Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST (II Edição, 2007) - Atualização 2013/2014

Nicolau, José Carlos; Timerman, Ari; Marin-Neto, José Antônio; Piegas, L S; Barbosa, Cjdg; Franci, André; Avezum, A; Carvalho, Acc; Filho, Brivaldo Markman; Polanczyk, Carísi Anne; Rochitte, CE; Júnior, CV Serrano; Precoma, DB; Silva, DG; Albuquerque, Denílson Campos de; Stefanini, Edson; Knobel, E; Fb, Jatene; Feres, F; Morcerf, F.; Ganem, Fernando; Filho, FA Lima; Filho, GS Feitosa; Ferreira, Jfm; Jc, Meneghetti; Saraiva, Jfk; Silva, LS; Maia, LN; Baracioli, LM; Lisboa, Laf; Dallan, Luís Alberto Oliveira; Bodanese, LC; Andrade,; Júnior, Marcos; Dutra, OP; Coelho, OR; Pe, Leães; Albuquerque, PF; Lemos, P.A.; Kalil, Renato A. K.; Costa, Rvc; Esporcate, R; Marino, RL; Botellho, RV; Rs, Meneghelo; Sprovieri,; Timerman, Sérgio; Júnior, Wilson Mathias

doi:10.5935/abc.2014s001

Cited by 29 publications

(16 citation statements)

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“…International guidelines recommend use of some bleeding score like Mehran or Crusade in all patients with ACS at admission [1] [2] [13] [14].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of acute coronary syndromes (ACS) has been focused in reducing ischemic events and restoration of adequate coronary blood flow by using dual antiplatelet therapy, anticoagulation and early revascularization [1] [2]. Combined antithrombotic therapy could improve significant reduction in cardiovascular events but it's associated with higher incidence of bleeding, limiting its universal use in ACS [3] [4].…”

Section: Introductionmentioning

confidence: 99%

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Prognosis of Patients with Acute Coronary Syndromes and Bleeding—The Importance of Routine Use of a Bleeding Risk Score

Soeiro¹,

Silva²,

Bossa³

et al. 2015

WJCD

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Introduction: Recent studies showed relation between mortality and bleeding in acute coronary syndromes. Objective: The objective is to analyze the prognosis of patients with acute coronary syndromes with or without in-hospital major and/or minor bleedings. Methods: This was a prospective data bank analysis study with 546 patients (39 with bleeding (group I) and 507 without bleeding (group II)) with acute coronary syndromes included between May 2010 and May 2013. Besides, Mehran bleeding risk score was calculated to all patients. The primary endpoint was all causes of in-hospital death and combined events. Comparison between groups was made by Anova and Q-square. Multivariate analysis was determined by logistic regression and was considered significant when p < 0.05. Long-term mortality and combined events were studied using Kaplan-meyer curves. Results: The median Mehran bleeding risk score was 18.78 and 15.11 in groups I and II, respectively. Major bleeding was observed in 4.4%. Significant difference was observed between groups I and II in deaths (20.5% vs 2.6%, p = 0.005) and combined events (35.9% vs 11.4%, p < 0.001). The same results were observed in multivariate and long-term analysis. Conclusions: Almost half of patients with acute coronary syndromes had higher risk of bleeding, and that with major or minor bleedings had greater deaths and combined events.

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“…International guidelines recommend use of some bleeding score like Mehran or Crusade in all patients with ACS at admission [1] [2] [13] [14].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prognosis of Patients with Acute Coronary Syndromes and Bleeding—The Importance of Routine Use of a Bleeding Risk Score

Soeiro¹,

Silva²,

Bossa³

et al. 2015

WJCD

View full text Add to dashboard Cite

show abstract

“…Three forms of ACS exist: acute myocardial infarction (AMI) with ST-segment elevation, AMI without ST-segment elevation, and unstable angina. (2) In Brazil, an estimated 300,000 to 400,000 cases of AMI occur each year; for AMI, the coefficient of mortality per 100,000 inhabitants was 35.2 in 2002 and 39.36 in 2008, representing an increase of approximately 11%. (1) These diseases are diagnosed by electrocardiogram clinical signs and cardiac enzymes and are confirmed by cardiac catheterization.…”

