Patients with ST-elevation acute myocardial infarction treated with thrombolytic therapy at the "Guillermo Domínguez López" General Teaching Hospital

Abstract

Background: acute myocardial infarction is a health problem with high morbidity and mortality rates.Objective: to characterize patients with ST-elevation acute myocardial infarction (STEMI), treated with thrombolytic therapy at the "Guillermo Domínguez López" General Teaching Hospital of the municipality of Puerto Padre, province of Las Tunas, from June 2018 through June 2020.Methods: a descriptive cross-sectional research was carried out with patients of the aforementioned institution and during the period herein declared. The sample was made up of 103 patients older than 19 years of age. The following variables were studied: age, sex, presence of associated risk factors, window time, complications, adverse reactions related to thrombolytic treatment, and status at discharge.Results: the 60 to 79 age group (68,9 %) and the male sex (58,3 %) predominated; as an associated comorbidity, diabetes mellitus was the highest one (33,9 %). Arterial hypotension was the most frequent adverse reaction (52,4 %). As complications, cardiogenic shock (10,7 %), ventricular dysfunction (9,7 %) and serious arrhythmias (8,7 %) had a higher number of occurrences. Live patients at discharge predominated.Conclusions: patients with ST-elevation acute myocardial infarction who underwent thrombolytic therapy at the intensive care unit of the hospital were characterized. Most of them were alive when discharged.

Keywords

• st elevation myocardial infarction
• thrombolytic therapy
• percutaneous coronary intervention
• intensive care units