Infarto agudo do miocÃrdio com supra-ST nÃo complicado: no Hospital UniversitÃrio Oswaldo Cruz: MÃtodos de estratificaÃÃo de risco
AUTOR(ES)
Josà Barros de Almeida Filho
DATA DE PUBLICAÇÃO
2007
RESUMO
The purpose of this paper is to review information about the non-complicated supra- ST myocardial infarct, based on medical evidence and on the last published guidelines. It will be reported theory, epidemiological aspects, strategies of cardiovascular risk stratification of adverse events available (which are non-invasive and invasive), accompanying exams and early hospital discharge. The non-invasive strategy uses supporting examinations, such as: echocardiogram, exercise test, stress echo test, myocardial scintigraphy and nuclear magnetic resonance, for searching the risk factors for adverse cardiovascular events, such as: ventricular dysfunction, residual ischemia and severe ventricular arrhythmias. Direct cine coronary angiography is performed afterwards. On the invasive approach direct cine coronary angiography is used. It was discussed the following items regarding the non-invasive stratification: research of ventricular dysfunction done using echocardiogram, and with some exceptions with other examinations, such as: nuclear ventriculography, radiologic contrast ventriculography, or nuclear magnetic resonance. In the research of residual ischemia the following methods were analyzed: exercise test, myocardial nuclear medicine, stress echo and nuclear magnetic resonance. Finally, early hospital discharge was discussed
ASSUNTO(S)
saude publica estratificaÃÃo de risco myocardial infarct infarto miocÃrdico alta hospitalar hospital discharge risk stratification
Documentos Relacionados
- Correlação dos escores de risco com a anatomia coronária na síndrome coronária aguda sem supra-ST
- Infarto do Miocárdio Inferior Muito Complicado: O Papel da Abordagem com Multimodalidade de Imagens
- Stratification of savannah fitofisionomy for forest inventory using geotechnology
- Marcadores sorolÃgicos para os vÃrus da hepatite B e C em pacientes HIV-positivos atendidos no Hospital UniversitÃrio Oswaldo Cruz
- ComparaÃÃo de dados cintilogrÃficos entre afixaÃÃo miocÃrdica do Sestamibi-Tc99m com a doTÃlio-201 no estudo do miocÃrdio hibernante