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
The nowadays impact of the presence of Atrial Fibrillation in the prognosis of patients with Acute Coronary Syndrome
Session:
Sessão de Posters 31 - Fibrilhação auricular: dos mecanismos ao tratamento
Speaker:
Sofia Isabel Norte Andraz
Congress:
CPC 2024
Topic:
C. Arrhythmias and Device Therapy
Theme:
05. Atrial Fibrillation
Subtheme:
05.8 Atrial Fibrillation - Clinical
Session Type:
Cartazes
FP Number:
---
Authors:
Sofia Andraz; Joana Massa Pereira; Hugo Costa; Miguel Espírito Santo; Lucas Hamann; Pedro de Azevedo; Jorge Mimoso
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Introduction:</strong> Atrial fibrillation (AF) shares multiple risk factors with acute coronary syndrome (ACS) and therefore it is frequently found in these patients. Studies report a worse prognosis when compared with patients in sinus rhythm, however its impact on outcome over time is not yet well established.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Objective:</strong> Determine the effect of AF in cardiovascular (CV) outcome during the follow-up of patients who had suffered an ACS comparing with patients without the diagnosis of this arrhythmia.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Methods:</strong> Observational and retrospective study that included 470 patients admitted with ACS diagnosis and who underwent percutaneous coronary intervention (PCI) between January 2020 and December 2021 with a minimum follow-up of 23 months. Demographic characteristics of the sample, cardiovascular risk factors, as well as the type of ACS and therapy used were collected. The outcome studied was hospitalization due to cardiovascular (CV) causes, or unplanned PCI, or CV death. Independent predictors were obtained using multivariate logistic regression.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Results:</strong> A total of 470 patients were obtained, 65 (13,8%) of these were diagnosed with AF at admission or during the hospitalization and 63,1% were males. AF patients were older (74,5 ± 9,2 years), more often had concomitant diagnosis of arterial hypertension (HT) (89,2 vs 63,5%, p<0,001) and less active smokers (13,8% vs 40,9%). In terms of anti-platelet therapy, association of aspirin and clopidogrel was the more frequent in AF group (53,8% vs 18,6%, p<0,001) as well as the use of apixaban (52,3 vs 1,0%, p=0,009) with a higher hemorrhagic risk (63,1 vs 22,6%, p=0,011). When the occurrence of composite outcome was evaluated, it seemed more frequent in AF group (32,3% vs 13,6%, p=0,001). In multivariate analyses AF was independent predictor of the occurrence of adverse outcomes (OR=2.01, 95% CI 1 .05-3.83, p=0.034).</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Conclusion:</strong> AF diagnosed at admission or during hospitalization independently predicted, in our sample, poorer outcomes in patients with ACS. </span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site