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Datos del registro continuo ARGEN-IAM-ST - Archivo PPCT

Infarto agudo de miocardio con elevación del segmento ST en la Argentina. Datos del registro continuo ARGEN-IAM-ST;
Acute ST-segment Elevation Myocardial Infarction in Argentina. Data from the continuous ARGEN-IAM-ST registry

Creators:D Imperio, Heraldo, Gagliardi, Juan, Charask, Adrián, Zoni, Rodrigo, Quiroga, Walter, Castillo Costa, Yanina, Cerezo, Gustavo, Tajer, Carlos D.
2020-09-22

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Descripción

Introducción: A través del Registro Nacional de Infarto Agudo de Miocardio (IAM) con Elevación del ST (ARGEN IAM-ST) realizadoen 2015 se conocieron datos de la realidad del IAM en Argentina; en esta ocasión, se presenta un reporte actual.Material y métodos: Estudio prospectivo multicéntrico, con alcance nacional. Luego de la primera fase de la encuesta ARGEN-IAMST,se invitó a los centros a continuar con el registro de IAM. Se incluyeron pacientes con IAM con elevación del segmento ST en elelectrocardiograma de hasta 36 horas de evolución.Resultados: La población analizada abarcó 2464 pacientes asistidos en 78 centros. La media de edad fue 60 ± 12 años y el 80% fuede género masculino. Los factores de riesgo prevenibles se distribuyeron del siguiente modo: tabaquismo 45%, hipertensión arterial58%, diabetes 24% y dislipidemia 41%. El 11% tuvo antecedente de enfermedad coronaria. El 88% recibió reperfusión; el 21% de estospacientes recibieron trombolíticos y al 89% se le realizó angioplastia. La demora desde el inicio de los síntomas hasta la admisión fuede 130 minutos (RIC 25-75: 60-305); los médicos reportaron demoras hasta el tratamiento en el 49% de los casos, con impacto en lostiempos totales de isquemia (TTI). La mortalidad intrahospitalaria fue del 8,7%. En el análisis multivariado, ser tratado en un centrocon hemodinamia no se asoció de forma independiente con la supervivencia.Conclusiones: Los datos actuales del registro continuo de IAM en la Argentina son similares a los que mostró la encuesta de 2015.Las demoras hasta el tratamiento son importantes, especialmente por el tiempo de demora en la consulta de los pacientes, lo queimpacta en gran medida en los TTI.

Background: The National ST-segment elevation Acute Myocardial Infarction (ARGEN-AMI-ST) registry carried out in 2015 provideddata on the reality of AMI in Argentina.Objective: The aim of this study was to present an updated report of the ARGEN-AMI-ST registry.Methods: This was a national, prospective, multicenter study. After the first phase of the ARGEN-AMI-ST survey, centers wereinvited to continue with the AMI registry including patients with up to 36-hour electrocardiographic STEMI evolutionResults: The analyzed population comprised 2,464 patients assisted in 78 centers. Mean age was 60±12 years and 80% were men.Preventable risk factors were: 45% smoking, 58% hypertension, 24% diabetes, 41% dyslipidemia and 11% history of coronary heartdisease. Eighty-eight percent of patients underwent reperfusion, and among them, 21% received thrombolytics and 89% percutaneouscoronary intervention. The delay from onset of symptoms to admission was 130 minutes (IQR 25-75: 60-305); physiciansreported delays to treatment in 49% of cases, with an impact on total ischemic times (TIT). In-hospital mortality was 8.7%. In themultivariate analysis, being treated in a center with hemodynamic availability was not independently associated with survival.Conclusions: Current data from the continuous AMI registry in Argentina are similar to those shown in the 2015 survey. Delays totreatment are important, especially due to the delay in patient consultation, which greatly impacts on TIT.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 88, No 4 (2020); 297-307, Argentine Journal of Cardiology; Vol 88, No 4 (2020); 297-307

Citación

D Imperio, Heraldo et al., “Infarto agudo de miocardio con elevación del segmento ST en la Argentina. Datos del registro continuo ARGEN-IAM-ST,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9735.

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Autor

D Imperio, Heraldo
Gagliardi, Juan
Charask, Adrián
Zoni, Rodrigo
Quiroga, Walter
Castillo Costa, Yanina
Cerezo, Gustavo
Tajer, Carlos D.

Fuente

Revista Argentina de Cardiología; Vol 88, No 4 (2020); 297-307
Argentine Journal of Cardiology; Vol 88, No 4 (2020); 297-307

Editor

Sociedad Argentina de Cardiología

Fecha

2020-09-22

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.

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