2000;74(6) – ABC CARDIOL

Original Article

Trends in mortality due to ischemic heart disease in the municipality of Goiania, Brazil, during the years between 1980 and 1994

Suzana Alves de Moraes et al. Márcia Helena Vieira de Rezende Isabel Cristina Martins de Freitas

OBJECTIVE: To analyze the trends of specific, standardized coefficients of mortality due to ischemic heart disease according to sex and age during the years 1980 and 1994 in the municipality of Goiania, GO, Brazil. METHODS: Data on deaths were retrieved from the Information on Mortality System of the Ministry of Health; population data were obtained from the Foundation of the Brazilian Institute for Geography and Statistics (IBGE). The trends of the specific coefficients were analyzed by triennia of the historical series, including individuals of both sexes from 25 years of age on, partitioned into 6 age groups of ten years intervals. The population data corresponding to the year 1980 were used as the standard for the calculation of each age group coefficient. Analyses were carried out by straight linear regression. RESULTS: Coefficients were greater for males in each triennium of the series and increased with age in both sexes. The study of the trends of the specific age coefficients of both sexes revealed a stable pattern of evolution up to the age of 65-74 years (P>0.05). From 75 years on, a clear-cut decline in mortality due to ischemic heart disease was shown by both sexes. The standardized coefficients also showed a significant decline (p<=0.05). CONCLUSION: The municipality of Goiânia is at present in a stage of epidemiological transition similar to that of developed countries, even though the observed decline is predominantly influenced by the mortality of older individuals (75 years of age or older).

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Case Report

Use of tandem stents for treatment of helicoidal dissection of the right coronary artery

Murillo K. Furukawa et al. Carlos Eduardo M. Domingues Marcos César V. de Almeida Virgílio Ribeiro Franco Jr Décio Salvadori Jr

Coronary dissection occurs frequently and in several degrees during coronary angioplasty, which is one of the mechanisms for increasing the lumen diameter of a vessel. However the length of the dissection may affect the procedure, becoming the most frequent cause of total occlusion after coronary angioplasty. We report here a case of extensive dissection that occurred during the coronary angioplasty of a focused lesion, which we treated with two long stents.

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Original Article

Safety and efficacy of angioplasty with intracoronary stenting in patients with unstable coronary syndromes. Comparison with stable coronary syndromes

Luís C. L. Correia et al. José Carlos Brito Andréa C. Barbosa Antônio M. Azevedo Jr … Mário S. Rocha Heitor G. Carvalho José Péricles Esteves

OBJECTIVE: To assess safety and efficacy of coronary angioplasty with stent implantation in unstable coronary syndromes. METHODS: Retrospective analysis of in-hospital and late evolution of 74 patients with unstable coronary syndromes (unstable angina or infarction without elevation of the ST segment) undergoing coronary angioplasty with stent placement. These 74 patients were compared with 31 patients with stable coronary syndromes (stable angina or stable silent ischemia) undergoing the same procedure. RESULTS: No death and no need for revascularization of the culprit artery occurred in the in-hospital phase. The incidences of acute non-Q-wave myocardial infarction were 1.4% and 3.2% (p=0.6) in the unstable and stable coronary syndrome groups, respectively. In the late follow-up (11.2±7.5 months), the incidences of these events combined were 5.7% in the unstable coronary syndrome group and 6.9% (p=0.8) in the stable coronary syndrome group. In the multivariate analysis, the only variable with a tendency to significance as an event predictor was diabetes mellitus (p=0.07; OR=5.2; 95% CI=0.9-29.9). CONCLUSION: The in-hospital and late evolutions of patients with unstable coronary syndrome undergoing angioplasty with intracoronary stent implantation are similar to those of the stable coronary syndrome group, suggesting that this procedure is safe and efficacious when performed in unstable coronary syndrome patients.

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Clinicoradiological Session

Right-sided heart failure in a 37-year-old man with systemic lupus erythematosus

Clinicopathologic Session

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Updated

Analysis of the genetic component of coronary artery disease

Antonio de Padua Mansur

Update

Analysis of the Genetic Component of Coronary Artery Disease

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Updated

A review of the classification, diagnosis, and management of autonomic dysfunction syndromes associated with orthostatic intolerance

Blair P. Grubb et al. Sérgio do Carmo Jorge

Update

A Review of the Classification, Diagnosis, and Management of Autonomic Dysfunction Syndromes Associated with Orthostatic Intolerance

[…]

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Point of view

Criteria for acceptance of records of ambulatory arterial pressure monitoring

Décio Mion Jr et al. Katia Coelho Ortega

Point of View

Criteria for Acceptance of Records of Ambulatory Arterial Pressure Monitoring

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Original Article

Ischemic heart disease. Hospitalization, length of stay and expenses in Brazil from 1993 to 1997

Ruy Laurenti et al. Cassia Maria Buchalla Carla Vanessa de Sousa Caratin

OBJECTIVE: To identify characteristics of the hospitalizations due to ischemic heart disease (IHD) made by the Single Health System — “Sistema Único de Saúde (SUS) in Brazil from 1993 to 1997. METHODS: The information used came from records of permissions for hospitalization due to IHD (diseases codified from 410 to 414 by the International Disease Classification — 9th Revision) furnished by the data bank DATASUS. The material studied was classified according to age, sex and length of hospitalization of the patients, and expenses to the system for IHD. RESULTS: IHD represents 1.0% of total hospitalizations. Angina pectoris was the most frequent type, occurring in 53.3% of the cases, followed by acute myocardial infarct (26.6%). This later was more frequent in men and angina in women . The majority of patients with IHD stayed hospitalized from 5 to 8 days. In the years of 1997 the expenses due to hospital treatment for IHD reach to 0.01% of Brazil’s Gross Internal Product. In the studied period (1993-1997), IHD was responsible by 1.0% of hospitalizations, however it was 3.3% of the expenses of SUS. CONCLUSION: IHD is an important cause of hospitalization by the SUS; it has a rather high cost, indicating the need for preventive measures aimed at reducing exposure to risk factors and to decrease the incidence of this group of diseases in the nation.

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Trends in mortality due to ischemic heart disease in the municipality of Goiania, Brazil, during the years between 1980 and 1994

Use of tandem stents for treatment of helicoidal dissection of the right coronary artery

Safety and efficacy of angioplasty with intracoronary stenting in patients with unstable coronary syndromes. Comparison with stable coronary syndromes

Right-sided heart failure in a 37-year-old man with systemic lupus erythematosus

Analysis of the genetic component of coronary artery disease

A review of the classification, diagnosis, and management of autonomic dysfunction syndromes associated with orthostatic intolerance

Criteria for acceptance of records of ambulatory arterial pressure monitoring

Ischemic heart disease. Hospitalization, length of stay and expenses in Brazil from 1993 to 1997

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