Resumo

RODRIGUEZ, Antonio et al. Angioplastía primaria en el manejo del infarto agudo al miocardio, experiencia inical en Panamá. Rev. costarric. cardiol [online]. 2000, vol.2, n.3, pp.19-28. ISSN 1409-4142.

In the last several years there have been increased efforts to reduce, and in the best of cases to avoid , damage to the cardiac muscle during acute myocardial infarction. Thrombolytic drugs have contributed favorably in that respect. However, there has been the need to find alternative methods of treatment to provide faster and more efective reestablishment of coronary circulation. In this paper we refer to primary coronary angioplasty as initial treatment for acute myocardial infarction. We present our first 16 patients with an evolving acute myocardial infarction treated with primary angioplasty, 15 of the 16 patients had a satisfactory course, without inhospital complications. There was one death more directly related to complications of the infarction rather than to the angioplasty procedure itself. In this way we reinforce the utility of this new method of treatment, making it an alternative therapeutic option in benefit of patients with an acute myocardial infarction.

Palavras-chave : Primary PTCA; AMI.