Perfil dos pacientes atendidos por síndrome coronariana aguda em um hospital terciário de referência cardiológica.

Abstract

Acute Coronary Syndrome (ACS) is the leading cause of death in the world. Thus, its adequate and quick management has a great impact in the reduction of the morbimortality. There is, until this day, a shortage of studies designed in the Brazilian Northeast, especially in the interior of Paraíba, with the objective of tracing the epidemiological profile of the patients treated in this region for this pathology. METHODS: An observational cross-sectional study with a descriptive profile was conducted, in which the medical records of the patients admitted between july and december of 2018 in a cardiology center in the interior of Paraíba with the diagnosis of ACS were evaluated. RESULTS: 164 patients were admitted with the diagnosis of ACS in the studied period. The study population had a mean age of 64.5 years and 59% were female patients. The mean time of arrival at the hospital was 45.8 h after the onset of symptoms. 73 patients (45.3%) received the diagnosis of ST segment elevation myocardial infarction; 62 (38.5%) non-ST-segment elevation myocardial infarction and 26 (16.2%) unstable angina. The majority of the sample population had significant obstructive lesions in multiple coronaries and the in-hospital mortality rate was 15.2%. CONCLUSIONS: It was observed a high prevalence of multi-arterial disease, long period until arrival in the hospital center, a greater representativeness of ST-segment elevation myocardial infarction and a high in-hospital mortality rate in the studied population.