Implementation of the Myocardial Infarction System of Care in City of Belo Horizonte, Brazil

Marcolino, Milena Soriano; Brant, Luísa Campos Caldeira; Araujo, Janaina Guimarães de; Nascimento, Bruno Ramos; Castro, L.; Martins, Paula; Lodi-Junqueira, Lucas; Ribeiro, Antônio Luiz Pinho

doi:10.5935/abc.20130054

Cited by 27 publications

(40 citation statements)

References 34 publications

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“…52 Myocardial infarction and stroke have recently received special attention by the Health Ministry with the aim of improving the organization of regionalized systems of care for both conditions. [53][54][55] New procedures and drugs were made reimbursable by the SUS, and financial incentives were given to create regionalized networks. For myocardial infarction, 53,56,57 Most of these successful experiences include a component of telehealth, with prehospital ECG being sent to a central hub to guide further management of the patients.…”

Section: Current and Novel Strategies For Disease Prevention And Treamentioning

confidence: 99%

“…[53][54][55] New procedures and drugs were made reimbursable by the SUS, and financial incentives were given to create regionalized networks. For myocardial infarction, 53,56,57 Most of these successful experiences include a component of telehealth, with prehospital ECG being sent to a central hub to guide further management of the patients. Telehealth has been a focus of health authorities, not only for emergency care, but also as a support for primary care, specifically for the interpretation of ECGs performed in distant small cities.…”

Section: Current and Novel Strategies For Disease Prevention And Treamentioning

confidence: 99%

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Cardiovascular Health in Brazil

et al. 2016

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O ur article reviews the current situation of cardiovascular diseases (CVD) in Brazil, focusing on the influence of socioeconomic status and regional variation in the epidemiology of CVD; and on current and novel strategies to confront CVD. After a brief description of the geographic, economic, and demographic aspects, the organizational aspects of the Brazilian healthcare system are explained. Next, risk factors and morbidity and mortality by CVD are described, followed by a discussion of strategies to confront CVD, regarding both prevention and treatment. Finally, the gaps in knowledge and suggested steps to overcome limitations are highlighted. Hence, this article aims to contribute to efforts to raise awareness concerning the CVD burden around the world, while highlighting initiatives that may promote the improvement of health and the reduction of disparities and current problems. Moreover, we hope it creates opportunities for interaction between researchers, clinicians, and health policy makers. Geographic, Economic, and Demographic DataBrazil is a country of continental dimensions exhibiting large differences in climate, genetic background, and lifestyle adopted in its distinct regions. It occupies 47% of South America, mainly in the tropical region, and has an estimated population of 202 768 562, with 51% women.1 The country is the fifth in land area, sixth in population, and currently the seventh economy in the world.2 Regarding income distribution, Brazil remains one of the world´s most unequal countries.2 Even though social disparities have decreased considerably over the past 14 years, 3 they are still unacceptable. The Gini coefficient for family income, a measure of inequality in income distribution ranging from 0 (complete equality) to 1 (complete inequality), declined from 0.59 in 2000 to 0.53 in 2012. The proportion of people living in poverty, defined as earning

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Section: Current and Novel Strategies For Disease Prevention And Treamentioning

confidence: 99%

Section: Current and Novel Strategies For Disease Prevention And Treamentioning

confidence: 99%

Cardiovascular Health in Brazil

et al. 2016

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“…Os demais sintomas e a relação com os laudos eletrocardiográficos estão descritos na tabela 3. A telecardiologia, utilizada com sucesso em muitos países, viabiliza a detecção precoce do infarto do miocárdio com supradesnivelamento do segmento ST (IAMCSST) [13][14][15][16][17][18][19] , reduzindo o tempo de encaminhamento para o atendimento. No presente estudo, o supradesnivelamento do ST foi observado em 8,6% da amostra, à semelhança de resultados obtidos por outros autores 20,21 .…”

Section: Gráfico 1 -Prevalências Das Alterações Eletrocardiográficas unclassified

Análise das alterações eletrocardiográficas em pacientes atendidos por serviço móvel de urgência

