NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP CÓ ST CHÊNH LÊN CÓ CAN THIỆP MẠCH VÀNH QUA DA THÌ ĐẦU Ở BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Backgruond: Acute myocardial infarction, the first causes of morbidity and mortality worldwide, is the most frequent cause of angina in patients with serious cardiovascular disease. ST-segment elevation acute MI is a fairly common disease today, so we study this topic. Objective: To study the clinical and laboratory characteristics of patients with ST-segment elevation acute myocardial infarction with early percutaneous coronary intervention. Methods: A cross-sectional descriptive study. All 106 patients diagnosed with acute MI with ST-segment elevation received percutaneous coronary intervention at the Huu Nghi Nghe An General Hospital from January 1, 2020 to December 12, 2020. Results: Mean age was 71.67±13.13 years old. Age > 60 years old accounts for 78.3%. Male rate is 72.6% and female rate is 27.4%. Risk factors for myocardial infarction such as hypertension 58.5%, dyslipidemia 45.2%. Symptoms of chest pain are 100%, of which 78.3% are typical chest pain. The patient's Killip score was mainly in the Killip I and II groups with the rate of 67% and 23.6%, respectively. The most common lesion on electrocardiogram was posterior inferior MI with 49.1%. There were 82 cases of complete occlusion and 24 cases of stenosis over 70% on coronary angiography. The rate of LAD stenosis and RCA was similar at 47.17%. Injury to one coronary artery accounted for 64.2% but also 10.3% of patients had damage to 3 coronary arteries. Conclusion: All patients had risk factors, especially hypertension and dyslipidemia. All patients had onset of chest pain, of which 78.3% were typical chest pain. The location of damage to the coronary artery branches is common, especially damage to one branch, accounting for 64.2%, but also up to 10.3% of patients have damage to 3 coronary arteries.