Relación de deterioro de fracción de eyección y sìndrome anémico en insuficiencia cardiaca. Trabajo realizado en el Servicio de Cardiología del Hospital Luis Vernaza período 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Mèdicas. Escuela de Medicina
Resumen
La insuficiencia cardiaca tiene una mortalidad hospitalaria que oscila entre el 4% y 7%,. En nuestro país es la primera causa de morbimortalidad cardiológica incapacitante, que es manejada en la práctica clínica por médicos generales, cardiólogos y médicos de otra especialidad ya que está relacionada a complicaciones y/o enfermedades agregadas no cardiológicas, según el Instituto Nacional de Estadísticas y Censos (INEC) ocupa el 2.72% entre las principales causas de muerte del Ecuador. La prevalencia de anemia es muy importante ya que aumenta paralelamente con la severidad de la Insuficiencia cardiaca con máxima incapacidad funcional pese a tratamiento especializado.
Por lo antes descrito se formuló como objetivo determinar si tiene o no relación la fracción de eyección disminuida (< 40%) con el síndrome anémico y la frecuencia del mismo, este estudio clínico teórico de tipo observacional indirecto y descriptivo de corte retrospectivo. Se tomaron datos de fuentes documentales como son las historias clínicas de los pacientes ingresados en el servicio de cardiología con diagnóstico de Insuficiencia Cardiaca del Hospital Luis Vernaza durante el periodo 2014. Durante este tiempo se tomó una muestra de 226 pacientes que cumplían con los criterios de inclusión de los cuales el 43% de los pacientes presentaban anemia según los criterios de la OMS (WHO, 1986).
Heart failure has a hospital mortality of between 4% and 7. In our country is the leading cause of disabling cardiac morbidity and mortality, which is managed in clinical practice by general practitioners, cardiologists and physicians from other specialties because it is related to complications and / or cardiac aggregate diseases, according to the National Institute of Statistics and Census (INEC) 2.72% ranks among the leading causes of death in Ecuador. The prevalence of anemia is important because it increases parallel with the severity of heart failure with maximum functional disability despite specialized treatment. It was formulated as described above aimed at determining whether or not ratio decreased ejection fraction (<40%) with the anemic syndrome and its frequency, this theoretical clinical study of indirect and descriptive retrospective observational court. documentary data sources were taken such as the clinical records of patients admitted to the cardiology department with a diagnosis of Heart Failure Hospital Luis Vernaza during 2014. During this time period a sample of 226 patients who met the criteria was made inclusion of which 43% of patients had anemia according to WHO criteria (WHO, 1986).
Heart failure has a hospital mortality of between 4% and 7. In our country is the leading cause of disabling cardiac morbidity and mortality, which is managed in clinical practice by general practitioners, cardiologists and physicians from other specialties because it is related to complications and / or cardiac aggregate diseases, according to the National Institute of Statistics and Census (INEC) 2.72% ranks among the leading causes of death in Ecuador. The prevalence of anemia is important because it increases parallel with the severity of heart failure with maximum functional disability despite specialized treatment. It was formulated as described above aimed at determining whether or not ratio decreased ejection fraction (<40%) with the anemic syndrome and its frequency, this theoretical clinical study of indirect and descriptive retrospective observational court. documentary data sources were taken such as the clinical records of patients admitted to the cardiology department with a diagnosis of Heart Failure Hospital Luis Vernaza during 2014. During this time period a sample of 226 patients who met the criteria was made inclusion of which 43% of patients had anemia according to WHO criteria (WHO, 1986).
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Insuficiencia cardiaca, Anemia, Fracción de eyección, Epidemiología descriptiva, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador