Bibliographic citations
Altamirano, C., Cárdenas, C. (2002). Trombolisis en pacientes con infarto agudo de miocardio (IAM) emergencia del Hospital Nacional Edgardo Rebagliati Martins (Periodo 1996-1999) [Tesis de segunda especialidad, Universidad Nacional Mayor de San Marcos]. https://hdl.handle.net/20.500.12672/1853
Altamirano, C., Cárdenas, C. Trombolisis en pacientes con infarto agudo de miocardio (IAM) emergencia del Hospital Nacional Edgardo Rebagliati Martins (Periodo 1996-1999) [Tesis de segunda especialidad]. PE: Universidad Nacional Mayor de San Marcos; 2002. https://hdl.handle.net/20.500.12672/1853
@misc{renati/480664,
title = "Trombolisis en pacientes con infarto agudo de miocardio (IAM) emergencia del Hospital Nacional Edgardo Rebagliati Martins (Periodo 1996-1999)",
author = "Cárdenas García, Carmen Giovanna",
publisher = "Universidad Nacional Mayor de San Marcos",
year = "2002"
}
--- In this work, we submit the behaviour of our population with Acute Myocardial Infarction diagnosis which was hospitalized with criteria of Thrombolytic Therapy, as well as patients who were referred from particular Clinics and from the Ministry of Health towards the Edgardo Rebagliati Martins Hospital, during the period of June, 1996 to May, 1999. This study is a retrospective, descriptive work; which purpose is to demonstrate the effectiveness of the Early Thrombolytic Therapy as well as the benefit in the morbi-mortality of the Acute Myocardial Infarction, in the Emergency Services. A number of 948 case histories of patients were revised who entered into the Intensive Coronary Care Unit, in their majority they came from the Emergency Service. From this number, 208 case histories were aleatorily selected, 100 of them were thrombolysed during the period of June, 1996 to May 1999. From this group, 87% are male and 13% female, the most frequent age range was 41-70 years, with a medium of 64; encountering that the most predominant risk factors were Arterial Hypertension (39%), Nicotinism (33%), Diabetes mellitus (19%) and Hypercholesterolemia (15%). They went with a disease duration of 1 to 12 hours; the majority with typical thoracic pain (95%), diaphoresis (64%) and dyspnea (42%), with a Killip I graduation in 83% of the cases. The Thrombolytic Therapy beginning had an average door - needle time of 50 minutes; the most frequent localization of Acute Thrombolysed Myocardial Infarctions was: Inferior (38%), anteroseptal (30%), anterior (7%), lower posterior (7%). The most frequent complications are arrhythmia (40%), hypotension (35%) and hemorrhages (10%). 42% of Thrombolysis cases were carried out in the Critical Emergency Care Unit, 33% in the Trauma Shock Unit, and 12% in the Coronary Intensive Care Unit. The responsible medical equipment who carried out the Thrombolysis was the Emergency Physician in 47%, the Cardiologist Physician in 42% and the Emergency Resident Physicians and Cardiology in 7%. Conclusion: In this study we let you know the significance of the Early Reperfusion Therapy: Thrombolysis, in patients with AMI diagnosis, who went to the Emergency Service. The early thrombolytic therapy is evidenced to reduce morbi-mortality of patients with Acute Myocardial Infarction.
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