Prevalencia de shock cardiogénico posterior a infarto agudo de miocardio en el Hospital Teodoro Maldonado Carbo en el periodo del 2018 al 2021.

Abstract

Introduction: Acute myocardial infarction that is complicated by cardiogenic shock is defined as pump failure resulting from an ischemic-necrotic event, an event which is considered the most serious complication of myocardial infarction, related to high blood pressure. mortality. Methods: Cross-sectional, retrospective and observational study that was carried out at the Teodoro Maldonado Carbo Hospital of the IESS, in which the reported cases of acute myocardial infarction that were complicated by cardiogenic shock were reviewed during the period from 2018 to 2021. Results: collected data from 265 patients with cardiogenic shock for a general perspective who met the ICD10 codes, of which 69 met the inclusion criteria. Of these patients, 73.9% were male. The most common comorbidity was arterial hypertension, present in 47.8% of patients. The side of the heart most affected by the ischemic event was the anteroseptal side of the heart, with high mortality corresponding to 85.5% due to the presence of decompensated HF in most cases. Conclusion: There is a low prevalence of cardiogenic shock in patients who suffered acute myocardial infarction, with a very high mortality, which were associated with hemodynamic criteria assessed by the cardiology and hemodynamic services of the Teodoro Maldonado Hospital. As stated in various international studies, a consensus is required for the prompt and effective management of patients seeking a solution to the high mortality of this pathological event.