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Oliveira GMMD, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, Souza MDFMD, Lorenzo ARD, Fagundes Júnior AADP, Schaan BD, Silva CGDSE, Castilho FMD, Cesena FHY, Soares GP, Xavier Junior GF, Barreto Filho JAS, Passaglia LG, Pinto Filho MM, Machline-Carrion MJ, Bittencourt MS, Pontes Neto OM, Villela PB, Teixeira RA, Stein R, Sampaio RO, Gaziano TA, Perel P, Roth GA, Ribeiro ALP. Cardiovascular Statistics - Brazil 2023. Arq Bras Cardiol 2024; 121:e20240079. [PMID: 38896747 PMCID: PMC11185831 DOI: 10.36660/abc.20240079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024] Open
Affiliation(s)
- Gláucia Maria Moraes de Oliveira
- Instituto do Coração Edson Saad da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
| | - Luisa Campos Caldeira Brant
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
| | - Carisi Anne Polanczyk
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
- Hospital Moinhos de Vento, Porto Alegre, RS - Brasil
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS - Brasil
| | | | - Andreia Biolo
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
- Hospital Moinhos de Vento, Porto Alegre, RS - Brasil
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS - Brasil
| | - Bruno Ramos Nascimento
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital Madre Teresa, Belo Horizonte, MG - Brasil
| | | | - Andrea Rocha De Lorenzo
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
- Instituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil
| | | | - Beatriz D Schaan
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS - Brasil
| | - Christina Grüne de Souza E Silva
- Instituto do Coração Edson Saad da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
| | - Fábio Morato de Castilho
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
| | | | - Gabriel Porto Soares
- Instituto do Coração Edson Saad da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
- Curso de Medicina da Universidade de Vassouras, Vassouras, RJ - Brasil
| | | | | | - Luiz Guilherme Passaglia
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
| | - Marcelo Martins Pinto Filho
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
| | | | | | - Octavio M Pontes Neto
- Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (USP), São Paulo, SP - Brasil
| | - Paolo Blanco Villela
- Instituto do Coração Edson Saad da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ - Brasil
| | | | - Ricardo Stein
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
| | - Roney Orismar Sampaio
- Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP - Brasil
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brasil
| | - Thomaz A Gaziano
- Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston - EUA
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston - EUA
| | - Pablo Perel
- World Heart Federation, Geneva - Suíça
- Centre for Global Chronic Conditions, London School of Hygiene & Tropical Medicine, Londres - Inglaterra
| | - Gregory A Roth
- Division of Cardiology, Department of Medicine, University of Washington, Washington - EUA
| | - Antonio Luiz Pinho Ribeiro
- Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
- Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG - Brasil
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Oliveira JC, Almeida‐Santos MA, Cunha‐Oliveira J, Oliveira LCS, de Carvalho Barreto ID, Clair RemacreMunareto Lima T, Andreline Maia Arcelino L, Andrade Prado LF, Serra Silveira F, Augusto da Silva Nascimento T, Pereira Ferreira EJ, Vasconcelos Barreto R, Vieira Moraes E, Teles de Mendonça J, Sousa ACS, Barreto‐Filho JA. Disparities in Access and Mortality of Patients With ST-Segment-Elevation Myocardial Infarction Using the Brazilian Public Healthcare System: VICTIM Register. J Am Heart Assoc 2019; 8:e013057. [PMID: 31581873 PMCID: PMC6818046 DOI: 10.1161/jaha.119.013057] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Accepted: 08/19/2019] [Indexed: 12/19/2022]
Abstract
Background There is a scarcity of knowledge as to whether rates of myocardial reperfusion use and 30-day mortality for patients with ST-segment-elevation myocardial infarction are similar among patients using the Brazilian Public Health System (SUS) and those using the private healthcare system. Methods and Results A total of 707 patients were analyzed using the VICTIM (Via Crucis for the Treatment of Myocardial Infarction) register database; 589 patients from the SUS and 118 from the private network with ST-segment-elevation myocardial infarction, who attended hospitals with the capacity to perform primary percutaneous coronary intervention (PCI) were investigated. The timeline, rates of use of PCI, and the 30-day probability of death were investigated, comparing the SUS patients to those in the private system. The mean time between symptom onset and arrival at the PCI hospital was higher for SUS patients compared with users of the private system (25.4±36.5 versus 9.0±21 hours; P<0.001, respectively). Rates of primary PCI were low in both groups, but significantly lower for the SUS patients (45% versus 78%; P<0.001). The 30-day mortality rate of SUS patients was 11.9% and of private patients was 5.9% (P=0.04). In the fully adjusted model, the odds ratio for 30-day mortality for the SUS patients was higher (odds ratio, 2.96; 95% CI, 1.15-7.61; P=0.02). Conclusions The delay in reaching a PCI hospital was almost 3 times higher for the SUS patients. Primary PCI was underused in both groups, especially in the SUS patients. The SUS patients were more likely to die during the 30-day follow-up.
