scholarly journals Perfil clínico e epidemiológico de pacientes obesos de um serviço ambulatorial de avaliação perioperatória

2019 ◽  
Vol 24 (2) ◽  
pp. 62-68
Author(s):  
Ana Caroline De Mendonça Motta ◽  
Jacqueline Ramos de Andrade Antunes Gomes ◽  
Glayson Carlos Miranda Verner ◽  
Thaís Lôbo Campos ◽  
Weslei Da Silva Araújo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Tromboembolismo Venoso

Objetivo: Descrever o perfil clínico e epidemiológico de pacientes obesos de um serviço ambulatorial de avaliação perioperatória, realizado por enfermeiros e anestesiologistas, baseado em estratificações e avaliações do risco cardíaco. Método: Estudo descritivo, retrospectivo, composto por dados de 292 pacientes consultados pelo serviço ambulatorial de avaliação perioperatória, em que 88 foram identificados com obesidade. Foram analisadas variáveis demográficas, antropométricas (por índice de massa corporal — IMC), clínicas e cardíacas pelo teste do χ2 . Resultados: Entre os pacientes, 30% eram obesos, dos quais 91% eram do sexo feminino. Em relação à presença de comorbidades, 50% eram portadores de hipertensão arterial sistêmica (HAS) e 22% a tinham associada ao diabetes mellitus (DM). Foi verificada prevalência de ASA P2 (74%) e alto risco para tromboembolismo venoso (63%); em relação aos riscos cardíacos pelo ACP (American College of Cardiology/American Heart Association — ACP, modificado por Detsky), a maioria (74%) foi estratificada como risco intermediário. Conclusão: A significativa incidência de comorbidades constatada acusa a necessidade de utilizar estratégias multiprofissionais na assistência perioperatória, voltadas para a população obesa, sendo possível identificar vulnerabilidades e diminuir riscos aos quais o indivíduo está sujeito, ao submeter-se a procedimentos cirúrgicos.

scholarly journals HUBUNGAN DISLIPIDEMIA, HIPERTENSI DAN DIABETES MELITUS DENGAN KEJADIAN INFARK MIOKARD AKUT

2017 ◽  
Vol 10 (1) ◽  
pp. 32
Author(s):  
Budiman Budiman ◽  
Rosmariana Sihombing ◽  
Paramita Pradina
Keyword(s):  
Diabetes Mellitus ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Case Control ◽  
P Value ◽  
Chi Square ◽  
Purposive Sampling ◽  
Diabetes Melitus

Kasus kematian akibat penyakit tidak menular terbanyak disebabkan oleh penyakit jantung (American Heart Association, 2010). Menurut data rekam medik RSUD ’45 Kuningan pada tahun 2014 menunjukan bahwa kasus penyakit jantung dengan CFR tertinggi terjadi pada penyakit Infark miokardakut sebanyak 15 %,gagal jantung 13 % dan gangguan hantaran dan aritmia 11%.Penelitian ini bertujuan untuk mengetahui “hubungan dislipidemia, hipertensi dan diabetes melitus dengan kejadian infark miokard akut pada pasien rawat inap di RSUD 45 Kuningan”. Rancangan penelitian menggunakan case control. Sampel dalam penelitian ini menggunakan total sampling diambil dari data rekam medik pasien rawat inap penyakit infark miokard akut dan penyakit dalam secara berpasangan dengan teknik purposive sampling pada kontrol. Pengumpulan data dilakukan melalui telaah rekam medik status pasien di RSUD ’45 Kuningan dengan menggunakan data sekunder. Analisis data menggunakan analisis univariat dan bivariat dengan menggunakan uji Chi Square. Hasil penelitian menunjukan ada hubungan yang bermakna antara dislipidemia (p value = 0.0001), hipertensi (p value = 0.003) dan diabetes melitus (p value = 0.0001) dengan kejadian infark miokard akut. Diharapkan untuk melakukan penelitian lebih lanjut mengenai cara–cara yang tepat untuk mengurangi penyebaran penyakit tidak menular khususnya penyakit jantung ini.Kata Kunci: Infark miokrad akut, dislipidemia, hipertensi, diabetes mellitus

scholarly journals Risk of Cardiovascular Disease and Chronic Kidney Disease According to 2017 Blood Pressure Categories in Diabetes Mellitus

Hypertension ◽  
2020 ◽  
Vol 76 (3) ◽  
pp. 766-775
Author(s):  
Yong Tae Kim ◽  
Hyung Joon Chung ◽  
Bo Ram Park ◽  
Yeon Yong Kim ◽  
Jun Hyeok Lee ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Chronic Kidney Disease ◽  
Clinical Practice ◽  
Kidney Disease ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Level 1

The association between blood pressure (BP) defined by the 2017 American College of Cardiology/American Heart Association Hypertension Clinical Practice Guidelines with cardiovascular disease (CVD) and chronic kidney disease in patients with diabetes mellitus remains unclear. This study used the National Health Insurance Database of Korea that has health information of 8 922 940 persons who were screened from 2009 to 2014. We determined the BP status of 490 352 diabetes mellitus: level 1 (systolic <120 mm Hg and diastolic <80 mm Hg), level 2 (systolic 120–129 mm Hg and diastolic <80 mm Hg), level 3 (systolic 130–139 mm Hg or diastolic 80–89 mm Hg), and level 4 (systolic ≥140 mm Hg or diastolic ≥90 mm Hg). Over a mean follow-up of 5 years, 6508 CVD events (1.3%), 14 318 cases of chronic kidney disease development (2.9%), 9094 cerebrovascular events (2.0%), and 1150 CVD mortalities (0.2%) occurred. Compared with people with BP levels 1, the adjusted hazard ratios for CVD in people with BP levels 2, 3, and 4 were 1.07 (95% CI, 0.98–1.16), 1.12 (95% CI, 1.04–1.20), and 1.17 (95% CI, 1.08–1.26), respectively. There were also increased risks of chronic kidney disease (1.18 [95% CI, 1.12–1.24] and 1.22 [95% CI, 1.15–1.29]), cerebrovascular disease (1.21 [95% CI, 1.14–1.29] and 1.52 [95% CI, 1.42–1.63]), and CVD mortality (1.31 [95% CI, 1.09–1.56] and 1.91 [95% CI, 1.58–2.32]) among subjects with BP levels 3 and 4 compared with those with BP level 1. These findings provide evidence supporting the 2017 American College of Cardiology/American Heart Association Hypertension Clinical Practice Guidelines for BP targets in diabetes mellitus patients.

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