Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Espinoza Alva, Daniel, Mallma Gómez, Milagros Yanina, Muñoz Moreno, Juan Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Nacional Cardiovascular - INCOR 2022
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
_version_ 1785068154315079680
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
work_keys_str_mv AT espinozaalvadaniel complicacionesmecanicasposinfartodemiocardioenunhospitaldereferencianacional
AT mallmagomezmilagrosyanina complicacionesmecanicasposinfartodemiocardioenunhospitaldereferencianacional
AT munozmorenojuanmanuel complicacionesmecanicasposinfartodemiocardioenunhospitaldereferencianacional