Qualidade de vida na apresentação do tipo de infarto agudo do miocárdio e na evolução intra-hospitalar

• Ano de defesa: 2019
• Autor(a) principal: Jesus, Monique Tavares de
• Orientador(a): Sousa, Antônio Carlos Sobral
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
• Palavras-chave em Português: Infarto agudo do miocárdio; Qualidade de vida; Fatores de risco; Síndrome coronariana aguda
• Palavras-chave em Inglês: Acute coronary syndrome; Acute myocardial infarction; Quality of life; Risk factors
• Área do conhecimento CNPq: CIENCIAS DA SAUDE
• Link de acesso: http://ri.ufs.br/jspui/handle/riufs/13074

The world scenario is revealing a growth in cardiovascular diseases and it is highlighted as one of the main causes of deaths and physical disabilities. Among the most relevant is the acute myocardial infarction (AMI). Scientific evidence shows that modifiable risk factors and quality of life may be associated with the development of cardiovascular disease. The objective of the present study was to evaluate the influence of life quality and cardiovascular risk factors on the presentation of acute myocardial infarction. This is an observational and cross-sectional study, performed in referenced hospital units in cardiology in the city of Aracaju / SE. The variables analyzed were: Socioeconomics, clinical, intra-hospital events, risk factors (dyslipidemia, systemic arterial hypertension; smoking; diabetes mellitus; obesity, physical inactivity, family history of coronary artery disease and age) and quality of life. Categorical variables were associated using the chi-square test or Fisher's exact test. The numerical variables used Student's t-test and Mann-Whitney tests. The criterion of statistical significance was set at p <0.05. The sample consisted of 480 patients, 55.62% (267) had ST-segment elevation acute myocardial infarction (STEMI) and 44.38% (213) non-ST-segment acute myocardial infarction (NSTEMI). People served by the public service are 8.56 more likely to have STEMI compared to those served by the private service. Smoking was associated with STEMI (p <0.028). Quality of life was not associated with the type of AMI, only the domain of physical aspects and pain presented negative perception. With the exception of the health and mental domain, all were associated with some type of intra-hospital event. Tobacco use was associated with the most severe type of AMI. The domains of life quality showed no significant difference between the two types of infarction, but were associated with several intra-hospital events.