Revascularização com Bypass Coronário em Síndromes Coronarianas Agudas sem Supradesnivelamento do Segmento ST: Uma Instantânea de Ensaios e Registros Randomizados

Borovac, Josip Anđelo; Ferri-Certic, Jerko; Mirić, Dinko; Zanchi, Jakša; Lozo, Mislav; Bradarić, Anteo; Schwarz, Konstantin; Kwok, Chun Shing

doi:10.36660/abc.20220248

Cited by 2 publications

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References 17 publications

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“…Pacientes submetidos a esta técnica geralmente são levados a Unidade de terapia intensiva (UTI) especializada em cardiologia, a UTI coronariana, especialmente os extremos de idade e os que tiveram intercorrências durante a intervenção. Estes precisam de cuidados intensos e monitoração contínua (Borovac et al, 2023).…”

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Assistência de enfermagem na unidade coronariana a pacientes submetidos à revascularização do miocárdio

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A revascularização do miocárdio é um dos procedimentos mais realizados para a correção das isquemias que são causadas pela obstrução de artérias coronarianas. A gravidade no quadro dos pacientes que são submetidos a cirurgia de revascularização do miocárdio tem aumentado consideravelmente nos últimos anos. O objetivo deste estudo é descrever a assistência da equipe de Enfermagem a pacientes submetidos à Revascularização do Miocárdio em uma Unidade Coronariana de Belém-Pará. Os dados desta pesquisa científica foram coletados por meio de uma entrevista, com questionário semiestruturado com 10 enfermeiras que atuam em um hospital de referência cardiológica da cidade de Belém do estado do Pará referente ao ano de 2021, no setor da unidade coronariana. Este estudo se enquadra como uma pesquisa descritiva e qualitativa. Pode evidenciar o planejamento da sistematização da assistência de enfermagem ao paciente submetido a revascularização do miocárdio, descrever e identificar a assistência prestada pela equipe de enfermagem a este perfil de paciente.

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Section: Introductionunclassified

Assistência de enfermagem na unidade coronariana a pacientes submetidos à revascularização do miocárdio

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Acute stroke in patients undergoing coronary artery bypass grafting surgery in acute coronary syndrome: Predictors and outcomes

et al. 2023

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Objectives Coronary artery bypass grafting (CABG) surgery in patients with acute coronary syndrome (ACS) remains a high-risk procedure and is associated with adverse outcomes. The risk factors of acute stroke in the above-mentioned patients stay unclear and some appropriate data is lacking in the literature. Thus, we aimed to investigate the predictors of acute stroke in patients undergoing CABG surgery in ACS. Methods The retrospective single-centre cohort analysis was conducted. All patients ( n = 1344) who suffered from acute coronary syndrome and underwent CABG procedure at the University hospital Cologne from June 2011 until October 2019 were included in our study. In order to find the risk factors of acute stroke after bypass surgery, patients were divided into two groups (non-stroke group ( n = 1297) and stroke group ( n = 47)). In order to even above-mentioned groups propensity score matching (PSM) analysis was performed (non-stroke group ( n = 46) and stroke group ( n = 46). Results Duration of cardiopulmonary bypass ( p = .015) and cross clamp time ( p = .006) were significantly longer in patients who suffered stroke. Perioperative myocardial infarction was significantly higher ( p = .030) in the stroke group. Likewise, the duration of intensive care unit stay ( p < .001) and in-hospital stay ( p < .001) were significantly longer in patients with stroke. However, the mortality rate did not differ significantly ( p = .131) between above-mentioned groups. Univariate and multivariate analysis showed cardiogenic shock ( p = .003), peripheral vascular disease (PVD, p = .025) and previous stroke ( p = .045) as relevant independent predictors for acute stroke after CABG procedure in patients with ACS. Conclusion Based on our findings, acute stroke after bypass surgery in patients with ACS is associated with increased mortality and adverse outcomes. Cardiogenic shock, peripheral vascular disease and previous stroke were independent predictors of stroke after CABG procedure. Therefore, preoperative evaluation of potential risk factors may be crucial to improve postoperative results.

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Revascularização com Bypass Coronário em Síndromes Coronarianas Agudas sem Supradesnivelamento do Segmento ST: Uma Instantânea de Ensaios e Registros Randomizados

Cited by 2 publications

References 17 publications

Assistência de enfermagem na unidade coronariana a pacientes submetidos à revascularização do miocárdio

Assistência de enfermagem na unidade coronariana a pacientes submetidos à revascularização do miocárdio

Acute stroke in patients undergoing coronary artery bypass grafting surgery in acute coronary syndrome: Predictors and outcomes

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