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  • Família ABC
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  • International Journal of Cardiovascular Sciences
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  • ABC Imagem Cardiovascular
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Original Article

Acute myocardial infarction: clinical and epidemiological profile and factors associated with in-hospital death in the municipality of Rio de Janeiro

Claudia Caminha Escosteguy et al. Margareth Crisóstomo Portela Roberto de Andrade Medronho Maurício Teixeira Leite de Vasconcellos

OBJECTIVE: To study the factors associated with the risk of in-hospital death in acute myocardial infarction in the Brazilian public health system in Rio de Janeiro, Brazil. METHODS: Sectional study of a sample with 391 randomly drawn medical records of the hospitalizations due to acute myocardial infarction recorded in the hospital information system in 1997. RESULTS: The diagnosis was confirmed in 91.7% of the cases; 61.5% males; age = 60.2 ± 2.4 years; delta time until hospitalization of 11 hours; 25.3% were diabetic; 58.1% were hypertensive; 82.6% were in Killip I class. In-hospital mortality was 20.6%. Thrombolysis was used in 19.5%; acetylsalicylic acid (ASA) 86.5%; beta-blockers 49%; angiotensin-converting enzyme (ACE) inhibitors 63.3%; calcium channel blockers 30.5%. Factors associated with increased death: age (61-80 years: OR=2.5; > 80 years: OR=9.6); Killip class (II: OR=1.9; III: OR=6; IV: OR=26.5); diabetes (OR=2.4); ventricular tachycardia (OR=8.5); ventricular fibrillation (OR=34); recurrent ischemia (OR=2.7). The use of ASA (OR=0.3), beta-blockers (OR=0.3), and ACE inhibitors (OR=0.4) was associated with a reduction in the chance of death. CONCLUSION: General lethality was high and some interventions of confirmed efficacy were underutilizated. The logistic model showed the beneficial effect of beta-blockers, and ACE inhibitors on the risk of in-hospital death.

  • Acute Myocardial Infarction
  • in-hospital mortality
  • multivariate analysis
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Creative Commons Attribution (CC BY) Creative Commons license
02/07/2003 DOI: 10.1590/S0066-782X2003000600003 Visualizações 1

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Formato de Documento Eletrônico (Vancouver)

Escosteguy CC, Portela MC, Medronho RA, Vasconcellos MTL. Acute myocardial infarction: clinical and epidemiological profile and factors associated with in-hospital death in the municipality of Rio de Janeiro. Arquivos Brasileiros de Cardiologia 2003;80(6):600-6.

Formato de Documento Eletrônico (ABNT)

Escosteguy, Claudia Caminha; Portela, Margareth Crisóstomo; Medronho, Roberto de Andrade; Vasconcellos, Maurício Teixeira Leite de. Acute myocardial infarction: clinical and epidemiological profile and factors associated with in-hospital death in the municipality of Rio de Janeiro. Arquivos Brasileiros de Cardiologia, v. 80, n. 6, p. 600-606, jul. 2003.

Formato de Documento Eletrônico (APA)

Escosteguy, C. C., Portela, M. C., Medronho, R. A., & Vasconcellos, M. T. L. (2003). Acute myocardial infarction: clinical and epidemiological profile and factors associated with in-hospital death in the municipality of Rio de Janeiro. Arquivos Brasileiros de Cardiologia, 80(6), 600-606.

Formato de Documento Eletrônico (ISO)

Escosteguy, Claudia Caminha and Portela, Margareth Crisóstomo and Medronho, Roberto de Andrade and Vasconcellos, Maurício Teixeira Leite de. Acute myocardial infarction: clinical and epidemiological profile and factors associated with in-hospital death in the municipality of Rio de Janeiro. Arquivos Brasileiros de Cardiologia [online]. 2003, vol. 80, n. 6, [citado 2026-10-14], pp. 600-606. Disponível em: <https://journals.cardiol.br/article/acute-myocardial-infarction-clinical-and-epidemiological-profile-and-factors-associated-with-in-hospital-death-in-the-municipality-of-rio-de-janeiro-2/>. ISSN 0066-782X

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