Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/1770 |
Resumo: | Bakground: The presence of an increase in troponin I (cTnI) is common in patients who have undergone a percutaneous coronary intervention (PCI), but it is questionable if the myocardial lesion occurring in the intervention allows one to identify patients with a greater risk of presenting adverse cardiac events (ACE) .Objective : The overall objective of the study was to evaluate the immediate evolution of cardiac troponin I (cTnI) in patients undergoing elective coronary angioplasty with stenting, and also compare patients with serum changes after the procedure of coronary angioplasty stenting, with the clinical variables and the occurrence of adverse cardiac events (ACE) following 12 months.. Methods: This is a study of a prospective cut, which evaluates 49 consecutive patients who underwent coronary angioplasty with stent implantation. A cTnI serum dosage was done both before and after the procedure. Patients with a cut off >1.0 ng/mL before implantation were excluded. All the others received follow up for one year, to record the presence of ACE (death, acute myocardial infarction, another angioplasty). Results: cTnI serum elevations occurred in 21(45.7%) of the patients after the PCI. At the end of the follow up period, 11(23.9%) of the patients presented adverse cardiac events. There was no association between the cTnI serum elevation and the presence of ACE in the follow up. Conclusions: The elevation of cTnI found after a coronary angioplasty with stent implantation was frequent in our sample, but these elevations in serum did not show any association with clinical variables and the occurrence of adverse cardiac events following 12 months |
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RASSI, Salvadorhttp://lattes.cnpq.br/7236834842677715http://lattes.cnpq.br/5537127700316461VIEIRA, Nancy Helena Lopes da Silva2014-07-29T15:29:19Z2010-01-262009-11-23VIEIRA, Nancy Helena Lopes da Silva. Evaluation of cardiac troponin I in patients undergoing coronary angioplasty with stent implantation. 2009. 67 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009.http://repositorio.bc.ufg.br/tede/handle/tde/1770Bakground: The presence of an increase in troponin I (cTnI) is common in patients who have undergone a percutaneous coronary intervention (PCI), but it is questionable if the myocardial lesion occurring in the intervention allows one to identify patients with a greater risk of presenting adverse cardiac events (ACE) .Objective : The overall objective of the study was to evaluate the immediate evolution of cardiac troponin I (cTnI) in patients undergoing elective coronary angioplasty with stenting, and also compare patients with serum changes after the procedure of coronary angioplasty stenting, with the clinical variables and the occurrence of adverse cardiac events (ACE) following 12 months.. Methods: This is a study of a prospective cut, which evaluates 49 consecutive patients who underwent coronary angioplasty with stent implantation. A cTnI serum dosage was done both before and after the procedure. Patients with a cut off >1.0 ng/mL before implantation were excluded. All the others received follow up for one year, to record the presence of ACE (death, acute myocardial infarction, another angioplasty). Results: cTnI serum elevations occurred in 21(45.7%) of the patients after the PCI. At the end of the follow up period, 11(23.9%) of the patients presented adverse cardiac events. There was no association between the cTnI serum elevation and the presence of ACE in the follow up. Conclusions: The elevation of cTnI found after a coronary angioplasty with stent implantation was frequent in our sample, but these elevations in serum did not show any association with clinical variables and the occurrence of adverse cardiac events following 12 monthsA presença da elevação da troponina I(cTnI) é comum em pacientes submetidos a uma intervenção coronariana percutânea (ICP), porém é questionado se a lesão miocárdica ocorrida na intervenção permite identificar pacientes com maior risco de apresentar eventos cardíacos adversos. Objetivo: O objetivo geral do estudo foi avaliar o comportamento evolutivo imediato dos níveis séricos de troponina I (cTnI), em pacientes submetidos eletivamente à angioplastia coronária com implante de stent , e também, comparar pacientes com alterações séricas pós-procedimento de angioplastia coronária com implante de stent, com as variáveis clínicas e a ocorrência de eventos cardíacos adversos (ECA) no seguimento de 12 meses. Metodologia: Este é um estudo de coorte prospectivo, que avaliou 49 pacientes consecutivos, submetidos à angioplastia coronariana com implante de stent. Fez-se dosagens séricas de cTnI antes e após o procedimento. Pacientes com cut off > 1,0 ng/mL antes do implante foram excluídos, e os demais foram acompanhados em um ano de seguimento, para registro da presença de ECA (óbito, infarto do miocárdio e nova angioplastia). Resultados: Ocorreram elevações séricas de cTnI em 21(45,7%) dos pacientes após a ICP. Ao término do seguimento 11(23,9%) dos pacientes apresentaram eventos cardíacos adversos. A correlação entre a elevação sérica da cTnI e a presença de ECA no seguimento não mostrou associação. Conclusão: A elevação da cTnI encontrada após uma angioplastia coronariana com o implante de stent foi freqüente em nossa amostra, porém estas elevações séricas não apresentaram nenhuma associação com as variáveis clínicas e a ocorrência de eventos cardíacos adversos no seguimento de 12 mesesMade available in DSpace on 2014-07-29T15:29:19Z (GMT). No. of bitstreams: 1 dissertacao nancy vieira.pdf: 795865 bytes, checksum: dfeac68319198e6608dcf82885225d60 (MD5) Previous issue date: 2009-11-23application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/4581/dissertacao%20nancy%20vieira.pdf.jpgporUniversidade Federal de GoiásMestrado em Ciências da SaúdeUFGBRCiências da Saúde - MedicinaTroponina I, Angioplastia coronariana com stent. Marcador cardíacoTroponin I, Coronary Angioplasty and stents, Cardiac markerCNPQ::CIENCIAS DA SAUDEAvaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stentEvaluation of cardiac troponin I in patients undergoing coronary angioplasty with stent implantationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALdissertacao nancy vieira.pdfapplication/pdf795865http://repositorio.bc.ufg.br/tede/bitstreams/9cc1c34d-e157-432e-8623-9f6954975636/downloaddfeac68319198e6608dcf82885225d60MD51THUMBNAILdissertacao nancy vieira.pdf.jpgdissertacao nancy vieira.pdf.jpgGenerated Thumbnailimage/jpeg4059http://repositorio.bc.ufg.br/tede/bitstreams/2e9ec105-d8b0-4bab-83d2-0c6d92e05c86/download3632d0cca8ebbd85566369260efcd1c2MD52tde/17702014-07-30 03:15:03.916open.accessoai:repositorio.bc.ufg.br:tde/1770http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:15:03Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
dc.title.alternative.eng.fl_str_mv |
Evaluation of cardiac troponin I in patients undergoing coronary angioplasty with stent implantation |
title |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
spellingShingle |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent VIEIRA, Nancy Helena Lopes da Silva Troponina I, Angioplastia coronariana com stent. Marcador cardíaco Troponin I, Coronary Angioplasty and stents, Cardiac marker CNPQ::CIENCIAS DA SAUDE |
title_short |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
title_full |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
title_fullStr |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
title_full_unstemmed |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
title_sort |
Avaliação dos níveis séricos de troponina I em pacientes submetidos à angioplastia coronariana com implante de stent |
author |
VIEIRA, Nancy Helena Lopes da Silva |
author_facet |
VIEIRA, Nancy Helena Lopes da Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
RASSI, Salvador |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7236834842677715 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5537127700316461 |
dc.contributor.author.fl_str_mv |
VIEIRA, Nancy Helena Lopes da Silva |
contributor_str_mv |
RASSI, Salvador |
dc.subject.por.fl_str_mv |
Troponina I, Angioplastia coronariana com stent. Marcador cardíaco |
topic |
Troponina I, Angioplastia coronariana com stent. Marcador cardíaco Troponin I, Coronary Angioplasty and stents, Cardiac marker CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Troponin I, Coronary Angioplasty and stents, Cardiac marker |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
Bakground: The presence of an increase in troponin I (cTnI) is common in patients who have undergone a percutaneous coronary intervention (PCI), but it is questionable if the myocardial lesion occurring in the intervention allows one to identify patients with a greater risk of presenting adverse cardiac events (ACE) .Objective : The overall objective of the study was to evaluate the immediate evolution of cardiac troponin I (cTnI) in patients undergoing elective coronary angioplasty with stenting, and also compare patients with serum changes after the procedure of coronary angioplasty stenting, with the clinical variables and the occurrence of adverse cardiac events (ACE) following 12 months.. Methods: This is a study of a prospective cut, which evaluates 49 consecutive patients who underwent coronary angioplasty with stent implantation. A cTnI serum dosage was done both before and after the procedure. Patients with a cut off >1.0 ng/mL before implantation were excluded. All the others received follow up for one year, to record the presence of ACE (death, acute myocardial infarction, another angioplasty). Results: cTnI serum elevations occurred in 21(45.7%) of the patients after the PCI. At the end of the follow up period, 11(23.9%) of the patients presented adverse cardiac events. There was no association between the cTnI serum elevation and the presence of ACE in the follow up. Conclusions: The elevation of cTnI found after a coronary angioplasty with stent implantation was frequent in our sample, but these elevations in serum did not show any association with clinical variables and the occurrence of adverse cardiac events following 12 months |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-11-23 |
dc.date.available.fl_str_mv |
2010-01-26 |
dc.date.accessioned.fl_str_mv |
2014-07-29T15:29:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
VIEIRA, Nancy Helena Lopes da Silva. Evaluation of cardiac troponin I in patients undergoing coronary angioplasty with stent implantation. 2009. 67 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/1770 |
identifier_str_mv |
VIEIRA, Nancy Helena Lopes da Silva. Evaluation of cardiac troponin I in patients undergoing coronary angioplasty with stent implantation. 2009. 67 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009. |
url |
http://repositorio.bc.ufg.br/tede/handle/tde/1770 |
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por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Federal de Goiás |
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Mestrado em Ciências da Saúde |
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UFG |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Ciências da Saúde - Medicina |
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Universidade Federal de Goiás |
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