Manejo inicial del infarto agudo de miocardio en el primer y segundo nivel de atención

Abstract

Introduction: Cardiovascular diseases prevail worldwide and take real importance for their mortality cases. This type of disease includes acute myocardial infarction, and the clinical manifestations of this pathology together with the electrocardiogram are part of its diagnosis. Once the diagnosis has been made, the physician must know very well the initial management that must be applied both at the first and second level of care to ensure that the patient has timely treatment and avoid complications. Objective: To describe the initial management of acute myocardial infarction at the first and second level of care by collecting scientific articles in order to apply the relevant treatment. Methodology: Descriptive study based on the review of scientific papers and articles in different platforms such as PubMed, Google Scholar, Scielo and Redalyc in the last 5 years. Conclusion: The control and management of cardiovascular risk factors is also a fundamental part of initial management, especially at the first level of care, and the physician working in these centers should not neglect the preventive approach to these events. Studies show the influence of acting on these events. For the initial management of acute myocardial infarction, the acronym THROMBINS2 summarizes it much more easily to make treatment more effective. If the identification of the pathology is done correctly, the treatment to be employed will reflect better results in the acute phase as well as in the long term.