1. Incidência e fatores de risco associados ao infarto agudo do miocárdio sem obstrução coronariana.
- Author
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Teixeira Zeferino, Henrique, Martins De March, Artur, Vieira Machado, Lucas, Coelho, André, Pretto, Péricles, and Madeira, Kristian
- Subjects
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MYOCARDIAL infarction , *LENGTH of stay in hospitals , *INTENSIVE care units , *CORONARY arteries , *MEDICAL records , *COMORBIDITY - Abstract
Objective: to identify the incidence, risk factors and outcomes associated with myocardial infarction with nonobstructive coronary arteries (MINOCA). Method: it is a with prospective cohort study data collection from medical records data. Patients with acute myocardial infarction (AMI) that went through hemodynamic study in 2017 and 2018 were included. Results: when analyzing 445 medical records, the occurrence of MINOCA was observed in 28 patients (6.3%). Comparing the MINOCA group with the obstructive AMI group, patients in the MINOCA group were younger, with a mean age of 54 years (SD ± 14; p=0.007), had a lower incidence of smoking (2 versus 156, p<0.001), hypertension (10 versus 242; p=0.002), shorter mean length of hospital stay (days) (5.79 ± 3.05 versus 7.49 ± 5.20; p= 0.02) and fewer admissions to intensive care unit (5 versus 212; p=0.002). Conclusion: the estimated incidence of MINOCA among the total number of AMI in southern Santa Catarina was 6.3% [CI 95]. Patients in the MINOCA group had a lower prevalence of comorbidities, better in-hospital evolution and better outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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