Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block
<strong>Foundation:</strong> it is novel to establish the relationship between interatrial block and acute myocardial infarction with ST-segment elevation due to the few studies that address the subject. <br /><strong>Objective:</strong> to evaluate the characteristics...
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| Format: | Article |
| Language: | Spanish |
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Universidad de las Ciencias Médicas de Cienfuegos
2023-08-01
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| Series: | Revista Finlay |
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| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1272 |
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| author | Francisco de Jesús Valladares Carvajal Verónica Mercedes Carretero Acosta Raimundo Carmona Puerta Aymara Marcia Hernández Cardoso Ernesto Julio Bernal Valladares |
| author_facet | Francisco de Jesús Valladares Carvajal Verónica Mercedes Carretero Acosta Raimundo Carmona Puerta Aymara Marcia Hernández Cardoso Ernesto Julio Bernal Valladares |
| author_sort | Francisco de Jesús Valladares Carvajal |
| collection | DOAJ |
| description | <strong>Foundation:</strong> it is novel to establish the relationship between interatrial block and acute myocardial infarction with ST-segment elevation due to the few studies that address the subject. <br /><strong>Objective:</strong> to evaluate the characteristics and clinical evolution of patients with ST-segment elevation acute myocardial infarction with and without interatrial block. <br /><strong>Methods:</strong> a descriptive and correlational study was carried out in progressive care units of the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos. 169 subjects with a diagnosis of ST-segment elevation myocardial infarction divided into two groups with and without interatrial block were selected. Demographic variables were analyzed: age, sex, skin color and between clinics: toxic habits; (smoker, ex-smoker); medical history (myocardial infarction, angina, peripheral arterial disease, arterial hypertension, type 2 diabetes mellitus, chronic kidney disease; infarct location (anterior, inferior, left bundle branch block); complications: heart failure, atrial fibrillation, ventricular tachycardia/ventricular fibrillation, atrioventricular conduction disorders, mechanical complication, post infarction angina, arterial embolism) and discharge status (alive or deceased). <br /><strong>Results:</strong> 52.17 % of patients with ST-segment elevation myocardial infarction with interatrial block developed heart failure, vs 29.45 % among patients without block with statistical significance (p = 0.03). The relationship between the occurrence or not of complications (as well as the state at discharge) and the presence or not of blockade was highly significant (p=0.01). <br /><strong>Conclusions:</strong> the detailed analysis, in this context, of the p wave of the electrocardiogram should be routine, since the documentation of interatrial block could be related to the clinical course of the patients. |
| format | Article |
| id | doaj-art-750668f4061b45d880c1f724e70df182 |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2023-08-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-750668f4061b45d880c1f724e70df1822025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-08-01133282292649Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial BlockFrancisco de Jesús Valladares Carvajal0Verónica Mercedes Carretero Acosta1Raimundo Carmona Puerta2Aymara Marcia Hernández Cardoso3Ernesto Julio Bernal Valladares4Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.<strong>Foundation:</strong> it is novel to establish the relationship between interatrial block and acute myocardial infarction with ST-segment elevation due to the few studies that address the subject. <br /><strong>Objective:</strong> to evaluate the characteristics and clinical evolution of patients with ST-segment elevation acute myocardial infarction with and without interatrial block. <br /><strong>Methods:</strong> a descriptive and correlational study was carried out in progressive care units of the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos. 169 subjects with a diagnosis of ST-segment elevation myocardial infarction divided into two groups with and without interatrial block were selected. Demographic variables were analyzed: age, sex, skin color and between clinics: toxic habits; (smoker, ex-smoker); medical history (myocardial infarction, angina, peripheral arterial disease, arterial hypertension, type 2 diabetes mellitus, chronic kidney disease; infarct location (anterior, inferior, left bundle branch block); complications: heart failure, atrial fibrillation, ventricular tachycardia/ventricular fibrillation, atrioventricular conduction disorders, mechanical complication, post infarction angina, arterial embolism) and discharge status (alive or deceased). <br /><strong>Results:</strong> 52.17 % of patients with ST-segment elevation myocardial infarction with interatrial block developed heart failure, vs 29.45 % among patients without block with statistical significance (p = 0.03). The relationship between the occurrence or not of complications (as well as the state at discharge) and the presence or not of blockade was highly significant (p=0.01). <br /><strong>Conclusions:</strong> the detailed analysis, in this context, of the p wave of the electrocardiogram should be routine, since the documentation of interatrial block could be related to the clinical course of the patients.https://revfinlay.sld.cu/index.php/finlay/article/view/1272síndrome coronarioinfarto agudo de miocardioinfarto de miocardio con elevación del segmento stfactores de riesgo |
| spellingShingle | Francisco de Jesús Valladares Carvajal Verónica Mercedes Carretero Acosta Raimundo Carmona Puerta Aymara Marcia Hernández Cardoso Ernesto Julio Bernal Valladares Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block Revista Finlay síndrome coronario infarto agudo de miocardio infarto de miocardio con elevación del segmento st factores de riesgo |
| title | Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block |
| title_full | Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block |
| title_fullStr | Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block |
| title_full_unstemmed | Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block |
| title_short | Characteristics and Clinical Course of Patients with Acute Myocardial Infarction and ST-segment Elevation with and without Interatrial Block |
| title_sort | characteristics and clinical course of patients with acute myocardial infarction and st segment elevation with and without interatrial block |
| topic | síndrome coronario infarto agudo de miocardio infarto de miocardio con elevación del segmento st factores de riesgo |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/1272 |
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