Thrombolytic therapy in patients with acute myocardial infarction in a coronary intensive care unit

Authors

  • Adrián Alejandro Vitón Castillo Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Bloque Docente "Simón Bolívar"
  • Silvio Casabella Martínez Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Bloque Docente "Simón Bolívar"
  • Javier Alejandro Bermúdez Ruiz Universidad de Ciencias Médicas “Dr. Serafín Ruiz de Zárate Ruiz”. Facultad de Medicina
  • Armando García Contino Universidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”.
  • Berta Margarita Lorenzo Velázquez Universidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”. Bloque Docente “Simón Bolívar”.

Keywords:

THROMBOLYRIC THERAPY, MYOCARDIAL INFARCTION, MYOCARDIAL ISCHEMIA.

Abstract

Introduction: thrombolytic therapy has been one of the greatest advances to treat patients with acute myocardial infarction.
Objective:to characterize thrombolytic therapy in patients with acute myocardial infarction hospitalized in the intensive coronary care unit at Abel Santamaría Cuadrado General Teaching Hospital.
Method: a descriptive and cross-sectional, observational study was carried out. The target group was comprised of 734 patients with the diagnosis of acute myocardial infarction. Descriptive statistics measures were applied as absolute frequency and relative percentage.
Results: ages from 60-69 (30,3 %) and masculine sex prevailed (66,75 %); the most common location was the inferior one with 51 %. The most common cause of non-thrombolysis was a period greater than 12 hours in 63,8 % of cases. Thrombolysis was applied in 63,5 % of the cases and the most common complication was hypotension in 20,8 %; 53,9 % of deaths were thrombolyzed patients and 61.9 % of the deceased were male.
Conclusions: male patients older than 50 years showed a high incidence of this entity. The delay in attending medical services is an essential reason of the non-application of this therapy and the death of these patients.

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Published

2018-05-28

How to Cite

1.
Vitón Castillo AA, Casabella Martínez S, Bermúdez Ruiz JA, García Contino A, Lorenzo Velázquez BM. Thrombolytic therapy in patients with acute myocardial infarction in a coronary intensive care unit. Univ. Méd. Pinareña [Internet]. 2018 May 28 [cited 2025 Apr. 2];14(2):94-102. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/275

Issue

Vol. 14 No. 2 (2018)

Section

Original Article

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