Abstract

BORDA-VELASQUEZ, Luis et al. Estrategias de reperfusión usadas en pacientes con síndrome coronario agudo con elevación persistente del segmento ST en un hospital general: Reperfusion strategies in patients with acute coronary syndrome and persistent ST-segment elevation in a general hospital. Rev Med Hered [online]. 2015, vol.26, n.1, pp.35-41. ISSN 1018-130X.

Objectives: To get insight into the reperfusion strategies used in a general hospital among patients with acute coronary syndrome and persistent ST-segment elevation (ACSSTE), and to determine times to door to needle (TDN) and time to door to balloon (TDB), time to EKG and total ischemic time (TIT). Methods: Cross-sectional study in patients with ACSSTE attended at Hospital Nacional Cayetano Heredia from January 1st, 2011 to January 31st, 2013. Variables were analyzed in a bivariate analysis. Results: Forty-five patients were included; mean age was 60,5 ± 10,98 years, 88,8% were males. Mean hospitalization time was 9,79 ± 10,36 days. Obesity was found in 61,3%; blood hypertension in 40,9%; smoking in 43,1%; and type II diabetes mellitus in 25%. Mean TDN was 57 ± 54,1 minutes; in 28,1% of cases a thrombolytic agent was used before 30 minutes. Angioplasty was performed with a TDB of 440 minutes. Mean TIT was 244 ± 143,9 minutes. Conclusions: Reperfusion strategies were used in 71,1% of patients, being thrombolysis the most frequently used. However, TDN was out of optimal accepted ranges.

Keywords : Acute Coronary Syndrome; reperfusion; thrombolytic therapy; angioplasty.

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