Perfil clínico e socioeconômico de pacientes com insuficiência cardíaca

2016 
Introduction : Despite the technological innovations in cardiology, heart failure (HF) is still synonymous with high morbidity and mortality. Few studies address the clinical and socioeconomic characteristics as outcome and tool for management of this disease, nor of all etiologies together. Objective : To describe clinical and socioeconomic variables of patients with heart failure of different etiologies and functional classes. Methods : Cross-sectional, quantitative and descriptive study, approved by the local ethics committee. Initially, the authors performed the validation of face and content of the clinical and socioeconomic questionnaire. Subsequently, a sample of 91 individuals who were undergoing treatment in a public hospital, the questionnaire through the interview technique, individually, in offices provided by the service. A review of the records occurred after the interview, to increase the reliability of responses. Results : Males (50.5%) predominated in the sample, with the majority being married (52.7%), retired (83.51%), with schooling between 0-4 years and having higher income than four minimum wages (57.1%). The functional class I (35.2%) of ischemic etiology (46.2%) prevailed in the sample, as well as systemic hypertension (88.5%) as primary associated comorbidity, and angioplasty (30.8%) as most prevalent surgical procedure. The pharmacological profile demonstrated that antithrombotics (60.4%), beta blockers (58.2%), angiotensin converting enzyme inhibitors (56%) and statin (47.3%) were prescribed for most of the individuals. Conclusions : Socioeconomic and clinical profile should be tools for health management of patients with heart failure, regardless of etiology or functional class, although these variables have peculiarities.
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