EPIDEMIOLOGICAL AND CLINICAL PROFILE OF PATIENTS WITH HEART FAILURE IN A HIGH COMPLEXITY OUTPATIENT SERVICE
DOI:
https://doi.org/10.61164/rmnm.v5i1.2228Keywords:
Cardiologia; Insuficiência cardíaca; Epidemiologia.Abstract
Heart failure (HF) is considered a public health problem, as it is a disease in which the heart is unable to meet tissue and metabolic demands. HF is considered a problem that reduces the patient's functional capacity and reduces quality of life. This study aimed to understand and outline the epidemiological and clinical profile of patients diagnosed with HF followed up at a highly complex outpatient clinic in the city of Cascavel/PR. This research was observational, retrospective, documentary in nature and collected data from electronic medical records of patients treated at a teaching hospital in the city of Cascavel/PR. Patients of both sexes, aged over 18 years, with a definitive diagnosis of HF and who were admitted to the hospital's high complexity service outpatient clinic between January 1, 2021 and December 31, 2022 were included. The variables were collected gender, age group, ethnicity, comorbidities, associated heart diseases, surgical procedures, possible etiologies, classification of HF and medications for continuous use. A higher prevalence was found in individuals aged between 61-70 years (31.25%), in relation to sex, males represented 58.04% of cases. The most common etiology was ischemic with 49.11%, and SAH was the most frequent comorbidity. CAD was the most common heart disease in this population and the use of antihypertensive drugs was present in 99.11% of patients. Regarding the type of HF, preserved ejection fraction was present in 52.64% of patients.
Keywords: Cardiology; Cardiac insufficiency; Epidemiology.
References
ALBUQUERQUE, D. C., NETO, J. D., BACAL, F., ROHDE, L. E., BERNARDEZ-PEREIRA, S., BERWANGER, O., ALMEIDA, D. R. I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes. Arquivos Brasileiros de Cardiologia, v. 104, n. 6, p.433–442, 2015.
https://doi.org/10.5935/abc.20150031
ALEXSANDER, R., DE LAS CASAS BESSA, L., DIAS SILVEIRA, A. V., GUALBERTO SOUZA, I., SILVEIRA FERREIRA, G. F., PACHECO SOUZA, G., SCHIMDT FRANÇA, D. Análise Epidemiológica por Insuficiência Cardíaca no Brasil. Brazilian Medical Students, v. 6, n. 9, p. 1-10, 2022. https://doi.org/10.53843/bms.v6i9.224
ARRUDA, V.L., MACHADO, L.M.G., LIMA, J.C., SILVA, P.R.S. Tendência da mortalidade por insuficiência cardíaca no Brasil: 1998 a 2019. Revista Brasileira de Epidemiologia, v. 25, n. 1, p. 220021, 2022.
https://doi.org/10.1590/1980-549720220021.2
BOZKURT, B., AHMAD, T., ALEXANDER, K. M., BAKER, W. L., BOSAK, K., BREATHETT, K., FONAROW, G. C., HEIDENREICH, P., HO, J. E., HSICH, E., IBRAHIM, N. E., JONES, L. M., KHAN, S. S., KHAZANIE, P., KOELLING, T., KRUMHOLZ, H. M., KHUSH, K. K., LEE, C., MORRIS, A. A., PAGE, R. L. Heart Failure Epidemiology and Outcomes Statistics: A Report of the Heart Failure Society of America. Journal of Cardiac Failure, v. 29, n. 10, p. 1412–1451, 2023.
