Delirium in the acute period of Q-myocardial infarction

Research aim: studying of frequency of occurrence of delirium and features of its clinical progression in the acute period of Q&myocardial infarction in modern cardiovascular care unit. Material and methods. The retrospective analysis of 2601 case histories of patients with an acute coronary syndrome who received help in the cardio vascular units in 2006-2008, 79 cases of delirium occurrence in the acute period of treatment of Q-myocardial infarction are selected, the control group of 57 patients with Q-myocardial infarction without mental complications is generated. Results. The delirium is frequent complication of Q-myocardial infarction and meets on the average in 5,7% of patients and mainly arises in patients of advanced age. The basic disease is often accompanied by an acute left ventricular failure, depression of systolic function, the appreciable area of a lesion of a myocardium and high value of risk TIMI of hospital mortality. The group of patients with a delirium against Q-myocardial infarction is characterized by higher level of lethality. System engineering of timely diagnostics, preventive maintenance and delirium treatment are required.