Characterization of acute heart failure due to acute coronary syndrome in the Department of Cardiology of Las Tunas (2017-2019)
Abstract
Introduction: Acute heart failure is one of the most frequent complications of acute coronary syndromes and is associated with increased in-hospital mortality and poor long-term survival.
Objective: To characterize patients with acute heart failure due to acute coronary syndrome in the Department of Cardiology of Las Tunas.
Method: A descriptive study was conducted with 237 patients admitted with the above-mentioned diagnoses between 2017 and 2019. Epidemiological, clinical and laboratory variables were studied. Descriptive statistics were used.
Results: Patients over 60 years of age accounted for 78.5% of the sample. High blood pressure (82.7%) and Killip-Kimball class II (76.4%) predominated. Twenty-two patients (9.3%) died during the study. Only 6.3% of patients presented with malignant ventricular arrhythmias. Most of the diseased showed adequate electrolyte concentrations and a few patients had impaired renal function. Hypoalbuminemia was present in 59.1% of cases and hyperglycemia at admission in only 18.6%.
Conclusions: The sample studied was predominantly senile, male and hypertensive, with normal vital signs and Killip-Kimball class II. Mortality was above international studies and adverse events were infrequent. More than half of the patients had hypoalbuminemia with preserved renal function and normal glycemic levels.
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