Tratamento de uma coorte de pacientes com infarto agudo do miocárdio com supradesnivelamento do segmento ST

Abstract

Patients were suitable for reperfusion, but one third of them did not have the procedure. Two deaths during evolution. The most predominant treatment was CTA, with low morbidity. Low global lethality.

Time of arrival of patients with acute myocardial infarction to the emergency department

“…Studies on acute coronary syndrome report that most AMI patients had three or more risk factors and the most prevalent were: hypertension, dyslipidemia and family history, and physical inactivity showed no relevance [3,4]. In this study, physical inactivity was reported by 82.79% of patients and smoking by 36.54%, showing no significance when related to the studied variables.…”

“…A study performed in Rio de Janeiro, involving patients diagnosed with AMI with ST segment elevation (SST) showed that 67.7% reached the emergency room after three hours of the onset of the first symptom and 8.4% after 12 hours [ 3]. Another study performed in Rio Grande do Sul showed that 88% of patients with SST sought emergency care within an hour, and the average was 3h59min to 2h55min.…”

“…There is expectation that in 2020, 40% of deaths are related to them. [3] According to American research, more than 12 million people have some heart disease and more than one million presents an acute myocardial infarction (AMI) per year, resulting in 466,000 deaths related to coronary artery disease (CAD) [4]. In Brazil, cardiovascular diseases are responsible for 31% of deaths from known causes [5] and in this set, the AMI is worrying society and public health authorities, due to the impact on mortality and the number of hospitalizations in whole country [6,7], being the major cause of attendance in emergency units [4].…”

“…Therefore, it is necessary to prepare the emergency services and the professionals involved, so that the care be guided and the diagnosis accurate. [3] Studies indicate that, in Brazil, patients with symptoms of MI did not immediately seek health services, by not recognizing its symptoms, because there is no specialized services and first aid and even due to a poor public transportation, making difficult the arrival of these people to the hospital. [8] These obstacles are challenges of public health authorities, because the AMI is considered a longterm illness, demanding actions, procedures, healthcare services and, consequently, higher costs, and causing huge losses to society [5,8].…”

“…The knowledge of the arrival time of patients with symptoms of AMI to specialized services, as well as the identification of the difficulties faced by them, can subsidize nursing professionals and guidance to help patients, their families and the community [3,9]. Therefore, this study aimed to characterize the profile of people with AMI treated in an emergency department and check the arrival time (delta T).…”