Estimulação cardíaca artificial: perfil epidemiológico em hospital público de referência do estado do Rio Grande do Norte
Artificial Cardiac Pacing is an important tool in the treatment of heart rhythm disorders, as well as improving ventricular function in patients with heart failure. The present study aims to analyze the clinical and epidemiological profile of patients undergoing Artificial Cardiac Stimulation pro...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/57238 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Artificial Cardiac Pacing is an important tool in the treatment of heart rhythm disorders, as well
as improving ventricular function in patients with heart failure. The present study aims to
analyze the clinical and epidemiological profile of patients undergoing Artificial Cardiac
Stimulation procedures in a reference service for the Unified Health System (SUS), as well as
to evaluate the spatial distribution of patients in the state of Rio Grande. do Norte (RN) in terms
of origin and to analyze the temporal evolution of the number of procedures in the service. We
carried out an analytical observational study, with data obtained from a primary source, of
patients undergoing Artificial Cardiac Stimulation procedures at the Onofre Lopes Hospital
(HUOL), of the Federal University of Rio Grande do Norte (UFRN), between 2006 and 2021.
Of a total of 894 patients analyzed, 533 (59.8%) were male, with a mean age of 65.5 years. 3rd
degree Atrial Ventricular Block (AVB) was the indication for the procedure in 165 patients
(20.5%). Only 55 patients (5.5%) required temporary pacemaker support. 269 patients had an
ischemic etiology (30.6%) and 398 patients reported dyspnea as the main complaint (45.4%),
69.5% of patients are hypertensive, 24.4% diabetic, 31.7% dyslipidemic and 47.7 % smokers
or ex-smokers. The population studied had a mean left ventricular (LV) Ejection Fraction of
33.6%. Mean creatinine levels of 1.04 mg/mL and potassium 4.19 mg/mL pre-procedure. We
observed a homogeneity in relation to the referral of SUS patients to the service, regardless of
the city of origin. The temporal analysis by triennia identified an increase in the number of
procedures throughout the series, with a decrease in the last period. We concluded that the
characteristics of the service contributed to the differences in our population in relation to the
findings in the literature. Despite the absence of a specific flowchart, access to the service
occurred without the presence of clusters in relation to the municipality of origin. The temporal
increase in procedures was discreet, with a drop in the last three years, despite partial
interruptions of the structure and the presence of the pandemic in this period. |
|---|