Section: Introductionmentioning

confidence: 99%

“…(1) These diseases are diagnosed by electrocardiogram clinical signs and cardiac enzymes and are confirmed by cardiac catheterization. (2) Because cardiac catheterization is an invasive diagnostic test, it often causes physiologic and psychological changes; anxiety and fear are the most common. According to an exploratory study on fear and anxiety in patients who underwent catheterization, the fear experienced before the procedure is related to concern about possible adverse events during exam, and anxiety results from the possibility of an unexpected diagnosis and prognosis.…”

Section: Introductionmentioning

confidence: 99%

Elaboração e validação de um manual informativo sobre cateterismo cardíaco

2016

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Objective: To elaborate and validate an information manual for cardiac catheterization. Methods: This was a methodological study. The manual was elaborated based on experience of researchers and data from the literature. The manual was validated by 8 nurses by using the Delphi technique; to be considered valid, agreement must reach 100%. Posteriorly, it was evaluated by 35 patients; at this stage the mean score must be 4 or greater. Results: The manual covers the following topics: definition; location and time of conduction; how the procedure was done; and descriptions of care before, during, and after the procedure. A total of four rounds were needed to validate the manual with nurses. In the second step, all questions about the manual had a high mean score (4.83 to 4.91, p<0.001), making the manual valid for patients. Conclusion: The manual was elaborated and considered valid by nurses and patients. The manual can be applied to different institutions. ResumoObjetivo: Elaborar e validar um manual informativo sobre o cateterismo cardíaco. Métodos: Trata-se de um estudo metodológico. O manual foi elaborado de acordo com a experiência dos pesquisadores e em dados da literatura. Foi submetido à validação por oito enfermeiros, utilizando a Técnica de Delphi e para ser considerado válido deveria alcançar 100% de concordância. Posteriormente foi avaliado por 35 pacientes e deveria alcançar uma média de pontuação igual ou superior a 4. Resultados: O manual contém os tópicos: definição, local e tempo de realização, como ele é realizado e os cuidados antes, durante e após o procedimento. Foram necessárias quatro rodadas para validar o manual com os enfermeiros. Na segunda etapa observou-se que todas as questões sobre o manual tiveram médias altas (4,83 a 4,91, p<0,001), tornando o manual válido pelos pacientes. Conclusão: O manual foi elaborado e considerado válido pelos enfermeiros e pacientes e, poderá ser utilizado por diversas instituições.

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“…1,6 The project was approved by the Ethics and Research Committees of the Universidade Federal de Ciências da Saúde de Porto Alegre (CEP-UFCSPA) and the Instituto de Cardiologia de Porto Alegre (CEP IC-FUC), CAAE: 10304212.6.0000.5333. All patients read and signed a Free and Informed Consent Form.…”

mentioning

confidence: 99%

Effectiveness of video resources in nursing orientation before cardiac heart surgery

Oliveira

Souza

Pellanda

2016

Rev. Assoc. Med. Bras.

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Objective: To evaluate the effectiveness of video resources in increasing patient knowledge during preoperative orientation for cardiac surgery compared to standard orientation. Method: Randomized clinical trial. Patients in the intervention group (IG) received bedside orientation with the aid of a short video and a slide presentation on the day prior to surgery. Patients in the control group (CG) received standard orientation. Allocation and analysis of knowledge were blinded. Analysis was performed according to the intention to treat principle. Results: We included 90 patients, 45 in each group; 27.8% had incomplete primary education. There were no differences between groups in the baseline. After orientation, IG scored 7.20 (±1.56) and scored CG 2.71 (±1.96, p<0,001). The topic "surgical room" had the lowest proportion of correct answers in CG (6.7%), compared to IG (68.9%). The question about "postoperative unit" was the one with the highest proportion of correct answers in IG (93.3%), while in CG the proportion was 22.2%. "Ventilatory support" had a low proportion of correct answers in IG (60%), but still much higher than the correct answers in CG (17.8%). Conclusion: Orientation performed with the aid of video resources is more effective for knowledge retention in preoperative patients, compared to verbal orientation alone.

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Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST (II Edição, 2007) - Atualização 2013/2014

Cited by 29 publications

References 0 publications

Prognosis of Patients with Acute Coronary Syndromes and Bleeding—The Importance of Routine Use of a Bleeding Risk Score

Prognosis of Patients with Acute Coronary Syndromes and Bleeding—The Importance of Routine Use of a Bleeding Risk Score

Elaboração e validação de um manual informativo sobre cateterismo cardíaco

Effectiveness of video resources in nursing orientation before cardiac heart surgery

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