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Retrospective Study of the Acute Heart
Attack Cases Hospitalized in the
Cardiology Area of a County Hospital

Urbano Gálvez, JM *; Silva, Carina;
Lima, Silvia; Aguiar, J.

Service of Cardiology. Hospital Santa Luzia. Elvas. Portugal.
Service of Cardiology. Hospital Santa Luzia. Elvas. Portugal and Service of
Internal Medicine. Infanta Cristina University Hospital. Badajoz. Spain

RESUMEN

SUMMARY
Objetives: To analyse of retrospective form the acute heart attacks cases hospitalised in the Service of Cardiology of our hospital that attends to a population of 40000 habitants of Elvas's area and surroundings.
Material And Method: There are included in the study all the patients hospitalised from June, 1998 until March, 2001 and whose diagnostic code to the hospitable discharge went acute heart attack.
Results: There are obtained a total of 132 patients (101 men and 31 women). The middle ages were 67.72 years (M 73.13, F 66.07). Interval of age 35-100 for men and 49-89 for women. The average stay was 10.24 days (10.54 for men and 9.32 for women). The cardiovascular risk factors identified: tobacco in 43, obesity in 12, high blood pressure in 64, high cholesterol levels in 30, diabetes mellitus type 2 in 24, others in 29. The location of the heart attack: inferior segment in 49, anterior segment in 45, postero- lateral segment in 2, the right ventricle in 5 and in 40 patients did not decide the place of the heart attack (not Q). It was realized thrombolytic therapy in 63 patients (47 %), using reteplase in 41 (65 %), estreptokinase in 16 (25.39 %), rTPA in 5 (7.93 %) and alteplase in 1 (1.58 %). The mortality belonged to 8 patients (6 %). With regard to the therapeutic to the discharge they were used: Beta-blocks in 56 patients, aspirin in 70, other antiplatelet agents in 33, calcium antagonists in 22, nitrites in 90, lipid-lowering agents in 19, ACE inhibitors in 70, diuretics in 19 and antiarrhythmic drugs in 7.
Conclusions: Our study doesn't differ much of other studies published in the medical literature. A bigger incidence exists in males > 3:1. The cardiovascular risk factors more important they are the high blood pressure level and the tobacco. The thrombolytic drug more used in our hospital is the reteplase. The nitrites, antiplatelet agents and beta-blocks are the treatments more frequent used in our hospital to the patients that suffered an acute heart attack.

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OBJECTIVES
   To analyze of retrospective form the acute heart attacks cases hospitalized in the Service of Cardiology of our hospital that attends to a population of 40000 habitants of Elvas's area and surroundings.

MATERIAL AND METHOD
   There are included in the study all the patients hospitalized from June, 1998 until March, 2001 and whose diagnostic code to the hospitable discharge went acute heart attack.

RESULTS
   There are obtained a total of 132 patients (101 men and 31 women). (Figure 1)


   The middle ages were 67.72 years (M 73.13, F 66.07). Interval of age 35-100 for men and 49-89 for women. (Figure 2) (Figure 3)


   The average stay was 10.24 days (10.54 for men and 9.32 for women).(Figure 4)


   The cardiovascular risk factors identified: tobacco in 43, obesity in 12, high blood pressure in 64, high cholesterol levels in 30, diabetes mellitus type 2 in 24, others in 29. (Figure 5)


   The location of the heart attack: inferior segment in 49, anterior segment in 45, postero- lateral segment in 2, the right ventricle in 5 and in 40 patients did not decide the place of the heart attack (not Q). (Figure 6)

 


   It was realized thrombolytic therapy in 63 patients (47 %), using reteplase in 41 (65 %), estreptokinase in 16 (25.39 %) and rTPA in 6 (9.51 %). (Figure 7)


   The mortality belonged to 8 patients (6 %).

   With regard to the therapeutic to the discharge they were used: Beta-blocks in 56 patients, aspirin in 70, other antiplatelet agents in 33, calcium antagonists in 22, nitrites in 90, lipid-lowering agents in 19, ACE inhibitors in 70, diuretics in 19 and antiarrhythmic drugs in 7. (Figure 8)

CONCLUSIONS
   Our study doesn't differ much of other studies published in the medical literature. A bigger incidence exists in males > 3:1. The cardiovascular risk factors more important they are the high blood pressure level and the tobacco. The thrombolytic drug more used in our hospital is the reteplase. The nitrites, antiplatelet agents and beta-blocks are the treatments more frequent used in our hospital to the patients that suffered an acute heart attack.

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Estudio Retrospectivo de los Infartos Agudos de Miocardio Ingresados en el
Servicio de Cardiología de un Hospital Municipal

RESUMEN
Objetivos: Analizar de forma retrospectiva los casos de infarto agudo de miocardio ingresados en el Servicio de Cardiología de nuestro hospital que atiende a una población de 40000 habitantes del área de Elvas y alrededores.
Material Y Método: Se incluyen en el estudio todos los pacientes ingresados desde Junio del 1998 hasta Marzo del 2001 y cuyo código diagnóstico al alta fue de infarto agudo de miocardio.
Resultados: Se obtienen un total de 132 pacientes ( 101 hombres y 31 mujeres). La edad media en total fue de 67.72 años (H 73.13, M 66.07). Intervalo de edad 35-100 para hombres y 49-89 para mujeres. La estancia media fue de 10.24 días ( 10.54 para hombres y 9.32 para mujeres). Entre los factores de riesgo cardiovascular identificados: tabaco en 43 , obesidad en 12 , HTA en 64 , dislipemia en 30 , diabetes mellitus tipo 2 en 24 , otros en 29. Respecto a la localización del infarto se afecto la cara inferior en 49 , la anterior en 45 , la póstero-lateral en 2 , el ventrículo derecho en 5 y en 40 pacientes no se determinó el lugar del infarto
(no Q). Se realizó fibrinolisis en 63 pacientes (47 %), usando reteplase en 41 (65%) , estreptokinasa en 16 (25.39%), rTPA en 5 (7.93%) y Alteplase en 1 (1.58%). La mortalidad fue de 8 pacientes (6%). Respecto a la terapéutica al alta se emplearon : betabloqueantes en 56 pacientes , AAS en 70 , otros antiagregantes en 33 , calcio antagonistas en 22 , nitritos en 90 , hipolipemiantes en 19 , IECAs en 70 , diuréticos en 19 y antiarrítmicos en 7.
Conclusiones: Nuestro estudio no difiere mucho de otros estudios publicados en la literatura. Existe una mayor incidencia en varones > 3:1. Los factores de riesgo mas importantes son la HTA y el tabaco. El fibrinolítico más usado en nuestro hospital a pesar de su mayor precio es el reteplase. Los nitritos, antiagregantes y betabloqueantes son los tratamientos mas frecuentes preescritos en nuestro hospital a los pacientes que sufrieron un infarto agudo de miocardio

 

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2nd Virtual Congress of Cardiology

Dr. Florencio Garófalo
Steering Committee
President
Dr. Raúl Bretal
Scientific Committee
President
Dr. Armando Pacher
Technical Committee - CETIFAC
President
fgaro@fac.org.ar
fgaro@satlink.com
rbretal@fac.org.ar
rbretal@netverk.com.ar
apacher@fac.org.ar
apacher@satlink.com

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