Navegando por Palavras-chave "síndrome coronariana aguda"

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    Caracterização de indivíduos hospitalizados por síndrome coron'ria aguda e os fatores de risco para doença arterial coronária
    (Universidade Federal de São Paulo (UNIFESP), 2013-06-26) Brunori, Evelise Helena Fadini Reis [UNIFESP]; Barros, Alba Lucia Bottura Leite de Barros [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Knowledge of the distribution of risk factors (RF) for cardiovascular disease among individuals hospitalized for acute coronary syndrome (ACS) enables the strategic planning of educational interventions for primary and secondary prevention to patients and their families in order to minimize the impact of these factors. The general objective of the study was to characterize individuals hospitalized for ACS and the FR for coronary artery disease. The specific objectives were to identify the sociodemographic profile; Identify weight, height, body mass index, waist-hip ratio, blood glucose and lipid profile, identify the level of tobacco dependence; Identify the degree of alcohol consumption; Identify the level of activity / exercise; identify the association of the variables with the type of medical diagnosis (acute myocardial infarction with or without ST-segment elevation or unstable angina); to verify the association between the number of coronary lesions and the type of medical diagnosis; to verify the association between the types of treatment and type of medical diagnosis; to verify the association between education and income. A descriptive cross-sectional assessment of 150 hospitalized patients with the first event of ACS was performed. Sociodemographic and clinical data were collected by interview and chart review. The International Physical Activity Questionnaire, Fagerström nicotine dependence Test, Alcohol Disorder Identification Test. There was a predominance of male gender, white color, Catholics, with elementary education, marital status married, monthly income of 2- 3 minimum wages, overweight and obesity, increased waist-hip ratio in women, hypertension, dyslipidemia, diabetes and elevated fasting glucose. There was an association between education and income. Acute myocardial infarction (AMI) with ST-segment elevation (SSE) prevailed, and angioplasty as treatment. A higher proportion of male gender association with AMI with SSE was observed and female gender with unstable angina (UA), hypertension with AI, and LDL with AMI. Clinical treatment was associated with AI and angioplasty of the anterior descending and right coronary artery was associated with AMI with SSE. Most patients were active smokers, with very high dependence, and alcohol consumption at low risk. There was no association between physical activity, smoking and alcohol ingestion with different presentations of ACS. Given this characterization, health education measures should be implemented by nurses to patients and families in order to minimize the impact of these factors. These data, with data from a previous study, which characterized relatives of individuals with ACS substantiate the educational activities of the Health Education Outpatient Setting of Paulista School of Nursing.
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    Consumo alimentar e estresse de pacientes com síndrome coronariana aguda
    (Universidade Federal de São Paulo (UNIFESP), 2014-07-06) Brunori, Evelise Helena Fadini Reis [UNIFESP]; Barros, Alba Lucia Bottura Leite de Barros [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Knowledge of the distribution of risk factors (RF) for cardiovascular disease among individuals hospitalized for acute coronary syndrome (ACS) enables the strategic planning of educational interventions for primary and secondary prevention to patients and their families in order to minimize the impact of these factors. The general objective of the study was to characterize individuals hospitalized for ACS and the FR for coronary artery disease. The specific objectives were to identify the sociodemographic profile; Identify weight, height, body mass index, waist-hip ratio, blood glucose and lipid profile, identify the level of tobacco dependence; Identify the degree of alcohol consumption; Identify the level of activity / exercise; identify the association of the variables with the type of medical diagnosis (acute myocardial infarction with or without ST-segment elevation or unstable angina); to verify the association between the number of coronary lesions and the type of medical diagnosis; to verify the association between the types of treatment and type of medical diagnosis; to verify the association between education and income. A descriptive cross-sectional assessment of 150 hospitalized patients with the first event of ACS was performed. Sociodemographic and clinical data were collected by interview and chart review. The International Physical Activity Questionnaire, Fagerström nicotine dependence Test, Alcohol Disorder Identification Test. There was a predominance of male gender, white color, Catholics, with elementary education, marital status married, monthly income of 2- 3 minimum wages, overweight and obesity, increased waist-hip ratio in women, hypertension, dyslipidemia, diabetes and elevated fasting glucose. There was an association between education and income. Acute myocardial infarction (AMI) with ST-segment elevation (SSE) prevailed, and angioplasty as treatment. A higher proportion of male gender association with AMI with SSE was observed and female gender with unstable angina (UA), hypertension with AI, and LDL with AMI. Clinical treatment was associated with AI and angioplasty of the anterior descending and right coronary artery was associated with AMI with SSE. Most patients were active smokers, with very high dependence, and alcohol consumption at low risk. There was no association between physical activity, smoking and alcohol ingestion with different presentations of ACS. Given this characterization, health education measures should be implemented by nurses to patients and families in order to minimize the impact of these factors. These data, with data from a previous study, which characterized relatives of individuals with ACS substantiate the educational activities of the Health Education Outpatient Setting of Paulista School of Nursing.
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    Perfil glicometabólico inicial em pacientes com síndrome coronariana aguda e síndrome metabólica
    (Sociedade Brasileira de Cardiologia - SBC, 2009-02-01) Monteiro, Carlos Manoel de Castro [UNIFESP]; Oliveira, Luciene [UNIFESP]; Izar, Maria Cristina de Oliveira [UNIFESP]; Helfenstein, Tatiana [UNIFESP]; Santos, Andreza Oliveira dos [UNIFESP]; Fischer, Simone M. [UNIFESP]; Barros, Sahana W. [UNIFESP]; Pinheiro, Luiz Fernando Muniz [UNIFESP]; Carvalho, Antonio Carlos [UNIFESP]; Fonseca, Francisco Antonio Helfenstein [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: Patients with metabolic syndrome (MetS) are at high coronary risk and beta-cell dysfunction or insulin resistance might predict an additional risk for early cardiovascular events. OBJECTIVE: This study aimed to evaluate early glucometabolic alterations in patients with MetS, but without previously known type 2 diabetes, after acute coronary syndrome. METHODS: A total of 114 patients were submitted to an oral glucose tolerance test (OGTT) 1-3 days after hospital discharge due to myocardial infarction or unstable angina. Based on the OGTT, we defined three groups of patients: normal glucose tolerance (NGT; n=26), impaired glucose tolerance (IGT; n=39), or diabetes (DM; n=49). The homeostasis model assessment (HOMA-IR) was used to measure insulin resistance; beta-cell responsiveness was assessed by the insulinogenic index at 30 min (ΔI30/ΔG30). RESULTS: Based on the HOMA-IR, patients with DM were more insulin-resistant than those with NGT or IGT (p<0.001). According to the insulinogenic index, the beta-cell responsiveness was also impaired in subjects with DM (p<0.001 vs NGT or IGT). CONCLUSION: High rates of glucometabolic alterations were found after acute coronary syndrome in patients with MetS. As these abnormalities markedly increase the risk for adverse outcomes, early OGTT among MetS patients might be used to identify those at the highest coronary risk.