descriptive study of acute infarction in the hospital that caldas between 1996-2002
estudio descriptivo sobre infarto agudo de miocardio en el hospital de caldas ese entre 1996-2002
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descriptive study of acute infarction in the hospital that caldas between 1996-2002 Introduction: The cardiovascular diseases make today the first cause of death, being the most representative the isquemic cardiopathy and the acute myocardial infarction (IMA); therefore it is considered of high importance to find out the intrahospital mortality incidence caused by this pathology, in the Hospital de Caldas ESE, Manizales, Colombia, for being a reference center at regional scale, complementing former studies made in this same center.Objectives: The objectives of the present study were to describe the general characteristics of the acute myocardial infarction (IMA), analyze how do the risk factors repercute on it, to identify the time of in hospital permanency,frequency of IMA in both sexes and the degree of mortality according to the localization of IMA. Material and methods: A retrospective analysis of 784 clinical histories from the statistic service of the Hospital de Caldas ESE of IMA patients was made between the years 1996-2002; 686 clinical histories were analyzed by evaluating demographic variables, IMA details and some risk factors. The following variables were evaluated: age, sex, origin, pain type, cardiac enzymes, electrocardiogram, mortality, topographical localization of IMA, family history, personal history of diabetes mellitus, arterial hypertension, tabaquism, previous IMA and time of hospitalization. Results: In this study a mortality of 14.7% was found (7.7% men and 7% women). 122 cases of atypical pain were presented from which 40 represented the diabetic population. The bigger mortality was found in the first seven days of hospitalization. There is a significant statistical difference (p= 0.0001) between the average age of IMA presentation comparing both sexes, being more frequently its presentation in women of advanced ages (64 years) than in men (59 years). Conclusions: The incidence of IMA has increased in women presented by higher precocious mortality and being more frequent in women older than 64 years and man older than 59 years.
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