Síndromes Coronarianas Agudas no Contexto Atual da Pandemia COVID-19

Guimarães, Raphael Boesche; Falcão, Breno de Alencar Araripe; Costa, Ricardo; Lopes, Marcelo Antônio Cartaxo Queiroga; Botelho, Roberto; Petraco, Ricardo; Sarmento‐Leite, Rogério

doi:10.36660/abc.20200358

Cited by 16 publications

(7 citation statements)

References 23 publications

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“…25 Because of all the difficulties related to scarcity and decision-making during the COVID-19 pandemic, people may have neglected their symptoms of coronary syndrome due to fear of contracting the virus in a hospital environment, which explains the drop in visits to the cardiac emergency room. 2,[5][6][7]26 In this scenario of interruption of elective procedures and delay in seeking care, one consequence observed was a change in the clinical profile of patients, justified by the increase in emergency procedures and mortality. 27 All actions taken during the pandemic were indeed necessary to minimize the exposure of surgical patients and healthcare professionals to the COVID-19 virus, as well as to ration the use of essential supplies and allocate the necessary personnel to emergency and intensive care centers.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Outbreak on Coronary Artery Bypass Grafting in Brazil

Machado¹,

Almeida²

2023

International Journal of Cardiovascular Sciences

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Background:The COVID-19 pandemic has disrupted the routine of emergency centers around the world, including in Brazil, where the crisis has affected the volume of major cardiac surgeries such as coronary artery bypass grafting. Objective:To analyze the impact of the COVID-19 pandemic on the number of surgical procedures for coronary artery bypass grafting in Brazil.Methods: An ecological, cross-sectional, quantitative, and descriptive study was conducted. Data for the period from July 2018 to June 2019 and from July 2020 to June 2021 were collected from SIHSUS using DATASUS/Tabwin. Results:A global reduction of 26.58% was observed in the analyzed population, with on-pump coronary artery bypass grafting decreasing by 28.10%, and off-pump coronary artery bypass grafting reduced by only 10.31%. Conclusion:During the pandemic, there was a 26.58% reduction in the number of surgical procedures for myocardial revascularization in Brazil.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Outbreak on Coronary Artery Bypass Grafting in Brazil

Machado¹,

Almeida²

2023

International Journal of Cardiovascular Sciences

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“…However, they pointed out that the patients, when they developed symptoms, did not seek medical help for fear of COVID-19 or because of crowding and lack of adequate care, influenced by the pandemic. Thus, it only reduced the diagnosis and treatment, especially of AMI, but the deaths from this cause continued to lead, as they also highlight that the incidence will be higher in 2020, compared to recent years, mainly due to lack of diagnosis and treatment [25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Deaths Occurred in Households during the Pandemic by COVID-19 in a Brazilian Amazon Region: An Epidemiological Approach

Ferreira

Sardinha

Rodrigues

et al. 2021

IJTDH

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In the absence of an analysis of deaths at home from an epidemiological perspective, this study aims to analyze and describe the epidemiological profile of deaths at home assessed by the Death Ceremony Service (DCS) during the SARS-CoV-2 pandemic in the metropolitan region of the Brazilian Amazon, Belém do Pará. A descriptive, quantitative, secondary-based study based on the databases of the Mortality Information System (SIM), referring to the deaths that occurred from March 1 to March 27 June 2020. The variables worked were related to the profile and the causes in the death certificate. The causes of home deaths in 2019 were used to compare with 2020. In the indicated period, 1,203 deaths occurred, an increase of 454% in relation to 2019. The male gender (57.30%), the age group of 60+ (80.80%) and brown race (77.70%) were the most frequent. The main cause of death Acute myocardial infarction (15.05%) followed by COVID-19 (10.29%). During the pandemic, the majority of home deaths were not directly caused by COVID-19, however, they were influenced by it due to the need for social isolation, with the impossibility of obtaining the proper diagnosis or proper treatment, due to the impossibility of on-site care or lack of immediate response.

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“…Nesse contexto, o controle e prevenção desses fatores de risco modificáveis como a diabetes, hipertensão e dislipidemias são importantes não só para a melhoria da condição de vida dos indivíduos, mas também para a diminuição da carga de doenças cardiovasculares na população idosa, essa estratégia pode reduzir o risco de mal prognostico nestes pacientes (Guimarães et al, 2020).…”

Section: Perfil Clínicounclassified

“…Esse novo contexto sanitário, coloca o sistema de saúde mundial sob grande tensão, com aumento da sobrecarga devido aos recursos substanciais e ao potencial suporte de terapia intensiva necessária para esses pacientes (Guimarães et al, 2020). Portanto, uma compreensão de como o COVID-19 pode interferir no sistema cardiovascular é importante tanto para profissionais da saúde quanto para pesquisadores, visto que há informações limitadas sobre as características clínicas específicas e fatores associados aos pacientes com doença por SARS-CoV-2 (COVID-19) que apresentam infarto do miocárdio (Montero-cabezas et al, 2021).…”

Section: Introductionunclassified

Fatores associados ao desenvolvimento de infarto agudo do miocárdio em pacientes com COVID-19

Nascimento

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2022

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Objetivo: Descrever os fatores associados ao desenvolvimento de Infarto Agudo do Miocárdio (IAM) em pacientes com COVID -19. Metodologia: Trata-se de uma revisão integrativa da literatura, com a finalidade de reunir e sintetizar resultados de investigações sobre o tema. Para a seleção dos estudos, foram pesquisadas as bases de dados Medline/PubMed (Literatura Biomédica norte-americana, criado pela US Nacional Library of Medicine), Web of Science e Scopus, a busca foi realizada no mês de fevereiro de 2022. Os descritores utilizados foram: (COVID-19) OR (SARS-CoV-2) AND (MYOCARDIAL INFARCTION) AND (CORONARY THROMBOSIS). A amostra final consistiu em 08 artigos analisados. Resultados: Os principais fatores que estão associados à ocorrência de IAM em pacientes positivos para COVID-19, são a idade avançada dos indivíduos, pacientes com comorbidades e ser do sexo masculino. Nas alterações de exames clínicos e laboratoriais os mais comuns foram a elevação do segmento ST no eletrocardiograma, aumento dos níveis de troponina, do D-dímero e da proteína C reativa sérica. A associação entre esses fatores representa uma maior gravidade desses pacientes com alta taxa de mortalidade. Conclusão: O conhecimento de informações quanto às características basais dos casos associados Infarto agudo do miocárdio (IAM) aos pacientes com COVID-19 contribui para organizar o manejo destes pacientes no sistema hospitalar através da instituição de Protocolos apropriados para diagnóstico rápido, triagem e isolamento. E também para minimizar a exposição da equipe de saúde.

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Síndromes Coronarianas Agudas no Contexto Atual da Pandemia COVID-19

Cited by 16 publications

References 23 publications

Impact of the COVID-19 Outbreak on Coronary Artery Bypass Grafting in Brazil

Impact of the COVID-19 Outbreak on Coronary Artery Bypass Grafting in Brazil

Analysis of Deaths Occurred in Households during the Pandemic by COVID-19 in a Brazilian Amazon Region: An Epidemiological Approach

Fatores associados ao desenvolvimento de infarto agudo do miocárdio em pacientes com COVID-19

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