Trombólise pré-hospitalar no infarto agudo do miocárdio: uma alternativa factível para o Brasil?

Wainstein, Rodrigo Vugman; Furtado, Mariana Vargas; Polanczyk, Carísi Anne

doi:10.1590/s0066-782x2008000200001

Cited by 8 publications

(6 citation statements)

References 13 publications

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“…5.6 Cognitive and emotional factors related to the perception of both the individual and his/her associates regarding the AMI and its implications in everyday life 7 can influence attitudes towards the cardiovascular event in progress. 8 In Brazil, there are few data available on pre-hospital care 9 and on decision making to seek care for people who have suffered this cardiovascular event. Furthermore, many studies are inconclusive about the reasons why men and women delay in seeking care when there are symptoms of the disease.…”

Section: Introductionmentioning

confidence: 99%

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Mussi

Mendes²,

Queiroz³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: To estimate the time of decision (TD) to look for medical care and the time of arrival (TA) at the health service for men (M) and women (W) suffering from acute myocardial infarction and to analyze the influence of the interpretation of pain and pain resistance behaviors during these times. Methods: This is an exploratory research, performed at the university hospital in Salvador/Bahia. 43 W and 54 M were interviewed. To study the dependence among sociodemographic and gender variables, the Fisher Exact Test was used. To analyze times, a geometric mean (GM) was used. In order to verify the association between the GM of TD and TA and the judgment of pain, and between the GM of TD and TA and the behavior of resistance to pain, as well as to test the time of interaction between the gender variable and other variables of interest, the robust regression model was used. The statistical significance adopted was 5%. Results: The GM of the TD for M was 1.13 h; for W, 0.74 h. The GM of the TA was 1.74 h for M and 1.47 h for W. Those who did not recognize the symptoms of AMI and presented behavior of resistance to pain had higher TD and TA, being the associations significant. Gender did not change the associations of interest. Conclusion:The findings demonstrate the importance of health education aiming at the benefits of early treatment.

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Section: Introductionmentioning

confidence: 99%

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Mussi

Mendes²,

Queiroz³

et al. 2014

Rev. Assoc. Med. Bras.

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“…Epidemiological data from major societies point cardiovascular diseases as those with increased mortality and morbidity [1,2]. There is expectation that in 2020, 40% of deaths are related to them.…”

Section: Introductionmentioning

confidence: 99%

Time of arrival of patients with acute myocardial infarction to the emergency department

Bastos¹,

Beccária²,

Contrin³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objectives: To characterize the profile of patients with acute myocardial infarction (AMI) treated at the emergency department and to verify the time of arrival of each patient (∆T). Identify how the patient was transported and to correlate Delta-T (∆T) with the treatment and the prognosis of each patient.Methods: Cross-sectional survey involving 52 patients with AMI admitted to the Emergency Department of a Teaching Hospital took part in the study from July to December 2010. Data collection was performed using medical records and interviews.Results: The majority of the patients were male with a mean age of 62.35 ± 14.66 years. The participants were married, with low education levels, family history of heart diseases, arterial hypertension, dyslipidemia, and a sedentary lifestyle. The symptoms presented were pains in the chest, epigastric region, or a chest discomfort associated to dyspnea and/or sudden sweating. The majority of the patients were transported by ambulance. They were submitted to cardiac catheterization followed by angioplasty. Delta-T found was 9h45min ± 18h9min. In this study, the overall lethality was 3.85%.Conclusions: The perception of signs and symptoms of AMI by the patient was a decisive factor when seeking out specialized treatment. Those with the lowest Delta-T presented better prognosis. Descriptors

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“…The remaining patients (81.5%) received a thrombolytic agent, and the contact for their transfer was immediately performed, even when they were stable. On the other hand, of the 46 patients transferred in the SAMU ambulances, only eight (20%) underwent pre-hospital thrombolysis, a number that, although low, is frequently found in other countries 26 . It is worth noting that almost 25% of the thrombolysed patients required rescue PTCA, some still while in the ambulance (they left their origin stable and, on the way, their ST-segment elevation worsened, pain recurred, or hemodynamic instability occurred), emphasizing the need for immediate transfer to a reference hospital after thrombolysis.…”

Section: Discussionmentioning

confidence: 81%

Rede de infarto com supradesnivelamento de ST: sistematização em 205 casos diminui eventos clínicos na rede pública

Caluza¹,

Barbosa

Gonçalves

et al. 2012

Arq. Bras. Cardiol.

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Trombólise pré-hospitalar no infarto agudo do miocárdio: uma alternativa factível para o Brasil?

Cited by 8 publications

References 13 publications

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Time of arrival of patients with acute myocardial infarction to the emergency department

Rede de infarto com supradesnivelamento de ST: sistematização em 205 casos diminui eventos clínicos na rede pública

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