Correlation between comorbidities and complications of acute myocardial infarction
Keywords:
myocardial infarction, comorbidities, complicationsAbstract
Introduction: ischemic heart disease is considered one of the main chronic diseases and causes of morbidity and mortality in the Western world.
Objective: to correlate comorbidities and complications in patients who died due to acute myocardial infarction.
Materials and methods: an observational, descriptive and cross-sectional study, performed in the Teaching Clinical Surgical Hospital Amalia Simoni, from Camaguey, in a sample of 52 patients who died due to acute myocardial infarction, between 2017 and 2019, applying descriptive statistics.
Results: most of the cases were over 70 years and male, generally with a history of arterial hypertension, diabetes mellitus and smoking. They presented anterior face infarction, classes III and IV of Killip and Kimball besides the complications given by heat insufficiency and cardiogenic shock, which lead these cases to dead within the first seven days after admission.
Conclusions: a study was carried out on mortality by acute myocardial infarction, where arterial hypertension, diabetes mellitus and smoking were found among the most frequent risk factors, with a strict relationship with atherosclerotic damage.
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References
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2. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal definition of myocardial infarction (2018). Eur Heart J [Internet]. 2019 [citado 25/01/2020];40(3):237-69. Disponible en: https://www.scholars.northwestern.edu/en/publications/fourth-universal-definition-of-myocardial-infarction-2018-2
3. Sambola A, Viana-Tejedor A, Bueno H, et al. Comentarios al consenso ESC 2018 sobre la cuarta definición universal del infarto de miocardio. Rev Esp Cardiol [Internet]. 2019 [citado 08/10/2020];72(1):10-5. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6758945
4. Thygesen K. ‘Ten Commandments’ for the Fourth Universal Definition of Myocardial Infarction 2018. Eur Heart J [Internet]. 2019 [citado 08/10/2020];40(3):226. Disponible en: https://academic.oup.com/eurheartj/article/40/3/226/5288651
5. Vázquez-Oliva G, Zamora A, Ramos R, et al. Tasas de incidencia y mortalidad, y letalidad poblacional a 28 días del infarto agudo de miocardio en adultos mayores. Estudio REGICOR. Rev Esp Cardiol [Internet]. 2018 [citado 25/01/2020];71(9):718-25. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300893217306176
6. Sandoval Y, Thygesen K, Jaffe AS. The Universal Definition of Myocardial Infarction: Present and Future. Circulation [Internet]. 2020 [citado 08/10/2020];141(18):1434-6. Disponible en: https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.120.045708
7. Dirección de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud 2020 [Internet]. La Habana: Ministerio de Salud Pública de Cuba; 2021 [citado 10/08/2021]. Disponible en: https://temas.sld.cu/estadisticassalud/2021/08/11/anuario-estadistico-de-salud-2020/
8. Vitón-Castillo AA, Lorenzo-Velázquez BM, Linares-Cánovas LP, et al. Caracterización clínico epidemiológica de pacientes con infarto agudo del miocardio. Rev cienc méd Pinar Río [Internet]. 2018 [citado 25/01/2020];22(5). Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/3589
9. Bajaña Gómez CA, Godoy Villalva AS, Rojas Realpe RR, et al. Infarto agudo de miocardio sin elevación ST en el contexto de hipertrigliceridemia familiar. RECIAMUC [Internet]. 2020 [citado 08/10/2020];4(3):275-87. Disponible en: https://www.reciamuc.com/index.php/RECIAMUC/article/view/522
10. Ríos Navarro P, Pariona M, Urquiaga Calderón JA, et al. Características clínicas y epidemiológicas del infarto de miocardio agudo en un hospital peruano de referencia. Rev Peru Med Exp Salud Pública [Internet]. 2020 [citado 08/10/2020];37(1):74-80. Disponible en: https://www.scielosp.org/article/rpmesp/2020.v37n1/74-80/es/
11. Maximilian Buja L, Zehr B, Lelenwa L, et al. Clinicopathological complexity in the application of the universal definition of myocardial infarction. Cardiovascular Pathology [Internet]. 2020 [citado 08/10/2020];44:107153. Disponible en: https://www.sciencedirect.com/science/article/pii/S1054880719303187
12. Rieckmann M, Delgobo M, Gaal C, et al. Myocardial infarction triggers cardioprotective antigen-specific T helper cell responses. J Clin Invest [Internet]. 2019 [citado 08/10/2020];129(11):4922-36. Disponible en: https://www.jci.org/articles/view/123859
13. Comendeiro-Maaløe M, Estupiñán-Romero F, Thygesen LC, et al. Acknowledging the role of patient heterogeneity in hospital outcome reporting: Mortality after acute myocardial infarction in five European countries. PloS one [Internet]. 2020 [citado 08/10/2020];15(2):e0228425. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228425
14. Vogel B, Claessen BE, Arnold SV, et al. ST-segment elevation myocardial infarction. Nat Rev Dis Primers [Internet]. 2019 [citado 08/10/2020];5(39). Disponible en: https://www.nature.com/articles/s41572-019-0090-3
15. Mair J, Cullen L, Giannitsis E, et al. Application of the fourth universal definition of myocardial infarction in clinical practice. Biomarkers [Internet]. 2020 [citado 08/10/2020];25(4):322-30. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/1354750X.2020.1764108
16. Alpert JS. Further Insights into Type 2 Myocardial Infarction. Am J Med [Internet]. 2020 [citado 08/10/2020];133(10):1116-7. Disponible en: https://www.amjmed.com/article/S0002-9343%2820%2930446-0/abstract
17. Moldes Acanda M, González Reguera M, Hernández Rivero MC, et al. Comportamiento del infarto agudo del miocardio en Cuidados Intensivos. Centro Diagnóstico Integral Simón Bolívar. Venezuela. Rev Med Electrón [Internet]. 2017 [citado 25/03/2022];39(1):43-52. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000100006&lng=es
18. Wang W, Lee ET, Howard BV, et al. Large Cohort Data Based Group or Community Disease Prevention Design Strategy: Strong Heart Study. World J Cardiovasc Dis [Internet]. 2018 [citado 08/10/2020];8(3):196. Disponible en: http://www.scirp.org/journal/PaperInformation.aspx?paperID=83339
19. Howard I, Cameron P, Wallis L, et al. Quality indicators for evaluating prehospital emergency care: a scoping review. Prehosp Disaster Med [Internet]. 2018 [citado 08/10/2020];33(1):43-52. Disponible en: https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/quality-indicators-for-evaluating-prehospital-emergency-care-a-scoping-review/DD18C4F627F62897E2D2BFC344FF5695
20. Xu W, Wang L, Zhang R, et al. Diagnosis and prognosis of myocardial infarction on a plasmonic chip. Nature communications [Internet]. 2020 [citado 08/10/2020];11(1):1654. Disponible en: https://www.nature.com/articles/s41467-020-15487-3
21. Arredondo-Bruce AE, Domínguez-Morales Y, Reyes-Oliva RM, et al. Complicaciones del infarto agudo del miocardio tratado con trombolisis. Rev Méd Electrón [Internet]. 2019 [citado 25/03/2022];41(2):357-67. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/2868
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Published
2023-06-16
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1.
Arredondo-Bruce AE, Arredondo-Rubido AE. Correlation between comorbidities and complications of acute myocardial infarction. Rev Méd Electrón [Internet]. 2023 Jun. 16 [cited 2025 Apr. 4];45(3):e4851. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/4851
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