Desfechos e fatores prognósticos de pacientes com fibrilação atrial / Outcomes and prognostic factors of patients with atrial fibrillation
ACM arq. catarin. med
; 44(2): 80-89, abr.-jun. 2015. Tab
Article
in Pt
| LILACS
| ID: biblio-1884
Responsible library:
BRI966
RESUMO
O objetivo deste estudo foi descrever desfechos e fatores prognósticos de pacientes com fibrilação atrial, atendidos em um hospital geral. Estudo de coorte retrospectivo, observacional e não-controlado. Foram considerados como desfechos óbito, internação por causa cardiovascular, evento tromboembólico e hemorragia. Dentre os 71 pacientes acompanhados, durante aproximadamente três anos, 50,7% foram a óbito, 44,4% por causa cardiovascular; 18,3% apresentaram internação por causa cardiovascular, 11,3% eventos tromboembólicos e 2,8% eventos hemorrágicos. Os fatores prognósticos associados aos eventos desfavoráveis foram QRS alargado no eletrocardiograma, aumento do tamanho do átrio esquerdo e uso de medicamento para controle da frequência cardíaca. Em nossa casuística de pacientes com FA em hospital geral, observou-se significativa frequência de óbitos.
ABSTRACT
The aim of this study was to describe the outcomes and prognostic factors of patients with atrial fibrillation, in a general hospital. A retrospective, observational and uncontrolled study was performed. The outcomes were cardiovascular death or hospitalization, thromboembolic events, hemorrhage. Among the 71 patients followed up, during about three years, 50.7% died, 44.4% from cardiovascular causes; 18.3% needed hospitalization for cardiovascular causes, 11.3% had thromboembolic and 2.8% had hemorrhagic events. Prognostic factors associated with adverse events were wide complex QRS in the electrocardiogram, enlarged left atrium and rate control strategy. In our casuistic of patients with AF in a general hospital, there was a significant frequency of deaths.
Full text:
1
Collection:
01-internacional
Database:
LILACS
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Language:
Pt
Journal:
ACM arq. catarin. med
Journal subject:
MEDICINA
Year:
2015
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil