FACTORS ASSOCIATED TO THE HISTORY OF ACUTE MYOCARDIAL INFARCTION IN HYPERTENSIVE PRIMARY CARE USERS

Autores

  • Fábio Simões Hafner Nascimento Universidade do Estado da Bahia
  • Luciana Ricarte Cavalcante Ministério da Saúde
  • André Sant'Anna Zarife Universidade Federal da Bahia
  • Luciara Leite Brito Universidade Federal da Bahia
  • Clara Dominguez Silva Universidade do Estado da Bahia
  • Helena Fraga Maia Universidade do Estado da Bahia http://orcid.org/0000-0002-2782-4910

DOI:

https://doi.org/10.17267/2317-3386bjmhh.v5i3.1361

Palavras-chave:

Hypertension, Myocardial infarction, Coronary Artery Disease, Health Education, Primary healthcare.

Resumo

Objective: To investigate the factors associated to the history of acute myocardial infarction (AMI) in hypertensive patients attended at Primary Healthcare (PHC) units. Methods: A cross-sectional study was performed in a health district in the city of Salvador, Bahia, between May and September, 2013.  Primary data was collected through trained interviewers. The magnitude of the association was estimated using the OR calculation, adopting the CI of 95%. Subsequently, multivariate analyses were carried out using logistic regression.  The project was approved by CEP/UNEB (CAAE 09656012.0.0000.0057) and financed by PRO/PET-Saúde, 2012. Results: There were 297 hypertensive patients and, among these, 243 (81.3%) were of the female gender and had average age of 56 years (± 11.54). It was observed that 35 (11.8%) reported having suffered AMI. The risk factors associated the prior AMI were concomitant Diabetes Mellitus (DM) (OR=2.19; CI95% 1.03 – 4.68) and not being aware of the existence of health education groups (OR=5.31; CI95% 1.39 – 20.20); while the protection factors were absence of central obesity (OR=0.43; CI95% 0.20 – 0.95), taking part in health education groups (OR=0.19; CI95% 0.05 – 0.73) and having had an electrocardiogram during the past 06 months (OR= 0.37; CI95% 0.15 – 0,92). Conclusion: A high percentage of hypertensive patients with a background of AMI which was associated to the diagnosis of DM, central obesity, not having had periodic electrocardiograms and not having participated in health education groups.  Strategies for the promotion of healthcare with the population and outpatient care may be considered as effective actions for the prevention of AMI.

Biografia do Autor

Fábio Simões Hafner Nascimento, Universidade do Estado da Bahia

 

Departamento Ciências da Vida I

Colegiado de Medicina

Luciara Leite Brito, Universidade Federal da Bahia

Departamento Ciências da Vida I

Clara Dominguez Silva, Universidade do Estado da Bahia

Escola de Nutrição

Helena Fraga Maia, Universidade do Estado da Bahia

Departamento Ciências da Vida I

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Publicado

2017-09-29

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