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2013-10-15T17:08:20-03:00 2013-10-15T17:08:20-03:00 Adobe InDesign CS5 (7.0) 516 application/pdf Adobe PDF Library 9.9 False endstream endobj 56 0 obj <>stream h224P0Pw/+Q04L)6247)Ic0i B LT$z endstream endobj 57 0 obj <>stream hT̽ 0W`sҟH)HCAP(%5)i|{QpFvlƩ+rUcS- endstream endobj 58 0 obj <>/Filter/FlateDecode/ID[<9B0C3A89BC75EF41AFF358592D90A402>]/Info 2169 0 R/Length 298/Root 2171 0 R/Size 2170/Type/XRef/W[1 3 1]>>stream hұ/CQ{o[,6?`1mF1E쒖H0lӡtOn{9)J16B !vRK,o:?#?Sό+^}raܕO?s=O<{p~|͓\dw<\:ҜOTtMsw^=۲||`S3碜;{[^'.OwW-qBH^!BWH^!+WH+W +Dz "Isӗ'[L0 endstream endobj startxref 116 %%EOF Infarto agudo de miocardio en la República Argentina. Registro CONAREC XVII - Archivo PPCT

Infarto agudo de miocardio en la República Argentina. Registro CONAREC XVII;
Acute Myocardial Infarction in Argentina. CONAREC XVII Register

Creators:Perez, Gonzalo Emanuel, Costabel, Juan, González, Nicolás, Zaidel, Ezequiel, Altamirano, Marcela, Schiavone, Miguel, Carrizo, Aldo, Iglesias, Ricardo
2013-10-10

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Descripción

Introducción: El infarto agudo de miocardio (IAM) representa una de las principales causas de morbimortalidad en nuestro país. Tener datos sobre la realidad de esta entidad en Argentina es de suma importancia como punto de partida para el desarrollo de políticas de prevención así como para mejorar su tratamiento. Objetivo: Describir variables demográficos, situaciones de estrés asociadas, tratamiento instaurado, tiempos en los que se implementaron, complicaciones intrahospitalarias y medicación al egreso de pacientes ingresados con IAM, en centros asociados al Consejo Argentino de Residentes de Cardiología (CONAREC). Métodos: Se incluyeron 1182 pacientes consecutivos ingresados en 45 centros de todo el país con diagnóstico de IAM con o sin supradesnivel del ST entre Diciembre del 2009 y Julio del 2010. Resultados: La edad promedio fue de 64 ± 12 años; 705 pacientes presentaron IAM con supradesnivel del segmento ST (IAMCEST) y 477 sin supradesnivel del ST (IAMSEST). En el IAMCEST la tasa de reperfusión fue del 92% de los pacientes elegibles siendo la angioplastia el principal método (80%) con una demora prehospitalaria de 165 minutos y un tiempo puerta balón de 80 minutos. En el IAMSEST se realizó coronariografía al 75% de los pacientes con angioplastia al 46 % de ellos. La principal complicación fue el desarrollo de insuficiencia cardíaca (22 % en IAMCEST y 11% en IAMSEST) seguido por el sangrado y las arritmias. La mortalidad resultó del 8,8 % en IAMCEST y del 5,1% en los IAMSEST. Conclusión: Los pacientes con IAM que ingresan en centros con residencia médica presentan alta tasa de reperfusión y tratamiento al egreso hospitalario acorde a las recomendaciones internacionales. Sin embargo, persisten aspectos a mejorar, principalmente en lo que respecta al control de los factores de riesgo, educación de la población y reducción de los tiempos prehospitalarios, situaciones que no se han modificado en los últimos 15 años.

IntroductionAcute myocardial infarction (AMI) is a major cause of morbidity and mortality in ourcountry. It is very important to have data on the reality of this entity in Argentina asa starting point for the development of prevention policies and treatment improvement.ObjectiveThe aim of the study was to describe demographic variables, situations associated tostress, established treatments, implementation times, in-hospital complications andmedication at discharge of patients with AMI admitted to centers associated to theArgentine Council of Residents in Cardiology (CONAREC).MethodsBetween December 2009 and July 2010, 1182 consecutive patients admitted to 45centers across the country with a diagnosis of AMI with or without ST segment elevationwere included in the study.ResultsMean age was 64 ± 12 years; 705 patients presented ST-segment elevation myocardialinfarction (STEMI) and 477 non- ST-segment elevation myocardial infarction(NSTEMI). In the STEMI group, reperfusion rate was 92% of eligible patients, withprimary angioplasty in 80% of cases. In this group, prehospital time delay was 165minutes and door-to-balloon time was 80 minutes. In the NSTEMI group, coronaryangiography was performed in 75% of patients and 46% underwent angioplasty. Themain complication was the development of heart failure (22% in the STEMI groupand 11% in the NSTEMI group), followed by bleeding and arrhythmias. Mortalitywas 8.8% in the STEMI group and 5.1% in the NSTEMI group.ConclusionsPatients with AMI admitted to centers with medical residency present a high rateof reperfusion and treatment at hospital discharge, in agreement with internationalrecommendations. Aspects to be improved are the high prevalence of risk factors andprolonged prehospital time delays, situations which have not changed in the last 15years.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 390-399, Argentine Journal of Cardiology; Vol 81, No 5 (2013); 390-399

Citación

Perez, Gonzalo Emanuel et al., “Infarto agudo de miocardio en la República Argentina. Registro CONAREC XVII,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8122.

Dublin Core

Materia

Autor

Perez, Gonzalo Emanuel
Costabel, Juan
González, Nicolás
Zaidel, Ezequiel
Altamirano, Marcela
Schiavone, Miguel
Carrizo, Aldo
Iglesias, Ricardo

Fuente

Revista Argentina de Cardiología; Vol 81, No 5 (2013); 390-399
Argentine Journal of Cardiology; Vol 81, No 5 (2013); 390-399

Editor

Sociedad Argentina de Cardiología

Fecha

2013-10-10

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion