1,415 results on '"Infarto do miocárdio"'
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102. Quality of life assessment after acute myocardial infarction.
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Fiorin, Bruno Henrique, Lopes Moreira, Rita Simone, Bolsoni Lopes, Andressa, Garcia Romero Sipolatti, Walckiria, Barros Furieri, Lorena, Fioresi, Mirian, and Luna Filho, Bráulio
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CONFIDENCE intervals ,INTERVIEWING ,MYOCARDIAL infarction ,SCIENTIFIC observation ,QUALITY of life ,QUESTIONNAIRES ,SEX distribution ,T-test (Statistics) ,ACUTE coronary syndrome ,DESCRIPTIVE statistics - Abstract
Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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103. FATORES ASSOCIADOS A SÍNDROME CORONARIANA AGUDA E SUA PREVALÊNCIA ENTRE OS GÊNEROS: REVISÃO INTEGRATIVA.
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Assunção Ribeiro, Kaiomakx Renato, Martins Soares, Thales Antônio, Borges, Maria Madalena, de Abreu, Edivalda Pereira, Santos, André Rodrigues dos, and Ferreira Gonçalves, Fernanda Alves
- Abstract
Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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104. Performance analysis of commercial rapid tests for serum troponin detection.
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Ida Ferreira, Raquel, Amaral, Marcela R., Brito, Maytê S. R., Pinto, Matheus P., Maranhão, Ana Carolina R., Costa, Lucas R. R., and Vaz de Melo, Rômulo C.
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TROPONIN ,MYOCARDIAL infarction diagnosis ,RAPID methods (Microbiology) ,HOSPITAL care ,DATA analysis - Abstract
Copyright of Jornal Brasileiro de Patologia e Medicina Laboratorial is the property of Sociedade Brasileira de Patologia Clinica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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105. Escores Angiográficos na Predição de No-Reflow, a Injuria Miocárdica pode não se Encerrar com a Reperfusão
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Adriano Ossuna Tamazato, Thais Chang Valente Tamazato, and Cristiano Guedes Bezerra
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Intervenção Coronária ,Percutânea/métodos ,Infarto do Miocárdio ,Aterosclerose ,Trombose ,Placa Aterosclerótica ,Embolização Terapêutica ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2021
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106. Há um Fôlego Extra para o Uso de Inibidores da Glicoproteína IIb/IIIa em Mulheres Diabéticas Idosas com Infarto do Miocárdio com Elevação de ST ou Estamos em uma Situação de Risco?
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Ana Teresa Timóteo
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Agregação Plaquetária ,Inibidores da Glicoproteína IIb/IIIa ,Idoso ,Mulheres ,Diabetes Mellitus ,Infarto do Miocárdio ,Hemorragia ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2021
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107. Inflamação pós-Infarto Agudo do Miocárdio: 'Médico ou Monstro'
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Ricardo Wang, Fernando Carvalho Neuenschwander, and Bruno Ramos Nascimento
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Infarto do Miocárdio ,Inflamação/complicações ,Linfócitos Tipo B ,Citocinas ,Vasoplegia ,Choque Cardiogênico ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2021
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108. Estamos Chegando ao Fim do Caminho Evolutivo para Stents Metálicos Farmacológicos? Quais Stents de 4ª Geração Precisamos?
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Almeida, Manuel Sousa
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Percutaneous Coronary Intervention/trends ,Angioplasty,Transluminal Percutaneous Coronary ,Stents/tendências ,Coronary Thrombosis ,Angioplastia Transluminal Percutânea Coronária ,Myocardial Infarction ,Anomalias dos Vasos Coronários ,Trombose Coronária ,Infarto do Miocárdio ,Intervenção Coronária Percutânea/tendências ,Stents/trends ,Coronary Vessels Anomalies - Published
- 2023
109. Melhorando as Metanálises
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Sant’Anna, Fernando Mendes, Sant’Anna, Mariana Bonacossa, and Sant’Anna, Lucas Bonacossa
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Data Analysis ,Idoso ,Tratamento Conservador/tendências ,Statistics ,Myocardial Infarction ,Intervenção Coronária Percutânea ,Conservative Treatment/trends ,Metanálise ,Percutaneous Coronary Intervention ,Infarto do Miocárdio ,Análise de Dados ,Estatística ,Meta-Analysis ,Aged - Published
- 2023
110. Invasive Versus Conservative Management of NSTEMI Patients Aged ≥ 75 Years
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Mengjin Hu, Xiaosong Li, and Yuejin Yang
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Percutaneous Coronary Intervention ,Idoso ,Myocardial Infarction ,Intervenção Coronária Percutânea ,Manejo Invasivo ,Infarto do Miocárdio ,Cardiology and Cardiovascular Medicine ,Conservative Treatment ,Aged - Abstract
Resumo Fundamento A eficiência do manejo invasivo em pacientes mais velhos (≥75 anos) com infarto do miocárdio sem supradesnivelamento do segmento ST (IAMSSST) permanece ambígua. Objetivos Avaliar a eficiência do tratamento invasivo em pacientes idosos com IAMSSST com base em metanálise e análise sequencial de estudo (TSA). Métodos Ensaios clínicos randomizados relevantes (ECR) e estudos observacionais foram incluídos. Os resultados primários foram morte por todas as causas, infarto do miocárdio, acidente vascular cerebral e hemorragia grave. O odd ratio agrupado (OR) e o intervalo de confiança de 95% (IC) foram calculados. P
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- 2023
111. Percepção de homens após infarto agudo do miocárdio
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Marina Belizário Vieira, Wendel da Silva Souza, Patrícia Freire Cavalcante, Iracema Gonzaga Moura de Carvalho, and Rogério José de Almeida
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Estilo de Vida ,Infarto do Miocárdio ,Pesquisa Qualitativa ,Saúde do Homem ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Objetivo: Compreender a percepção de homens sobre seus próprios sentimentos, as repercussões das mudanças no estilo de vida e a participação familiar após infarto agudo do miocárdio (IAM). Métodos: Estudo descritivo com abordagem qualitativa, realizado entre março e junho de 2016, em Goiânia, Goiás, Brasil, no qual se aplicaram entrevistas semi-estruturadas a homens adultos que tiveram episódio de infarto. A análise das entrevistas se baseou na Teoria Fundamentada nos Dados (Grounded Theory), de onde emergiram as categorias explicativas: Sentimentos vivenciados pelos pacientes após diagnóstico de IAM; Repercussão da mudança no estilo de vida com enfoque na alimentação e atividade física; Envolvimento e suporte familiar. Resultados: Em meio aos diversos sentimentos que acompanham o diagnóstico de IAM, destacaram-se o medo da finitude e de desamparar a família. As mudanças no estilo de vida, como elemento essencial do tratamento não medicamentoso, eram iniciadas. Quanto à alimentação, porém, foram insuficientes, em parte, devido à falta de orientações nutricionais adequadas. No que se refere à prática de atividade física, havia conscientização adequada, mas prevaleceu a dificuldade de manutenção do novo hábito. As famílias se revelaram a fonte majoritária de apoio social, sendo decisivas nesse processo. A adesão demonstrou-se parcial, tendo a falta de continuidade como entrave principal. Conclusão: O sucesso do planejamento terapêutico contínuo depende da adesão dos usuários, com existência de dificuldades nesse aspecto, mesmo com suporte social adequado. Torna-se clara a necessidade da conscientização sobre prevenção secundária e seus benefícios, de educação alimentar e da manutenção da mudança de hábitos.
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- 2017
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112. Minieditorial: Características Clínicas da Hipertensão Arterial Resistente versus Refratária em uma População de Hipertensos Afrodescendentes
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Rui Póvoa
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Hipertensão/complicações ,Grupo com Ancestrais do Continente Africano/genética ,Estudo Comparativo ,Epidemiologia ,Infarto do Miocárdio ,Acidente Vascular Cerebral ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2020
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113. Stents Farmacológicos para Todos: o Preço Vale a Pena?
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Marcos Danillo P Oliveira, Vanessa Teich, and Adriano Caixeta
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Infarto do Miocárdio ,Intervenção Coronária Percutânea ,Stents Farmacológicos ,Reestenose Coronária ,Sistema Único de Saúde (SUS ,Análise de Custo Benefício ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2020
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114. Sarcopenia and sarcopenic obesity as prognostic predictors in hospitalized elderly patients with acute myocardial infarction.
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de Moraes Santana, Natália, Lins Mendes, Roberta Maria, Fernandes da Silva, Nadja, and Sabino Pinho, Cláudia Porto
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Objective: To investigate the potential value of sarcopenia and sarcopenic obesity as prognostic predictors in hospitalized elderly patients with acute myocardial infarction. Methods: A crosssectional study based on data collected from elderly patients with acute myocardial infarction, admitted to a public hospital located in the Northeastern region of Brazil, from April to July 2015. The diagnosis of sarcopenia was based on muscle mass, muscle strength and physical performance measurements. Cardiovascular risk and prognostic markers, such as troponin and creatine kynase MB isoenzyme values, acute myocardial infarction classification according to ST segment elevation, and thrombolysis in myocardial infarction score were used. Results: The sample comprised 99 patients with mean age of 71.6 (±7.4) years. Prevalence of sarcopenia and sarcopenic obesity was 64.6% and 35.4%, respectively. Sarcopenia was more prevalent among males (p=0.017) aged >80 years (p=0.008). Thrombolysis in myocardial infarction was the only marker of cardiovascular risk significantly associated with sarcopenia (p=0.002). Conclusion: Prevalence of sarcopenia was high and associated with thrombolysis in myocardial infarction risk score. Sarcopenic obesity affected approximately one-third of patients and was not associated with any of the prognostic predictors. [ABSTRACT FROM AUTHOR]
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- 2019
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115. CARACTERIZAÇÃO DAS VÍTIMAS DE INFARTO DO MIOCÁRDIO ADMITIDAS EM UMA UNIDADE CORONARIANA.
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Santana Soares, Danielle, Silva Santos, Thalita, de Oliveira Maier, Suellen Rodrigues, Siqueira Sudré, Mayara Rocha, da Silva Flores, Cezar Augusto, and de Souza Oliveira, Wanmar
- Abstract
Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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116. PACIENTES SUBMETIDOS À ANGIOPLASTIA TRANSLUMINAL CORONARIANA: ANÁLISE EPIDEMIOLÓGICA E ANGIOGRÁFICA.
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Medeiros da Silva, Tâmara Taynah, Neves Dantas, Rodrigo Assis, Dantas, Daniele Vieira, Moreira de Lima, Maria Solange, de Melo Alves, Louise Constância, Santos Costa, Ilanne Caroline, and de Araújo, Naryllenne Maciel
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CORONARY arterial radiography , *CARDIOLOGY , *EPIDEMIOLOGICAL research , *FEMORAL artery , *HOSPITALS , *RESEARCH methodology , *MYOCARDIAL infarction , *MYOCARDIAL reperfusion , *MYOCARDIAL revascularization , *RESEARCH , *ELECTIVE surgery , *TRANSLUMINAL angioplasty , *QUANTITATIVE research , *DRUG-eluting stents , *DESCRIPTIVE statistics , *CORONARY angiography - Abstract
Objective: to analyze epidemiological and angiographic aspects of patients submitted to elective Coronary Transluminal Angioplasty at a referral hospital in cardiology in the state of Rio Grande do Norte. Methodology: This is an exploratory, descriptive, transversal research with a quantitative approach. Data collection occurred from April / 2017 to October / 2017. Results: 129 patients were included in the study, of which 65.8% were male. The pharmacological stent was more used in the procedures with 79 (61.2%). The femoral route predominated between the two sexes, with 29 (65.9%) between women and 54 (63.5%), in men. Conclusions: a predominance of male patients, elderly, low educational level, pardos, married and retired people. Angiographic analysis consists of patients with a predominance of implantation of one (1) stent of the pharmacological type, Anterior descending and Right coronary as treated coronaries, being the access puncture with greater prevalence to the femoral route. [ABSTRACT FROM AUTHOR]
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- 2019
117. CARE FOR INFARCTED PATIENTS IN HEALTH INSTITUTIONS.
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da Paixão Monteiro, Maria Odeise, Batista dos Santos, Anderson, Carlos Sinski, Kassiano, Inácio Ramos, Alexandre, Schneiders, Milena, Rodrigo Palombit, Mateus, and Monteiro da Conceição, Vander
- Abstract
Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2019
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118. EFEITOS DA FISIOTERAPIA CARDIOVASCULAR FASE II EM PACIENTE COM INFARTO DO MIOCÁRDIO RECENTE: ESTUDO DE CASO.
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De Abreu, Raphael Martins, Dos Santos-Hiss, Michele Daniela Borges, Catai, Aparecida Maria, and Ribeiro Neves, Victor
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MYOCARDIAL infarction treatment , *ADRENERGIC beta blockers , *BLOOD pressure , *ELECTROCARDIOGRAPHY , *EXERCISE tests , *CARDIAC rehabilitation , *HEART beat , *HEATING , *LIFE skills , *PHYSICAL fitness , *PHYSICAL therapy , *EMPLOYEES' workload , *TREADMILLS , *OXYGEN consumption - Abstract
Cardiovascular rehabilitation consists of a multidisciplinary approach aimed at promoting the reintegration of the individual into society by improving physical, mental and social conditions. Within the multidisciplinary team, the physiotherapist, through the prescription of physical exercises, plays an important role in reducing the mortality rate and complications after the cardiovascular event. However, few individuals are engaged and referred to a cardiovascular rehabilitation program, making it difficult to understand the chronic adaptations to exercise. The aim of this study was to evaluate the effect of cardiovascular physical therapy (CVFT) Phase II of the functional capacity in a patient with myocardial infarction (MI) recently. A man aged 42 was studied in the use of β-blocker, diagnosed with IM, 30 days after the event. The CVFT consisted of heating, physical conditioning and slowdown, with 1 hour duration and frequency of 3 times/week for 12 weeks. The patient underwent to electrocardiogram at rest and exercise test (ET) submaximal (up to 80% maximum heart rate predicted by age and corrected by measuring the β-blocker), on a treadmill and with continuous step protocol, in the pre moment (T1) and posttreatment (T2). At peak of effort and at the same workload, T2 showed improvement in consumption of oxygen reached, metabolic equivalent, systolic blood pressure, double product, heart rate and maximal myocardial oxygen compared to T1. The CVFT improved functional capacity of patient studied. [ABSTRACT FROM AUTHOR]
- Published
- 2019
119. Desafios na interpretação dos ensaios de troponina ultrassensível em terapia intensiva.
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Andres Vaz, Humberto, Boesche Guimaraes, Raphael, and Dutra, Oscar
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Cardiac troponins T and I are considered highly sensitive and specific markers for the diagnosis of acute myocardial infarction. Currently, a series of nonprimary cardiac abnormalities may manifest as an elevation in high-sensitive assays. The reduction in their detection limits has allowed earlier diagnosis and the use of evidence-based therapeutic measures; however, this characteristic has increased the spectrum of detectable noncoronary heart diseases, which poses challenges for characterizing acute coronary syndromes and creates a new role for these tests in known disorders in intensive care units, especially sepsis. Management of patients through a greater understanding of how these markers behave should be re-evaluated to ensure their correct interpretation. [ABSTRACT FROM AUTHOR]
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- 2019
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120. Trombólise no serviço pré-hospitalar móvel de emergência em vítimas de infarto agudo do miocárdio.
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Moreira de Lima, Maria Solange, Neves Dantas, Rodrigo Assis, Vieira Dantas, Daniele, Braga Coutinho, Isabelle Cristina, Porfírio de Oliveira, Sara, da Costa Dias, Jaciana Medeiros, de Freitas, Sara Cynthia, and de Oliveira Ribeiro, Maria do Carmo
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EMERGENCY medical services ,EMERGENCY medicine ,MEDICAL quality control ,MEDLINE ,MYOCARDIAL infarction ,PATIENTS ,REPERFUSION ,THROMBOLYTIC therapy ,SYSTEMATIC reviews ,MOBILE hospitals ,TREATMENT effectiveness - Abstract
Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2019
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121. Características sociodemográficas das vítimas de infarto agudo do miocárdio no Brasil.
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Silva, Ananda Sodré, Antunes Ferraz, Mariana Oliveira, Santana Biondo, Chrisne, and Gonçalves de Oliveira, Bruno
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MYOCARDIAL infarction-related mortality ,AGE distribution ,RESEARCH methodology ,SEX distribution ,VICTIM psychology ,QUANTITATIVE research ,SOCIOECONOMIC factors ,EDUCATIONAL attainment - Abstract
Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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122. Tempos de acesso a serviços de saúde face ao infarto do miocárdio
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Andreia Santos Mendes, Virgínia Ramos dos Santos Souza Reis, Carlos Antonio de Souza Teles Santos, and Fernanda Carneiro Mussi
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Acesso aos serviços de saúde ,Enfermagem em saúde pública ,Educação em enfermagem ,Infarto do miocárdio ,Nursing ,RT1-120 - Abstract
Resumo Objetivo Analisar os tempos relacionados ao acesso de homens e mulheres com infarto do miocárdio a hospitais referência em cardiologia e a correlação entre eles. Métodos Pesquisa transversal, com 100 pessoas com infarto entrevistadas em hospitais referência em cardiologia. Dados analisados por estatística descritiva e inferencial, adotando-se significância estatística. Resultados Os tempos foram elevados (decisão para atendimento, chegada ao primeiro serviço de saúde, permanência na rede de atenção e admissão em hospitais referência em cardiologia), exceto o de transporte, sobretudo para mulheres. Houve maior contribuição do tempo de decisão na composição do tempo de chegada ao primeiro serviço de saúde e do tempo de permanência na rede na composição do tempo de chegada aos hospitais referência em cardiologia. Conclusão A longa espera por atenção especializada reflete a falta de estrutura dos serviços de saúde, e o tempo de decisão elevado reflete a falta do não reconhecimento do infarto pelos participantes.
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- 2016
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123. Serial High-Sensitivity Troponin T in Post-Primary Angioplasty Exercise Test
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Humberto Andres Vaz, Ana Paula Vanz, and Iran Castro
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Troponina T ,Isquemia ,Infarto do Miocárdio ,Teste de Esforço ,Angioplastia ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background: The kinetics of high-sensitivity troponin T (hscTnT) release should be studied in different situations, including functional tests with transient ischemic abnormalities. Objective: To evaluate the release of hscTnT by serial measurements after exercise testing (ET), and to correlate hscTnT elevations with abnormalities suggestive of ischemia. Methods: Patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty were referred for ET 3 months after infarction. Blood samples were collected to measure basal hscTnT immediately before (TnT0h), 2 (TnT2h), 5 (TnT5h), and 8 hours (TnT8h) after ET. The outcomes were peak hscTnT, TnT5h/TnT0h ratio, and the area under the blood concentration-time curve (AUC) for hscTnT levels. Log-transformation was performed on hscTnT values, and comparisons were assessed with the geometric mean ratio, along with their 95% confidence intervals. Statistical significance was assessed by analysis of covariance with no adjustment, and then, adjusted for TnT0h, age and sex, followed by additional variables (metabolic equivalents, maximum heart rate achieved, anterior wall STEMI, and creatinine clearance). Results: This study included 95 patients. The highest geometric means were observed at 5 hours (TnT5h). After adjustments, peak hscTnT, TnT5h/TnT0h and AUC were 59% (p = 0.002), 59% (p = 0.003) and 45% (p = 0.003) higher, respectively, in patients with an abnormal ET as compared to those with normal tests. Conclusion: Higher elevations of hscTnT may occur after an abnormal ET as compared to a normal ET in patients with STEMI.
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- 2016
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124. Aerobic Training after Myocardial Infarction: Remodeling Evaluated by Cardiac Magnetic Resonance
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Nataly Lino Izeli, Aurélia Juliana dos Santos, Júlio César Crescêncio, Ana Clara Campagnolo Real Gonçalves, Valéria Papa, Fabiana Marques, Antônio Pazin-Filho, Lourenço Gallo-Júnior, and André Schmidt
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Exercício ,Reabilitação ,Infarto do Miocárdio ,Espectroscopia de Ressonância Magnética ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background: Numerous studies show the benefits of exercise training after myocardial infarction (MI). Nevertheless, the effects on function and remodeling are still controversial. Objectives: To evaluate, in patients after (MI), the effects of aerobic exercise of moderate intensity on ventricular remodeling by cardiac magnetic resonance imaging (CMR). Methods: 26 male patients, 52.9 ± 7.9 years, after a first MI, were assigned to groups: trained group (TG), 18; and control group (CG), 8. The TG performed supervised aerobic exercise on treadmill twice a week, and unsupervised sessions on 2 additional days per week, for at least 3 months. Laboratory tests, anthropometric measurements, resting heart rate (HR), exercise test, and CMR were conducted at baseline and follow-up. Results: The TG showed a 10.8% reduction in fasting blood glucose (p = 0.01), and a 7.3-bpm reduction in resting HR in both sitting and supine positions (p < 0.0001). There was an increase in oxygen uptake only in the TG (35.4 ± 8.1 to 49.1 ± 9.6 mL/kg/min, p < 0.0001). There was a statistically significant decrease in the TG left ventricular mass (LVmass) (128.7 ± 38.9 to 117.2 ± 27.2 g, p = 0.0032). There were no statistically significant changes in the values of left ventricular end-diastolic volume (LVEDV) and ejection fraction in the groups. The LVmass/EDV ratio demonstrated a statistically significant positive remodeling in the TG (p = 0.015). Conclusions: Aerobic exercise of moderate intensity improved physical capacity and other cardiovascular variables. A positive remodeling was identified in the TG, where a left ventricular diastolic dimension increase was associated with LVmass reduction.
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- 2016
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125. Psychological distress related to smoking cessation in patients with acute myocardial infarction
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Thyego Mychell Moreira-Santos, Irma Godoy, and Ilda de Godoy
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Hábito de fumar ,Estresse psicológico ,Infarto do miocárdio ,Abandono do uso de tabaco ,Diseases of the respiratory system ,RC705-779 - Abstract
Among all causes of preventable deaths, smoking is responsible for the greatest number of deaths worldwide and predisposes to fatal, noncommunicable diseases, especially cardiovascular diseases. Lifestyle changes are effective in the treatment of patients with smoking-related diseases and assist in the prevention of premature mortality. Our objective was to investigate the available scientific evidence regarding the psychological distress related to smoking cessation in patients who have had acute myocardial infarction. To that end, we conducted an integrative review of the literature in order to summarize relevant studies on this topic. The selected databases were Scopus, PubMed Central, Institute for Scientific Information Web of Science (Core Collection), ScienceDirect, EMBASE, SciELO, LILACS e PsycINFO. On the basis of the inclusion and exclusion criteria adopted for this study, 14 articles were selected for analysis. Those studies showed that the prevalence of psychological distress is higher among smokers than among nonsmokers, and distress-related symptoms are much more common in smokers with acute myocardial infarction than in those without. Smoking cessation depends on the active participation of the smoker, whose major motivation is the underlying disease. Most studies have shown that there is a need to create treatment subgroups as a means of improving the treatment provided. This review article expands the knowledge regarding smoking cessation and shows the need to invest in future research that investigates subgroups of smokers diagnosed with the major smoking-related comorbidities, such as acute myocardial infarction, in order to develop specific interventions and psychological support strategies.
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- 2016
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126. Nefropatia induzida por contraste após angioplastia primária no infarto agudo do miocárdio
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Paulo Roberto Santos, Joaquim David Carneiro Neto, Francisco Plácido Nogueira Arcanjo, José Klauber Roger Carneiro, Regina Coeli de Carvalho Porto Carneiro, and Camila Lopes do Amaral
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angioplastia coronária com balão ,infarto do miocárdio ,lesão renal aguda ,meios de contraste ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Resumo Introdução: A prevenção da nefropatia induzida por contraste (NIC) é difícil nas situações de emergência, tornando essenciais estudos sobre NIC em pacientes submetidos à angioplastia de urgência. Objetivo: Determinar a incidência e fatores associados à NIC em pacientes com infarto agudo do miocárdio (IAM) submetidos à angioplastia nas primeiras 12 horas após início dos sintomas. Métodos: Foram estudados 201 casos consecutivos de IAM com supradesnivelamento do segmento ST com menos de 12 horas de evolução. Todos os pacientes foram submetidos ao mesmo protocolo de angioplastia. A NIC foi definida como elevação absoluta da creatinina de pelo menos 0,5 mg/dL e/ou aumento relativo da creatinina de 25% em relação ao valor basal no período entre 48 e 72 horas após a administração do contraste. As variáveis que diferiram entre os pacientes com e sem NIC na análise univariada foram analisadas por regressão logística. Resultados: A amostra foi formada por 135 (67,2%) homens e 66 (32,8%) mulheres com idade média de 66,6 ± 11,7 anos. A incidência de NIC foi de 23,8%. Na análise univariada os pacientes com NIC eram mais idosos e com maior frequência de fração de ejeção do ventrículo esquerdo ≤ 40% e da classificação Killip ≥ 2. Na análise multivariada não foram encontrados preditores independentes de NIC. Conclusão: A NIC acomete ¼ dos pacientes com IAM submetidos à angioplastia sem variáveis preditoras. Esse resultado ressalta a necessidade de medidas preventivas para NIC após uso de contraste em angioplastia de urgência.
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- 2015
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127. Conhecimento dos usuários de um serviço de emergência sobre síndrome coronariana aguda e acidente vascular cerebral / Knowledge of emergency service users about acute coronary syndrome and brain vascular accident
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Carvalho, Bruna Quitério de, Miura, Carla Roberta Monteiro, Campanharo, Cassia Regina Vancini, Okuno, Meiry Fernanda Pinto, Lopes, Maria Carolina Barbosa Teixeira, and Batista, Ruth Ester Assayag
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Doenças cardiovasculares ,Acidente Vascular Cerebral ,Infarto do Miocárdio ,General Medicine - Abstract
Objetivos: avaliar conhecimento dos usuários de um Serviço de Emergência sobre Síndrome Coronariana Aguda e Acidente Vascular Cerebral e associar às variáveis sóciodemográficas, econômicas e clínicas. Método: estudo transversal, envolvendo 161 usuários do Pronto Atendimento de um Hospital Público e de ensino de São Paulo, com coleta de dados realizada entre março e outubro de 2017. Para avaliar o conhecimento sobre Síndrome Coronariana Aguda, utilizou-se o “Questionário para Educação da Doença Arterial Coronariana”, e um questionário foi elaborado para avaliação do conhecimento sobre o Acidente Vascular Cerebral. Para relacionar as variáveis categóricas utilizaram-se os testes, Exato de Fisher, Razão de Verossimilhança, ou Qui-Quadrado e para as contínuas, o teste de Mann-Whitney, com significância de 5%. Resultados: 52,2% da amostra apresentou conhecimento superior ao aceitável para Síndrome Coronariana Aguda, enquanto a totalidade da amostra apresentou conhecimento inadequado ao Acidente Vascular Cerebral. As variáveis, faixa etária, renda familiar e número de medicamentos apresentaram relação significante sobre o conhecimento relacionado a Síndrome Coronariana Aguda e aos fatores de risco para Acidente Vascular Cerebral. Conclusão: Ações educativas com foco na fisiopatologia, fatores de risco, sinais e sintomas, sequelas e condutas imediatas frente ao Acidente Vascular Cerebral devem ser priorizadas.
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- 2021
128. Trombose Ventricular Esquerda e Tromboembolismo Pulmonar em um Paciente de Covid-19 Assintomático
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Lorenzo, Natalia, Hernandez, Veronica, Montes, Alvaro, Rivero, Fernando, Reyes*, Guillermo, and Aguilar, Rio
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Embolia Pulmonar ,Severe Acute Respiratory Syndrome/complications ,Infarction, Myocardial ,COVID-19/complicações ,COVID-19/complications ,Ventricular Dysfunction Left ,SARS-COV-2 ,Infarto do Miocárdio ,Síndrome Respiratória Aguda Grave/complicações ,Disfunção do Ventrículo Esquerdo ,Pulmonary Embolism ,Diagnostic, Imaging/methods ,Diagnóstico por Imagem/métodos - Published
- 2022
129. High Mortality for Myocardial Infarction in Latin America and the Caribbean: Making the Case for Systems of Care Implementation in Brazil
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Brant, Luisa C. C. and Passaglia, Luiz G.
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Síndrome Coronariana Aguda ,Epidemiology ,Mortalidade ,Myocardial Infarction ,Public Health Policy ,Infarto do Miocárdio ,Políticas de Saúde Pública ,Mortality ,Acute Coronary Syndrome ,Epidemiologia - Published
- 2022
130. Usabilidade teórica de um dispositivo inovador de reabilitação para doentes pós-enfarte: Estudo observacional com enfermeiros de reabilitação
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Bernardes,Rafael A., Parreira,Pedro, Sousa,Luís, and Cruz,Arménio Guardado
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design centrado no usuário ,infarto do miocárdio ,enfermagem em reabilitação ,reabilitação cardíaca ,projetos de desenvolvimento tecnológico e inovação - Abstract
Resumo Enquadramento: Os programas de reabilitação cardíaca são fundamentais para a recuperação e manutenção da capacidade funcional em pessoas vítimas de enfarte agudo do miocárdio. Os programas atuais evidenciam taxas de abandono elevadas e requerem mais elementos geradores de motivação nos utilizadores. Objetivos: Avaliar e comparar a usabilidade de dois protótipos de um dispositivo de reabilitação inovador para doentes pós enfarte agudo do miocárdio. Metodologia: Estudo observacional quantitativo, utilizando uma escala do tipo Likert de 5 pontos numa amostra de 16 enfermeiros especialistas em reabilitação, selecionados através da técnica de amostragem “bola de neve”. Resultados: A análise quantitativa revelou uma avaliação tridimensional dos protótipos com uma pontuação média de 4 valores, indicando usabilidade e intenção de uso. Ambos os protótipos foram considerados úteis, funcionais e fáceis de aprender e utilizar, observando-se poucas diferenças nas três dimensões. A facilidade de aprendizagem revelou-se mais consensual no protótipo Alfa. Conclusão: Os dois protótipos desenvolvidos alcançaram pontuações de usabilidade elevadas e são muito semelhantes, apresentando um forte potencial de eficácia no contexto desejado.
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- 2022
131. Funcionalidade e aprendizagem de um dispositivo de reabilitação para doentes pós-enfarte: Perspetiva de enfermeiros de reabilitação
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Bernardes,Rafael A., Parreira,Pedro, Salgueiro-Oliveira,Anabela, and Cruz,Arménio Guardado
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infarto do miocárdio ,enfermagem em reabilitação ,reabilitação cardíaca ,projetos de desenvolvimento tecnológico e inovação - Abstract
Resumo Enquadramento: A patologia cardiovascular constitui uma das principais causas de morte e incapacidade em Portugal. Para a promoção da recuperação funcional da pessoa, o desenvolvimento de dispositivos de reabilitação é uma prioridade importante. Objetivos: Descrever dois protótipos do Ablefit a nível da funcionalidade e aprendizagem para doentes pós-enfarte. Metodologia: Investigação qualitativa com recurso a grupos focais. Foram recrutados enfermeiros especialistas em reabilitação por amostragem de conveniência. Resultados: Foram incluídos 16 participantes no estudo. Os protótipos são funcionalmente distintos, possibilitando o beta maior variação de resistência e introdução de progressão a nível do programa de exercícios. A função de biofeedback introduzida posteriormente permite adaptação do programa e facilita o regresso a casa. A cicloergometria para membros inferiores incluída no alfa é uma vantagem significativa e deverá ser melhorada. Conclusão: O protótipo alfa apresenta menos características funcionais e facilidade de aprendizagem que o beta, sendo limitativo na modulação da resistência dos exercícios, bem como na incapacidade de monitorizar os parâmetros fisiológicos. Recomenda-se explorar a funcionalidade de biofeedback em futuros protótipos.
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- 2022
132. Factors Associated with Inadequate Management of Antiplatelet Agents in Perioperative Period of Non-Cardiac Surgeries
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Juliana Maria Dantas Mendonça Borges, Pamella de Assis Almeida, Mariana Martins Gonzaga do Nascimento, José Augusto Soares Barreto Filho, Mario Borges Rosa, and Antonio Carlos Sobral Sousa
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Cirurgia/assistência perioperatória ,Cuidados Intraoperatórios ,Agregação Plaquetária ,Adultos ,Infarto do Miocárdio ,Escolaridade ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background: The current guidelines dispose recommendations to manage antiplatelet agents in the perioperative period; however, the daily medical practices lack standardization. Objectives: To asses factors associated with inadequate management of antiplatelet agents in the perioperative period of non-cardiac surgeries. Methods: Cross-sectional Study conducted in hospital from October 2014 to October 2016. The study dependent variable was a therapy that did not comply with the recommendations in the Brazilian Association of Cardiology (SBC) guidelines. The independent variables included some characteristics, the people in charge of the management and causes of lack of adherence to those guidelines. Variables were included in the multivariate model. Analysis was based on the odds ratio (OR) value and its respective 95% confidence interval (CI) estimated by means of logistic regression with 5% significance level. Results: The sample was composed of adult patients submitted to non-cardiac surgeries and who would use acetylsalicylic acid (aspirin) or clopidogrel (n = 161). The management failed to comply with the recommendations in the guidelines in 80.75% of the sample. Surgeons had the highest number of noncomplying orientations (n = 63). After multivariate analysis it was observed that patients with a higher level of schooling (OR = 0.24; CI95% 0.07-0.78) and those with a previous episode of acute myocardial infarction (AMI) (OR = 0.18; CI95% 0.04-0.95) had a higher probability of using a therapy complying with the guidelines. Conclusion: Positive association between patients’ schooling level, or those with a history of previous AMI, with management of the use of aspirin and clopidogrel in the perioperative period of non-cardiac surgeries. However, diverging conducts stress the need of having internal protocol defined.
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- 2018
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133. Association of Monocyte Count on Admission with the Angiographic Thrombus Burden in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
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Zuoyan Wang, Na Liu, Lihui Ren, Licheng Lei, Huiming Ye, and Jianjun Peng
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Infarto do Miocárdio ,Intervenção Coronária Percutânea/métodos ,Trombose Coronária/diagnostic por Imagem ,Monócitos ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background: The intracoronary high-thrombus burden during the primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction (STEMI) can lead to poor outcomes. Monocytes have been described to play an important role in thrombotic disorders. Objectives: This study aimed to investigate the relationship between admission monocyte count and angiographic intracoronary thrombus burden in patients receiving primary percutaneous coronary intervention (PPCI). Methods: A total of 273 patients with acute STEMI who underwent PPCI were enrolled. The patients were divided into two groups according to the thrombolysis in myocardial infarction (TIMI) thrombus grade: low-thrombus burden group with a grade of 0-2 and high-thrombus burden group with a grade of 3-4. The monocyte count and other laboratory parameters were measured on admission before PPCI. P-value < 0.05 was considered significant. Results: There were 95 patients (34.8%) in the high-thrombus burden group, and 178 patients (65.2%) in the low-thrombus burden group. Patients with high-thrombus burden had significantly higher admission monocyte count (0.61 ± 0.29×109/L vs. 0.53 ± 0.24×109/L, p = 0.021). In multivariate analysis, monocyte count was the independent predictor of angiographic high-thrombus burden (odds ratio 3.107, 95% confidence interval [CI] 1.199-7.052, p = 0.020). For the prediction of angiographic high-thrombus burden, admission monocyte count at a cut-off value of 0.48×109/L yielded 0.59 ROC-AUC (71.9% sensitivity, 46.9% specificity). Conclusions: Monocyte count on admission was an independent clinical predictor of high-thrombus burden in patients with STEMI undergoing PPCI. Our findings suggest that admission monocyte count may be available for early risk stratification of high-thrombus burden in acute STEMI patients and might allow the optimization of antithrombotic therapy to improve the outcomes of PPCI.
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- 2018
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134. Percutaneous Intervention in ST-Elevation Myocardial Infarction: Culprit-only or Complete Revascularization?
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Ana Paula Susin Osório, Alexandre Schaan de Quadros, José Luiz da Costa Vieira, and Vera Lucia Portal
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Infarto do Miocárdio ,Revascularização Miocárdica ,Intervenção Coronária Percutânea ,Doença da Artéria Coronariana ,Stents ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract The best approach of multivessel coronary artery disease in the context of acute myocardial infarction with ST segment elevation and primary percutaneous coronary intervention is one of the main reasons for controversy in cardiology. Although the main global guidelines do not recommend routine complete revascularization in these patients, recent randomized clinical trials have demonstrated benefit of this approach in reducing cardiovascular outcomes. For this reason, an adequate review of this evidence is essential in order to establish scientifically based strategy and achieve better outcomes for these patients who present with acute myocardial infarction. This review aims to present objectively the most recent evidence available on this topic.
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- 2017
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135. Effects of a Brazilian cardioprotective diet and nuts on cardiometabolic parameters after myocardial infarction: study protocol for a randomized controlled clinical trial
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Annie Seixas Bello Moreira, Enilda Maria de Sousa Lara, Cássia Cristina Paes de Almeida, Camila Ragne Torreglosa, Sandra Mary Lima Vasconcelos, Erlon Oliveira de Abreu-Silva, Elizabeth Aparecida Ferraz da Silva Torres, Ana Paula Perillo Ferreira Carvalho, Lucas Ribeiro da Silva, Leopoldo S. Piegas, Erica Regina Ribeiro Sady, Ana Paula Trussardi Fayh, Gabriela Corrêa Souza, Malaine Morais Alves Machado, José Albuquerque de Figueiredo Neto, Marcelo Macedo Rogero, Bernardete Weber, Francisca Eugenia Zaina Nagano, Geni Rodrigues Sampaio, Luciana Pereira Pinto Dias, Aline Marcadenti, Rosana Perim Costa, Suena Medeiros Parahiba, Angela Cristine Bersch-Ferreira, Julia Lorenzon dos Santos, Alexandre Biasi Cavalcanti, Rachel Helena V. Machado, Debora Harumi Kodama Miyada, Graziela Biude Silva Duarte, Danielle Soares Bezerra, Camila Weschenfelder, Débora Pinto Gapanowicz, Eduardo Purgatto, Jessika Oliveira de Araujo, Alexandre Schaan de Quadros, and Renato Hideo Nakagawa Santos
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medicine.medical_specialty ,Medicine (General) ,Arachis ,Medicine (miscellaneous) ,World health ,Study Protocol ,food ,R5-920 ,Internal medicine ,medicine ,Nuts ,Anacardium ,Pharmacology (medical) ,In patient ,Myocardial infarction ,Glycemic ,Ldl cholesterol ,medicine.diagnostic_test ,business.industry ,Secondary prevention ,medicine.disease ,Atherosclerosis ,food.food ,INFARTO DO MIOCÁRDIO ,Clinical trial ,Bertholletia ,Diet, Healthy ,business ,Lipid profile ,Brazil nut - Abstract
Background Nut consumption has been related to improvements on cardiometabolic parameters and reduction in the severity of atherosclerosis mainly in primary cardiovascular prevention. The objective of this trial is to evaluate the effects of the Brazilian Cardioprotective Diet (DIetaCArdioprotetoraBrasileira, DICA Br) based on consumption of inexpensive locally accessible foods supplemented or not with mixed nuts on cardiometabolic features in patients with previous myocardial infarction (MI). Methods DICA-NUTS study is a national, multicenter, randomized 16-week follow-up clinical trial. Patients over 40 years old with diagnosis of previous MI in the last 2 to 6 months will be recruited (n = 388). A standardized questionnaire will be applied to data collection and blood samples will be obtained. Patients will be allocated in two groups: Group 1: DICA Br supplemented with 30 g/day of mixed nuts (10 g of peanuts, 10 g of cashew, 10 g of Brazil nuts); and Group 2: only DICA Br. The primary outcome will consist of LDL cholesterol means (in mg/dL) after 16 weeks of intervention. Secondary outcomes will consist of other markers of lipid profile, glycemic profile, and anthropometric data. Discussion It is expected that DICA Br supplemented with mixed nuts have superior beneficial effects on cardiometabolic parameters in patients after a MI, when compared to DICA Br. Trial registration ClinicalTrials.gov Identifier NCT03728127. First register: November 1, 2018; Last update: June 16, 2021. World Health Organization Universal Trial Number (WHO-UTN): U1111-1259-8105.
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- 2021
136. Associação entre Escores de Risco Clínico (HEART, GRACE e TIMI) e Complexidade Angiográfica na Síndrome Coronária Aguda sem Elevação do Segmento ST
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Ari Timerman, Jose de Ribamar Costa, Alexandre Vianna Cedro, Louis Nakayama Ohe, Laura Castro, and Diandro Marinho Mota
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medicine.medical_specialty ,Acute coronary syndrome ,Organ Dysfunction Scores ,Combined use ,Myocardial Infarction ,Positive correlation ,Single Center ,Coronary Angiography ,Risk Assessment ,Coronary artery disease ,Risk Factors ,Internal medicine ,Angiografia/Complicações ,Trombose ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,Infarto do Miocárdio ,Acute Coronary Syndrome ,Hospitalização ,business.industry ,Artigo Original ,Síndrome Coronária Aguda ,Thrombosis ,medicine.disease ,Prognosis ,humanities ,Angiography/complications ,Hospitalization ,RC666-701 ,Cohort ,Cardiology ,Escore de Disfunção Orgânica ,Original Article ,Linear correlation ,Cardiology and Cardiovascular Medicine ,business ,TIMI - Abstract
Resumo Fundamentos: Os escores GRACE, TIMI e HEART foram validados para avaliar desfechos clínicos desfavoráveis no contexto da suspeita de síndrome coronária aguda sem elevação do segmento ST (SCASSST). No entanto, a associação entre os escores clínicos e a complexidade angiográfica ainda não está bem estabelecida. Objetivos: Descrever as características clínicas de pacientes com SCASSST admitidos em internação hospitalar para estratificação invasiva, a fim de avaliar a associação entre os escores clínicos (TIMI, GRACE e HEART) e a complexidade angiográfica, através do escore SYNTAX. Métodos: Estudo observacional incluindo pacientes com diagnóstico de SCA e admitidos no Instituto Dante Pazzanese de Cardiologia entre os meses de julho de 2018 e fevereiro de 2019. A associação entre os escores foi avaliada por correlações bivariadas e a sua acurácia pela área sob a curva (ASC) ROC. A significância estatística foi estabelecida em 5% (p < 0,05). Resultados: Um total de 138 pacientes foram diagnosticados com SCASSST. As medianas do GRACE, TIMI e HEART foram de 97, 3 e 5, respectivamente. A mediana do SYNTAX foi de 8. Foram observadas correlações positivas do SYNTAX com o HEART (ρ = 0,29; p < 0,01) e o GRACE (ρ = 0,18; p < 0,03). Em contrapartida, a correlação com o TIMI não atingiu significância estatística (ρ = 0,15; p = 0,08). O HEART foi o escore com a maior ASC para predizer SYNTAX > 32 [HEART = 0,81] (IC 95% 0,7-0,91). HEART > 4 apresentou sensibilidade de 100%, com especificidade de 50%, e GRACE > 139 sensibilidade de 55% e especificidade de 97% para SYNTAX alto. Conclusão: Os escores clínicos de risco apresentam associação modesta ao escore SYNTAX. O uso combinado do HEART e do GRACE, entretanto, oferece acurácia favorável para a detecção de complexidade angiográfica. Abstract Background: GRACE, TIMI and HEART scores have been previously validated to predict serious untoward events among patients with non-ST elevation acute coronary syndrome (Non-ST ACS). However, the ability of these scores to discriminate the angiographic complexity of coronary artery disease has not been clearly established. Objectives: We sought to evaluate the correlation between clinical scores (TIMI, GRACE and HEART) and the anatomical complexity assessed by SYNTAX score, among non-ST ACS patients undergoing cinecoronariography. Methods: Transversal cohort encompassing patients with diagnosis of Non-ST ACS referred to invasive stratification in our single center, between July 2018 and February 2019. Association between the scores was established by the Pearson's linear correlation test while the accuracy of the clinical scores versus SYNTAX score was determined with the ROC curve. Results: A total of 138 patients were enrolled. Median GRACE, TIMI and HEART scores were 97, 3 and 5, respectively, whereas the median SYNTAX was 8. There was a positive correlation between the SYNTAX and the HEART (ρ =0.29; p 4 presented 100% sensitivity, with 50% specificity; and GRACE> 139 showed 55% sensitivity and 97% specificity for high SYNTAX. Conclusion: The clinical scores presented a positive, although modest, association with the SYNTAX score. The combined use of HEART and GRACE offers good accuracy for detecting angiographic complexity.
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- 2021
137. Case 02/2015 - A 67 Year-Old Woman with Sudden Cardiogenic Shock in the 7th Day after Acute Myocardial Infarction
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Bruno Aguiar Pinheiro, Alice Tatsuko Yamada, and Vera Demarchi Aiello
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Infarto do Miocárdio ,Choque Cardiogênico ,Cardiopatias/ complicações ,Cineangiografia/mortalidade ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2015
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138. Post-Acute Coronary Syndrome Alcohol Abuse: Prospective Evaluation in the ERICO Study
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Abner Morilha, Samuel Karagulian, Paulo A. Lotufo, Itamar S. Santos, Isabela M. Benseñor, and Alessandra C. Goulart
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Alcoholism ,Acute Coronary Syndrome ,Myocardial Infarction ,Alcohol Drinking ,Questionnaires ,Alcoolismo ,Síndrome Coronariana Aguda/complicações ,Infarto do Miocárdio ,Consumo de Bebidas Alcoolicas ,Questionário ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Some studies have indicated alcohol abuse as one of the contributors to the development of cardiovascular disease, particularly coronary heart disease. However, this relationship is controversial. Objective: To investigate the relationship between post-acute coronary syndrome (ACS) alcohol abuse in the Acute Coronary Syndrome Registry Strategy (ERICO Study). Methods: 146 participants from the ERICO Study answered structured questionnaires and underwent laboratory evaluations at baseline, 30 days and 180 days after ACS. The Alcohol Use Disorders Identification Test (AUDIT) was applied to assess harmful alcohol consumption in the 12 months preceding ACS (30 day-interview) and six months after that. Results: The frequencies of alcohol abuse were 24.7% and 21.1% in the 12 months preceding ACS and six months after that, respectively. The most significant cardiovascular risk factors associated with high-risk for alcohol abuse 30 days after the acute event were: male sex (88.9%), current smoking (52.8%) and hypertension (58.3%). Six months after the acute event, the most significant results were replicated in our logistic regression, for the association between alcohol abuse among younger individuals [35-44 year-old multivariate OR: 38.30 (95% CI: 1.44-1012.56) and 45-54 year-old multivariate OR: 10.10 (95% CI: 1.06-96.46)] and for smokers [current smokers multivariate OR: 51.09 (95% CI: 3.49-748.01) and past smokers multivariate OR: 40.29 (95% CI: 2.37-685.93)]. Conclusion: Individuals younger than 54 years and smokers showed a significant relation with harmful alcohol consumption, regardless of the ACS subtype.
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- 2015
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139. Clinical Coronary In-Stent Restenosis Follow-Up after Treatment and Analyses of Clinical Outcomes
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Barbara Campos Abreu Marino, Guilherme Abreu Nascimento, Walter Rabelo, Marcos Antônio Marino, Roberto Luiz Marino, and Antonio Luiz Pinho Ribeiro
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Infarto do Miocárdio ,Stents ,Oclusão de Enxerto Vascular ,Reestenose Coronária ,Isquemia Miocárdica ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Clinical in-stent restenosis (CISR) is the main limitation of coronary angioplasty with stent implantation. Objective: Describe the clinical and angiographic characteristics of CISR and the outcomes over a minimum follow-up of 12 months after its diagnosis and treatment. Methods: We analyzed in 110 consecutive patients with CISR the clinical presentation, angiographic characteristics, treatment and combined primary outcomes (cardiovascular death, nonfatal acute myocardial infarction [AMI]) and combined secondary (unstable angina with hospitalization, target vessel revascularization and target lesion revascularization) during a minimal follow-up of one year. Results: Mean age was 61 ± 11 years (68.2% males). Clinical presentations included acute coronary syndrome (ACS) in 62.7% and proliferative ISR in 34.5%. CISR was treated with implantation of drug-eluting stents (DES) in 36.4%, Bare Metal Stent (BMS) in 23.6%, myocardial revascularization surgery in 18.2%, balloon angioplasty in 15.5% and clinical treatment in 6.4%. During a median follow-up of 19.7 months, the primary outcome occurred in 18 patients, including 6 (5.5%) deaths and 13 (11.8%) AMI events. Twenty-four patients presented a secondary outcome. Predictors of the primary outcome were CISR with DES (HR = 4.36 [1.44–12.85]; p = 0.009) and clinical treatment for CISR (HR = 10.66 [2.53–44.87]; p = 0.001). Treatment of CISR with BMS (HR = 4.08 [1.75–9.48]; p = 0.001) and clinical therapy (HR = 6.29 [1.35–29.38]; p = 0.019) emerged as predictors of a secondary outcome. Conclusion: Patients with CISR present in most cases with ACS and with a high frequency of adverse events during a medium-term follow-up.
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- 2015
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140. Estrutura e vínculos de uma família após infarto agudo do miocárdio
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Raquel Pötter Garcia, Maria de Lourdes Denardin Budó, Aline da Costa Viegas, Daniela Habekost Cardoso, Eda Schwartz, and Rosani Manfrin Muniz
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Família ,Relações Familiares ,Infarto do Miocárdio ,Enfermagem. (Fonte: DeCS BIREME). ,Nursing ,RT1-120 - Abstract
Introdução: Conhecer os vínculos e a estrutura de uma família após episódio de Infarto Agudo do Miocárdio. Materiais e Métodos: Pesquisa qualitativa e exploratória que representa um estudo de caso desenvolvido com uma das famílias participantes. A coleta de dados ocorreu no período de fevereiro a maio de 2012, por meio de observação no domicílio e entrevista com construção do genograma e ecomapa. A intensidade dos vínculos foi definida pela família conforme legenda do ecomapa. Resultados e Discussão: Trata-se de uma família que se encontra no estágio de saída dos filhos de casa, cujo pai apresentou infarto. Evidenciaram-se doenças familiares como hipertensão arterial e diabetes mellitus tipo II. Detectou-se vínculos fortes com os familiares, filhos e vizinha; fracos com o ambulatório de cardiologia e conflituosos com vizinhos. Conclusões: Foi possível conhecer a estrutura e os vínculos de uma família, após um de seus integrantes ter vivenciado o infarto agudo do miocárdio. Dessa maneira, acredita-se que este trabalho pode fornecer subsídios e reflexões para a prática de profissionais que atuam com famílias que vivenciam o infarto em seu contexto. Cómo citar este artículo: Garcia R, Budó ML, Viegas A, Cardoso D, Schwartz E, Muniz R. Estrutura e vínculos de uma família após infarto agudo do miocárdio. Rev Cuid. 2015; 6(1): 991-8.http://dx.doi.org/10.15649/cuidarte.v6i1.142
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- 2015
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141. Cuidados de enfermagem a mulheres com infarto do miocárdio: promoção do conforto sociocultural pela pesquisa-cuidado [Nursing care for women with myocardial infarction: promoting sociocultural comfort through care-research]
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Keila Maria de Azevedo Ponte and Lúcia de Fátima da Silva
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enfermagem ,conforto ,infarto do miocárdio ,saúde da mulher [nursing ,comfort ,myocardial infarction ,women’s health] [enfermería ,confort ,infarto del miocárdio ,salud de la mujer] ,Nursing ,RT1-120 - Abstract
