COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia
Introduction and Objectives: Heart failure is a majorcause of admission to intensive care units. The objectiveof this research was to describe the behavior ofacute heart failure in the Intensive Care Unit of Riberalta,Bolivia. Method: A cross sectional study was conductedwith 141 patients who were a...
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| Format: | Article |
| Language: | English |
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Cardiocentro Ernesto Che Guevara
2011-11-01
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| Series: | CorSalud |
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| Online Access: | http://bvs.sld.cu/revistas/cors/pdf/2011/v3n4a11/ic.pdf |
| _version_ | 1819104417832501248 |
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| author | Vielka González Ferrer Marilyn Ramírez Méndez Maguett Alonso Padrón Wilfredo de J. Machin Cabrera Fernando Rodríguez González |
| author_facet | Vielka González Ferrer Marilyn Ramírez Méndez Maguett Alonso Padrón Wilfredo de J. Machin Cabrera Fernando Rodríguez González |
| author_sort | Vielka González Ferrer |
| collection | DOAJ |
| description | Introduction and Objectives: Heart failure is a majorcause of admission to intensive care units. The objectiveof this research was to describe the behavior ofacute heart failure in the Intensive Care Unit of Riberalta,Bolivia. Method: A cross sectional study was conductedwith 141 patients who were admitted with thisdiagnosis in the period June 2006 - August 2008. Results:The most represented age group was 60 yearsand over (37.6%), while acute coronary syndrome wasthe main precipitating factor (29.8%) and cardiomyopathythe fundamental causal factor (36.2%). The mostcommon clinical presentation was acute decompensation(39.7%) and the highest percentage of patientshad a hospital stay of 7 or more days (64.5%), in whichheart failure was more representative (66%) and living discharged patients were more prevalent (80.9%). The largest proportion of patients received potassium sparing diuretics (90.5%), beta blockers (96.9%) or theassociation of inhibitors of angiotensin convertingenzyme and antagonists of angiotensin II receptorswith one of them (95.2 and 94.1% respectively). Therisk of dying was 54 times higher in patients requiringvasoactive drugs, and 9 times in those using digitalis.Conclusions: Female sex predominated with 60 andmore years. Cardiogenic shock, acute pulmonaryedema and the number of admissions were the maindeterminants of mortality. The use of hormone-blockingdrugs was favorably associated with survival; theopposite happened with the inotropes. |
| first_indexed | 2024-12-22T02:06:02Z |
| format | Article |
| id | doaj.art-e9d38de381c441a89b80d376d9172c5f |
| institution | Directory Open Access Journal |
| issn | 2078-7170 |
| language | English |
| last_indexed | 2024-12-22T02:06:02Z |
| publishDate | 2011-11-01 |
| publisher | Cardiocentro Ernesto Che Guevara |
| record_format | Article |
| series | CorSalud |
| spelling | doaj.art-e9d38de381c441a89b80d376d9172c5f2022-12-21T18:42:31ZengCardiocentro Ernesto Che GuevaraCorSalud2078-71702011-11-0134198208COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, BoliviaVielka González FerrerMarilyn Ramírez MéndezMaguett Alonso PadrónWilfredo de J. Machin CabreraFernando Rodríguez GonzálezIntroduction and Objectives: Heart failure is a majorcause of admission to intensive care units. The objectiveof this research was to describe the behavior ofacute heart failure in the Intensive Care Unit of Riberalta,Bolivia. Method: A cross sectional study was conductedwith 141 patients who were admitted with thisdiagnosis in the period June 2006 - August 2008. Results:The most represented age group was 60 yearsand over (37.6%), while acute coronary syndrome wasthe main precipitating factor (29.8%) and cardiomyopathythe fundamental causal factor (36.2%). The mostcommon clinical presentation was acute decompensation(39.7%) and the highest percentage of patientshad a hospital stay of 7 or more days (64.5%), in whichheart failure was more representative (66%) and living discharged patients were more prevalent (80.9%). The largest proportion of patients received potassium sparing diuretics (90.5%), beta blockers (96.9%) or theassociation of inhibitors of angiotensin convertingenzyme and antagonists of angiotensin II receptorswith one of them (95.2 and 94.1% respectively). Therisk of dying was 54 times higher in patients requiringvasoactive drugs, and 9 times in those using digitalis.Conclusions: Female sex predominated with 60 andmore years. Cardiogenic shock, acute pulmonaryedema and the number of admissions were the maindeterminants of mortality. The use of hormone-blockingdrugs was favorably associated with survival; theopposite happened with the inotropes.http://bvs.sld.cu/revistas/cors/pdf/2011/v3n4a11/ic.pdfheart failureetiologycausalityclinical evolutionmortality |
| spellingShingle | Vielka González Ferrer Marilyn Ramírez Méndez Maguett Alonso Padrón Wilfredo de J. Machin Cabrera Fernando Rodríguez González COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia CorSalud heart failure etiology causality clinical evolution mortality |
| title | COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia |
| title_full | COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia |
| title_fullStr | COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia |
| title_full_unstemmed | COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia |
| title_short | COMPORTAMIENTO DE LA INSUFICIENCIA CARDÍACA AGUDA EN LA UNIDAD DE CUIDADOS INTENSIVOS DE RIBERALTA, BOLIVIA / Behavior of acute heart failure in the Intensive Care Unit of Riberalta, Bolivia |
| title_sort | comportamiento de la insuficiencia cardiaca aguda en la unidad de cuidados intensivos de riberalta bolivia behavior of acute heart failure in the intensive care unit of riberalta bolivia |
| topic | heart failure etiology causality clinical evolution mortality |
| url | http://bvs.sld.cu/revistas/cors/pdf/2011/v3n4a11/ic.pdf |
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