Banca de DEFESA: GUSTAVO GOMES TORRES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : GUSTAVO GOMES TORRES
DATE: 08/11/2022
TIME: 09:00
LOCAL: Remoto
TITLE:

ARTIFICIAL HEART STIMULATION: EPIDEMIOLOGICAL PROFILE IN A REFERENCE PUBLIC HOSPITAL IN THE STATE OF RIO GRANDE DO NORTE

KEY WORDS:

Spatial Analysis. Artificial Cardiac Stimulation. Access to Health Services. Health Unic System. Space-time analysis.

PAGES: 39
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Artificial Cardiac Pacing is an important tool in the treatment of heart rhythm disorders, as well as improving ventricular function in patients with heart failure. The present study aims to analyze the clinical and epidemiological profile of patients undergoing Artificial Cardiac Stimulation procedures in a reference service for the Unified Health System (SUS), as well as to evaluate the spatial distribution of patients in the state of Rio Grande. do Norte (RN) in terms of origin and to analyze the temporal evolution of the number of procedures in the service. We carried out an analytical observational study, with data obtained from a primary source, of patients undergoing Artificial Cardiac Stimulation procedures at the Onofre Lopes Hospital (HUOL), of the Federal University of Rio Grande do Norte (UFRN), between 2006 and 2021. Of a total of 885 patients analyzed, 533 (60.2%) were male, with a mean age of 65.5 years. 3rd degree Atrial Ventricular Block (AVB) was the indication for the procedure in 165 patients (20.5%). Only 55 patients (5.5%) required temporary pacemaker support. 141 patients had an ischemic etiology (24.8%) and 298 patients reported dyspnea as the main complaint (33.7%), 41.8% of patients are hypertensive, 11.9% diabetic, 19.4% dyslipidemic and 19.5 % smokers or ex-smokers. The population studied had a mean left ventricular (LV) Ejection Fraction of 33.6%. Mean creatinine levels of 1.04 mg/mL and potassium 4.19 mg/mL pre-procedure. We observed a homogeneity in relation to the referral of SUS patients to the service, regardless of the city of origin. The temporal analysis identified an increase of 1.1% per year in the number of procedures, which is related to the increase in procedures in male patients. We concluded that the characteristics of the service contributed to the differences in our population in relation to the findings in the literature. Despite the absence of a specific flowchart, access to the service occurred without the presence of clusters in relation to the municipality of origin. The temporal increase in procedures was discreet, despite partial interruptions of the structure and the presence of the pandemic in this period.

COMMITTEE MEMBERS:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interna - 421717 - MARIA ANGELA FERNANDES FERREIRA
Externa à Instituição - SIMONE MARIA MUNIZ DA SILVA BEZERRA - UPE