Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás
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/1773 |
Resumo: | Heart failure (HF) is a complex syndrome in which several risk factors are involved in its genesis, making it difficult to its prevention and management. Objectives: To identify the etiology and risk factors associated with HF frequently found in patients treated in a referential clinic in the state of Goiás, to compare the clinical and demographic characteristics of these patients, to analyze the treatment used is in accordance with the established guidelines for the management of HF in Brazil. Methods: A retrospective, descriptive and observational study of medical records of patients with heart failure treated in 2008 at the Hospital das Clínicas da Universidade Federal de Goiás. The analysis through means the Chi-square test (χ2) and Fisher's exact test was used to compare demographic and clinical characteristics of patients and forms of treatment according to the main etiology of HF. The One-way analysis of variance (ANOVA) and the Kruskal-Wallis test were used for quantitative variables. Results: 144 medical records of patients were analyzed, with a mean age 61 ± 15 years, 54.2% were male. Chagas cardiomyopathy was the main cause of HF (41%). Hypertension (48.6%), anemia (22.9%), coronary artery disease (19.4%), dyslipidemia (17.3%) and diabetes mellitus (16.6%) were the most frequent risk factors. There was no significance between patients of different etiologies as the ejection fraction, functional class (NYHA), diastolic blood pressure, 3rd heart sound, edema, jugular venous distension and anemia. Females had higher prevalence of hypertensive cardiomyopathy (p = 0.044). The pulmonary rales were also more frequent in this group (p <0.01). Heart rate was lower in patients with Chagas disease (p <0.001). The prescribed drugs were diuretics (81.2%), angiotensin converting enzyme inhibitors or angiotensin receptor Abstract xii blockers (77.7%), beta-blockers (45.8%), spironolactone (35.4%), digitalis (30.5%) and vasodilators (8.3%). Conclusion: Chagas cardiomyopathy was the main cause of HF. The most frequently risk factors identified were hypertension, anemia, coronary artery disease, dyslipidemia and diabetes mellitus. Patients with different etiologies of HF differed a little in clinical characteristics presented. The treatment used was shown to be consistent with the recommendations in the guidelines for HF. |
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RASSI, Salvadorhttp://lattes.cnpq.br/7236834842677715http://lattes.cnpq.br/2810296031316569NOGUEIRA, Patrícia Resende2014-07-29T15:29:19Z2010-03-102009-10-29NOGUEIRA, Patrícia Resende. Epidemiological and clinical characteristics of patients with heart failure treated at the Hospital das Clínicas, Federal University fo Goias. 2009. 85 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009.http://repositorio.bc.ufg.br/tede/handle/tde/1773ark:/38995/001300000121cHeart failure (HF) is a complex syndrome in which several risk factors are involved in its genesis, making it difficult to its prevention and management. Objectives: To identify the etiology and risk factors associated with HF frequently found in patients treated in a referential clinic in the state of Goiás, to compare the clinical and demographic characteristics of these patients, to analyze the treatment used is in accordance with the established guidelines for the management of HF in Brazil. Methods: A retrospective, descriptive and observational study of medical records of patients with heart failure treated in 2008 at the Hospital das Clínicas da Universidade Federal de Goiás. The analysis through means the Chi-square test (χ2) and Fisher's exact test was used to compare demographic and clinical characteristics of patients and forms of treatment according to the main etiology of HF. The One-way analysis of variance (ANOVA) and the Kruskal-Wallis test were used for quantitative variables. Results: 144 medical records of patients were analyzed, with a mean age 61 ± 15 years, 54.2% were male. Chagas cardiomyopathy was the main cause of HF (41%). Hypertension (48.6%), anemia (22.9%), coronary artery disease (19.4%), dyslipidemia (17.3%) and diabetes mellitus (16.6%) were the most frequent risk factors. There was no significance between patients of different etiologies as the ejection fraction, functional class (NYHA), diastolic blood pressure, 3rd heart sound, edema, jugular venous distension and