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Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional
OBJECTIVE. To determine the clinical characteristics, therapeutic and in-hospital mortality of patients with mechanical complications post myocardial infarction. MATERIALS AND METHODS. Observational, descriptive and retrospective study. We included patients >18 years old with a diagnosis of mecha...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto Nacional Cardiovascular - INCOR
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318997/ https://www.ncbi.nlm.nih.gov/pubmed/37408602 http://dx.doi.org/10.47487/apcyccv.v3i1.200 |
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author | Espinoza Alva, Daniel Mallma Gómez, Milagros Yanina Muñoz Moreno, Juan Manuel |
author_facet | Espinoza Alva, Daniel Mallma Gómez, Milagros Yanina Muñoz Moreno, Juan Manuel |
author_sort | Espinoza Alva, Daniel |
collection | PubMed |
description | OBJECTIVE. To determine the clinical characteristics, therapeutic and in-hospital mortality of patients with mechanical complications post myocardial infarction. MATERIALS AND METHODS. Observational, descriptive and retrospective study. We included patients >18 years old with a diagnosis of mechanical complication post myocardial infarction hospitalized at the Instituto Nacional Cardiovascular- INCOR in Lima -Peru, from January 1, 2017 to December 31, 2021. Variables like clinical characteristics, treatments, complications, and in-hospital mortality were studied. RESULTS. We found 37 cases, with a predominance of males (73.0%) and a median age of 73 years old. The location of the myocardial infarction was 51.4% in the anterior wall and 43.2% in the inferior wall. The patients received reperfusion therapy with fibrinolysis in 5 cases (13.5%), coronary angioplasty in 5 (13.5%), and 73% received only medical management prior to the diagnosis of mechanical complications. Of the 37 patients, 13 (35.1%) presented isolated ventricular free wall rupture, 12 (32.4%) isolated interventricular septum rupture, 10 (27.0%) the combination of ventricular free wall rupture and interventricular septum, and 2 (5.4%) papillary muscle rupture. In-hospital mortality was 51.4%. CONCLUSIONS. The ventricular free wall rupture was the most frequent complication, patients with mechanical complications after myocardial infarction still maintain high intra-hospital mortality rates, mainly in those who did not have adequate surgical treatment. |
format | Online Article Text |
id | pubmed-10318997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Instituto Nacional Cardiovascular - INCOR |
record_format | MEDLINE/PubMed |
spelling | pubmed-103189972023-07-05 Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional Espinoza Alva, Daniel Mallma Gómez, Milagros Yanina Muñoz Moreno, Juan Manuel Arch Peru Cardiol Cir Cardiovasc Artículo Original OBJECTIVE. To determine the clinical characteristics, therapeutic and in-hospital mortality of patients with mechanical complications post myocardial infarction. MATERIALS AND METHODS. Observational, descriptive and retrospective study. We included patients >18 years old with a diagnosis of mechanical complication post myocardial infarction hospitalized at the Instituto Nacional Cardiovascular- INCOR in Lima -Peru, from January 1, 2017 to December 31, 2021. Variables like clinical characteristics, treatments, complications, and in-hospital mortality were studied. RESULTS. We found 37 cases, with a predominance of males (73.0%) and a median age of 73 years old. The location of the myocardial infarction was 51.4% in the anterior wall and 43.2% in the inferior wall. The patients received reperfusion therapy with fibrinolysis in 5 cases (13.5%), coronary angioplasty in 5 (13.5%), and 73% received only medical management prior to the diagnosis of mechanical complications. Of the 37 patients, 13 (35.1%) presented isolated ventricular free wall rupture, 12 (32.4%) isolated interventricular septum rupture, 10 (27.0%) the combination of ventricular free wall rupture and interventricular septum, and 2 (5.4%) papillary muscle rupture. In-hospital mortality was 51.4%. CONCLUSIONS. The ventricular free wall rupture was the most frequent complication, patients with mechanical complications after myocardial infarction still maintain high intra-hospital mortality rates, mainly in those who did not have adequate surgical treatment. Instituto Nacional Cardiovascular - INCOR 2022-03-31 /pmc/articles/PMC10318997/ /pubmed/37408602 http://dx.doi.org/10.47487/apcyccv.v3i1.200 Text en https://creativecommons.org/licenses/by-nc/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons |
spellingShingle | Artículo Original Espinoza Alva, Daniel Mallma Gómez, Milagros Yanina Muñoz Moreno, Juan Manuel Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title | Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title_full | Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title_fullStr | Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title_full_unstemmed | Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title_short | Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
title_sort | complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional |
topic | Artículo Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318997/ https://www.ncbi.nlm.nih.gov/pubmed/37408602 http://dx.doi.org/10.47487/apcyccv.v3i1.200 |
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