Fração de ejeção do ventrículo esquerdo em indivíduos com insuficiência cardíaca e fatores associados

Autores

DOI:

https://doi.org/10.17267/2317-3378rec.2024.e5754

Palavras-chave:

Insuficiência Cardíaca, Tratamento Farmacológico, Fração de Ejeção Ventricular, Fatores de Risco

Resumo

OBJETIVOS: Verificar a relação de fatores de risco modificáveis, complicações clínicas e terapia medicamentosa com a fração de ejeção do ventrículo esquerdo (FEVE) em indivíduos com insuficiência cardíaca (IC). MÉTODOS: Estudo de corte transversal, com dados secundários de um estudo matriz “Infarto cerebral em pacientes com insuficiência cardíaca: características associadas e função atrial esquerda”. A amostra composta por 75 indivíduos adultos atendidos em ambulatório de referência em Salvador, Bahia. Os grupos da FEVE foram classificados: FEVE reduzida (FEVEr) ≤ 40%, FEVE intermediária (FEVEi) 40-49% e FEVE preservada (FEVEp) ≥50%. Foi realizado uma análise através do software SPSS e considerado significância estatística p≤0,05. RESULTADOS: A amostra apresentou média de idade 62±10 anos, sendo a maioria homens n=42(56%), classe funcional II/IV n=41 (54,7%) e etiologia idiopática n=33 (44%). A FEVEr e FEVEp foram semelhantes n=31(41%), seguida de FEVEi n=13 (18%). Os subgrupos de FEVE foram relacionados a Diabetes Melitus (DM) como fator de risco (p=0,049), Acidente Vascular Cerebral (AVC) como complicação (p=0,001) e na terapia medicamentosa betabloqueadores (p=0,004) e Inibidores da Enzima Conversora de Angiotensina (IECA/BRA) (p=0,007). CONCLUSÃO: O DM como fator de risco, o AVC como complicação e os medicamentos betabloqueadores e IECA/BRA possuem relação com a FEVE de indivíduos com IC.

 

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Publicado

13.08.2024

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Como Citar

1.
Santos CO, Gama GGG, de Carvalho MMCO. Fração de ejeção do ventrículo esquerdo em indivíduos com insuficiência cardíaca e fatores associados. Rev Enf Contemp [Internet]. 13º de agosto de 2024 [citado 24º de novembro de 2024];13:e5754. Disponível em: https://journals.bahiana.edu.br/index.php/enfermagem/article/view/5754

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