Costo institucional del infarto agudo del miocardio en en el Instituto de Cardiología y Cirugía Cardiovascular

García, Ariana Fernández; González, Ana María Gálvez; Guzmán, Antonio Castillo

doi:10.1590/s0864-34662008000400006

“…[30,31] The decline in AMI mortality rates in Cuba during the study period may have been infl uenced by a series of measures instituted from the primary care level up: use of SIUM advanced mobile life support units with personnel trained to manage AMI (providing clear advantages for patients transported, since the majority reach hospital stabilized and with a positive diagnosis of heart attack, saving time); the equipping of selected community-based polyclinics with advanced emergency services; opening of polyclinic intensive care units for early treatment of patients; and expanded use of systemic coronary thrombolysis in primary care, helping reduce lethal complications. [23] A 33% reduction in AMI mortality rates was observed in Argentina over 14 years (52 per 100,000 population vs. 35 per 100,000 population in 1990 and 2004, respectively), [32,33] possibly attributable to secondary prevention, along with optimization of resources and deployment of new therapies. However, reduced mortality rates documented by the Argentine Cardiology Society were not accompanied by declines in in-hospital mortality, which remained high and substantially unchanged.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Mortality in Cuba, 1999–2008

2012

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“…[30,31] The decline in AMI mortality rates in Cuba during the study period may have been infl uenced by a series of measures instituted from the primary care level up: use of SIUM advanced mobile life support units with personnel trained to manage AMI (providing clear advantages for patients transported, since the majority reach hospital stabilized and with a positive diagnosis of heart attack, saving time); the equipping of selected community-based polyclinics with advanced emergency services; opening of polyclinic intensive care units for early treatment of patients; and expanded use of systemic coronary thrombolysis in primary care, helping reduce lethal complications. [23] A 33% reduction in AMI mortality rates was observed in Argentina over 14 years (52 per 100,000 population vs. 35 per 100,000 population in 1990 and 2004, respectively), [32,33] possibly attributable to secondary prevention, along with optimization of resources and deployment of new therapies. However, reduced mortality rates documented by the Argentine Cardiology Society were not accompanied by declines in in-hospital mortality, which remained high and substantially unchanged.…”

Section: Discussionmentioning

confidence: 99%

“…[22] In that year, 7022 people died of AMI, 81.4% of them aged ≥60 years, [21] representing 7.7% of all deaths in Cuba. [23] Changes instituted in Cuban health services to address AMI included the 1997 creation of the Integrated Medical Emergency System (SIUM, the Spanish acronym), [24,25] a specialized service at the municipal and provincial level. At the primary care level, SIUM is based in the urgent care polyclinics, a subset of the community-based polyclinics equipped to handle more serious medical emergencies for geographically-defi ned populations.…”

Section: Introductionmentioning

confidence: 99%

Acute myocardial infarction mortality in Cuba, 1999-2008

Armas¹,

Ortega²,

Noval³

et al. 2012

MEDICC rev.

2

0

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INTRODUCTION Acute myocardial infarction is one of the leading causes of death in the world. This is also true in Cuba, where no national-level epidemiologic studies of related mortality have been published in recent years.OBJECTIVE Describe acute myocardial infarction mortality in Cuba from 1999 through 2008.METHODS A descriptive study was conducted of persons aged ≥25 years with a diagnosis of acute myocardial infarction from 1999 through 2008. Data were obtained from the Ministry of Public Health's National Statistics Division database for variables: age; sex; site (out of hospital, in hospital or in hospital emergency room) and location (jurisdiction) of death. Proportions, age-and sex-specifi c rates and age-standardized overall rates per 100,000 population were calculated and compared over time, using the two fi ve-year time frames within the study period.RESULTS A total of 145,808 persons who had suffered acute myocardial infarction were recorded, 75,512 of whom died, for a case-fatality rate of 51. 8% (55.1% in 1999-2003 and 49.7% in 2004-2008). In the fi rst fi ve-year period, mortality was 98.9 per 100,000 population, falling to 81.8 per 100,000 in the second; most affected were people aged ≥75 years and men. Of Cuba's 14 provinces and special municipality, Havana, Havana City and Camagüey provinces, and the Isle of Youth Special Municipality showed the highest mortality; Holguín, Ciego de Ávila and Granma provinces the lowest. Out-of-hospital deaths accounted for the greatest proportion of deaths in both fi ve-year periods (54.8% and 59.2% in 1999-2003 and 2004-2008, respectively).CONCLUSIONS Although risk of death from acute myocardial infarction decreased through the study period, it remains a major health problem in Cuba. A national acute myocardial infarction case registry is needed. Also required is further research to help elucidate possible causes of Cuba's high acute myocardial infarction mortality: cardiovascular risk studies, studies of out-of-hospital mortality and quality of care assessments for these patients.

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“…Age increases the risk of developing hypertension and, therefore, hypertensive crisis, which is explained from a physiological perspective as aging generates endothelial changes and collagen deposition at the arterial level (25). On the other hand, regarding gender, the data obtained differs from the clinical epidemiological study of hypertensive crises (23) where the female gender predominates as an associated factor; this may be due to the fact that most studies have been carried out in emergency rooms.…”

Section: Factors Associated With Hypertensive Crisismentioning

confidence: 99%

Prevalence, Trends, and Associated Factors of Hypertensive Crisis in Peruvian Adults, 2014-2019

Ocon

¹

,

Peredo

²

,

Bernabé‐Ortiz³

2023

Preprint

0

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Objectives: To determine the prevalence and trend over time of the hypertensive crisis, as well as sociodemographic and behavioral factors associated with it in Peruvian adults. Materials and methods: Cross-sectional analysis of the Demographic and Family Health Survey (ENDES) from 2014 to 2019. The dependent variable was hypertensive status, with three categories: normotensive, hypertensive, and those with hypertensive crisis (CH). HC was defined as systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg. Associated variables of interest were evaluated using multinomial logistic regression, and the trend of HC was assessed using the Cochrane-Armitage test. Results: A total of 166,741 participants were analyzed, mean age 43.5 (± 16.4) years, 54.4% were women, and 75.5% came from urban areas. The prevalence of hypertensive crisis was 1.3% (95% CI: 1.2% - 1.4%), and this estimate decreased from 1.6% in 2014 to 1.1% in 2019 (p< 0.001). Cases of hypertensive crises were more frequent in older individuals, especially those aged 60+ (OR = 80.6), males (OR = 1.43), urban residents (OR = 1.25), overweight (OR 1.65) or obese (OR = 2.41) and having diabetes (OR = 2.22). Conclusions: The presence of hypertensive crisis was relatively common in the general Peruvian population. There is a need to improve the strategies for diagnosis, treatment, and control of hypertension in our context to reduce the cases of hypertensive crisis.

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Costo institucional del infarto agudo del miocardio en en el Instituto de Cardiología y Cirugía Cardiovascular

Cited by 7 publications

References 7 publications

Acute Myocardial Infarction Mortality in Cuba, 1999–2008

Acute Myocardial Infarction Mortality in Cuba, 1999–2008

Acute myocardial infarction mortality in Cuba, 1999-2008

Prevalence, Trends, and Associated Factors of Hypertensive Crisis in Peruvian Adults, 2014-2019

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