%0 Journal Article
%T Valor del sistema de puntuaci車n del QRS -SELVESTER- en el infarto mioc芍rdico agudo. Value of the QRS-Selvester scoring in the acute myocardial infarction.
%A Francisco de Jes迆s Valladares Carvajal
%A Frank Carlos Alvarez Li
%A Marcos Diosdado Iraola Ferrer
%A Rosendo Ibargoll赤n Hern芍ndez
%J Revista Cubana de Cardiolog赤a y Cirug赤a Cardiovascular
%D 2000
%I ECIMED
%X Se estudiaron 74 enfermos con diagn車stico de infarto mioc芍rdico agudo (IMA) que ingresaron durante el primer semestre de 1991 en la Unidad de Cuidados Intensivos (UCI) del Hospital Provincial de Santa Clara. A estos pacientes se les aplic車 el score de Selvester con el objetivo de esclarecer su utilidad en la pr芍ctica cl赤nica diaria. La edad media de la serie fue de 64 ㊣ 12; predomin車 el sexo masculino (62,2 %), ninguna de las condiciones cl赤nicas consideradas como marcadores de riesgo para desarrollar un IMA > 24 % seg迆n el score de Selvester se asociaron con este hallazgo. El referido sistema de puntuaci車n se asoci車 significativamente desde el punto de vista estad赤stico con la aparici車n de algunas complicaciones durante la evoluci車n del IMA: insuficiencia cardiaca (RR = 4,77; IC = 2,94 - 7,73; p = ,0000002), choque cardiog谷nico (RR = 18,08; IC = 4,26 - 76,65; P = ,0000138), fallecimiento en la UCI (RR = 9,04; IC = 3,13 - 26,14; p = ,0001103). Este sistema de puntuaci車n puede ser utilizado en la predicci車n de complicaciones y desenlace fatal durante la hospitalizaci車n de pacientes con IMA. 74 patients with diagnosis of acute myocardial infarction (AMI) that were admitted during the first semester of 1991 at the Intensive Care Unit of the Provincial Hospital of Santa Clara were studied. Selvester's score was applied to these patients aimed at showing its usefulnes in the daily clinical practice. The average age of the series was 64 ㊣ 12 and it was observed a predominance of males. None of the clinical conditions considered as risk markers to develop an AMI > 24% according to Selvester's score were associated with this finding. The above scoring system was significantly related to the appearance of some complications during the AMI evolution from the statistical point of view: heart insufficiency (RR = 4.77; CI = 2.94 - 7.73; p= ,0000002), cardiogenic shock (RR = 18.08; CI = 4.26 - 76.65; P = ,0000138), death at the ICU (RR = 9.04; CI = 3.13 -26.14; p = ,0001103). This scoring system may be used in the predicition of complications and fatal outcome during the hospitalization of patients with AMI.
%K INFARTO DEL MIOCARDIO
%K ELECTROCARDIOGRAFIA
%K TECNICAS DE DIAGNOSTICO CARDIOVASCULAR
%K MYOCARDIAL INFARCTION
%K ELECTROCARDIOGRAPHY
%K DIAGNOSTIC TECHNIQUES
%K CARDIO-VASCULAR.
%U http://bvs.sld.cu/revistas/car/vol14_2_00/car03200.htm