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Revista del Nacional (Itauguá)
Print version ISSN 2072-8174
Abstract
MARTINEZ AYALA, Julio et al. Characterization of acute myocardial infarction with st segment elevation in patients care at a reference center. Period 2021-2023. Rev. Nac. (Itauguá) [online]. 2024, vol.16, n.2, pp.118-127. ISSN 2072-8174. https://doi.org/10.18004/rdn2024.may.02.118.127.
Introduction:
the risk of acute myocardial infarction is related to several comorbidities, many of which are preventable and treatable. Acute myocardial infarction has a relevant impact in terms of mortality and number of hospitalizations.
Objectives:
the design of the study was observational, descriptive, cross-sectional, on the clinical characteristics of ST-segment elevation myocardial infarction, in adult patients treated at the Centro Médico Nacional-Hospital Nacional, during the period 2021-2023.
Methodology:
the design of the study was observational, descriptive, cross-sectional, on the clinical-epidemiological characteristics of acute myocardial infarction with ST segment elevation in adult patients treated at the National Medical Center-National Hospital, during the period 2021-2023.
Results:
102 records of patients with a diagnosis of ST-segment elevation myocardial infarction with a mean age of 64 ± 12 years were analyzed; 68 % (n = 69) were male, with an average age of 62 years, and in relation to women the average was 64 years. The main reason for consultation was precordial pain and the most affected myocardial aspect according to the initial electrocardiogram was the anteroseptal aspect. In-hospital mortality was 16 %, 68 % of which were men. The most frequent comorbidity was arterial hypertension.
Conclusion:
high blood pressure is the most prevalent pathology. Likewise, obesity, smoking and diabetes mellitus are common. Comorbidities are directly related to age and prevail in those over 60 years of age. ST-segment elevation myocardial infarction is more common in males.
Keywords : acute myocardial infarction with ST elevation; arterial hypertension; diabetes mellitus; obesity; smoking; dyslipidemia.