https://doi.org/10.1016/j.cardfail.2023.07.006
CASTIGLIONE, V., AIMO, A., VERGARO, G., SACCARO, L., PASSINO, C., EMDIN, M. Biomarkers for the diagnosis and management of heart failure. Heart Failure Reviews, v. 27, n. 2, p. 625–643, 2022. https://doi.org/10.1007/s10741-021-10105-w
CESTARI, V. R. F., GARCES, T. S., SOUSA, G. J. B., MARANHÃO, T. A., SOUZA NETO, J. D., PEREIRA, M. L. D., PESSOA, V. L. M. P., SALES, J. T. L., FLORÊNCIO, R. S., SOUZA, L. C. , VASCONCELOS, G. G. , SOBRAL, M. G. V., DAMASCENO, L. L. V., MOREIRA, T. M. M. Distribuição Espacial de Mortalidade por Insuficiência Cardíaca no Brasil, 1996-2017. Arquivos Brasileiros de Cardiologia, v. 116, n. 6, p. 1174–1212, 2022. https://dx.doi.org/10.36660/abc.20201325
CID-11. International Classification of Diseases 11th Revision. The global standard for diagnostic health information, online version. Acessado em dezembro de 2023. Disponível em: https://icd.who.int/en
DOMENGÉ, O., FAYOL, A., LADOUCEUR, M., WAHBI, K., AMAR, L., CARETTE, C., HAGÈGE, A., HULOT, J. S. Trends in prevalence of major etiologies leading to heart failure in young patients: An integrative review. Trends in Cardiovascular Medicine, v. 34, n. 2, p. 80–88, 2024. https://doi.org/10.1016/j.tcm.2022.09.005
DUARTE, P. A., PEREZ, I. M. P. Fatores de risco em pacientes adultos com hipertensão arterial. Revista Multidisciplinar do Nordeste Mineiro, v.1, n. 1, p. 35-41, 2023.
https://revista.unipacto.com.br/index.php/multidisciplinar/article/view/883
EMMONS-BELL, S., JOHNSON, C., ROTH, G. Prevalence, incidence and survival of heart failure: a systematic review. Heart, v. 108, n. 17, p.1351–1360, 2022.
https://doi.org/10.1136/heartjnl-2021-320131
GREENE, S. J., BAUERSACHS, J., BRUGTS, J. J., EZEKOWITZ, J. A., LAM, C. S. P., LUND, L. H., PONIKOWSKI, P., VOORS, A. A., ZANNAD, F., ZIEROTH, S., BUTLER, J. Worsening Heart Failure: Nomenclature, Epidemiology, and Future Directions. Journal of the American College of Cardiology, v. 81, n. 4, p. 413–424, 2023. https://doi.org/10.1016/j.jacc.2022.11.023
HEIDENREICH, P. A., BOZKURT, B., AGUILAR, D., ALLEN, L. A., BYUN, J. J., COLVIN, M. M., DESWAL, A., DRAZNER, M. H., DUNLAY, S. M., EVERS, L. R., FANG, J. C., FEDSON, S. E., FONAROW, G. C., HAYEK, S. S., HERNANDEZ, A. F., KHAZANIE, P., KITTLESON, M. M., LEE, C. S., LINK, M. S., MILANO, C. A., YANCY, C. W. AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, v. 145, n. 18, p. e895–e1032, 2022. https://doi.org/10.1161/CIR.0000000000001063
HERNÁNDEZ-DURÁN, J., LÓPEZ-GUTIÉRREZ, L. V., PALACIO-MEJÍA, M. I., AGUILERA, L., BURGOS, L., GIRALDO, C. I. S. What Do We Know About Heart Failure in Latin American Women? Current Problems in Cardiology, v. 49, n. 1, p. 102085, 2024. https://doi.org/10.1016/j.cpcardiol.2023.102085
JORGE, A. J. L., BARBETTA, L. M. DOS S., CORREIA, E. T. DE O., MARTINS, W. DE A., LEITE, A. R., SAAD, M. A. N., SANTOS, M. M. S. DOS ., CORREIA, D. M., ROSA, M. L. G., CHERMONT, S., SANTOS, C. C. DOS .,MESQUITA, E. T. Características e Tendências na Mortalidade em Diferentes Fenótipos de Insuficiência Cardíaca na Atenção Primária. Arquivos Brasileiros de Cardiologia, v. 117, n. 2, p. 300–306, 2021. https://doi.org/10.36660/abc.20190912
KARABAN, K., SŁUPIK, D., REDA, A., GAJEWSKA, M., ROLEK, B., BOROVAC, J. A., PAPAKONSTANTINOU, P. E., BONGIOVANNI, D., EHRLINDER, H., PARKER, W. A. E., SINIARSKI, A., GĄSECKA, A. Coagulation Disorders and Thrombotic Complications in Heart Failure With Preserved Ejection Fraction. Current Problems in Cardiology, v. 49, n. 1, p. 102127, 2024.
https://doi.org/10.1016/j.cpcardiol.2023.102127
LAKATOS, E.M., MARCONI, M.A. Fundamentos de metodologia científica. 9ª Ed. Editora Atlas, São Paulo – SP, 2021.