Objetivou-se descrever os cuidados de enfermagem a mulheres com infarto agudo do miocárdio para promover conforto sociocultural. Estudo qualitativo, do tipo pesquisa-cuidado, fundamentado na Teoria do Conforto, realizado, em 2011, com nove mulheres admitidas por infarto agudo do miocárdio, em hospital público de Sobral-Ceará-Brasil. Foram realizados entrevista semiestruturada, observação participante, diário de campo e análise de conteúdo. O cuidado de enfermagem voltado para o conforto sociocultural caracterizou-se como: mostrar-se disponível para cuidar, promover carinho, estabelecer vínculo e confiança; instigar momentos de encontro com as famílias; favorecer interação e bom relacionamento com os profissionais do hospital; e acomodar o cuidado à cultura das pesquisadas-cuidadas. Em conclusão, estes cuidados proporcionaram bem-estar e melhor adaptação diante da hospitalização de mulheres por infarto agudo do miocárdio. ABSTRACT Held in 2011, this study aimed at describing nursing care to women with acute myocardial infarction for sociocultural comfort promotion. A qualitative study of the research-care type based on the Theory of Comfort, it was conducted with nine women staying at public hospital in Sobral, Ceará, Brazil for acute myocardial infarction. It used semi-structured interviews, participant observation, field diary, and content analysis. Nursing care focused on sociocultural comfort was characterized as readiness to care, to foster care, to establish bond and trust; additionally. it meant to favor interaction and good rapport between families and hospital staff, as well as to accommodate care to the culture of those research subjects receiving care. In conclusion, that care provided wellness and improved adaptation to hospitalization in the case of women with acute myocardial infarction. RESUMEN El objetivo fue describir la atención de enfermería a mujeres con infarto agudo del miocardio para promover bienestar sociocultural. Estudio cualitativo, tipo investigación-atención, basado en la Teoría de Confort, llevado a cabo, en 2011, con nueve mujeres ingresadas por infarto agudo del miocardio, en hospital público de Ceará, Sobral, Brasil, a través de entrevistas semiestructuradas, observación participante, diario de campo y análisis de contenido. La atención de enfermería para el confort sociocultural se ha centrado en la disposición para cuidar; promover cariño, establecer vínculo y confianza; estimular momentos de encuentro con las familias; favorecer interacción y buenas relaciones con los profesionales del hospital; y acomodar el cuidar a la cultura de las participantes. En conclusión, la atención ha ofrecido bienestar y mejor adaptación delante de la hospitalización de las mujeres con infarto agudo del miocardio. DOI: http://dx.doi.org/10.12957/reuerj.2014.15693
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- 2015
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142. Neural Mechanisms and Delayed Gastric Emptying of Liquid Induced Through Acute Myocardial Infarction in Rats
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Wilson Ranu Ramirez Nunez, Michiko Regina Ozaki, Adriana Mendes Vinagre, Edgard Ferro Collares, and Eros Antonio de Almeida
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Ratos ,Esvaziamento Gástrico ,Infarto do Miocárdio ,Núcleos da Linha Média do Tálamo ,Receptores de GABA ,Motilidade Gastrointestinal ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: In pathological situations, such as acute myocardial infarction, disorders of motility of the proximal gut can trigger symptoms like nausea and vomiting. Acute myocardial infarction delays gastric emptying (GE) of liquid in rats. Objective: Investigate the involvement of the vagus nerve, α 1-adrenoceptors, central nervous system GABAB receptors and also participation of paraventricular nucleus (PVN) of the hypothalamus in GE and gastric compliance (GC) in infarcted rats. Methods: Wistar rats, N = 8-15 in each group, were divided as INF group and sham (SH) group and subdivided. The infarction was performed through ligation of the left anterior descending coronary artery. GC was estimated with pressure-volume curves. Vagotomy was performed by sectioning the dorsal and ventral branches. To verify the action of GABAB receptors, baclofen was injected via icv (intracerebroventricular). Intravenous prazosin was used to produce chemical sympathectomy. The lesion in the PVN of the hypothalamus was performed using a 1mA/10s electrical current and GE was determined by measuring the percentage of gastric retention (% GR) of a saline meal. Results: No significant differences were observed regarding GC between groups; vagotomy significantly reduced % GR in INF group; icv treatment with baclofen significantly reduced %GR. GABAB receptors were not conclusively involved in delaying GE; intravenous treatment with prazosin significantly reduced GR% in INF group. PVN lesion abolished the effect of myocardial infarction on GE. Conclusion: Gastric emptying of liquids induced through acute myocardial infarction in rats showed the involvement of the vagus nerve, alpha1- adrenergic receptors and PVN.
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- 2015
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143. Evaluation of the prevalence of stress and its phases in acute myocardial infarction in patients active in the labor market
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Luciane Boreki Lucinda, Ana Claudia Merchan Giaxa Prosdócimo, Katherine Athayde Teixeira de Carvalho, Julio Cesar Francisco, Cristina Pellegrino Baena, Marcia Olandoski, Vivian Ferreira do Amaral, José Rocha Faria-Neto, and Luiz César Guarita-Souza
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Estresse ,Infarto do miocárdio ,Psicologia ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Introduction: Acute myocardial infarction is a social health problem of epidemiological relevance, with high levels of morbidity and mortality. Stress is one of the modifiable risk factors that triggers acute myocardial infarction. Stress is a result of a set of physiological reactions, which when exaggerated in intensity or duration can lead to imbalances in one's organism, resulting in vulnerability to diseases. Objective: To identify the presence of stress and its phases in hospitalized and active labor market patients with unstable myocardial infarction and observe its correlation with the life of this population with stress. Methods: The methodology used was a quantitative, descriptive and transversal research approach conducted with a total of 43 patients, who were still active in the labor market, presenting or not morbidities. Data collection occurred on the fourth day of their hospitalization and patients responded to Lipp's Stress Symptom Inventory for adults. Results: Thirty-one patients (72.1%) presented stress and twelve (27.8%) did not. In patients with stress, the identified phases were: alert - one patient (3.2%); resistance -twenty-two patients (71.0%); quasi-exhaustion - six patients (19.4%) and exhaustion - two patients (6.5%). All women researched presented stress. Conclusion: The results suggest a high level of stress, especially in the resistance phase, in the male infarcted population, hospitalized and active in the labor market.
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- 2015
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144. Are there gender differences in left ventricular remodeling after myocardial infarction in rats?
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Ednei Luiz Antonio, Andrey Jorge Serra, Alexandra Alberta dos Santos, Stella Sousa Vieira, Jairo Montemor Augusto Silva, Amanda Yoshizaki, Renato Rodrigues Sofia, and Paulo José Ferreira Tucci
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Gênero e Saúde ,Infarto do Miocárdio ,Remodelação Ventricular ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Objective: An unclear issue is whether gender may influence at cardiac remodeling after myocardial infarction (MI). We evaluated left ventricle remodeling in female and male rats post-MI. Methods: Rats were submitted to anterior descending coronary occlusion. Echocardiographic evaluations were performed on the first and sixth week post-occlusion to determine myocardial infarction size and left ventricle systolic function (FAC, fractional area change). Pulsed Doppler was applied to analyze left ventricle diastolic function using the following parameters: E wave, A wave, E/A ratio. Two-way ANOVA was applied for comparisons, complemented by the Bonferroni test. A P≤=0.05 was considered significant. Results: There were no significant differences between genders for morphometric parameters on first (MI [Female (FE): 44.0±5.0 vs. Male (MA): 42.0±3.0%]; diastolic [FE: 0.04±0.003 vs. MA: 0.037±0.005, mm/g] and systolic [FE: 0.03±0.0004 vs. MA: 0.028±0.005, mm/g] diameters of left ventricle) and sixth (MI [FE: 44.0±5.0 vs. MA: 42.0±3.0, %]; diastolic [FE: 0.043±0.01 vs. MA: 0.034±0.005, mm/g] and systolic [FE: 0.035±0.01 vs. MA: 0.027±0.005, mm/g] of LV) week. Similar findings were reported for left ventricle functional parameters on first (FAC [FE: 34.0±6.0 vs. MA: 32.0±4.0, %]; wave E [FE: 70.0±18.0 vs. MA: 73.0±14.0, cm/s]; wave A [FE: 20.0±12.0 vs. MA: 28.0±13.0, cm/s]; E/A [FE: 4.9±3.4 vs. MA: 3.3±1.8]) and sixth (FAC [FE: 29.0±7.0 vs. MA: 31.0±7.0, %]; wave E [FE: 85.0±18.0 vs. MA: 87.0±20.0, cm/s]; wave A [FE: 20.0±11.0 vs. MA: 28.0±17.0, cm/s]; E/A [FE: 6.2±4.0 vs. MA: 4.6±3.4]) week. Conclusion: Gender does not influence left ventricle remodeling post-MI in rats.
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- 2015
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145. Perioperative myocardial infarction in patients undergoing myocardial revascularization surgery
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Pericles Pretto, Gerez Fernandes Martins, Andressa Biscaro, Dany David Kruczan, and Barbara Jessen
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Infarto do Miocárdio ,Revascularização Miocárdica ,Complicações Pós-Operatórias ,Troponina I ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Introduction: Perioperative myocardial infarction adversely affects the prognosis of patients undergoing coronary artery bypass graft and its diagnosis was hampered by numerous difficulties, because the pathophysiology is different from the traditional instability atherosclerotic and the clinical difficulty to be characterized. Objective: To identify the frequency of perioperative myocardial infarction and its outcome in patients undergoing coronary artery bypass graft. Methods: Retrospective cohort study performed in a tertiary hospital specialized in cardiology, from May 01, 2011 to April 30, 2012, which included all records containing coronary artery bypass graft records. To confirm the diagnosis of perioperative myocardial infarction criteria, the Third Universal Definition of Myocardial Infarction was used. Results: We analyzed 116 cases. Perioperative myocardial infarction was diagnosed in 28 patients (24.1%). Number of grafts and use and cardiopulmonary bypass time were associated with this diagnosis and the mean age was significantly higher in this group. The diagnostic criteria elevated troponin I, which was positive in 99.1% of cases regardless of diagnosis of perioperative myocardial infarction. No significant difference was found between length of hospital stay and intensive care unit in patients with and without this complication, however patients with perioperative myocardial infarction progressed with worse left ventricular function and more death cases. Conclusion: The frequency of perioperative myocardial infarction found in this study was considered high and as a consequence the same observed average higher troponin I, more cases of worsening left ventricular function and death.
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- 2015
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146. Relación entre mortalidad y factores de riesgo cardiovascular de infarto agudo de miocardio por regiones brasileñas: una revisión sistemática de la literatura con un estudio ecológico
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Silva Júnior, Adriano Bezerra da, Santos, Rafael Valença de Souza, Nascimento, Adriel Barbosa do, Nascimento, Lucas Cerqueira Gomes Barbosa do, Bomfim Neto, Raul, Silveira, Danilo José de Andrade Santos, Sobral Neto, José Monteiro, Santos, Mariana Sprakel dos, Alves, Matheus Porto, and Alegre Neto, Marcos Pinheiro
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Risk ,Infarto do miocárdio ,Prevalence ,Riesgo ,Prevalência ,Myocardial infarction ,Síndrome coronariana aguda ,Mortalidad ,Mortalidade ,Prevalencia ,Síndrome coronario agudo ,Acute coronary syndrome ,Infarto de miocardio ,Mortality ,Risco - Abstract
Objective: To establish the relationship between mortality and cardiovascular risk factors of patients with acute myocardial infarction knowing the region of Brazil with the highest number of deaths from AMI and the highest mortality rate, elucidating the risk factor with greater epidemiological agreement with mortality from AMI. Methodology: A bibliographic research was carried out using the computational tool Publish or Perish using the descriptors "ACUTE MYOCARDIAL INFARCTION", "RISK FACTORS", "PREVALENCE" "PROGNOSIS, after exclusion, 16 articles were systematically reviewed in the integra. Subsequently, an ecological research was conducted on mortality from AMI by region of Brazil in the last 10 years, using the variables: gender, color/race, region and age group. Results: A total of 122,012 deaths from AMI were recorded, with the total value increasing year by year. About 55.96% of the deaths were male. Women accounted for 44.03% of deaths. The region with the highest number of deaths was the Southeast, but the mortality rate was higher in the Northeast. The risk factor that most followed mortality by region was Diabetes Mellitus. Conclusion: Mortality from AMI has been increasing in most Brazilian regions and is strongly associated with the prevalence of risk factors in the population studied. Among the various approaches for the treatment of coronary atherosclerosis, the control of these factors, especially Diabetes, should receive a primary focus, since it is thus possible to postpone the onset of the disease. Conclusión: La mortalidad por IAM viene aumentando en la mayoría de las regiones brasileñas y está fuertemente asociada con la prevalencia de factores de riesgo en la población estudiada. Entre los diversos enfoques para el tratamiento de la aterosclerosis coronaria, el control de estos factores, especialmente la diabetes, debe recibir un enfoque principal, ya que por lo tanto es posible posponer la aparición de la enfermedad. Objetivo: Establecer la relación entre mortalidad y factores de riesgo cardiovascular de pacientes con infarto agudo de miocardio conociendo la región de Brasil con mayor número de muertes por IAM y la de mayor tasa de mortalidad, dilucidando el factor de riesgo con mayor concordancia epidemiológica con mortalidad por IAM. Metodología: Se realizó una investigación bibliográfica utilizando la herramienta computacional Publicar o Perecer utilizando los descriptores "INFARTO AGUDO DE MIOCARDIO", "FACTORES DE RIESGO", "PREVALENCIA" "PRONÓSTICO", después de la exclusión, 16 artículos fueron revisados sistemáticamente en la integra. Posteriormente, se realizó una investigación ecológica sobre la mortalidad por IAM por región de Brasil en los últimos 10 años, utilizando las siguientes variables: sexo, color/raza, región y grupo de edad. Resultados: Se registraron un total de 122.012 muertes por IAM, aumentando el valor total año tras año. Alrededor de 55,96% de las muertes fueron hombres. Las mujeres representaron 44,03% de las muertes. La región con el mayor número de muertes fue el sureste, pero la tasa de mortalidad fue mayor en el noreste. El factor de riesgo que más siguió a la mortalidad por región fue la Diabetes Mellitus. Conclusión: La mortalidad por IAM viene aumentando en la mayoría de las regiones brasileñas y está fuertemente asociada a la prevalencia de factores de riesgo en la población estudiada. Entre los diversos enfoques para el tratamiento de la aterosclerosis coronaria, el control de estos factores, especialmente de la diabetes, debe recibir un enfoque principal, ya que de esta manera es posible retrasar la aparición de la enfermedad. Objetivo: Estabelecer a relação entre a mortalidade e os fatores de risco cardiovasculares das pacientes vítimas de infarto agudo do miocárdio conhecendo a região do Brasil com maior número de óbitos por IAM e a com maior taxa de mortalidade, elucidando o fator de risco com maior concordância epidemiológica com a mortalidade por IAM. Metodologia: Foi realizada uma pesquisa bibliográfica usando a ferramenta computacional Publish or Perish utilizando os descritores “INFARTO AGUDO DO MIOCÁRDIO”, “FATORES DE RISCO”, “PREVALÊNCIA” “PROGNÓSTICO, após a exclusão, 16 artigos foram sistematicamente revisados na integra. Posteriormente foi realizado uma pesquisa ecológica sobre a mortalidade por IAM por região do Brasil nos últimos 10 anos, utilizando as variáveis: sexo, cor/raça, região e faixa etária. Resultados: Foram registrados um total de 122.012 óbitos por IAM, com o valor total aumentando ano a ano. Cerca de 55,96% dos óbitos eram do sexo masculino. Já as mulheres corresponderam a 44,03 % dos óbitos. A região com maior número de óbitos foi o Sudeste, porém, a taxa de mortalidade foi maior no Nordeste. O fator de risco que mais acompanhou a mortalidade por região foi o Diabetes Mellitus. Conclusão: A mortalidade por IAM vem aumentando na maioria das regiões brasileiras e está fortemente associado a prevalência dos fatores de risco na população estudada. Entre as várias abordagens para o tratamento da aterosclerose coronariana, o controle desses fatores, em especial a Diabetes, deve receber enfoque primordial, uma vez que assim é possível postergar o começo da doença.
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- 2022
147. Caracterización y distribución de las muertes por infarto agudo de miocardio en Paraná, 2019-2020
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Paludeti, Gabriela Fabiana and Coimbra, Claudia Cristina Batista Evangelista
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Mortalidad ,Myocardial infarction ,Infarto del miocardio ,Estudos epidemiológicos ,Infarto do miocárdio ,Epidemiologic studies ,Mortality ,Mortalidade ,Estudios epidemiológicos - Abstract
Acute myocardial infarction is among the leading causes of morbidity and mortality worldwide. Based on this, strategic actions aimed at controlling risk factors are essential to reduce the incidence, sequelae and mortality from the disease. Furthermore, understanding the profile of affected individuals and the local specificities linked to the occurrence is essential for health planning. Thus, the objective was to analyze the characteristics and distribution of deaths from acute myocardial infarction in the state of Paraná, between 2019 and 2020. This is a descriptive study, in which death notifications were analyzed, based on the System of Mortality information. Data were presented with absolute and relative frequency, as well as mortality rates and percentage change. Between 2019 and 2020, 9,133 deaths were recorded. A predominance of deaths was identified among male individuals, married marital status, aged 60 years or older, of white race/color and with 1 to 7 years of schooling. The most frequent place of occurrence was the hospital environment, followed by the home environment. Regarding distribution, mortality rates were higher in the Northwest Macroregion. In the variation between years, there was a greater increase in the West macro-region and a decrease in the East. Furthermore, there was a significant increase in the 7th and 5th Regionals, and a reduction in the 16th and 4th Regionals. In this sense, it is necessary to highlight the singularities that exist in the state, in order to understand the dynamics of the disease at the local level and, consequently, direct strategies for the control and management of cases. El infarto agudo de miocardio se encuentra entre las principales causas de morbilidad y mortalidad en todo el mundo. En base a esto, las acciones estratégicas encaminadas al control de los factores de riesgo son fundamentales para reducir la incidencia, las secuelas y la mortalidad por la enfermedad. Además, la comprensión del perfil de las personas afectadas y las especificidades locales vinculadas a la ocurrencia es esencial para la planificación de la salud. Así, el objetivo fue analizar las características y la distribución de las muertes por infarto agudo de miocardio en el estado de Paraná, entre 2019 y 2020. Se trata de un estudio descriptivo, en el que se analizaron las notificaciones de muerte, con base en la información del Sistema de Mortalidad. Los datos se presentaron con frecuencia absoluta y relativa, así como tasas de mortalidad y cambio porcentual. Entre 2019 y 2020 se registraron 9.133 muertes. Se identificó predominio de las defunciones entre los individuos del sexo masculino, casados, con edad igual o superior a 60 años, de raza/color blanco y con 1 a 7 años de escolaridad. El lugar de ocurrencia más frecuente fue el ambiente hospitalario, seguido del ambiente domiciliario. En cuanto a la distribución, las tasas de mortalidad fueron mayores en la Macrorregión Noroeste. En la variación entre años, hubo un mayor aumento en el macrorregión Oeste y una disminución en el Este. Además, hubo un aumento significativo en las Regionales 7 y 5, y una reducción en las Regionales 16 y 4. En ese sentido, es necesario resaltar las singularidades que existen en el estado, para comprender la dinámica de la enfermedad a nivel local y, en consecuencia, orientar estrategias para el control y manejo de los casos. O infarto agudo do miocárdio está entre as principais causas de morbimortalidade no mundo. Partindo disso, ações estratégicas que visam o controle dos fatores de risco são fundamentais para diminuir a incidência, as sequelas e a mortalidade pelo agravo. Ademais, compreender o perfil dos indivíduos acometidos e as especificidades locais atreladas a ocorrência é essencial para o planejamento em saúde. Assim, objetivou-se analisar as características e a distribuição dos óbitos por infarto agudo do miocárdio no estado do Paraná, entre 2019 e 2020. Trata-se de um estudo descritivo, em que foram analisadas as notificações de óbito, a partir do Sistema de Informação sobre Mortalidade. Os dados foram apresentados com frequência absoluta e relativa, bem como taxas de mortalidade e variação percentual. Entre 2019 e 2020 foram registrados 9.133 óbitos. Identificou-se a predomínio de óbitos entre indivíduos do sexo masculino, estado civil casado, com idade igual ou superior a 60 anos, de raça/cor branca e com 1 a 7 anos de estudos. O local de ocorrência mais frequente foi o ambiente hospitalar, seguido do domiciliar. Com relação a distribuição, as taxas de mortalidade se apresentaram maiores na Macrorregião Noroeste. Na variação entre os anos, houve maior aumento na macrorregião Oeste e queda na Leste. Ademais, evidenciou-se importantes aumento na 7ª e 5ª Regional, e redução na 16ª e 4ª Regional. Nesse sentido, é mister destacar as singularidades existentes no estado, com intuito de compreender a dinâmica da doença à nível local e, consequentemente, direcionar estratégias de controle e manejo dos casos.
