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

• Main Authors: Adrián Alejandro Vitón Castillo, Silvio Casabella Martínez, Javier Alejandro Bermúdez Ruiz, Armando García Contino, Berta Margarita Lorenzo Velázquez
• Format: Article
• Language: Spanish
• Published: Universidad de Ciencias Médicas de Pinar del Río 2018-05-01
• Series: Universidad Médica Pinareña
• Subjects: terapia trombolítica; infarto del miocardio; isquemia miocárdica
• Online Access: http://www.revgaleno.sld.cu/index.php/ump/article/view/275

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.