LATADO, A. L., PASSOS, L. C. S., BRAGA, J. C. V., SANTOS, A., GUEDES, R., MOURA, S. S., ALMEIDA. Preditores de letalidade hospitalar em pacientes com insuficiência cardíaca avançada. Arquivos Brasileiros de Cardiologia, v. 87, n. 2, p.185–192, 2006.
https://doi.org/10.1590/S0066-782X2006001500018
LINARTEVICHI, V. F., PEREIRA, M. I. perfil clínico-epidemiológico de crianças e adolescentes atendidos por serviço de urgência e emergência em um município do oeste do paraná. Revista Multidisciplinar do Nordeste Mineiro, v. 12, n. 1, p. 1-18, 2023.
https://doi.org/10.61164/rmnm.v12i1.1713
MARCONDES-BRAGA, F. G., MOURA, L. A. Z., ISSA, V. S., VIEIRA, J. L., ROHDE, L. E., SIMÕES, M. V., FERNANDES-SILVA, M. M., RASSI, S., ALVES, S. M. M., ALBUQUERQUE, D. C. DE ., ALMEIDA, D. R. DE ., BOCCHI, E. A., RAMIRES, F. J. A., BACAL, F., ROSSI NETO, J. M., DANZMANN, L. C., MONTERA, M. W., OLIVEIRA JUNIOR, M. T. DE ., CLAUSELL, N., MESQUITA, E. T. Atualização de Tópicos Emergentes da Diretriz Brasileira de Insuficiência Cardíaca – 2021. Arquivos Brasileiros de Cardiologia, v. 116, n. 6, p. 1174–1212, 2021. https://doi.org/10.36660/abc.20210367
NOGUEIRA, P. R., RASSI, S., CORRÊA, K. DE S. Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário Arquivos Brasileiros de Cardiologia, v. 95, n. 3, p. 392–398, 2010. https://doi.org/10.1590/S0066-782X2010005000102
OLIVEIRA, A. L. R. D., SANTOS, D. G. D., BOMFIM, L. L. S., OLIVEIRA, P. C. D. J., RODRIGUES, P. C. Projeto de intervenção em pacientes idosos diabéticos e hipertensos da estratégia saúde da família Joaquim Pedrosa. Revista Multidisciplinar do Nordeste Mineiro, v. 4, n. 1, p. 1-10, 2023.
https://revista.unipacto.com.br/index.php/multidisciplinar/article/view/981
SCHÜTT K. Rethinking the Impact and Management of Diabetes in Heart Failure Patients. Current Heart Failure Reports, v. 21, n. 1, p. 53–60, 2024. https://doi.org/10.1007/s11897-023-00633-x
TOMASONI, D., ADAMO, M., LOMBARDI, C. M., METRA, M. Highlights in heart failure. Heart Failure, v. 6, n. 6, p.1105–1127, 2019. https://doi.org/10.1002/ehf2.12555
TRUBY, L. K., ROGERS, J. G. Advanced Heart Failure: Epidemiology, Diagnosis, and Therapeutic Approaches. Heart Failure, v. 8, n. 7, p. 523–536, 2020.
https://doi.org/10.1016/j.jchf.2020.01.014
YU, B., AKUSHEVICH, I., YASHKIN, A. P., YASHIN, A. I., LYERLY, H. K., KRAVCHENKO, J. Epidemiology of geographic disparities in heart failure among US older adults: a Medicare-based analysis. BMC Public Health, v. 22, n. 1, p. 1280, 2022.
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