Immediate complications after thrombolysis for acute myocardial infarction: a prospective study

Background: Acute myocardial infarction (AMI) is the leading cause of death worldwide; fibrinolytic therapy is a fundamental part of its treatment, which is why identifying its possible immediate complications has become extremely important.Objective: Determine the immediate complications following fibrinolytic treatment for acute myocardial infarction.Material and methods: Descriptive, longitudinal, prospective study in a second-level IMSS hospital in Puebla.Sixty patients over 18 years of age with ST-segment elevation acute myocardial infarction who received fibrinolytic therapy were included.Data analysis was performed using descriptive statistics, and a correlation was performed using Spearman's Rho.Results: 65% of the population was male, with a mean age of 66 years; the predominant associated comorbidity was systemic arterial hypertension.The most frequent complication was arrhythmias in 58.8%, and the correlation between sex and the presence of complications obtained a p = 0.017.Conclusions: ST-segment elevation acute myocardial infarction is more common in men between the ages of 50 and 60.Complications associated with fibrinolytic therapy are frequent, so identifying this condition is essential when treating this pathology.