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2002, Número 4

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Med Crit 2002; 16 (4)


Epidemiología del infarto agudo del miocardio en la unidad de terapia intensiva

Manzo PE, Castro EMA

Idioma: Español
Referencias bibliográficas: 58
Paginas: 113-118
Archivo PDF: 73.59 Kb.


RESUMEN

Introducción: La frecuencia del infarto agudo del miocardio (IAM) varía de acuerdo al tipo de hospital o unidad de cuidados intensivos. Objetivo: Conocer la epidemiología del IAM en una unidad de cuidados intensivos (UCI) polivalente. Diseño: Estudio retrospectivo y descriptivo. Lugar: UCI polivalente de un hospital general de la Ciudad de México. Pacientes: Se analizaron los expedientes de 66 pacientes (55 hombres, 11 mujeres, edad media de 60.07 ± 11.09 años) con IAM. Intervenciones: Ninguna. Mediciones y resultados principales: Los principales factores de riesgo para IAM fueron: tabaquismo (72.72%), hipertensión arterial sistémica 40.9%, dislipidemias 28.78%, y diabetes mellitus 25.75%. El IAM se clasificó en anteroseptal (43.93%), inferior (39.39%), lateral 9.09% y anterior 7.57%. Las complicaciones más frecuentes fueron: extrasístoles ventriculares 27.27%, bradicardia sinusal 18.18%, fibrilación ventricular 12.12% y bloqueo A-V de tercer grado 12.12%. Conclusión: Encontramos que la frecuencia de IAM en nuestro medio es mayor que en otras UCIS polivalentes.


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