Insuficiencia cardiaca postinfarto agudo de miocardio en pacientes de 50 a 75 años que acuden al Hospital General del Norte de Guayaquil Los Ceibos, desde enero 2019 hasta marzo 2020.

Abstract

Heart failure is one of the main consequences of acute myocardial infarction. Objective of this study is to describe post-infarction heart failure. Methodology: quantitative, retrospective, cross-sectional study. Instrument: indirect observation record, Population: 353 patients. Sample: 184 patients. Results: sociodemographic characteristics: men 76%, age 70 - 75 years 32%, mixed ethnicity 58%, secondary education level 72%, clinical criteria: Functional class I (Asymptomatic) 45%, Functional class II (Mild) 36%, Functional class III (Moderate) 17%; Functional class IV (Severe) 3%, ejection fraction 45% mild and 36% Moderate. Clinical manifestations: chest pain 100%, dyspnea 65%, syncope 56%, diaphoresis 55%, other symptoms 30%; 29% arterial hypotension. Pre-existing pathologies: arterial hypertension 73% and Diabetes Mellitus 55%, anatomical location of the anterior wall transmural infarction 31%. Conclusions: acute myocardial infarction together with other existing pathologies and / or risk factors leads to the clinical presentation of heart failure.