Estratificación de pacientes con fibrilación auricular en el Servicio de Cardiología del Hospital Luis Vernaza en el período de enero a diciembre del 2014.
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Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
ANTECEDENTES
La fibrilación auricular es la arritmia más frecuente en la práctica clínica y conlleva implicaciones significativas en la morbilidad y mortalidad cardiovascular de la población, así como en los costos para los sistemas de salud. No obstante, el conocimiento de la fisiopatología de la arritmia y el surgimiento de nuevas alternativas terapéuticas han cambiado la perspectiva en el manejo de esta enfermedad. Se realiza una revisión del desarrollo reciente en conceptos etiológicos y fisiológicos de la arritmia, así como en los esquemas de clasificación y evaluación del riesgo trombo hemorrágico, además de los nuevos avances en terapias farmacológicas e intervencionistas.
OBJETIVOS
Lo anterior pone de manifiesto la necesidad de retomar la fibrilación auricular como una de las causas de morbimortalidad más importante en nuestro medio, sobre todo en adultos mayores, generar responsabilidad clínica en el manejo de la misma y propender por la disminución no solo de los síntomas, sino de los riesgos asociados a ésta y la calidad de vida de los pacientes que la sufren.
RESULTADOS
La información se obtuvo de la base de datos de las historias clínicas de la consulta externa del Hospital Luis Vernaza del año 2014.
Se registraron los datos en Excel 2013 y se procesaron en este mismo programa.
Se realizó la estadística descriptiva y la analítica.
BACKGROUND: Atrial fibrillation is the most common arrhythmia in clinical practice and carries significant implications in the population's cardiovascular morbidity and mortality as well as in costs for the health systems. However, the knowledge of the pathophysiology of the arrhythmia and the emergence of new alternative therapies have changed the perspective in the management of this disease. We realize a review of recent developments in etiological and physiological concepts of the arrhythmia, as well as a review of the classification schemes and thrombohemorrhagic risk assessment in addition to the new advances in pharmacological and interventional therapies. OBJECTIVE: This highlights the need to resume atrial fibrillation as one of the most important causes of morbidity and mortality in our environment, especially in older adults, generating clinical responsibility in the handling of it and work for not only the reduction of symptoms but the risks associated with it and the quality of life of patients who suffer. RESULTS: The information was obtained from the database of medical records from outpatient Hospital Luis Vernaza 2014. Data were recorded in Excel 2013 and processed in the same program. Descriptive statistics and analysis was performed.
BACKGROUND: Atrial fibrillation is the most common arrhythmia in clinical practice and carries significant implications in the population's cardiovascular morbidity and mortality as well as in costs for the health systems. However, the knowledge of the pathophysiology of the arrhythmia and the emergence of new alternative therapies have changed the perspective in the management of this disease. We realize a review of recent developments in etiological and physiological concepts of the arrhythmia, as well as a review of the classification schemes and thrombohemorrhagic risk assessment in addition to the new advances in pharmacological and interventional therapies. OBJECTIVE: This highlights the need to resume atrial fibrillation as one of the most important causes of morbidity and mortality in our environment, especially in older adults, generating clinical responsibility in the handling of it and work for not only the reduction of symptoms but the risks associated with it and the quality of life of patients who suffer. RESULTS: The information was obtained from the database of medical records from outpatient Hospital Luis Vernaza 2014. Data were recorded in Excel 2013 and processed in the same program. Descriptive statistics and analysis was performed.
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FIBRILACION ATRIAL, ANTICOAGULANTES, INDICADORES DE MORBIMORTALIDAD, ADULTO, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR, REGISTROS MEDICOS, ESTUDIOS RETROSPECTIVOS, EPIDEMIOLOGIA DESCRIPTIVA