anemia. Females had higher prevalence of hypertensive cardiomyopathy (p = 0.044). The pulmonary rales were also more frequent in this group (p <0.01). Heart rate was lower in patients with Chagas disease (p <0.001). The prescribed drugs were diuretics (81.2%), angiotensin converting enzyme inhibitors or angiotensin receptor Abstract xii blockers (77.7%), beta-blockers (45.8%), spironolactone (35.4%), digitalis (30.5%) and vasodilators (8.3%). Conclusion: Chagas cardiomyopathy was the main cause of HF. The most frequently risk factors identified were hypertension, anemia, coronary artery disease, dyslipidemia and diabetes mellitus. Patients with different etiologies of HF differed a little in clinical characteristics presented. The treatment used was shown to be consistent with the recommendations in the guidelines for HF.A insuficiência cardíaca (IC) é uma síndrome complexa em que vários fatores de risco encontram-se envolvidos na sua gênese, tornando difícil sua prevenção e manejo. Objetivos: Identificar a etiologia e fatores de riscos associados a IC mais frequentes nos pacientes tratados em um ambulatório de referência no Estado de Goiás; comparar as características clínicas e demográficas desses pacientes; analisar se o tratamento utilizado encontra-se de acordo com o estabelecido pelas diretrizes para manejo da IC no Brasil. Métodos: Estudo retrospectivo, descritivo e observacional de prontuários de pacientes com insuficiência cardíaca tratados em 2008 no ambulatório de cardiologia do Hospital das Clínicas da Universidade Federal de Goiás. A análise bivariada, por meio dos testes do Qui-quadrado (χ2) e do teste Exato de Fisher, foi utilizada para comparar as características demográficas e clínicas dos pacientes e as formas de tratamento de acordo com a etiologia principal da IC. A análise de variância (ANOVA) one-way e o teste de Kruskal-Wallis foram empregados para variáveis quantitativas. Resultados: Foram analisados 144 prontuários de pacientes com insuficiência cardíaca, com média de idade 61 ± 15 anos, sendo 54,2% do sexo masculino. A cardiomiopatia chagásica foi a principal causa de IC (41%). Hipertensão arterial sistêmica (48,6%), anemia (22,9%), doença arterial coronariana (19,4%), dislipidemia (17,3%) e diabetes mellitus (16,6%) destacaram-se como fatores de risco mais frequentes. Não houve significância entre os pacientes de diferentes etiologias quanto à fração de ejeção, classe funcional (NYHA), pressão arterial diastólica, 3ª bulha, edema, turgência da jugular e anemia. O sexo feminino apresentou prevalência maior de cardiomiopatia hipertensiva (p=0,044). Estertores pulmonares também foram Resumo x mais frequentes neste grupo (p<0,01). A frequência cardíaca foi menor nos pacientes chagásicos (p<0,001). Os medicamentos prescritos foram diuréticos (81,2%), inibidores da enzima conversora da angiotensina ou bloqueadores dos receptores da angiotensina (77,7%), betabloqueadores (45,8%), espironolactona (35,4%), digitálicos (30,5%) e vasodilatadores (8,3%). Conclusão: A cardiomiopatia chagásica foi a principal causa de IC. Os fatores de risco identificados com maior frequência foram hipertensão arterial sistêmica, anemia, doença arterial coronariana, dislipidemia e diabetes mellitus. Pacientes de diferentes etiologias de IC diferiram pouco quanto às características clínicas apresentadas. O tratamento utilizado mostrou-se condizente com o preconizado nas diretrizes de IC.Made available in DSpace on 2014-07-29T15:29:19Z (GMT). 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dc.title.por.fl_str_mv |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
dc.title.alternative.eng.fl_str_mv |
Epidemiological and clinical characteristics of patients with heart failure treated at the Hospital das Clínicas, Federal University fo Goias |
title |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
spellingShingle |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás NOGUEIRA, Patrícia Resende insuficiência cardíaca fatores de risco epidemiologia tratamento heart failure, risk factors, epidemiology, treatment CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS |
title_short |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
title_full |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
title_fullStr |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
title_full_unstemmed |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
title_sort |
Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás |
author |
NOGUEIRA, Patrícia Resende |
