Clinical Profile, Predictors of Mortality, and Treatment of Patients after Myocardial Infarction, in an Academic Medical Center Hospital

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dc.contributor.authorZornoff, Leonardo Antonio Mamede [UNESP]
dc.contributor.authorPaiva, Sergio Alberto Rupp de [UNESP]
dc.contributor.authorAssalin, Vanessa M. [UNESP]
dc.contributor.authorPola, Patrícia M. S. [UNESP]
dc.contributor.authorBecker, Luís E. [UNESP]
dc.contributor.authorOkoshi, Marina Politi [UNESP]
dc.contributor.authorMatsubara, Luiz Shiguero [UNESP]
dc.contributor.authorInoue, Roberto M. T. [UNESP]
dc.contributor.authorSpadaro, Joel [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:33:01Z
dc.date.available2014-05-20T13:33:01Z
dc.date.issued2002-04-01
dc.description.abstractOBJECTIVE: To evaluate clinical profiles, predictors of 30-day mortality, and the adherence to international recommendations for the treatment of myocardial infarction in an academic medical center hospital. METHODS: We retrospectively studied 172 patients with acute myocardial infarction, admitted in the intensive care unit from January 1992 to December 1997. RESULTS: Most patients were male (68%), white (97%), and over 60 years old (59%). The main risk factor for coronary atherosclerotic disease was systemic blood hypertension (63%). Among all the variables studied, reperfusion therapy, smoking, hypertension, cardiogenic shock, and age were the predictors of 30-day mortality. Most commonly used medications were: acetylsalicylic acid (71%), nitrates (61%), diuretics (51%), angiotensin-converting enzyme inhibitors (46%), thrombolytic therapy (39%), and beta-blockers (35%). CONCLUSION: The absence of reperfusion therapy, smoking status, hypertension, cardiogenic shock, and advanced age are predictors of 30-day mortality in patients with acute myocardial infarction. In addition, some medications that are undoubtedly beneficial have been under-used after acute myocardial infarction.en
dc.description.affiliationUniversidade Estadual Paulista Faculdade de Medicina de Botucatu
dc.description.affiliationUnespUniversidade Estadual Paulista Faculdade de Medicina de Botucatu
dc.format.extent401-405
dc.identifierhttp://dx.doi.org/10.1590/S0066-782X2002000400007
dc.identifier.citationArquivos Brasileiros de Cardiologia. Sociedade Brasileira de Cardiologia - SBC, v. 78, n. 4, p. 401-405, 2002.
dc.identifier.doi10.1590/S0066-782X2002000400007
dc.identifier.fileS0066-782X2002000400007.pdf
dc.identifier.issn0066-782X
dc.identifier.lattes4463138671998432
dc.identifier.lattes6309835137998766
dc.identifier.lattes5016839015394547
dc.identifier.scieloS0066-782X2002000400007
dc.identifier.urihttp://hdl.handle.net/11449/11288
dc.language.isoeng
dc.publisherSociedade Brasileira de Cardiologia (SBC)
dc.relation.ispartofArquivos Brasileiros de Cardiologia
dc.relation.ispartofjcr1.318
dc.rights.accessRightsAcesso aberto
dc.sourceSciELO
dc.subjectmyocardial infarctionen
dc.subjectmortalityen
dc.subjecttreatmenten
dc.titleClinical Profile, Predictors of Mortality, and Treatment of Patients after Myocardial Infarction, in an Academic Medical Center Hospitalen
dc.typeArtigo
unesp.author.lattes5016839015394547[1]
unesp.author.lattes4463138671998432
unesp.author.lattes6309835137998766
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Clínica Médica - FMB