CHARACTERIZATION OF PATIENTS DIAGNOSED WITH STEMI SUBMITTED TO PRIMARY ANGIOPLASTY

• DOI: 10.22533/at.ed.1593642328083

• Palavras-chave: Angioplasty; Myocardial Infarction with Elevation of the ST Segment; Percutaneous Coronary Intervention.

• Keywords: Angioplasty; Myocardial Infarction with Elevation of the ST Segment; Percutaneous Coronary Intervention.

• Abstract:

  Primary angioplasty is proposed as the treatment of choice in acute myocardial infarction with ST-segment elevation, providing better clinical evolution and outcome as long as its indications are respected. The objective was to write and analyze the clinical and epidemiological profile of patients diagnosed with ST-segment elevation acute myocardial infarction who underwent primary angioplasty. This is a retrospective cohort study assembled from medical records admitted via emergency under ICD-10 I21 (Acute Myocardial Infarction) at the Hospital de Clínicas de Passo Fundo, in Passo Fundo - RS during 2019. Demographic data, past clinical history, chronological presentation, therapy used, recovery evolution and outcomes made up the objectified description and analysis. Pearson's chi-square test, Fisher's exact test and Student's t test were performed. The adopted statistical significance level was 5%. Of the 301 patients with AMI, 143 had STEMI and 63 underwent primary angioplasty. Statistical significance was found for the following analyses: patients from Passo Fundo were more submitted to primary angioplasty (p = 0.007); and patients undergoing primary angioplasty had more minor bleeding than all other therapeutic approaches (p = 0.046). Primary angioplasty stands out as a central strategy in the treatment of STEMI. Despite the similarity of patients' characteristics with regional patterns, the clinical outcomes, influenced by the reperfusion procedure, highlight the need for an individualized assessment, aligning with trends in developed countries and showing variations in relation to the current literature.