Kransæðastífla á lyflækningadeild fjórðungssjúkrahússins á Akureyri árin 1984-1986

Abstract

There were 166 cases of acute myocardial infarctions in 145 patients during these three years. Men were 105 and women 61 (sex ratio 1.7/1). Mean age was 69 years (women 73, men 67). Forty seven patients younger than 70 years were admitted during the first 4 hours after the symptoms started. Only seven were treated with streptokinase. Sixteen women (27%) and 16 men (15%) died during the hospital stay (death rate 19%). One hundred patients had their first infarction but 66 (40%) were having reinfarctions. The mean hospital stay was 15.3 days (men 13.8, women 17.6). One hundred and three patients (62%) had arhythmias and late arhythmias were prognostically more sinister. Fifty nine patients had heart failure and 23 (39%) died. Thirty patients had cardiogenic shock and 20 (67%) died. Sixty seven % of the men were smokers but 39% of women. High blood pressure and diabetes mellitus were also common in our patients or 53% and 18% respectively. A data sheet intended to improve the recording of clinical events is presented.

Meðferð sjúklinga með kransæðastíflu er eitt af meginverkefnum lyflækningadeilda með bráðaþjónustu. Lyflækningadeildir þriggja stærstu sjúkrahúsa landsins hafa á undanförnum árum látið frá sér fara greinargerðir um kransæðasjúklinga, sem þar hafa vistast (1-7). Tilgangur þessarar könnunar var að athuga hvernig staðið hefði verið að greiningu, rannsóknum og meðferð sjúklinga með bráða kransæðastíflu sem vistuðust á lyflækningadeild FSA á árunum 1984-1986. Einnig voru kannaðir helstu áhættuþættir og fylgikvillar og hvaða áhrif þeir hefðu á afdrif sjúklinganna, en þeim var fylgt eftir til 1. desember 1987