Abstract
Soto Páramo Dejanira Georgina* Author Affiliations Family Physician, Mexican Institute of Social Security, Salamanca, Guanajuato, Mexico Received: May 11, 2021 | Published: May 19, 2021 Corresponding author: Soto Páramo Dejanira Georgina, Family Physician, Mexican Institute of Social Security, Salamanca, Guanajuato, Mexico DOI: 10.26717/BJSTR.2021.35.005774
Highlights
Cardiovascular diseases (CVD) are the leading cause of death worldwide, and it is estimated that 17.9 million lives are claimed each year, since 2020 the number of deaths due to heart disease has increased by 2 million people 9 million people in 2019
Four out of 5 CVD deaths are due to strokes, and a third of these deaths occur prematurely in people under 70 years of age. 80% of Cardiovascular Diseases (CVD) and Acute Myocardial Infarction (AMI) are preventable, as well as more than 75% of deaths caused by CVD occur in low- and middle-income countries [1]
In Mexico, various strategies are carried out to carry out a rapid response and timely treatment of AMI, following the Infarction Code protocol and the National Program for the Reduction of Mortality from Acute Myocardial Infarction AMI-MX (PREMIA), position that Mexico has a hospital mortality rate from AMI three times higher than the average of the Organization for Economic Cooperation and Development (OECD) countries (28.1 vs. 7.5 deaths per 100 discharges) in 45-year-old patients. age and over and 1 in 2 patients with AMI do not receive any type of reperfusion therapy, as well as 1 in 4 dies [2]
Summary
In November and December 2016, a telephone survey was carried out on patients who had suffered an AMI between 2015 and 2016, being treated in hospitals of the Ministry of Health, information was collected on pre-hospital care and their medical care, 120 patients were identified, most were under 60 years old; 62% did not seek immediate medical attention because they were unaware of the symptoms of AMI, the majority occurred at home, 50% of the patients took more than 30 minutes to request medical attention and half were seen in the emergency services, 32% went to a private clinic or clinic, 86% were seen immediately, but only 58% had an initial electrocardiogram (EKG) performed, the diagnosis was immediate in 77%; half were provided with an emergency procedure, 80% were referred to a second hospital for medical attention; 24.6% were transferred to a third site for their attention. To reduce the unfortunate mortality from heart disease, it is imperative to apply the pharmacoinvasive strategy (PS) in the patient with STEMI, together with the change in logistics, infrastructure, access to medicines and supplies, and transportation.
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