Thrombolytic therapy in patients with acute myocardial infarction

Abstract

Introduction: Thrombolytic therapy is one of the great advances in the treatment of acute myocardial infarction, a disease with a high incidence worldwide. Objective: to characterize thrombolytic therapy in patients with acute myocardial infarction hospitalized in the coronary intensive care unit of the Teaching General Hospital "Abel Santamaría Cuadrado". Method: a descriptive and cross-sectional observational study was carried out. The universe was made up of 693 patients diagnosed with acute myocardial infarction. Descriptive statistical measures such as absolute frequency and relative percentage were applied. Results: the age group from 60 to 69 years (29,58 %) and the male sex (60,45 %) predominated. 34,34 % of the patients were not thrombolized, where the most common cause was attendance at services after 12 hours (84,45 %). Hypotension was the most frequent complication (19,34 %). 9,67 % of patients died, with deaths prevailing in thrombolized patients (13,87 %). A significant relationship was found between thrombolytic therapy and discharge status (p <0,05) Conclusions: Male patients between the sixth and eighth decade of life had a high incidence of this disease, the location being inferred the most common. The delay in attending medical services was a fundamental cause of the non-application of thrombolytic therapy. Most of the patients received out-of-hospital thrombolysis, presenting hypotension as a complication of thrombolysis. There is a relationship between thrombolytic treatment and discharging alive.