RESUMO
Fatal and nonfatal complications (stroke, myocardial infarction, chronic heart failure, sudden coronary death, chronic renal insufficiency) were registered during long term follow-up of 529 patients with hypertensive disease and results were analyzed retrospectively. Duration of ambulatory treatment in two thirds of patients exceeded 15 years. There were 243 deaths in 1993-1999. Mean age of those who died was 75 years. Main fatal complications were strokes and myocardial infarctions. Their rates were similar. Strokes comprised one third of all deaths irrespective of age. There were no significant differences between rates of ischemic and hemorrhagic strokes. Among causes of death proportion of sudden death was the highest in patients younger than 60 years while that of chronic heart failure rose with age. There were no cases of chronic renal failure. Atherosclerotic lesions in coronary and cerebral vessels were found at autopsies irrespective of cause of death.
Assuntos
Anti-Hipertensivos/uso terapêutico , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Hipertensão/complicações , Hipertensão/tratamento farmacológico , Idoso , Anti-Hipertensivos/classificação , Doenças Cardiovasculares/mortalidade , Feminino , Humanos , Masculino , Prevalência , Estudos RetrospectivosRESUMO
A study of the impact of 10 sessions of hyperbaric oxygenation on the heart's pump function and contractility as evidenced echocardiographically in 46 patients with angina of effort, functional class 2-3, and 36 matched controls demonstrated that hyperbaric oxygenation can normalize hemodynamics in cases of hyper- and hypokinetic circulation, its effect being particularly good in patients with pre-existing left-ventricular dilatation.