Abstract

COLAO JIMENEZ, Yasser et al. Clinical and pathological correlationship of deceased patients in postoperative myocardial revascularization. From 2006 to 2009 at "Hermanos Ameijeiras" Hospital, Cuba.. Medicas UIS [online]. 2011, vol.24, n.3, pp.239-245. ISSN 0121-0319.

Introduction: In Cuba like the rest of the world, the first cause of death are heart isquemic diseases and there is an increasing number of myocardial revascularization. We use autopsy regularly and we could use the results to establish clinical and pathological correlationship of deceased patients in postoperative myocardial revascularization to improves our medical and professional work. Objective: to determine Clinical and pathological correlation of deceased patients in postoperative myocardial revascularization. "Hermanos Ameijeiras" Hospital (January2006 - december 2009). Materials and Methods: a descriptive, transversal and retrospective study was realized, in the retrospective period dating from January 2006 to December 2009, In the Cardiology Center of Surgery Clinic Hospital "Hermanos Ameijeiras." This work was approved by the Ethics Committee responsible for this investigation. The sample was constituted by 59 deceased patients, in each one we analyze clinical and pathological direct and basic causes of death, then a comparison was made according with international rules and we express the results in final coincidence (total, partial or not). Results: the predominant age of deceased patients after myocardial revascularization surpassed 60 years of age over 70%. The coronary risk factors largely associated were hypertension and acute myocardial infarction. The majority of patients were male over female with a relationship of 7:2. The first direct cause of death clinical and by autopsy was multiorgan failure followed by cardiogenic shock. The first basic cause of death clinical and by autopsy was Atherosclerosis coincidently. We cannot found clinical and pathological coincidence in 20.3% in direct causes of death, and 8,5% in basic causes of death. Conclusions: in our study we are in the acceptability range of not coincident diagnostics, even in the range from 10 to 40%. 20 acute myocardial infarction were identify and 7 of them were not. Clinical and pathological international disagreement for acute myocardial infarction is from 20 to 74% and we are in 26%. Three pulmonary embolisms were identify and two of them were not. Clinical and pathological international Disagreement for pulmonary embolism is from 50 al 89% and we are in 40%. (MÉD.UIS. 2011;24(3):239-45).

Keywords : Myocardial revascularization; Clinical and pathological correlationship; Mortality.

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