Maciel

Irigoyen

Goldmeier

2018

Rev Eletron Comun Inf Inov Saúde

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O estudo aqui apresentado teve como objetivo analisar a população atendida por meio de teleeletrocardiografia realizada por serviço público que pode ser referência para outros em matéria de atendimento pré-hospitalar móvel de urgência no município de Porto Alegre. Trata-se de estudo transversal retrospectivo. Foram analisados 1.338 eletrocardiogramas realizados de setembro 2013 a agosto 2014 pelo Samu/POA, com laudo a distância feito no Hospital do Coração (HCor) em São Paulo. Utilizou-se a metodologia embasada nas diretrizes STROBE (Strengthening the Reporting of Observational Studies in Epidemiology). Em 115 (8,6%) desses tele-eletrocardiogramas, os pacientes foram diagnosticados com supradesnivelamento do segmento ST. Esta alteração eletrocardiográfica prevaleceu no gênero masculino (p = 0,012) com idade acima de 60 anos (p = 0,014). Dor torácica típica retroesternal foi mencionada por 314 homens (54,3%) e 726 mulheres (56,3%). Síncope foi relatada por 94 homens (16,3%) e 107 mulheres (14,2%). A dispneia foi um sintoma apontado por 47 homens (8,1%) e 84 mulheres (11,1%). Os resultados do estudo revelaram que alterações eletrocardiográficas sugestivas de SCA (Síndrome coronariana aguda) predominam em homens idosos; embora as mulheres solicitem o serviço de atendimento com mais frequência, o supradesnivelamento do segmento ST mostrou-se preponderante no gênero masculino. A dor torácica ter sido mencionada como o sintoma mais referido está em concordância com a literatura atual. =O conhecimento de nossa realidade pode auxiliar a elaboração de protocolos de serviço.

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“…The delayed access reduces the possibility of effectively using myocardial perfusion therapies and increased the morbidity and mortality due to the disease. (9) In view of the above, the general objective in this study was to analyze the access times of male and female victims of myocardial infarction to referral hospital in cardiology and the correlation between them.…”

Section: Introductionmentioning

confidence: 99%

Tempos de acesso a serviços de saúde face ao infarto do miocárdio

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Objective: To analyze the access times of men and women who are having a myocardial infarction to referral hospitals in cardiology and the correlation between them. Methods: Cross-sectional research, involving 100 victims of a myocardial infarction who were interviewed at referral hospitals in cardiology. To analyze the data, descriptive and inferential statistics were used with statistical significance. Results: The access times were long (decision to seek care, arrival to first health service, time in care network and admission to referral hospitals in cardiology), except for the transportation time, mainly for women. The decision time contributed more to the time it took to arrive at the first health service and the time in the care network contributed more to the time to arrive at the referral hospitals in cardiology. Conclusion: The long time waiting for specialized care reflects the lack of structure of the health services and the long decision time reflects the participants' lack of recognition of the myocardial infarction. ResumoObjetivo: Analisar os tempos relacionados ao acesso de homens e mulheres com infarto do miocárdio a hospitais referência em cardiologia e a correlação entre eles. Métodos: Pesquisa transversal, com 100 pessoas com infarto entrevistadas em hospitais referência em cardiologia. Dados analisados por estatística descritiva e inferencial, adotando-se significância estatística. Resultados: Os tempos foram elevados (decisão para atendimento, chegada ao primeiro serviço de saúde, permanência na rede de atenção e admissão em hospitais referência em cardiologia), exceto o de transporte, sobretudo para mulheres. Houve maior contribuição do tempo de decisão na composição do tempo de chegada ao primeiro serviço de saúde e do tempo de permanência na rede na composição do tempo de chegada aos hospitais referência em cardiologia. Conclusão: A longa espera por atenção especializada reflete a falta de estrutura dos serviços de saúde, e o tempo de decisão elevado reflete a falta do não reconhecimento do infarto pelos participantes. KeywordsHealth services accessibility; Public health nursing; Education, nursing; Myocardial infarction Descritores Acesso aos serviços de saúde; Enfermagem em saúde pública; Educação em enfermagem; Infarto do miocárdio

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Implementation of the Myocardial Infarction System of Care in City of Belo Horizonte, Brazil

Cited by 27 publications

References 34 publications

Cardiovascular Health in Brazil

Cardiovascular Health in Brazil

Análise das alterações eletrocardiográficas em pacientes atendidos por serviço móvel de urgência

Tempos de acesso a serviços de saúde face ao infarto do miocárdio

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