Hospital Nacional Edgardo Rebagliati Martins, Departamento de Cardiología, Lima, Perú.
Universidad de Piura, Facultad de Medicina, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2020 Jan-Mar;37(1):74-80. doi: 10.17843/rpmesp.2020.371.4527. Epub 2020 Jun 8.
To determine the epidemiological and clinical characteristics of patients with acute myocardial infarc tion, 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 (angio plasty 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 perfor ming reperfusion is longer than recommended and the percentage of surgical revascularization is high.
为了确定急性心肌梗死患者的流行病学和临床特征，在利马的一家转诊医院对 175 名患者进行了描述性研究。患者的平均年龄为 68.7 ± 10.8 岁，74.8%为男性。主要再灌注策略是经皮腔内冠状动脉血管成形术+支架置入，但直接经皮冠状动脉介入治疗的使用率较低（ST 段抬高型心肌梗死患者中为 19.5%）。再灌注治疗（血管成形术或溶栓）的时间长于推荐时间，且手术血运重建的比例较高。几乎 60%的患者住院时间超过七天。院内死亡率为 3.4%，心源性休克是最常见的死亡原因。心肌梗死主要影响 60 岁以上的男性，临床和流行病学变量与其他地区报告相似。主要再灌注策略是血管成形术，尽管直接经皮冠状动脉介入治疗的使用率较低。进行再灌注的时间长于推荐时间，且手术血运重建的比例较高。