author_facet |
NOGUEIRA, Patrícia Resende |
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/2810296031316569 |
dc.contributor.author.fl_str_mv |
NOGUEIRA, Patrícia Resende |
contributor_str_mv |
RASSI, Salvador |
dc.subject.por.fl_str_mv |
insuficiência cardíaca fatores de risco epidemiologia tratamento |
topic |
insuficiência cardíaca fatores de risco epidemiologia tratamento heart failure, risk factors, epidemiology, treatment CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS |
dc.subject.eng.fl_str_mv |
heart failure, risk factors, epidemiology, treatment |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS |
description |
Heart failure (HF) is a complex syndrome in which several risk factors are involved in its genesis, making it difficult to its prevention and management. Objectives: To identify the etiology and risk factors associated with HF frequently found in patients treated in a referential clinic in the state of Goiás, to compare the clinical and demographic characteristics of these patients, to analyze the treatment used is in accordance with the established guidelines for the management of HF in Brazil. Methods: A retrospective, descriptive and observational study of medical records of patients with heart failure treated in 2008 at the Hospital das Clínicas da Universidade Federal de Goiás. The analysis through means the Chi-square test (χ2) and Fisher's exact test was used to compare demographic and clinical characteristics of patients and forms of treatment according to the main etiology of HF. The One-way analysis of variance (ANOVA) and the Kruskal-Wallis test were used for quantitative variables. Results: 144 medical records of patients were analyzed, with a mean age 61 ± 15 years, 54.2% were male. Chagas cardiomyopathy was the main cause of HF (41%). Hypertension (48.6%), anemia (22.9%), coronary artery disease (19.4%), dyslipidemia (17.3%) and diabetes mellitus (16.6%) were the most frequent risk factors. There was no significance between patients of different etiologies as the ejection fraction, functional class (NYHA), diastolic blood pressure, 3rd heart sound, edema, jugular venous distension and anemia. Females had higher prevalence of hypertensive cardiomyopathy (p = 0.044). The pulmonary rales were also more frequent in this group (p <0.01). Heart rate was lower in patients with Chagas disease (p <0.001). The prescribed drugs were diuretics (81.2%), angiotensin converting enzyme inhibitors or angiotensin receptor Abstract xii blockers (77.7%), beta-blockers (45.8%), spironolactone (35.4%), digitalis (30.5%) and vasodilators (8.3%). Conclusion: Chagas cardiomyopathy was the main cause of HF. The most frequently risk factors identified were hypertension, anemia, coronary artery disease, dyslipidemia and diabetes mellitus. Patients with different etiologies of HF differed a little in clinical characteristics presented. The treatment used was shown to be consistent with the recommendations in the guidelines for HF. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-10-29 |
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2010-03-10 |
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2014-07-29T15:29:19Z |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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dc.identifier.citation.fl_str_mv |
NOGUEIRA, Patrícia Resende. Epidemiological and clinical characteristics of patients with heart failure treated at the Hospital das Clínicas, Federal University fo Goias. 2009. 85 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009. |
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http://repositorio.bc.ufg.br/tede/handle/tde/1773 |
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ark:/38995/001300000121c |
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NOGUEIRA, Patrícia Resende. Epidemiological and clinical characteristics of patients with heart failure treated at the Hospital das Clínicas, Federal University fo Goias. 2009. 85 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009. ark:/38995/001300000121c |
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http://repositorio.bc.ufg.br/tede/handle/tde/1773 |
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UFG |
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BR |
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Ciências da Saúde - Medicina |
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Universidade Federal de Goiás |
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