CorSalud 2012 Oct-Dec;4(4)

This article is only available in Spanish

Nelson F. Ocampo Ancheta, MD^1*; Apolonio Palacio Cantero, MD^2*; Tessa Negrín Valdés, MD^3*; Ricardo Amurrio Flores, MD, MSc^4*; Ricardo Rodríguez Acosta, MD^5* and Omaida J. López Bernal, MD⁶
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1. First Degree Specialist in General Medicine and Cardiology. Latin American School of Medicine (Country of origin: Uruguay). "Dr. Faustino Pérez Hernández" University of Medical Sciences . Sancti Spiritus, Cuba.

2. First Degree Specialist in General Medicine and Cardiology. Instructor Professor.

3. First Degree Specialist in Internal Medicine.

4. Master in Satisfactory Longevity and in Medical Emergencies. Senior Resident of Cardiology. Latin American School of Medicine (Country of origin: Bolivia)."Dr. Faustino Pérez Hernández" University of Medical Sciences. Sancti Spiritus, Cuba.

5. First Degree Specialist in Cardiology. Full Professor.

6. First Degree Specialist in Pathology. Assistant Professor. "José Luis Miranda" Pediatric Hospital. Villa Clara, Cuba.

* "Camilo Cienfuegos" Provincial General Hospital. Sancti Spiritus, Cuba.

Correspondence: NF. Ocampo Ancheta. Hospital "Camilo Cienfuegos". Bartolomé Masó N° 128. Sancti Spíritus, CP 60100. Sancti Spíritus, Cuba. Email address: cardiominino@hotmail.com

Abstract

Introduction and Objectives: Acute myocardial infarction remains a serious health problem. Its accurate diagnosis may improve prognosis. The objective of this research was to identify the consistency in clinical and pathological diagnosis in deaths from this disease. Method: A descriptive and cross−sectional study was performed in deaths from acute myocardial infarction at Camilo Cienfuegos General Hospital in Sancti Spiritus, from January 2009 to December 2010 to determine the diagnostic efficacy. All deaths with the above−mentioned diagnosis, which had undergone autopsy, were studied. Indexes of diagnostic efficacy such as sensitivity, specificity and Kappa index were used. Results: A higher clinical and pathological consistency was found in males (sensitivity of 78% in 2009 and 81% in 2010) and in those over 65 years (sensitivity of 82% and 85%) and when hospital stay was longer than 24 hours (sensitivity in 80% and 83%). The units with the best clinical and pathological consistency in the two periods studied were cardiology and the intensive care. Kappa index showed that there was efficacy in the clinical and pathological diagnosis of acute myocardial infarction and their indicators improved from one year to the next (0.85 in 2009 and 0.87 in 2010). Conclusions: There was an increased clinical and pathological consistency in male deaths, in those under 65 years of age and in those who had a hospital stay longer than 24 hours. The units with better consistency were Cardiology and Intensive Care. It can be said there is very good diagnostic accuracy for acute myocardial infarction at Camilo Cienfuegos Hospital in Sancti Spiritus.
Key words: Myocardial Infarction, Diagnosis, Autopsy, Sensitivity and Specificity