Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793 |
Resumo: | AIMS: To analyze the survival of patients undergoing angioplasty with stent placement, at the Hospital Nossa Senhora da Conceição, Tubarão City, Santa Catarina state, Brazil. METHODS: A cohort study evaluated at the baseline the socio-demographic profile of patients undergoing coronary angioplasty with stenting in the period January to December 2009. After at least 16 months, their clinical outcome and survival were evaluated. RESULTS: Of the 84 patients studied, 9.5% were asymptomatic, 31% had stable angina, 21.4% had unstable angina, 32.2% had acute myocardial infarction treated before 24 hours of evolution and in 5.9% the intervention was performed after 24 hours of infarction. As for the results of coronary angiography, 59.5% had single vessel obstruction, 23.8% two-vessel, 15.5% triple vessel and 1.2% had blockage throughout the left coronary trunk. With regard to survival, 9.5% died, having the pattern of coronary obstruction as predisposing factors (p less than 0.001). Asymptomatic patients with stable angina had higher survival than patients with unstable angina or myocardial infarction. CONCLUSIONS: Ninety-four percent of interventions were successful, and the most common complication was stent restenosis. The greater the number of affected coronary arteries, the lower was the survival time. Previous infarction was not associated with survival. Patients with previous stroke had higher mortality. Patients with acute myocardial infarction with primary angioplasty alone, with symptoms lasting less than 24 hours and one-vessel obstruction, had longer survival. |
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Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English]Análise de sobrevida em pacientes submetidos à angioplastia coronariana com stent em um hospital da região sul de Santa CatarinaANGIOPLASTYCORONARY DISEASEANGINAUNSTABLERISK FACTORSSURVIVAL ANALYSIS.ANGIOPLASTIACORONARIOPATIAANGINA INSTÁVELFATORES DE RISCOANÁLISE DE SOBREVIDA.AIMS: To analyze the survival of patients undergoing angioplasty with stent placement, at the Hospital Nossa Senhora da Conceição, Tubarão City, Santa Catarina state, Brazil. METHODS: A cohort study evaluated at the baseline the socio-demographic profile of patients undergoing coronary angioplasty with stenting in the period January to December 2009. After at least 16 months, their clinical outcome and survival were evaluated. RESULTS: Of the 84 patients studied, 9.5% were asymptomatic, 31% had stable angina, 21.4% had unstable angina, 32.2% had acute myocardial infarction treated before 24 hours of evolution and in 5.9% the intervention was performed after 24 hours of infarction. As for the results of coronary angiography, 59.5% had single vessel obstruction, 23.8% two-vessel, 15.5% triple vessel and 1.2% had blockage throughout the left coronary trunk. With regard to survival, 9.5% died, having the pattern of coronary obstruction as predisposing factors (p less than 0.001). Asymptomatic patients with stable angina had higher survival than patients with unstable angina or myocardial infarction. CONCLUSIONS: Ninety-four percent of interventions were successful, and the most common complication was stent restenosis. The greater the number of affected coronary arteries, the lower was the survival time. Previous infarction was not associated with survival. Patients with previous stroke had higher mortality. Patients with acute myocardial infarction with primary angioplasty alone, with symptoms lasting less than 24 hours and one-vessel obstruction, had longer survival.OBJETIVOS: Analisar a sobrevida de pacientes submetidos à angioplastia com colocação de stent no Hospital Nossa Senhora da Conceição, em Tubarão, Santa Catarina. MÉTODOS: Um estudo de coorte avaliou na linha de base o perfil sociodemográfico dos pacientes submetidos ao procedimento no período de janeiro a dezembro de 2009. Após pelo menos 16 meses, foram avaliadas sua evolução clínica e sobrevida. RESULTADOS: Dos 84 pacientes estudados, 9,5% eram assintomáticos, 31% apresentavam angina estável, 21,4% angina instável, 32,2% tiveram infarto agudo do miocárdio tratado em menos de 24 horas de evolução e em 5,9% foi realizada intervenção após 24 horas do infarto. Quanto aos resultados da cineangiocoronariografia, 59,5% apresentavam obstrução uniarterial, 23,8% biarterial, 15,5% triarterial e 1,2% obstrução de todo o tronco coronário esquerdo. Com relação à sobrevida, 9,5% evoluíram a óbito, tendo como fatores predisponentes o padrão de obstrução coronariana (p menor que 0,001). Pacientes assintomáticos e com angina estável tiveram maior sobrevida do que pacientes com angina instável ou infarto. CONCLUSÕES: Evoluíram com sucesso 94% das intervenções, sendo