V Diretriz Da Sociedade Brasileira De Cardiologia Sobre Tratamento Do Infarto Agudo Do Miocárdio Com Supradesnível Do Segmento St

Ls, Piegas; Timerman, Ari; Feitosa, GS; Jc, Nicolau; Mattos, LAP; Andrade, M. de Lurdes; Avezum, Álvaro; Feldman, Andrew B.; Carvalho, A De; Sousa, Antônio Carlos Sobral; Mansur, A P; Bozza, A; Falcão, BAA; Filho, Brivaldo Markman; Polanczyk, CA; Gun, Carlos; Serrano, C; Oliveira, Cátia; Moreira, Daniel; Precoma, DB; Magnoni, Daniel; Albuquerque, Denílson Campos de; Er, Romano; Stefanini, Edson; Santos, ES; God, EMG; Ee, Ribeiro; Júnior, FS Brito; Feitosa-Filho, GS; Arruda, GDS; Oliveira, GBF; Lima, GG; Dohmann, Hans F.; Liguori, IM; Costa, J Da; Saraiva, Jfk; Maia, LN; Moreira, L.F.P.; Arrais, Magaly; Canesin, MF; Coutinho, MSSA; Ma, Minghong; Ghorayeb, Nabil; Vieira, NW; Dutra, OP; Coelho, OR; Pe, Leães; Rossi, P; Andrade, PB; Lemos, P.A.; Pavanello, Ricardo; Costa, RC; Bassan, Roberto; Esporcatte, Roberto; Miranda, Raimundo Tirado; Giraldez, RRCV; R, Ramos Calvo; Martins, Stevan Krieger; Esteves, VBC; Mathias, Wilson

doi:10.5935/abc.20150107

Cited by 147 publications

(257 citation statements)

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“…This can have important implications, since a significant portion of services in our country does not have primary angioplasty services. 26 Also, we observed that, in multivariate logistic regression, the use of beta--blocker decreased the chance of death by 4.9 times. The same happens with the use of ACE inhibitors, so that patients treated with these drugs had a 4.4-fold reduction in the risk of death.…”

Section: Discussionmentioning

confidence: 77%

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Impact of coronary intensive care unit in treatment of myocardial infarction

Todo

Bergamasco

Azevedo

et al. 2017

Rev. Assoc. Med. Bras.

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Summary Introduction: The mortality rate attributed to ST-segment elevation myocardial infarction (STEMI) has decreased in the world. However, this disease is still responsible for high costs for health systems. Several factors could decrease mortality in these patients, including implementation of cardiac intensive care units (CICU). The aim of this study was to evaluate the effect of CICU implementation on prescribed recommended treatments and mortality 30 days after STEMI. Method: We performed a retrospective study with patients admitted to CICU between 2005 and 2006 (after group) and between 2000 and 2002, before CICU implementation (before group). Results: The after group had 101 patients, while the before group had 143 patients. There were no differences in general characteristics between groups. We observed an increase in angiotensin-converting enzyme inhibitors, clopidogrel and statin prescriptions after CICU implementation. We did not find differences regarding number of patients submitted to reperfusion therapy; however, there was an increase in primary percutaneous angioplasty compared with thrombolytic therapy in the after group. There was no difference in 30-day mortality (before: 10.5%; after: 8.9%; p=0.850), but prescription of recommended treatments was high in both groups. Prescription of angiotensin-converting enzyme inhibitors and beta-blocker decreased mortality risk by 4.4 and 4.9 times, respectively. Conclusion: CICU implementation did not reduce mortality after 30 days in patients with STEMI; however, it increased the prescription of standard treatment for these patients.

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Section: Discussionmentioning

confidence: 77%

“…Similarly, 50 to 65% of patients die in the first hour and up to 85% of deaths occur on the first day after the ischemic event. 26 One of the main causes is the appearance of malignant arrhythmias, especially sustained ventricular tachycardia and ventricular fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Impact of coronary intensive care unit in treatment of myocardial infarction

Todo

Bergamasco

Azevedo

et al. 2017

Rev. Assoc. Med. Bras.

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“…The most frequent form of cardiopulmonary arrest (CPA) associated with the AMI is the ventricular fibrillation [4]. Thus, to minimize the deleterious consequences of CPA, it is necessary the implementation of early CPR maneuvers and of high quality and must be performed by qualified multidisciplinary team and owner of material resources and equipment needed to watch this emergency.…”

Section: Importance Of Training In Cprmentioning

confidence: 99%

Education Strategies Through Simulation For Training In Cardiopulmonary Resuscitation Treatment

Machado¹,

Albuquerque²,

Oliveira³

2017

int arch med

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Theoretical and reflective study based on scientific literature and critical analysis of authors related to teaching strategies through simulation for training in cardiopulmonary resuscitation (CPR). Current teaching methodologies CPR involve realistic simulation strategies and simulations in virtual environments, but the first method provides the best results, allowing proactivity of individuals in their teaching-learning process and bringing them the experience of a life threatening situation. It is noteworthy that health professionals need to be able to assist a victim in cardiac arrest, but even existing effective teaching methodologies to enable them in this subject, is not fully applicable in the Brazilian context of health education.

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“…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%

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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V Diretriz Da Sociedade Brasileira De Cardiologia Sobre Tratamento Do Infarto Agudo Do Miocárdio Com Supradesnível Do Segmento St

Cited by 147 publications

References 0 publications

Impact of coronary intensive care unit in treatment of myocardial infarction

Impact of coronary intensive care unit in treatment of myocardial infarction

Education Strategies Through Simulation For Training In Cardiopulmonary Resuscitation Treatment

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

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