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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
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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
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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
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Nonspecific intraventricular conduction delay in patients with acute myocardial infarction is associated with a worse prognosis after discharge
Session:
Posters 3 - Écran 2 - Doença Coronária
Speaker:
José Maria Farinha
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:
José Maria Farinha; Leonor Parreira; Rita Marinheiro; Marta Ferreira Fonseca; Ana Fátima Esteves; Antonio Pinheiro Cumena Candjondjo; Dinis Valbom Mesquita; Pedro Campos Amador; Artur Lopes; Ricardo Santos; Rui Caria
Abstract
<p><strong>Introduction</strong></p> <p>The presence of left or right bundle brunch block in patients with persistent ischaemic symptoms is an indication for emergent coronary angiography. However, there is nothing established about nonspecific intraventricular conduction delay (NICD).</p> <p><strong>Objective</strong></p> <p>The aim of this study was to assess the prognostic impact of NICD in patients with acute myocardial infarction (AMI).</p> <p><strong>Methods</strong></p> <p>We retrospectively studied consecutive patients admitted with AMI between 2011 and 2013. We excluded patients with left or right bundle brunch block, or pacemaker. NICD was defined as a QRS duration ≥ 120 ms without meeting the criteria for left or right bundle brunch block. We compared 2 groups of patients: those with NICD and those without NICD. We analysed clinical characteristics, in-hospital evolution, and major adverse cardiovascular events (MACE) during follow-up (cardiovascular death, arrhythmic events, heart failure, myocardial infarction, and stroke). Survival probability free of MACE between groups was analysed using a survival curve analysis by Kaplan-Meier method.</p> <p><strong>Results</strong></p> <p>We studied 507 patients. Fifty eight patients had NICD. Patients with NICD were older, had more severe left ventricular ejection fraction (LVEF) dysfunction, and had less frequently ST-segment elevation AMI (STEMI). After discharge, during a mean follow-up time of 24.1 ± 11.5 months, 59/489 patients died. NICD was independently associated with MACE (adjusted OR 2.39, 95% CI 1.12 – 5.10; <em>p</em>=0.025) (Table). The survival curve analysis showed a greater survival probability free of MACE for those patients without NICD (Log-rank, <em>p</em><0.001) (Figure).</p> <p><strong>Conclusions</strong></p> <p>In this group of patients with AMI, NICD was associated with a worse long term survival free of cardiovascular mortality and hospitalizations. Maybe the threshold for intervention should be equally lower in this type of patients.</p>
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