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One year follow-up Assessment of Patients Included in the Brazilian Registry of Acute Coronary Syndromes (ACCEPT). / Avaliação do Seguimento de um Ano dos Pacientes Incluídos no Registro Brasileiro de Síndromes Coronárias Agudas (ACCEPT).
Silva, Pedro Gabriel Melo de Barros E; Berwanger, Otavio; Santos, Elizabete Silva Dos; Sousa, Antônio Carlos Sobral; Cavalcante, Margaret Assad; Andrade, Pedro Beraldo de; Neuenschwander, Fernando Carvalho; Vargas Filho, Hugo; Guimarães, Jorge Ilha; Andrade, Jadelson; Paola, Angelo Amato Vincenzo de; Malachias, Marcus Vinicius Bolivar; Mattos, Luiz Alberto Piva E; Precoma, Dalton Bertolim; Bacal, Fernando; Dutra, Oscar Pereira.
Afiliação
  • Silva PGMBE; Hospital do Coração, São Paulo, SP, Brasil.
  • Berwanger O; Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
  • Santos ESD; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brasil.
  • Sousa ACS; PPGCS, HU, Universidade Federal de Sergipe, Aracaju, SE, Brasil.
  • Cavalcante MA; Universidade do Oeste Paulista, Presidente Prudente, SP, Brasil.
  • Andrade PB; Faculdade de Medicina de Marilia, Marilia, SP, Brasil.
  • Neuenschwander FC; Hospital Vera Cruz, Belo Horizonte, MG, Brasil.
  • Vargas Filho H; Hospital São Vicente de Paulo, Passo Fundo, RS, Brasil.
  • Guimarães JI; Sociedade Brasileira de Cardiologia, Rio de Janeiro, RJ, Brasil.
  • Andrade J; Hospital da Bahia, Salvador, BA, Brasil.
  • Paola AAV; Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
  • Malachias MVB; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brasil.
  • Mattos LAPE; Sociedade Brasileira de Cardiologia, Rio de Janeiro, RJ, Brasil.
  • Precoma DB; Escola de Medicina, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.
  • Bacal F; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
  • Dutra OP; Instituto de Cardiologia, Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Arq Bras Cardiol ; 114(6): 995-1003, 2020 06.
Article em En, Pt | MEDLINE | ID: mdl-32638905
Background There is lack of prospective data on evolution within one year of acute coronary syndromes (ACS) in a representative population of Brazilian patients. Objectives To assess the prescription of evidence-based therapies, the incidence of severe outcomes and the predictors for these outcomes in a multicenter Brazilian registry of ACS patients. Methods The ACCEPT is a prospective observational study, which included patients hospitalized with a diagnostic of ACS in 47 Brazilian hospitals. The patients were followed for a 1 year and data were collected on the medical prescription and the occurrence of major cardiovascular events (cardiovascular mortality, reinfarction and cerebrovascular accident - CVA). Values of p < 0.05 were considered statistically significant. Results A total of 5,047 patients were included in this registry from August 2010 to April 2014. The diagnosis of ACS was confirmed in 4,782 patients (94.7%) and, among those, the most frequent diagnosis was ACS with ST segment elevation (35.8%). The rate of major cardiovascular events was 13.6 % within 1 year. Adherence to prescription of evidence-based therapy at admission was of 62.1%. Age, public service, acute myocardial infarction, CVA, renal failure, diabetes and quality of therapy were associated independently with the occurrence of major cardiovascular events. Conclusions During the one-year follow-up of the ACCEPT registry, more than 10% of the patients had major cardiovascular events and this rate ranged according with the quality of therapy. Strategies must be elaborated to improve the use of evidence-based therapies to minimize the cardiovascular events among the Brazilian population. (Arq Bras Cardiol. 2020; 114(6):995-1003).
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema de Registros / Síndrome Coronariana Aguda Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Arq Bras Cardiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema de Registros / Síndrome Coronariana Aguda Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Arq Bras Cardiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil