Santos MM, Ricardo ME

Language: Spanish
References: 0
Page: 85-92
PDF size: 209.49 Kb.

ABSTRACT

Introduction: left ventricular free wall rupture is a rare complication of acute myocardial infarction.
Objective: to determine the risk factors for the cardiac rupture in patients with acute myocardial infarction.
Method: An analytical case - control study was carried out at Las Tunas Cardiology Service. The "cases" were 25 patients with acute myocardial infarction who died with cardiac rupture, confirmed by pathological anatomy between 2011 and 2015. For each "case", 3 patients were randomly selected for the "control" group. The percentage analysis and the arithmetic mean for the descriptive variables were used. The Epinfo version 6 was used to determine risk factors. ODDS RATIO, confidence intervalue and probability were determined for 99%.
Results: the 60% of the patients were male. The mean age was 72 + 16 years old. The myocardial infarction of the anterior wall and the stay less than 24 hours were predominant. Thrombolysis was not performed in 65% of patients, or it was not effective. The 62% of patients presented KK IV.
Conclusions: creatinine kinase above 1200 units (OR 3.31), late arrival (OR 3.06) and presence of more than 7 affected leads on the electrocardiogram (OR 2.66) were presented as risk factors for cardiac rupture.