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
in Portuguese, English
| LILACS
| ID: lil-306444
Responsible library:
BR1.1
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
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Myocardial Infarction
Type of study:
Etiology study
/
Practice guideline
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2002
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual Paulista/BR