%0 Journal Article
%T Factors Related to In-Hospital Mortality Caused by Acute Myocardial Infarction Factores relacionados con la mortalidad intrahospitalaria en el infarto agudo del miocardio
%A Yanier Coll Muˋoz
%A Jorge Ru赤z Mendoza
%A Juan Jos谷 Navarro
%A L芍zaro de la Cruz Avil谷s
%J Finlay : Revista de Enfermedades no Transmisibles
%D 2012
%I Universidad de las Ciencias M谷dicas de Cienfuegos
%X Background: the identification of factors related to mortality in acute myocardial infarction represents an essential element in the initial assessment of patients. Objective: to identify factors associated with in-hospital mortality in patients with acute myocardial infarction admitted to the Coronary Intensive Care Unit of Cienfuegos in 2010. Methods: we conducted a case series study, which included 241 patients with acute myocardial infarction admitted to the Coronary Intensive Care Unit of the Dr. Gustavo Alderegu赤a Lima General University Hospital of Cienfuegos in 2010. The variables analyzed were age, sex, personal medical history, type of acute myocardial infarction (according to electrocardiogram and topographic location), heart rate and blood pressure at admission, classification of heart failure according to Killip Kimball, creatinine, glucose, total cholesterol, triglycerides, CPK-MB, and cardiovascular adverse events during their hospital stay. Results: the average age of the patients was 65,6 years old, with male predominance. High blood pressure, smoking and previous myocardial infarction were the most relevant antecedents. Patients with no heart failure and preserved ejection fraction predominated. Most frequent cardiovascular adverse events were post-infarction angina, ventricular arrhythmias and cardiogenic shock. Conclusions: we found significant association with mortality and old age (> 70 years), tachycardia, blood glucose ≡ 7 mmol / l at admission, and the presentation of ventricular arrhythmias and cardiogenic shock during in-hospital evolution. Fundamento: la identificaci車n de los factores relacionados con la mortalidad en el infarto agudo del miocardio representa un eslab車n primordial en la evaluaci車n inicial de los pacientes. Objetivo: identificar los factores relacionados con la mortalidad intrahospitalaria de los pacientes con infarto agudo del miocardio, ingresados en la Unidad de Cuidados Intensivos Coronarios de Cienfuegos durante el a o 2010. M谷todo: se realiz車 un estudio de serie de casos, que incluy車 241 pacientes con diagn車stico de infarto agudo del miocardio, ingresados en la Unidad de Cuidados Intensivos Coronarios del Hospital General Universitario Dr. Gustavo Alderegu赤a Lima de Cienfuegos, en el a o 2010. Las variables que se analizaron fueron: edad, sexo, antecedentes patol車gicos personales, tipo de infarto agudo del miocardio (seg迆n electrocardiograma y localizaci車n topogr芍fica), frecuencia cardiaca y tensi車n arterial al ingreso, clasificaci車n de la insuficiencia cardiaca seg迆n Killip Kimball, creatinina, glicemia,
%K infarto del miocardio
%K factores de riesgo
%K mortalidad hospitalaria
%K unidades de cuidados coronarios
%U http://www.revfinlay.sld.cu/index.php/finlay/article/view/133