que a complicação mais frequente foi a reestenose do stent. Quanto maior o número de coronárias acometidas, menor foi o tempo de sobrevida. Infarto prévio não teve relação com a sobrevida. Pacientes com acidente vascular cerebral prévio apresentaram maior mortalidade. Pacientes com infarto agudo do miocárdio com angioplastia primária isolada, com tempo de evolução menor do que 24 horas e obstrução uniarterial apresentaram maior tempo de sobrevida.Editora da PUCRS - ediPUCRS2012-08-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793Scientia Medica; Vol. 22 No. 2 (2012); 91-96Scientia Medica; v. 22 n. 2 (2012); 91-961980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793/8159https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793/8160Trevisol, Daisson JoséBianchi, Bruno RossoSakae, Thiago MamôruVinholes, Daniele BotelhoSchuelter-Trevisol, Fabianainfo:eu-repo/semantics/openAccess2013-07-15T18:44:36Zoai:ojs.revistaseletronicas.pucrs.br:article/10793Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-15T18:44:36Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] Análise de sobrevida em pacientes submetidos à angioplastia coronariana com stent em um hospital da região sul de Santa Catarina |
title |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
spellingShingle |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] Trevisol, Daisson José ANGIOPLASTY CORONARY DISEASE ANGINA UNSTABLE RISK FACTORS SURVIVAL ANALYSIS. ANGIOPLASTIA CORONARIOPATIA ANGINA INSTÁVEL FATORES DE RISCO ANÁLISE DE SOBREVIDA. |
title_short |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
title_full |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
title_fullStr |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
title_full_unstemmed |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
title_sort |
Survival analysis of patients undergoing coronary angioplasty with stent in a hospital in the south region of Santa Catarina state, Brazil [Abstract in English] |
author |
Trevisol, Daisson José |
author_facet |
Trevisol, Daisson José Bianchi, Bruno Rosso Sakae, Thiago Mamôru Vinholes, Daniele Botelho Schuelter-Trevisol, Fabiana |
author_role |
author |
author2 |
Bianchi, Bruno Rosso Sakae, Thiago Mamôru Vinholes, Daniele Botelho Schuelter-Trevisol, Fabiana |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Trevisol, Daisson José Bianchi, Bruno Rosso Sakae, Thiago Mamôru Vinholes, Daniele Botelho Schuelter-Trevisol, Fabiana |
dc.subject.por.fl_str_mv |
ANGIOPLASTY CORONARY DISEASE ANGINA UNSTABLE RISK FACTORS SURVIVAL ANALYSIS. ANGIOPLASTIA CORONARIOPATIA ANGINA INSTÁVEL FATORES DE RISCO ANÁLISE DE SOBREVIDA. |
topic |
ANGIOPLASTY CORONARY DISEASE ANGINA UNSTABLE RISK FACTORS SURVIVAL ANALYSIS. ANGIOPLASTIA CORONARIOPATIA ANGINA INSTÁVEL FATORES DE RISCO ANÁLISE DE SOBREVIDA. |
description |
AIMS: To analyze the survival of patients undergoing angioplasty with stent placement, at the Hospital Nossa Senhora da Conceição, Tubarão City, Santa Catarina state, Brazil. METHODS: A cohort study evaluated at the baseline the socio-demographic profile of patients undergoing coronary angioplasty with stenting in the period January to December 2009. After at least 16 months, their clinical outcome and survival were evaluated. RESULTS: Of the 84 patients studied, 9.5% were asymptomatic, 31% had stable angina, 21.4% had unstable angina, 32.2% had acute myocardial infarction treated before 24 hours of evolution and in 5.9% the intervention was performed after 24 hours of infarction. As for the results of coronary angiography, 59.5% had single vessel obstruction, 23.8% two-vessel, 15.5% triple vessel and 1.2% had blockage throughout the left coronary trunk. With regard to survival, 9.5% died, having the pattern of coronary obstruction as predisposing factors (p less than 0.001). Asymptomatic patients with stable angina had higher survival than patients with unstable angina or myocardial infarction. CONCLUSIONS: Ninety-four percent of interventions were successful, and the most common complication was stent restenosis. The greater the number of affected coronary arteries, the lower was the survival time. Previous infarction was not associated with survival. Patients with previous stroke had higher mortality. Patients with acute myocardial infarction with primary angioplasty alone, with symptoms lasting less than 24 hours and one-vessel obstruction, had longer survival. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-08-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793/8159 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/10793/8160 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 22 No. 2 (2012); 91-96 Scientia Medica; v. 22 n. 2 (2012); 91-96 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101749630271488 |