Campos CR, Novelo-Otáñez J, Corona JF

Language: Spanish
References: 13
Page: 138-142
PDF size: 54.96 Kb.

ABSTRACT

Introduction: The ischemic heart disease its an important problem, with an acute and severe presentation in productive adults. Early intervention in this group had a direct impact on the outcome.
Objective: Report the morbidity and mortality of the patients with acute coronary syndrome, who were transported to a next level hospital for evaluation and treatment.
Patients and methods: We designed a retrospective case report study. Patients with acute coronary syndrome were included, who required transport to a next level hospital for evaluation and treatment, from January 1 of 2001 to June 30 of 2005. We report the most common aetiology, severity of the disease and treatment during the transport. Also we reported the total mortality. Descriptive statistics were used to analyzed the results.
Results: 810 patients were included. Acute myocardial infarction were presented in 76%. Transcutaneous pacemaker were used in 10% of the population. Thrombolisis was used in the emergency room before the transport in 9.4%. Forty three patients had cardiogenic shock; 7% required mechanical ventilation. Vasopressors were used in 16% of patients with myocardial infarction and 2% of unstable angina. Inferior myocardial infarction was the most common presentation. There were 4 deaths, 50% with lethal arrhythmias and cardiogenic shock.
Conclusions: Acute myocardial infarction is the most common disease who requires interhospital transport in our population; the most important risk factor of death may be the presence of lethal arrhythmias and cardiogenic shock.

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