Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru

Authors

DOI:

https://doi.org/10.17843/rpmesp.2020.371.4527

Keywords:

Myocardial Infarction, Angioplasty, Drug-eluting Stents, Fibrinolysis, Hospitalization, Epidemiology, Latin America, Peru

Abstract

To determine the epidemiological and clinical characteristics of patients with acute myocardial infarction, a descriptive study was conducted in 175 patients in a referral hospital in Lima. The average age of the patients was 68.7 ± 10.8 years and 74.8% were male. The main reperfusion strategy used was percutaneous transluminal coronary angioplasty + stent, however, the use of primary angioplasty was low (19.5% of patients with ST elevation myocardial infarction). Time to reperfusion therapies (angioplasty or fibrinolysis) were longer than recommended and the percentage of surgical revascularization was high. Almost 60% of the patients had a length of stay longer than seven days. In-hospital mortality was 3.4%, with cardiogenic shock being the most frequent cause of death. Myocardial infarction mainly affects men over 60 years, the clinical and epidemiological variables are like other regional reports. The main reperfusion strategy is angioplasty, although the use of primary angioplasty is low. Time to performing reperfusion is longer than recommended and the percentage of surgical revascularization is high.

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Author Biographies

  • Patricia Rios Navarro, Hospital Nacional Edgardo Rebagliati Martins, Departamento de Cardiología, Lima, Perú. Médico cirujano, especialista en Cardiología
    Médico Cardióloga, asistente coordinadora de la Unidad de Cuidados Intensivos Coronarios del Servicio de Cardiología Clínica del HNERM
  • Marcos Pariona, Hospital Nacional Edgardo Rebagliati Martins, Departamento de Cardiología, Lima, Perú. Universidad de Piura, Facultad de Medicina, Lima, Perú. Médico cirujano, especialista en Cardiología
    Médico Cardiólogo, Jefe del Servicio de Cardiología Clínica del Hospital Edgardo Rebagliati Martins

Published

2020-03-19

Issue

Section

Brief Report

How to Cite

1.
Rios Navarro P, Pariona M, Urquiaga Calderón JA, Méndez Silva FJ. Clinical characteristics, outcomes and treatment of acute myocardial infarction in a tertiary hospital in Lima, Peru. Rev Peru Med Exp Salud Publica [Internet]. 2020 Mar. 19 [cited 2024 Apr. 17];37(1):74-80. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4527

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