Prevalência de dor torácica e medicação antianginosa em Hospital Universitário de Vassouras, RJ / Prevalence of chest pain and anti-angina medication at a University Hospital in Vassouras, Rio de Janeiro State

Fundamentos: Apesar de existirem inúmeras doenças que causam dor torácica, aquelas originadas do aparelho cardiovascular são as que mais preocupam,e sua classificação clínica é de extrema importância na abordagem inicial dos pacientes, possibilitando a diferenciação entre as doenças que oferecem risco de morte.Objetivos: Analisar os atendimentos por dor torácica no Hospital Universitário Sul Fluminense, em Vassouras, RJ, verificando a sua frequência, os tipos encontrados e a sua relação com sexo, faixa etária e medicamentos prévios utilizados. Métodos: Estudo transversal observacional, realizado no período de 2010 a 2012, utilizando-se questionário estruturado, incluindo indivíduos com queixa de dor torácica. Foram analisadas as variáveis: sexo, faixa etária e medicamentos prévios utilizados. Resultados: Foram admitidos no HUSF com dor torácica 236 pacientes. A dor mais prevalente foi a do tipo B (44,0%), sem demonstrar diferença estatística com as demais (p=0,844). Não foi encontrada diferença significativa em relação ao sexo ou à faixa etária para os diferentes tipos de dor. Os medicamentos mais utilizados foram: betabloqueadores e inibidor da enzima de conversão da angiotensina. Conclusões: Dos pacientes estudados, o tipo de dor mais encontrado foi o tipo B, seguido pelo C, A e por último o tipo D. Houve diferença significativa entre os medicamentos utilizados pelos pacientes e quando relacionado o medicamento com a faixa etária; todavia não houve relação significativa do medicamento como sexo. Também não foi significativa a relação do tipo de dor com a idade, o sexo e com os medicamentos antianginosos utilizados.

Background: Although there are countless diseases causing chest pain, those arising from the cardiovascular system prompt the greatest concern. Their clinical classification is extremely important for initial patient management, helping distinguish life threatening diseases. Objectives: To analyze chest pain in patients seen at the Sul Fluminense University Hospital in Vassouras, Rio de Janeiro State, identifying frequency and type, and relating this to gender, age bracket and medications taken previously. Methods: This observational cross-sectional study was conducted from 2010 to 2012 using a structured questionnaire completed by patients complaining of chest pain. The following variables were analyzed: gender, age bracket and medications taken previously. Results: Among 236 patients admitted to this Hospital with chest pain, the most prevalent was type B (44%), although with no statistical difference compared to the others (p=0.844). No significant difference was found for gender or age for the various pain types. The most common medications were beta-blockers, ACE inhibitors and others. Conclusions: Type B was most common pain type among these patients, followed by C, A and finally D. There was a significant difference in the medications taken by these patients and when relating medications to age brackets. However, no significant relationship was noted between medications and gender, nor pain type with age, gender and anti-angina medications.

Isolated origin of right pulmonary artery from the ascending aorta: successful surgical correction in a new born infant

The origin of right or lift pulmonary artery from the ascending aorta occurring as an isolated finding is rare congenital condition. So far about 65 cases have been described in the world literature. In this paper, we present such a case, a10 days old female infant who developed picture of congestive heart failure shortly after birth due to this anomaly. Surgical correction by primary anastomosis without cardiopulmonary bypass was carried out successfully at Hamad General Hospital [Qatar]

Mitral and aortic valve operations in Qatar

QATAR'S first aortic valve operation was performed at Hamad General Hospital on June 27, 1983, and the hospital's first mitral valve operation was performed a month later on July 25,1983. A computerized record of each cardiac operation, performed at the hospital, was utilized in the periodical revision and critical evaluation of the growth and development of the new cardiac surgery program in Qatar. In this report our experience in mitral and aortic valve operations, performed during the period between June 1983 to June 1988, is reviewed. During this 5-year period, there was a total of 82 mitral and aortic valve operations; the characteristics of these patients and the results of their operations are described in this retrospective study