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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
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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
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Myocardial infarction in real world, what the numbers teach...
Session:
Posters 2 - Écran 9 - Doença Coronária
Speaker:
César Ricardo Coimbra de Matos
Congress:
CPC 2019
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
César Matos; Rui Marques; Inês Cunha; Margarida Neto; Ana Filipa Viegas; Ana Maria Pinto; António Assunção; Emanuel Correia; Costa Cabral
Abstract
<p>Introduction: Coronary disease has a strong impact on public health, which makes it imperative to proceed to its analysis and<br /> characterization. It is important to understand which numbers belong to each treatment centre, for they can differ locally, and have<br /> customized strategies for the treatment of the risk factors according their prevalence.<br /> Objectives: The purpose of this study is to characterize patients with acute myocardium infarct (EAM) admitted at a Coronary<br /> Intensive Care Unit of a Central Hospital based on demographic data, clinic situation, risk factors (HTA, dyslipidaemia, diabetes<br /> and smoking) and intervention.<br /> Materials and Methods: This is a quantitative, descriptive, cross-sectional and retrospective study on patients with diagnosis of<br /> EAM, specifically comparing those with ST (w/ ST) and without ST (w/o ST). The data was collected during 2017 at that care<br /> unit. The comparative analysis is based on descriptive and inferential statistics in SPPS®.<br /> Results: A total of 336 patients was diagnosed with EAM (142 w/ ST and 194 w/o ST), being the majority male patients (78,2%<br /> w/ST and 70,6% w/o ST) with an average age of 66,4±13,7 years vs 70,6 ±12 years, respectively. Among risk factors it is noted<br /> the presence of previous diagnosis of HTA in 60,6% w/ST and 77,3% w/o ST; diabetes in 19% w/ ST and 28,9% w/o ST.<br /> Looking at the lipidic profile of the patients it was verified 79,7% vs 79,2% with LDL >70mg/dl, 54% vs 60,5% with<br /> HDL<40mg/dl, 14,8% vs 25,6% with triglycerides >175mg/dl and 34,3% vs 25,6% with total cholesterol >190mg/dl. Smoking<br /> habits was present in 26,8% w/ ST vs 11,9% w/o ST and 4,9% vs 3,6% were ex-smokers. Fibrinolysis was performed in 26,8%<br /> of the patients w/ST and 22,7% w/o ST. The majority of patients did coronarography and 73.5% w/ST vs 40% w/o ST were<br /> submitted to coronary angiography. The intra hospital mortally rate was 9,5%.<br /> Conclusions: The results of the analysis allow to identify a strategic vision to improve cardiovascular prevention among an high<br /> prevalence of risk factors (HTA, diabetes, dyslipidaemia, smoking) for myocardium infarct within the studied population. It is<br /> reiterated the need of implementing primary intervention measures through health education sessions (fighting the inertia to<br /> therapy and promoting full treatment of risk factors reaching the therapeutic target) in order to raise awareness for coronary<br /> disease and the importance of acting on modifiable risk factors such as HTA, diabetes, dyslipidaemia and smoking. In this<br /> respect, it is key to broaden the application of risk scales (SCORE system) by all health professionals and the implementation of<br /> suitable recommendations for each risk level.</p>
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