RESUMO
AIMS OF THE STUDY: To study the epidemiologic, clinical, therapeutic and prognostic characteristics of the myocardial infarction (MI) in patients with chronic kidney disease (CKD). To identify the impact of CKD in hospital, mid- and long-term survival after myocardial infarction. To determine the predictive factors of hospital and midterm MACCE in patients with CKD. PATIENTS AND METHODS: The study population was 231 patients with a myocardial infarction admitted alive from January 2005 to December 2006. The population was divided into two groups. Group 1: glomerular filtration rate (GFR) ≥60 ml/min: 112 patients; group 2: GFR<60 ml/min: 119 patients. RESULTS: Patients with CKD had more history of stroke and arterial hypertension. They had received less medical therapies and urgent reperfusion. In multivariate analysis, CKD was a predictive factor of hospital (P=0.016), at 6 months (P=0.003), at 1 year (P=0.004) and at 2 years MACCE (P=0,015). The predictive factors of hospital MACCE in group 2 were: use of vasopressors (P=0.001) and primary angioplasty (P=0.043). In patients with CKD, only surgical coronary revascularization was MACCE predictive factor (P=0.03). CONCLUSION: Baseline renal function is a powerful predictor of short- and long-term events after myocardial infarction. Our results confirm the need to include the renal function in the evaluation of the level of risk among patients admitted with acute myocardial infarction.
Assuntos
Falência Renal Crônica/mortalidade , Falência Renal Crônica/terapia , Infarto do Miocárdio/mortalidade , Infarto do Miocárdio/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Creatinina/sangue , Estudos Transversais , Feminino , França , Mortalidade Hospitalar , Humanos , Falência Renal Crônica/diagnóstico , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico , Prognóstico , Valores de Referência , Fatores de Risco , Taxa de SobrevidaRESUMO
Supraventricular tachycardia in infants are variable. We try to summarize clinical, electrical and treatment particularities of supraventricular arrhythmia in infants. The majority of infants with supraventricular arrhythmia have a good clinical outcome and an excellent prognosis and may not require chronic antiarrhythmic therapy if they had precocious treatment.
Assuntos
Taquicardia Supraventricular/terapia , Algoritmos , Amiodarona/uso terapêutico , Antiarrítmicos/uso terapêutico , Flutter Atrial/congênito , Flutter Atrial/diagnóstico , Flutter Atrial/terapia , Ablação por Cateter , Técnicas de Apoio para a Decisão , Cardioversão Elétrica , Eletrocardiografia , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Processamento de Sinais Assistido por Computador , Taquicardia Supraventricular/congênito , Taquicardia Supraventricular/diagnósticoRESUMO
A 45 day old new-born with arrhythmia-induced cardiomyopathy complicated by thrombus formation is presented. Drug treatment produced immediate symptomatic relief and subsequent reversion to normal cardiac function. The thrombus disappeared a few days later.
