Introduction:

acute myocardial infarction with ST elevation is an entity that has a high impact on mortality worldwide. Early diagnosis and starting an effective reperfusion therapy are indispensable.

Objective:

to reevaluated the performance measures for the management of myocardial infarction.

Methods:

6-month from 2014 descriptive, prospective case series study of patients diagnosed with acute myocardial infarction with ST elevation were reviewed and their characteristics and the different performance measures of the quality of care were recorded.

Results:

26 patients were included, 19 of which received thrombolytic therapy, all of those in window. The median door-toEKG time was 16 minutes, and door-needle time was 57 minutes. Discharge orders had 100% adherence to beta-blockers, ASA, and ACE inhibitors; 86.9% and 82.6% to ambulatory blood pressure counseling and cardiac rehabilitation respectively; in the other side, only 8.6% had lipid levels measurements; and 62.5% had a tobacco counseling. Hospital mortality was 8.7%.

Conclusions:

a high rate of fulfillment of the measures to manage acute myocardial infarction with ST elevation was found, except for the measurement of lipid levels. A slight increase was observed in intervention times in the diagnosis and implementation of a drug therapy (reperfusion) (door-to-EKG time and door-needle time) while maintaining the same mortality rates. MÉD.UIS. 2016;29(3):27-32.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )