Factores asociados con revascularización miocárdica quirúrgica en pacientes con infarto agudo de miocardio: estudio de casos y controles en un hospital de alta complejidad de Bogotá, Colombia, entre 2014 y 2019
Thesis
Cardiovascular disease is the main chronic non-communicable disease worldeide, configuring a high health burden (1–3). The treatment of acute myocardial infarction has its pillars in medical management and reperfusion therapy that can be percutaneous or surgical (CABG) (4–7). One of the limitations that arise when performing CABG is the need to washout P2Y12 inhibitors-type antiplatelets to decrease the risk of perioperative bleeding (8). Recently, some attempts have been made to identify factors that allow identifying patients with a high probability of having multivessel disease and an indication for CABG; However, the evaluated groups have been very heterogeneous and it has not been possible to propose strategies that predict with certainty(9–11). A retrospective case-control study will be carried out with adult patients cared for at Fundación Cardioinfantil between 2014 and 2019 with acute myocardial infarction to evaluate the relationship between clinical factors and surgical reperfusion strategy.
