MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ CHỤP ĐỘNG MẠCH VÀNH QUA DA Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP

Abstract

Acute myocardial infarction is a medical emergency with serious complications such as cardiogenic shock and arrhythmia. Percutaneous coronary angiography is a measure to determine the location and extent of coronary artery damage and interventions to re-open coronary arteries. Objectives: To describe the clinical and subclinical features and the results of percutaneous coronary angiography in patients with acute myocardial infarction at the Nghe An General Hospital. Results: The average age was 72.5 ± 12.1 years, and male accounted for 70.79%. The majority of patients had one or more associated risk factors: hypertension (51.61%), dyslipidemia (25.80%), smoking (24.90%), diabetes ( 22.50%), abuse of alcohol (4.84%). The time from chest pain to hospital admission: before 12 hours was 58.06%, before 24 hours was 67.74%, and after 24 hours was 32.26%. The rate of the stenosis of one coronary arteries is 41.93%, the stenosis of two coronary arteries is 45.16%, the stenosis of three coronary arteries is 11.91%. Of which, 75.81% had LAD stenosis, 56.45% had RCA stenosis, 43.55% had LCX stenosis. Conclusion: Most people with acute myocardial infarction have one or more associated cardiovascular risk factors. The proportion of patients going to the hospital that is capable of performing vascular intervention after 24 hours since chest pain remains high (32,26%). The rate of one coronary stenosis is 41,93%, two coronary stenosis is 45,16%, three coronary stenosis is 11,91% and the majority is grade 4 and 5 stenosis.