Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário
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Data
2010
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Resumo
Background: Heart failure is a complex syndrome with multiple risk factors involved in its genesis, making its prevention and management
difficult to achieve.
Objective: To identify the main etiologies and risk factors in heart failure; to compare clinical and demographic characteristics of patients
according to the etiology; analyze whether the treatment is according to that recommended by the Brazilian guidelines.
Methods: Retrospective, descriptive and observational study, carried out at Hospital das Clínicas of Universidade Federal de Goiás. The
patients were divided in four groups, according to the etiology, for comparison: chagasic cardiomyopathy, hypertensive cardiomyopathy, dilated
cardiomyopathy and others, ischemic cardiomyopathy. The Chi-square and Fisher’s Exact tests, ANOVA and Kruskal-Wallis tests were used in
the analysis of the groups and types of treatment.
Results: A total of 144 patients’ files were analyzed; the patients’ mean age was 61 ± 15 years and 54.2% of them were males. Chagasic
cardiomyopathy was the main etiology (41%). Arterial hypertension (48.6%), anemia (22.9%), coronary disease (19.4%), dyslipidemia (17.3%)
and diabetes (16.6%) were the main risk factors. There was a higher prevalence of female individuals among the hypertensive patients
(p=0.044) as well as a higher frequency of pulmonary rales (p < 0.01). Heart rate was lower among chagasic patients (p < 0.001). The most
often prescribed medications were diuretics (81.2%), angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers (77.7%), beta-
blockers (45.8%), spironolactone (35.4%), digitalis (30.5%) and vasodilators (8.3%).
Conclusion: Chagasic cardiomyopathy was the main cause of heart failure. No significant clinical differences were observed among patients
from the four etiologic groups
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Insuficiência cardíaca/epidemiologia/terapia, Hospitalização, Perfil epidemiológico, Heart failure/epidemiology/therapy, Health profile, Hospitalization
Citação
NOGUEIRA, Patrícia Resende; RASSI, Salvador; CORRÊA, Krislainy de Sousa. Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário. Arquivos Brasileiros de Cardiologia, São Paulo, v. 95, n. 3, p. 392-398, 2010.