Clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome

Abstract

AIM: to assess the clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome (ACS) according to its clinical manifestation. METHODS: data were collected from 234 patients, hospitalized between May 2006 and July 2009 due to the first episode of an ACS, by consulting their medical records. RESULTS: 234 patients were hospitalized, 140 (59.8%) due to Acute Myocardial Infarction (AMI). In the group with AMI, 19.3% presented complications, against 12.8% in the group with Unstable Angina (UA) (p=0.19). Angioplasty levels were higher among patients with AMI than with UA (p=0.02) and coronary artery bypass graft surgery was more frequent among UA patients (p=0.03). The majority (227; 97%) survived after the coronary event. Among the seven patients who died during the hospitalization, four had AMI (2.9%) and three UA (3.2%). CONCLUSIONS: A larger number of complications were found among infarction victims and the accomplishment of coronary artery bypass graft surgery differed between the groups.

Nursing Diagnosis Based on Signs and Symptoms of Patients With Heart Disease

“…Regarding the sociodemographic characteristics such as age and gender, it was found that the average age was of 63 and the majority of the people researched consisted of males (66.2%), which are similar to other studies (Aliti, Linhares, Linch, Ruschel, & Rabelo, 2011;Coelho, Queijo, Andolhe, Gonçalves, & Padilha, 2011;Dessotte, Dantas, Schmidt, & Rossi, 2011;Gil, Dessotte, Schmidt, Rossi, & Dantas, 2012;Mendes, Reis, Menezes, Santos, & Mussi, 2014). However, recent research with cardiac patients has demonstrated the predominance of females, which can be explained by cardiovascular mortality being higher and earlier among men (Armendaris & Monteiro, 2012;Martins et al, 2011).…”

Diagnóstico y tratamiento del síndrome coronario agudo: actualización

“…Para que las medidas de prevención puedan ser ejecutadas, se debe conocer la caracterización de los individuos de acuerdo con las diferentes presentaciones del SCA, ya que estas presentaciones se asocian a resultados distintos en la hospitalización. La intervención coronaria percutánea (ICP) es mayor entre pacientes con IAM que en aquellos con AI y la cirugía de revascularización del miocardio es más frecuentemente realizada entre pacientes con AI (8) . Así, la prevalencia diferencial de los factores de riesgo en los individuos puede influenciar las presentaciones del SCA y, por consiguiente, el resultado clínico de los pacientes.…”

“…Estudios recientes evaluaron factores relacionados al SCA según su manifestación clínica en pacientes internados por el primer episodio (8)(9) . Sin embargo, no existen estudios investigando la relación de las diferentes presentaciones del SCA con los factores de riesgo cardiovasculares.…”

“…Sao Paulo verificó que el tiempo de internación es mayor entre individuos admitidos con AI, sin embargo la incidencia de complicaciones es mayor entre los infartados (8) .…”

Cost-Effectiveness Analysis of Atorvastatin versus Rosuvastatin in Primary and Secondary Cardiovascular Prevention Populations in Brazil and Columbia

“…In Brazil, CV disease is responsible for 32% of total mortality [4] and is the main cause of death in those older than 40 years [5]. There are also concerns about CV disease developing at younger ages throughout the country [6]. In Colombia, adjusted mortality rates due to ischemic heart disease and cerebrovascular disease are roughly 1.4 to 2 times those in the United States [7].…”