Perfil clínico, preditores de mortalidade e tratamento de pacientes após infarto agudo do miocárdio, em Hospital Terciário Universitário / Clinical profile, predictors of mortality, and treatment of patients after myocardial infarction, in an Academic Medical Center Hospital
Arq. bras. cardiol
;
78(4): 396-405, Apr. 2002. tab, graf
Article
Dans Portugais, Anglais
| LILACS
| ID: lil-306444
ABSTRACT
OBJECTIVE:
To evaluate clinical profiles, predictors of 30-day mortality, and the adherence to international recommendations for the treatment of myocardial infarction in an academic medical center hospital.METHODS:
We retrospectively studied 172 patients with acute myocardial infarction, admitted in the intensive care unit from January 1992 to December 1997.RESULTS:
Most patients were male (68 percent), white (97 percent), and over 60 years old (59 percent). The main risk factor for coronary atherosclerotic disease was systemic blood hypertension (63 percent). Among all the variables studied, reperfusion therapy, smoking, hypertension, cardiogenic shock, and age were the predictors of 30-day mortality. Most commonly used medications were acetylsalicylic acid (71 percent), nitrates (61 percent), diuretics (51 percent), angiotensin-converting enzyme inhibitors (46 percent), thrombolytic therapy (39 percent), and beta-blockers (35 percent).CONCLUSION:
The absence of reperfusion therapy, smoking status, hypertension, cardiogenic shock, and advanced age are predictors of 30-day mortality in patients with acute myocardial infarction. In addition, some medications that are undoubtedly beneficial have been under-used after acute myocardial infarction
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Infarctus du myocarde
Type d'étude:
Etude d'étiologie
/
Guide de pratique
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Anglais
/
Portugais
Texte intégral:
Arq. bras. cardiol
Thème du journal:
Cardiologie
Année:
2002
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade Estadual Paulista/BR
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