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- 2022
148. Muertes por infarto agudo de miocardio en el período de 2016 a 2020
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Prado, Jéssica Nayara da Silva, Morais, Camila Santana, Almeida, Aline Rodrigues Costa de, Bandeira, Lorena Sena, Rios, Marcela Andrade, Ribeiro, Daiane Brito, Trindade, Laís Emily Souza, Conceição, Ranna Gabriele Sampaio da, and Oliveira, Igor Maia de
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Mortalidad ,Epidemiology ,Infarto do miocárdio ,Myocardial Infarction ,Epidemiología ,Mortality ,Epidemiologia ,Infarto do miocardio ,Mortalidade - Abstract
Objective: to describe deaths from acute myocardial infarction/Ba, between the years 2016 to 2020, according to sociodemographic characteristics and place of occurrence. Methods: ecological study, carried out with data from the Department of Informatics of the Unified Health System (DATASUS), whose population consisted of deaths recorded in the Mortality Information System (SIM). Results: a total of 126 deaths from AMI were found, from 15 in 2016 to 31 deaths in 2020. The year with the lowest mortality was in 2016 and 2019 the highest number of deaths. The distribution by sex reveals a predominance of males with a total of 72 cases (57.1%), however it also covers women with 54 cases (42.9%). In the first years diagnosed, especially men, hospital age of 80 years and over, with low education, of mixed color, married and three mainly marked in the environment. Conclusion: it is necessary to promote and prevent health actions on diseases that progress to cardiovascular diseases, such as DM and SAH. Scientific research is crucial to stimulate the improvement of the quality of life of people in the risk group for the development of pathologies of a cardiac nature. Objetivo: describir las muertes por infarto agudo de miocardio en habitantes de Guanambi/Ba, entre los años 2016 a 2020, según características sociodemográficas y lugar de ocurrencia. Métodos: estudio ecológico, realizado con datos del Departamento de Informática del Sistema Único de Salud (DATASUS), cuya población estuvo constituida por las defunciones registradas en el Sistema de Información de Mortalidad (SIM). Resultados: se encontró un total de 126 defunciones por IAM, de 15 en el 2016 a 31 defunciones en el 2020. El año con menor mortalidad fue el 2016 y el 2019 el año con mayor número de defunciones. La distribución por sexo revela un predominio del sexo masculino con un total de 72 casos (57,1%), sin embargo también afecta a las mujeres con 54 casos (42,9%). En los primeros tres años analizados, afectó especialmente a hombres, con edad de 80 años y más, con baja escolaridad, mestizos/as, casados y ocurriendo principalmente en el ambiente hospitalario. Conclusión: es necesario promover y prevenir acciones de salud sobre enfermedades que progresan a enfermedades cardiovasculares, como la DM y la HAS. La investigación científica es fundamental para estimular la mejora de la calidad de vida de las personas en riesgo de desarrollar patologías cardíacas. Objetivo: descrever os óbitos por infarto agudo do miocárdio em pessoas residentes em Guanambi/Ba, entre os anos de 2016 a 2020, segundo as características sociodemográficas e local de ocorrência. Métodos: estudo ecológico, realizado com dados do Departamento de Informática do Sistema Único de Saúde (DATASUS), cuja população foram os óbitos registrados no Sistema de Informação sobre Mortalidade (SIM). Resultados: encontrado um total de 126 óbitos por IAM, passando de 15 em 2016 para 31 óbitos em 2020. O ano de menor mortalidade foi em 2016 e 2019 o de maior número de óbitos. A distribuição por sexo revela predominância no sexo masculino com um total de 72 casos (57,1%), no entanto atinge também as mulheres com 54 casos (42,9%). Nos três primeiros anos analisados, atingindo especialmente homens, com idade de 80 anos e mais, com baixa escolaridade, de cor/raça parda, casados e ocorrendo principalmente no ambiente hospitalar. Conclusão: faz se necessário ações de promoção e prevenção de saúde acerca dos agravos que evoluem para doenças cardiovasculares, como a DM e HAS. Pesquisas cientificas são cruciais para estimular a melhoria da qualidade de vida de pessoas do grupo de risco para o desenvolvimento de patologias de cunho cardíaco.
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- 2022
149. Usabilidad teórica de un dispositivo innovador para la rehabilitación posinfarto: Estudio observacional con enfermeros de rehabilitación
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Bernardes, Rafael A., Parreira, Pedro, Sousa, Luís, and Cruz, Arménio Guardado
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infarto do miocárdio ,proyectos de desarrollo tecnológico e innovación ,rehabilitación cardíaca ,reabilitação cardíaca ,rehabilitation nursing ,enfermería de rehabilitación ,diseño centrado en el usuario ,design centrado no usuário ,cardiac rehabilitation ,myocardial infarction ,technological development and innovation projects ,enfermagem em reabilitação ,projetos de desenvolvimento tecnológico e inovação ,user-centered design ,infarto de miocardio - Abstract
Background: Cardiac rehabilitation programs are essential for recovering and maintaining functional capacity in patients with acute myocardial infarction. Current programs have high dropout rates and require more motivational features. Objectives: To assess and compare the usability of two prototypes of an innovative rehabilitation device for post-infarction patients. Methodology: This is a quantitative observational study using a 5-point Likert-type scale with 16 nurse specialists in rehabilitation, selected through snowball sampling. Results: The quantitative analysis showed a three-dimensional assessment of the prototypes with mean scores of 4, indicating usability and intention to use. Both prototypes were considered useful, functional, and easy to learn and use, with few differences reported on the three dimensions. The ease of learning was more consensual in the Alpha prototype. Conclusion: The two developed prototypes present high usability scores and are very similar, demonstrating great potential for effectiveness in the intended context., Marco contextual: Los programas de rehabilitación cardíaca son esenciales para la recuperación y el mantenimiento de la capacidad funcional de los pacientes que han sufrido un infarto agudo de miocardio. Los programas actuales tienen altas tasas de abandono y requieren más características de motivación. Objetivos: El estudio pretende cuantificar y comparar la usabilidad de dos prototipos de un dispositivo innovador para la rehabilitación de pacientes que han sufrido un infarto. Metodología: Se realizó un estudio cuantitativo observacional con enfermeros especialistas en rehabilitación, para lo cual se aplicó una escala tipo Likert de 5 puntos. Se reunieron 16 participantes con un método de muestreo por bola de nieve. Resultados: El análisis cuantitativo mostró una evaluación tridimensional de los prototipos con una puntuación media de 4, lo que denota la facilidad de uso y la intención de uso. Ambos prototipos se consideraron útiles, funcionales y fáciles de aprender y utilizar, con pocas diferencias en las tres dimensiones. La facilidad de aprendizaje se consensuó más en el prototipo alfa. Conclusión: Ambos prototipos desarrollados presentan altos valores de usabilidad y son muy similares, con gran potencial para ser efectivos en el contexto deseado., Enquadramento: Os programas de reabilitação cardíaca são fundamentais para a recuperação e manutenção da capacidade funcional em pessoas vítimas de enfarte agudo do miocárdio. Os programas atuais evidenciam taxas de abandono elevadas e requerem mais elementos geradores de motivação nos utilizadores. Objetivos: Avaliar e comparar a usabilidade de dois protótipos de um dispositivo de reabilitação inovador para doentes pós enfarte agudo do miocárdio. Metodologia: Estudo observacional quantitativo, utilizando uma escala do tipo Likert de 5 pontos numa amostra de 16 enfermeiros especialistas em reabilitação, selecionados através da técnica de amostragem “bola de neve”. Resultados: A análise quantitativa revelou uma avaliação tridimensional dos protótipos com uma pontuação média de 4 valores, indicando usabilidade e intenção de uso. Ambos os protótipos foram considerados úteis, funcionais e fáceis de aprender e utilizar, observando-se poucas diferenças nas três dimensões. A facilidade de aprendizagem revelou-se mais consensual no protótipo Alfa. Conclusão: Os dois protótipos desenvolvidos alcançaram pontuações de usabilidade elevadas e são muito semelhantes, apresentando um forte potencial de eficácia no contexto desejado.
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- 2022
150. Perfil epidemiológico das internações por infarto agudo do miocárdio em caráter de atendimento de urgência
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Brito, Gabriela Menezes Gonçalves de, Santos, Karinne Simões da Cruz, Gomes, João Victor Lins, Santos, Maria Clara Nole Brandão, Santana, José Vinícius Lima, Santos, Johnatan Rafael Lima de Almeida, Nunes, Alessandra Vitória de Menezes, Nunes, Kamille Costa, Santos, Julia Alves, and Brito, Filipe Batista de
- Subjects
Atención de urgencias ,Infarto do miocárdio ,Epidemiología ,Acute myocardial infarction ,Epidemiologia ,Infarto agudo de miocardio ,Urgent care ,Atendimento de urgência ,Epidemiology - Abstract
Acute myocardial infarction is the leading cause of death in the world and significantly compromises the quality of life of individuals. Objective: to determine the epidemiological profile of hospitalizations for AMI, as an emergency care, in the state of Sergipe between 2017 and 2021. Methodology: Epidemiological, cross-sectional, retrospective and descriptive, quantitative study, carried out from the collection of secondary data from the System of Hospital Information (SIH/SUS). The criteria for inclusion in the study were hospitalizations for urgent care in the state of Sergipe, with a time frame between 2017 and 2021. Results: During this period, 5,687 hospitalizations for AMI were reported. Conclusion: The major contribution of this study was to present an epidemiological profile of AMI, in urgency, in the state of Sergipe between the years 2017 and 2021. The number of hospitalizations is increasing, having been affected only in the year 2020 due to the pandemic of COVID-19. Most cases are male, aged between 60 and 69 years and of mixed race. The number of deaths and the mortality rate also decreased in 2020 due to the pandemic, but maintained high averages in relation to other Brazilian states. El infarto agudo de miocardio es la primera causa de muerte en el mundo y compromete significativamente la calidad de vida de las personas. Objetivo: determinar el perfil epidemiológico de las hospitalizaciones por IAM, como atención de emergencia, en el estado de Sergipe entre 2017 y 2021. Metodología: Estudio epidemiológico, transversal, retrospectivo y descriptivo, cuantitativo, realizado a partir de la recolección de datos secundarios del Sistema de Información Hospitalaria (SIH/SUS). Los criterios de inclusión en el estudio fueron internaciones por atención de urgencia en el estado de Sergipe, con un período de tiempo entre 2017 y 2021. Resultados: Durante este período, se informaron 5.687 internaciones por IAM. Conclusión: La mayor contribución de este estudio fue presentar un perfil epidemiológico del IAM, en urgencia, en el estado de Sergipe entre los años 2017 y 2021. El número de hospitalizaciones está aumentando, habiéndose afectado solo en el año 2020 debido a la pandemia de COVID-19. La mayoría de los casos son hombres, con edades comprendidas entre 60 y 69 años y de raza mixta. El número de muertes y la tasa de mortalidad también disminuyeron en 2020 a causa de la pandemia, pero mantuvieron promedios elevados en relación a otros estados brasileños. O Infarto agudo do miocárdio é a principal causa de óbitos no mundo e compromete significativamente a qualidade de vida dos indivíduos. Objetivo: determinar o perfil epidemiológico das internações por IAM, em caráter de atendimento de urgência, no estado de Sergipe entre 2017 e 2021. Metodologia: Estudo epidemiológico, transversal, retrospectivo e descritivo, quantitativo, realizado a partir da coleta de dados secundários do Sistema de Informações Hospitalares (SIH/SUS). Os critérios para inclusão no estudo foram internações em caráter de atendimento de urgência, no estado de Sergipe, com recorte temporal entre 2017 a 2021. Resultados: Foram notificados nesse período, 5.687 internações por IAM. Conclusão: A grande contribuição deste estudo foi apresentar um perfil epidemiológico do IAM, na urgência, no estado de Sergipe entre os anos de 2017 e 2021. O número de internações é crescente, tendo sido afetado apenas do ano de 2020 em virtude da pandemia de COVID-19. A maioria dos casos são do sexo masculino, na faixa etária entre 60 e 69 anos e de etnia parda. O número de óbitos e a taxa de mortalidade também diminuíram em 2020 em virtude da pandemia, mas mantiveram médias elevadas em relação a outros estados brasileiros.
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- 2022
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