Clinical evolution of patients with acute myocardial infarction treated with primary angioplasty
Keywords:
myocardial infarction, angioplasty, clinical evolutionAbstract
Introduction and Objectives: Primary coronary angioplasty reestablishes fast and sustained way the permeability of acute myocardial infarction related artery. It decreases the mortality, improves the prognosis and quality of life to long-term. The objective was to describe patients' clinical evolution with acute myocardial infarction treated by primary coronary angioplasty. Method: A descriptive, longitudinal and prospective study was performed in 69 patients, who were admitted to the Cardiology and Cardiovascular Surgery Institute, from July 1, 2007 to December 31, 2008, between 8 a.m. and 4 p.m. All patients underwent primary coronary angioplasty. A clinical evolution was made during 180 days, where frequency of major clinic events were evaluated: death, re-AMI, angina post-AMI, unstable angina, need of new re-vascularization and major hemorrhage. Results: The tobacco addiction and hypertension had an elevated prevalence. The inferior infarction location and single vessel disease were the most frequent. The immediate successful result prevailed. The failed cases was related with the right coronary artery, TIMI 0-1 flow and evolution time bigger six hours. The major clinic events were limited and it was more frequent during the first 30 days follow-up. Conclusions: Primary coronary angioplasty underwent during the first six hours after symptoms onset is an efficacious procedure, due to the predominance of the successful result and fewer frequency of major clinic events during six months follow-up.
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