Atención del infarto agudo de miocardio, propuesta de manejo oportuno
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El infarto agudo de miocardio con elevación del segmento ST (IAMCEST) es una de las
principales causas de muerte a nivel mundial y en el Ecuador. Objetivo general: determinar
la atención del infarto agudo de miocardio en la emergencia del Hospital Naval de Guayaquil
en el año 2016. Método: descriptivo, retrospectivo, transversal y basado en un estudio de
caso. Los datos se obtuvieron de las historias clínicas de los pacientes con diagnóstico de
IAMCEST atendidos en el Hospital Naval de Guayaquil en el 2016. Resultados: se
incluyeron en el estudio cinco pacientes con IAMCEST. Predominó el sexo masculino y el
grupo etario más frecuente fue entre 60 – 69 años. Los factores de riesgo más frecuentes
fueron la hipertensión arterial, la diabetes mellitus y los antecedentes de infarto
previo.Elretraso hospitalario de los pacientes osciló de 15 minutos a 48 horas con una media
de 14 horas. El tiempo de demora más frecuente del PCM – diagnóstico fue < 10 minutos. El
tiempo promedio PCM – balón fue de 400 minutos. Conclusiones: los tiempos PCM-balón
son prolongados, secundarios a la falla en el sistema de redes interinstitucionales para derivar
los pacientes a un centro con laboratorio de hemodinamia
Acute myocardial infarction with ST-segment elevation (STEMI) is a leading cause of death in the world and in Ecuador. Objective: Determine the care of acute myocardial infarction in emergency Navy Hospital in Guayaquil in 2016. Method: Descriptive, retrospective, transversal and based on a case study. Data were obtained from medical records of patients diagnosed with STEMI treated at the Naval Hospital in Guayaquil in 2016.Results: Five patients with STEMI were included in the study. Male predominated and the most frequent age group was between 60-69 years. The most common risk factors were hypertension, diabetes mellitus and a history of previous infarction. The hospital delay of the patients ranged from 15 minutes to 48 hours with an average of 14 hours. The most frequent time delay PCM - diagnosis was <10 minutes. The average time PCM - balloon time was 400 minutes. Conclusions: PCM-balloon times are prolonged, secondary to failure in the system of nets to refer patients to a center with hemodynamic laborator
Acute myocardial infarction with ST-segment elevation (STEMI) is a leading cause of death in the world and in Ecuador. Objective: Determine the care of acute myocardial infarction in emergency Navy Hospital in Guayaquil in 2016. Method: Descriptive, retrospective, transversal and based on a case study. Data were obtained from medical records of patients diagnosed with STEMI treated at the Naval Hospital in Guayaquil in 2016.Results: Five patients with STEMI were included in the study. Male predominated and the most frequent age group was between 60-69 years. The most common risk factors were hypertension, diabetes mellitus and a history of previous infarction. The hospital delay of the patients ranged from 15 minutes to 48 hours with an average of 14 hours. The most frequent time delay PCM - diagnosis was <10 minutes. The average time PCM - balloon time was 400 minutes. Conclusions: PCM-balloon times are prolonged, secondary to failure in the system of nets to refer patients to a center with hemodynamic laborator
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Infarto del miocardio, Hemodinamia, Hospital Naval Guayaquil, Cantón Guayaquil, Ecuador