Revista Egitania Sciencia - Volume 17 | ARTICLE

Title: CHARACTERIZATION OF THE PATIENT WITH ACUTE MYOCARDIAL INFARCTION

Author: Dora Fonseca Saraiva (dorasaraiva@ipg.pt)

Publication: Revista Egitania Sciencia - Volume 17

Abstract:
Coronary heart disease has an enormous impact on public health, and, as such, its analysis and characterisation is pivotal. The study aims to characterise the patient with acute myocardial infarction at the Hospital Cova da Beira, as to the demographics, clinical condition, risk factors and intervention/therapeutic approach and to identify areas for potential improvement within the care provided to these patients. This is a quantitative, descriptive, cross-sectional and retrospective study. Data collection occurred in the last quarter of 2011 and focused on the medical records of patients diagnosed with AMI in 2010. The data were analysed by resorting to descriptive and inferential statistics. From the results, we point out a sample of 174 patients, mostly men with an average of 73 years of age. Among the risk factors, we highlight the presence of hypertension followed by dyslipidemia and diabetes. The average pain-emergency service time was 177 minutes and the average time until the performance of the 1st electrocardiogram in patients screened with chest pain was 10.21 minutes. Fibrinolysis was performed in 73.5% of patients with an average needle holder time of 56 minutes. Most patients underwent coronary angiography and 64.0% were submitted to coronary angioplasty. Intra-hospital mortality was 12.6%. The analysis of the results allows identifying several points worthy of attention and which should be object of future interventions, in order to ensure an improved treatment and prognosis for these patients. We emphasise the need to promote the admission of patients with AMI through the coronary "greenway" and their accessibility to percutaneous coronary intervention techniques, thus fulfilling the national and international recommendations which manifest a clear short, medium and long-term impact.

Keywords: myocardial infarction, cardiovascular diseases, fibrinolysis, angioplasty




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