Trends in acute myocardial infarction between 2018-2021
Background: Acute myocardial infarction (AMI) is a high incidence heart disease with impact on hospital morbidity and mortality, common cause of admissions and care in emergency units. Objective: To describe the annual behavior of AMI. Methods: Analytical observational study in 1253 patients ad...
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| Format: | Article |
| Language: | Spanish |
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Editorial Ciencias Médicas - ECIMED
2025-02-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | https://revmedmilitar.sld.cu/index.php/mil/article/view/60093 |
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| author | Héctor José Pérez Hernández Rubén David Román Robert Katherine Susana Hernández Cortés |
| author_facet | Héctor José Pérez Hernández Rubén David Román Robert Katherine Susana Hernández Cortés |
| author_sort | Héctor José Pérez Hernández |
| collection | DOAJ |
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Background: Acute myocardial infarction (AMI) is a high incidence heart disease with impact on hospital morbidity and mortality, common cause of admissions and care in emergency units.
Objective: To describe the annual behavior of AMI.
Methods: Analytical observational study in 1253 patients admitted for AMI in the period 01/01/2018 to 31/12/2021, at the Saturnino Lora Hospital in Santiago de Cuba. The following variables were used: age, sex, hospital stay, discharge status, use of homeopathic formulations, and location of the ischemic lesion. For the statistical analysis, the normality of the data distribution was evaluated, Fischer and Welch t-tests, chi-square, Log-rank test and Kaplan-Meier curves were used.
Results: 67.99% of patients were male. The overall case fatality was 10.21%. Significant differences in age (62.63 ± 0.73 vs. 71.43 ± 2.04; p= 0.0000) and hospital stay (7.92 ± 0.33 vs. 3.19 ± 0.66; p= 0.0000) were observed between live vs. deceased discharged patients. Of the deaths, 57.03% occurred within 48 hours, 32.81% within 24 hours and 19.53% within 12 hours of hospital admission. Using homeopathic formulations was associated with a clinically significant protective effect.
Conclusions: Incidence increased in 2020, with a tendency to recover at the end of the period evaluated; inverse trend in relation to mortality; a clinically significant protective effect was identified in the use of homeopathic formulations.
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| format | Article |
| id | doaj-art-b9d8775801e847d396d1973bf749bcef |
| institution | DOAJ |
| issn | 1561-3046 |
| language | Spanish |
| publishDate | 2025-02-01 |
| publisher | Editorial Ciencias Médicas - ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-b9d8775801e847d396d1973bf749bcef2025-08-20T02:45:10ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30462025-02-01541Trends in acute myocardial infarction between 2018-2021Héctor José Pérez Hernández0https://orcid.org/0000-0002-4628-7436Rubén David Román Robert1https://orcid.org/0009-0008-2799-6836Katherine Susana Hernández Cortés2https://orcid.org/0000-0001-9293-9450Saturnino Lora Provincial HospitalSaturnino Lora Provincial HospitalUniversity of Medical Sciences, Santiago de Cuba Background: Acute myocardial infarction (AMI) is a high incidence heart disease with impact on hospital morbidity and mortality, common cause of admissions and care in emergency units. Objective: To describe the annual behavior of AMI. Methods: Analytical observational study in 1253 patients admitted for AMI in the period 01/01/2018 to 31/12/2021, at the Saturnino Lora Hospital in Santiago de Cuba. The following variables were used: age, sex, hospital stay, discharge status, use of homeopathic formulations, and location of the ischemic lesion. For the statistical analysis, the normality of the data distribution was evaluated, Fischer and Welch t-tests, chi-square, Log-rank test and Kaplan-Meier curves were used. Results: 67.99% of patients were male. The overall case fatality was 10.21%. Significant differences in age (62.63 ± 0.73 vs. 71.43 ± 2.04; p= 0.0000) and hospital stay (7.92 ± 0.33 vs. 3.19 ± 0.66; p= 0.0000) were observed between live vs. deceased discharged patients. Of the deaths, 57.03% occurred within 48 hours, 32.81% within 24 hours and 19.53% within 12 hours of hospital admission. Using homeopathic formulations was associated with a clinically significant protective effect. Conclusions: Incidence increased in 2020, with a tendency to recover at the end of the period evaluated; inverse trend in relation to mortality; a clinically significant protective effect was identified in the use of homeopathic formulations. https://revmedmilitar.sld.cu/index.php/mil/article/view/60093heart diseaseischemiamyocardial infarction |
| spellingShingle | Héctor José Pérez Hernández Rubén David Román Robert Katherine Susana Hernández Cortés Trends in acute myocardial infarction between 2018-2021 Revista Cubana de Medicina Militar heart disease ischemia myocardial infarction |
| title | Trends in acute myocardial infarction between 2018-2021 |
| title_full | Trends in acute myocardial infarction between 2018-2021 |
| title_fullStr | Trends in acute myocardial infarction between 2018-2021 |
| title_full_unstemmed | Trends in acute myocardial infarction between 2018-2021 |
| title_short | Trends in acute myocardial infarction between 2018-2021 |
| title_sort | trends in acute myocardial infarction between 2018 2021 |
| topic | heart disease ischemia myocardial infarction |
| url | https://revmedmilitar.sld.cu/index.php/mil/article/view/60093 |
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