NGHIÊN CỨU MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP ĐƯỢC CAN THIỆP MẠCH VÀNH TRONG VÒNG 48 GIỜ ĐẦU

Abstract

Aim: Describe the clinical and paraclinical characteristics in patients with acute myocardial infarction (AMI) undergoing coronary artery (CA) intervention within the first 48 hours. Subjects and Methods: Prospective, cross-sectional study on 58 patients diagnosed with AMI at the Vietnam Heart Institute. Patients underwent clinical examination and paraclinical tests, followed by CA intervention within 48 hours. Results: Average age of the cohort was 67.53 ± 11.93 years; mostly 50 years and older (96.6%). Proportion of males (60.3%) was higher compared to females (39.7%). Main clinical symptoms were shortness of breath (75.9%), sweating (60.3%), typical chest pain (43.1%). Average levels of cardiac enzymes were elevated, especially Troponin T (4513.55 ± 10160.47 ng/l). The rate of AMI patients with regional hypokinesia was the highest at 29 patients (64.4%), the rate of lesions in all 3 coronary arteries was the highest (51.7%), the rate of anterior interventricular artery intervention was the highest (63.8%), followed by the right coronary artery (32.8%), circumflex artery (20.7%), and common main artery (15.5%). Conclusion: AMI patients with regional hypokinesia were the highest, Troponin T value ​​was increased, and lesions in all 3 coronary arteries accounted for the highest proportion.