Clinical and Epidemiological Indicatives of acute myocardial infrastructure in Patients attended in a Hospital of Emergency and Emergency inside Rondonia 2015-2018

Abstract

Acute myocardial infarction (AMI) or a so-called heart attack is an ischemic heart disease, which is one of the leading causes of death in men and women over thirty years of age. The objective was to verify the incidence of acute myocardial infarction in the municipality of Cacoal-RO from 2015 to 2018. The methodology was a retrospective, cross-sectional, documentary, descriptive and quantitative study with analysis of medical records in the Cacoal-RO emergency hospital. . The results were 44 cases within the surveyed period, 59.1% male and 40.9% female, age 61.36%> 60 years and 29.54% between 30 and 59 years old, brown 61, 36% and 77,27% belong to the urban area. As risk factors for the disease, males were 13.63% SAH and 22.72% smoking and female 25.0% SAH and 18.18% DM. As symptoms 61.36% precordial pain and 38.63% dyspnea, complementary exams requested ECG 90.1% of patients, CPK 50.0% of patients and CKMB 45.45% of patients, as prophylactic measures adopted 61.36% it was healthy eating, the drugs used in 70.45% of the patients the ASA and followed Clopidogrel 54.54%, in the evolution of the patient obtained cure in 70.45% and 29.54% died. It is concluded that due to the number of medical records analyzed, it can be inferred that the epidemiological profile of acute infarction in Cacoal-RO was low, showing a disease incidence of 0.50 / 1000 inhabitants, mortality 0.13 / 1000 inhabitants and annual average of 11 cases / year. It is noted that a precariousness of information in medical records and divergences in AMI protocols not performed according to SBC.