Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Missed opportunities in symptomatic patients before a first acute coronary syndrome: EPIHeart cohort study
Session:
CO 05 - Isquemia/SCA
Speaker:
Carla Araújo
Congress:
CPC 2018
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.6 Acute Coronary Syndromes - Clinical
Session Type:
Comunicações Orais
FP Number:
---
Authors:
Carla Araújo; Olga Laszczynska; Marta Viana; Paula Dias; Maria Júlia Maciel Barbosa; Ilidio Moreira; Ana Azevedo
Abstract
<p><strong>Objectives:</strong> To assess the proportion of patients with a first episode of acute coronary syndrome (ACS) reporting preceding chest pain, medical care seeking and performance of exams; and to identify determinants of seeking medical advice and undergoing electrocardiogram (ECG).</p> <p><strong>Methods:</strong> Within a cohort study, 690 patients with a first episode of ACS were evaluated. A questionnaire was applied to assess chest pain within the preceding six months of the event and health system resources utilisation. Determinants were identified by logistic regression.</p> <p><strong>Results:</strong> Preceding chest pain was reported by 61% of patients, 43% of these sought medical help, of whom less than half underwent ECG, and in 39% pain was attributed to a problem of the heart. Patients with hypertension were more likely (adjusted odds ratio [OR] =2.13, 95% confidence interval [95%CI]: 1.29-3.51); former smokers (0.52, 0.28-0.99) and patients of upper social class (0.16, 0.05-0.48) were less likely to seek medical care. Performance of ECG was associated with male sex (2.56, 1.11-5.87), health subsystem coverage (3.88, 1.11-13.53) and living in the North-eastern region (9.07, 4.07-20.24); whereas cognitive impairment (0.37, 0.15-0.92) and being employed (0.36, 0.14-0.97) were inversely associated.</p> <p><strong>Conclusions: </strong>These results suggest there are opportunities to improve diagnosis of myocardial ischemia before acute coronary events.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site