PMID- 34101553
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210624
IS  - 2448-5667 (Electronic)
IS  - 0443-5117 (Linking)
VI  - 58
IP  - 2
DP  - 2020 Apr 13
TI  - [Clinical characteristics of patients with acute myocardial infarction treated 
      with thrombolysis].
PG  - 100-107
LID - 10.24875/RMIMSS.M20000006 [doi]
AB  - BACKGROUND: In patients with ST elevation myocardial infarction (STEMI) 
      thrombolytic therapy is the optimal reperfusion strategy when primary 
      percutaneous intervention is not available. OBJECTIVE: To determine the clinical 
      characteristics and hospital evolution of patients with STEMI who were treated 
      with thrombolytic therapy in the Emergency department. METHOD: Retrospective and 
      transversal study; we included all patients who were diagnosed with STEMI in the 
      Emergency department of the Hospital General Regional No. 46 and received 
      thrombolytic therapy, within a 12 month period. RESULTS: We analyzed 59 cases, 
      with a mean age of 62.2 years old, 70% were male sex; the average age for men was 
      60 years (range 38-84) and for women was 71 years (range 43-87); according to the 
      initial electrocardiogram the most common myocardial affected regions were 
      inferior (43.8%) and extense anterior (43.8%); tenecteplase was the most used 
      thrombolytic therapy (93%), with an average door in-needle time of 82 minutes 
      (range 10-360 min), 52.6% met clinical criteria for reperfusion; in 49 cases a 
      cardiac catheterism was performed in subsequent days, 49% of them was for rescue 
      percutaneous coronary intervention; in-hospital mortality was 28%. CONCLUSIONS: 
      Thrombolytic therapy in STEMI is effective and increases the opportunity for 
      preserving myocardial tissue; in our institute, its mandatory that such therapy 
      is easily available and used, taking into account the patient referral times to a 
      hospital with catheterism laboratory.
CI  - Copyright: (c) 2020 Revista Medica del Instituto Mexicano del Seguro Social.
FAU - Mora-Solorzano, Lizbeth
AU  - Mora-Solorzano L
AD  - Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Medico 
      Nacional de Occidente "Lic. Ignacio Garcia Tellez", Departamento de 
      Urgencias-Admision Medica Continua. Guadalajara, Jalisco, Mexico.
FAU - Gutierrez-Diaz, Gonzalo Israel
AU  - Gutierrez-Diaz GI
AD  - Instituto Mexicano del Seguro Social, Centro Medico Nacional de Occidente, 
      Hospital de Especialidades "Lic. Ignacio Garcia Tellez", Departamento de 
      Cardiologia-Urgencias-Admision Medica Continua. Guadalajara, Jalisco, Mexico.
FAU - Gudino-Amezcua, Diego Armando
AU  - Gudino-Amezcua DA
AD  - Instituto Mexicano del Seguro Social, Centro Medico Nacional de Occidente, 
      Hospital de Especialidades "Lic. Ignacio Garcia Tellez", Departamento de 
      Cardiologia-Gabinete de Cardiologia. Guadalajara, Jalisco, Mexico.
FAU - Rodriguez-Gonzalez, Sergio Cristopher
AU  - Rodriguez-Gonzalez SC
AD  - Instituto Mexicano del Seguro Social, Hospital General Regional No. 46, 
      Departamento de Urgencias Adultos. Guadalajara, Jalisco, Mexico.
LA  - spa
PT  - Journal Article
TT  - Caracteristicas clinicas de pacientes con infarto agudo de miocardio tratados con 
      trombolisis.
DEP - 20200413
PL  - Mexico
TA  - Rev Med Inst Mex Seguro Soc
JT  - Revista medica del Instituto Mexicano del Seguro Social
JID - 101243727
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Infarction/diagnosis/drug therapy
MH  - *Percutaneous Coronary Intervention
MH  - Retrospective Studies
MH  - *ST Elevation Myocardial Infarction/diagnosis/drug therapy
MH  - Thrombolytic Therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cardiac Catheterization
OT  - ST Elevation Myocardial Infarction
OT  - Thrombolytic Therapy
EDAT- 2020/01/01 00:00
MHDA- 2021/06/25 06:00
CRDT- 2021/06/08 17:27
PHST- 2021/06/08 17:27 [entrez]
PHST- 2020/01/01 00:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
AID - j58/2/100 [pii]
AID - 10.24875/RMIMSS.M20000006 [doi]
PST - epublish
SO  - Rev Med Inst Mex Seguro Soc. 2020 Apr 13;58(2):100-107. doi: 
      10.24875/RMIMSS.M20000006.