Arterial hypertension and associated factors in patients submitted to myocardial revascularization

Abstract

OBJECTIVE To identify the prevalence of arterial hypertension and associated factors in patients submitted to myocardial revascularization. METHOD Cross-sectional study using the database of a hospital in São Paulo (SP, Brazil) containing 3010 patients with coronary artery disease submitted to myocardial revascularization. A multiple logistic regression was performed to identify variables independently associated with hypertension (statistical significance: p<0.05). RESULTS Prevalence of hypertension was 82.8%. After the variables were adjusted, the associated factors were as follows: age, odds ratio (OR): OR=1.01; 95% confidence interval (CI): CI:1.00-1.02; female gender: (OR=1.77;CI:1.39-2.25); brown-skin race: (OR=1.53;CI:1.07-2.19); obesity: (OR=1.53;CI:1.13-2.06); diabetes: (OR=1.90;CI:1.52-2.39); dyslipidemia: (OR=1.51;CI:1.23-1.85); and creatinine>1.3: (OR=1.37;CI:1.09-1.72). CONCLUSION A high prevalence of arterial hypertension and association with both non-modifiable and modifiable factors was observed.

Nursing diagnoses in the hemodynamics sector: an adaptive perspective

“…It was identified that the majority of subjects had more than one associated comorbidity, emphasizing systemic arterial hypertension (85%), dyslipidemia (49%) and diabetes mellitus (30%). Regarding body mass index, 53% of the participants were overweight according to the classifications described by the World Health Organization (10) . Regarding the type of procedure performed, 64% underwent cardiac catheterization and 21% underwent percutaneous transluminal coronary angioplasty.…”

“…Much progress has been made in relation to treating coronary diseases, and the percutaneous approach is an increasingly prevalent intervention. In this context, patient care is performed by a multidisciplinary team, and nurses play an important role in care, since it is the professional who assists the patient throughout his or her hospital stay (10) .…”

Complicações no pós-operatório imediato de revascularização do miocárdio

“…O uso de CEC pode levar a complicações, entre elas: disfunção renal, infarto agudo do miocárdio, comprometimento neurológico, disfunção cognitiva, fibrilação atrial e disfunção ventricular 11 , risco de acidente vascular cerebral intraoperatório associado à manipulação da aorta ascendente e arritmias, além de estar relacionado ao risco de hemorragia no período pós-operatório, a baixo débito cardíaco, a derrame pleural, a tamponamento cardíaco e à coagulopatia 2,10 .…”

“…Atualmente, as doenças crônicas não transmissíveis (DCNT) são responsáveis por altas taxas de morbimortalidade no país 1 . Entre elas, destacam-se as doenças cardiovasculares 2 . A ocorrência das doenças cardiovasculares está relacionada a diversos fatores considerados de risco para o adoecimento causado por esses agravos, tais quais hábitos de vida prejudiciais, como o tabagismo, a alimentação inadequada, o sedentarismo e o consumo de álcool 3 .…”

Avaliação do risco para o desenvolvimento de lesões perioperatórias decorrentes do posicionamento cirúrgico

“…Most patients were female, employed, and came from the capital of the state. The female gender had the highest prevalence, since it represents a majority in the profile of the population and in the sample, in addition to having a higher knowledge about their own health and being more worried about it, which leads them to seek health services more frequently and to more notifications (16)(17) .…”