7 documents found, page 1 of 1
Patient and system delays in the treatment of acute coronary syndrome
Viana, M; Laszczyńska, O; Araújo, C; Borges, A; Barros, V; Ribeiro, AI; Dias, P; Maciel, MJ; Moreira, I; Lunet, N; Azevedo, AIntroduction Early reperfusion for patients with ST-segment elevation myocardial infarction (STEMI) is indicated by the European Society of Cardiology, while a timely invasive strategy is recommended for patients with high-risk and intermediate-risk non-ST-elevation acute coronary syndromes (NSTE-ACS). This study aims to assess patient and system delays according to diagnosis and risk profile, and to identify p...
Quality of Care and 30-day Mortality of Women and Men With Acute Myocardial Inf...
Araújo, C; Laszczyńska, O; Viana, M; Dias, P; Maciel, MJ; Moreira, I; Azevedo, AIntroduction and objectives Despite increased awareness of sex disparities in care and outcomes of acute myocardial infarction (AMI), there appears to have been no consistent attenuation of these differences over the last decade. We investigated differences by sex in management and 30-day mortality using the European Society of Cardiology Acute Cardiovascular Care Association quality indicators (QIs) for AMI. M...
Impact of a brief psychological intervention on lifestyle, risk factors and dis...
Fernandes, AC; McIntyre, T; Coelho, R; Prata, J; Maciel, MJIntroduction:This study examined the efficacy of a brief inpatient psychoeducational intervention on knowledge about acute coronary syndromes (ACS), control of risk factors, and adaptive health habits and lifestyle. The intervention was intended to facilitate rehabilitation after ACS and its short- and medium-term impact was assessed. Methods: One hundred and twenty-one patients with ACS, admitted to a central ...
Inequalities in access to cardiac rehabilitation after an acute coronary syndro...
Viana, MP; Borges, A; Araújo, C; Rocha, A; Ribeiro, AI; Rocha, OL; Dias, P; Maciel, MJ; Moreira, I; Lunet, N; Azevedo, AObjectives To estimate cardiac rehabilitation (CR) referral and participation rates among patients with acute coronary syndrome (ACS) and to identify their determinants, in two Portuguese regions. Design Prospective cohort study. Setting Patients consecutively admitted to the cardiology department of two hospitals, one in the district of Porto and one in the north-east region (NER) of Portugal, were enrolled in...
Sex differences in presenting symptoms of acute coronary syndrome: the EPIHeart...
Araújo, C; Rocha, OL; Viana, MP; Melão, F; Borges, A; Severo, M; Maciel, MJ; Moreira, I; Azevedo, AObjectives Prompt diagnosis of acute coronary syndrome (ACS) remains a challenge, with presenting symptoms affecting the diagnosis algorithm and, consequently, management and outcomes. This study aimed to identify sex differences in presenting symptoms of ACS. Design Data were collected within a prospective cohort study (EPIHeart). Setting Patients with confirmed diagnosis of type 1 (primary spontaneous) ACS wh...
Missed Opportunities in Symptomatic Patients before a First Acute Coronary Synd...
Araújo, C; Laszczyńska, O; Viana, M; Dias, P; Maciel, MJ; Azevedo, AOBJECTIVES: The aim of this study was to assess the proportion of patients with a first episode of acute coronary syndrome (ACS) reporting preceding chest pain, having previously sought medical care and undergone the performance of exams, and to identify the determinants of seeking medical advice and undergoing electrocardiogram (ECG). METHODS: Within a cohort study, 690 patients with a first episode of ACS wer...
Permanent pacemaker implantation after aortic valve replacement: Long-term depe...
Ribeiro, V; Mota Garcia, R; Frutuoso, C; Melão, F; Pereira, M; Pinho, P; Maciel, MJIntroduction Conduction disturbances requiring permanent pacemaker (PM) implantation occur in 3-12% of patients after aortic valve replacement (AVR). Our aim was to assess long-term PM dependency and its predictors in these patients. Methods We conducted a retrospective study of all consecutive patients undergoing permanent PM implantation after AVR between January 2004 and December 2010. Absence of sinus rhyth...