Thrombolytic treatment in the acute coronary syndrome with ST-segment elevation
Keywords:
acute coronary syndrome, thrombolysis, factors retarding the thrombolytic treatment.Abstract
Introduction: The ischemic heart disease is as old as the man. It is one of the most serious health problems around the world. The acute myocardial infarction is one of its clinical forms. The acute ischemic syndromes are a continuous clinical spectrum sustained by a common physiopathology.
Objective: to identify the factors that caused delay in the application of the thrombolytic treatment in these patients, what might mean in the future loss of life quality, several levels of disabilities and even the increase of the mortality due this entity.
Materials and methods: an observational study was carried out in 62 patients attended in the Intensive Care Unit of the Surgical Clinical Teaching Hospital Jose Ramon Lopez Tabrane with criteria of thrombolysis in the period January 2012-2014. The authors used theoretical, statistical and empirical methods.
Results: from the 147 attended with criteria of thrombolysis, 62 did not undergo thrombolytic treatment, representing 42.2 %. Among the causes were lack of training of the doctors to apply that treatment and that there is not transportation mean to transfer the patients on time.
Conclusions: the non-thrombolyzed patients with criteria of acute myocardial infarction and more than 12 hours without diagnosis had an impact in the doctors´ erroneous diagnosis; transferring by themselves to the consultation also struck on. With absolute contraindication, the ischemic vascular accident was the most common cause. Non-controlled arterial hypertension showed a relative contraindication.
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