Learning necessities of primary care doctors on coronary reperfusion in the acute myocardial infarction

• Main Authors: Raúl Joaquín Varela García, Ángel Luis Olivera Escalona, Omara Margarita Guarton Ortiz, Irma Dariannis Varela García
• Format: Article
• Language: Spanish
• Published: Centro Provincial de Información de Ciencias Médicas 2019-04-01
• Series: Medisan
• Subjects: síndrome coronario agudo; reperfusión coronaria; capacitación; adiestramiento; necesidad de aprendizaje.
• Online Access: http://medisan.sld.cu/index.php/san/article/view/2404

Introduction: the knowledge on coronary reperfusion in the acute myocardial infarction with elevation of the ST segment in the primary care level is of extraordinary importance to decrease complications and mortality.  Objective: to determine the necessities of doctors from primary care on coronary reperfusion in the acute myocardial infarction.   Method: a descriptive study of 65 physicians who worked in 5 main polyclinics for emergencies of Santiago de Cuba was carried out in November, 2017 for which a survey with variables of interest was applied which was qualified according to evaluation methodology and previously established standard by the working team.   Results: of all questions, only one (5.9 %) fulfilled the standard of more than 70 %  of doctors with appropriate responses; the years of experience and receiving a previous training influenced positively in the number of these responses. The lack of training was the cause for which the treatment was not applied, and its planning, as well as the creation of working algorithms were the measures mostly proposed by the physicians. None of them referred to be correctly trained.   Conclusions: doctors who worked in the 5 main emergency polyclinics showed learning necessities and training on the management for coronary reperfusion.