is high.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4527infarto del miocardioangioplastiastents liberadores de fármacosfibrinólisishospitalizaciónepidemiologiaamérica latinaperú |
| spellingShingle | Patricia Rios Navarro Marcos Pariona Juan Antonio Urquiaga Calderón Francisco J. Méndez Silva Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru Revista Peruana de Medicina Experimental y Salud Pública infarto del miocardio angioplastia stents liberadores de fármacos fibrinólisis hospitalización epidemiologia américa latina perú |
| title | Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru |
| title_full | Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru |
| title_fullStr | Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru |
| title_full_unstemmed | Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru |
| title_short | Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru |
| title_sort | clinical characteristics outcomes and treatment of acute myocardial infarction in a tertiary hospital in lima peru |
| topic | infarto del miocardio angioplastia stents liberadores de fármacos fibrinólisis hospitalización epidemiologia américa latina perú |
| url | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4527 |
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