Resumen

CARCAUSTO, Eduardo y ZEGARRA, Jaime. Morbilidad y mortalidad en pacientes con infarto agudo de miocardio ST elevado en un hospital general. Rev Med Hered, oct./dic. 2010, vol.21, no.4, p.202-207. ISSN 1018-130X.

Objective: To determine the morbidity and mortality of patients with acute myocardial infarction ST elevation (STE AMI) treated in a general hospital. To describe demographic, clinical and epidemiological data related. Material and Methods: Descriptive retrospective case series, in patients with STE AMI at the Hospital Nacional Cayetano Heredia, from January 1 to December 31, 2007. We recorded clinical and laboratory variables. Results: 30 cases were included. 86.7% were male. The mean age was 62.8 ± 12.6 years. History of hypertension was found in 57%, obesity in 40%, 40% smoking, and diabetes mellitus in 30%. Typical chest pain occurred in 75% of patients, 50% had uncontrolled hypertension at admission, 33% leukocytosis, 46% blood glucose greater than 110 mg/dl. Only 25% received reperfusion therapy, 33.3% of cases successfully, the door-needle time of 250 ± 114 minutes. Complications occurred in 26.6% of patients, mortality was 13.3%. 76% of cases had pain less than 3 hours, at admission. Conclusions: Patients with STE AMI were predominantly male, aged 60, chest pain less than three hours at admision and a minimum percentage received reperfusion therapy. Arrhythmias are the most common complications and mortality post STE AMI reached 13.3% of cases.(Rev Med Hered 2010;21:202-207).

Palabras llave: Acute myocardial infarction ST elevation; mortality; reperfusion therapy.