Algunos aspectos clínico epidemiológicos en pacientes con infarto agudo del miocardio

a descriptive, retrospective, cross-sectional study was conducted to describe clinical-epidemiological aspects of patients suffering from myocardial infarction at municipal intensive care area in sandino municipality, july 2008-2011. the target group was comprised of 45 patients that were previously diagnosed and the sample included 30 patients. age, gender, addictive habits, the presence of hypertension, diabetes mellitus, along with familial records of coronary artery disease, origin, complications and thrombolytic therapy were the variables collected from the clinical charts. ages from 60 to 69 were the most affected (46,7% of the total). the 90% of patients were older than 45 years old, most of them from urban zones 70,0% (z=2,39; p=8,41e-0,3). the totality of patients had addictive habits and some of the risk factors explored (x2= 40,841; p<0, 01). the 76,66% smoked and 90% were hypertensive; 53,3% of the sample underwent streptokinase treatment. as complications for myocardial infarction 43,35% suffered from coronary artery disease (*z=3,06; p=1,1e-04), both angina and arrhythmias were detected in 10 % of patients. patients from 60 to 69 and from urban zones prevailed. a high proportion of patients with addictive habits (mainly tobacco smoking) was observed. most of patients were hypertensive and presented some of the explored risk factors. the numbers of thrombolysis were higher than those described in the medical literature, but could be greater in the municipality. heart failure was the most frequent complication. few complications were reported, which stands out the function of the municipal intensive care areas.