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Affiliation(s)
- Jussiely Cunha Oliveira
- Postgraduate Program in Health SciencesFederal University of SergipeAracajuSergipeBrazil
- Tiradentes UniversityAracajuSergipeBrazil
| | - Marcos Antonio Almeida‐Santos
- Postgraduate Program in Health and EnvironmentTiradentes UniversityAracajuSergipeBrazil
- Clinic and Hospital São Lucas—Rede D′Or São LuizAracajuSergipeBrazil
| | - Jeferson Cunha‐Oliveira
- Postgraduate Program in Health SciencesFederal University of SergipeAracajuSergipeBrazil
- Department of PharmacyFederal University of SergipeLagartoSergipeBrazil
- Hospital PrimaveraAracajuSergipeBrazil
| | - Laís Costa Souza Oliveira
- Postgraduate Program in Health SciencesFederal University of SergipeAracajuSergipeBrazil
- Hospital PrimaveraAracajuSergipeBrazil
| | | | | | | | | | | | | | - Eduardo José Pereira Ferreira
- Clinic and Hospital São Lucas—Rede D′Or São LuizAracajuSergipeBrazil
- Surgery Foundation HospitalAracajuSergipeBrazil
- Department of MedicineFederal University of SergipeLagartoSergipeBrazil
- Division of CardiologyUniversity HospitalFederal University of SergipeAracajuSergipeBrazil
| | | | | | - José Teles de Mendonça
- Clinic and Hospital São Lucas—Rede D′Or São LuizAracajuSergipeBrazil
- Heart HospitalAracajuSergipeBrazil
- Division of CardiologyUniversity HospitalFederal University of SergipeAracajuSergipeBrazil
| | - Antonio Carlos Sobral Sousa
- Postgraduate Program in Health SciencesFederal University of SergipeAracajuSergipeBrazil
- Clinic and Hospital São Lucas—Rede D′Or São LuizAracajuSergipeBrazil
- Division of CardiologyUniversity HospitalFederal University of SergipeAracajuSergipeBrazil
| | - José Augusto Barreto‐Filho
- Postgraduate Program in Health SciencesFederal University of SergipeAracajuSergipeBrazil
- Clinic and Hospital São Lucas—Rede D′Or São LuizAracajuSergipeBrazil
- Division of CardiologyUniversity HospitalFederal University of SergipeAracajuSergipeBrazil
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Tavares GA, Barreto-Filho JAS. Potential of Family Health Strategy Against Cardiovascular Disease. Arq Bras Cardiol 2018; 109:507-508. [PMID: 29364348 PMCID: PMC5783430 DOI: 10.5935/abc.20170187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Affiliation(s)
- Gilberto Andrade Tavares
- Núcleo de Pós-Graduação em Ciências da Saúde da Universidade Federal de Sergipe (UFS), São Cristóvão, SE - Brazil
| | - José Augusto Soares Barreto-Filho
- Núcleo de Pós-Graduação em Medicina - Universidade Federal de Sergipe, Aracaju, SE - Brazil.,Divisão de Cardiologia - Hospital Universitário, Aracaju, SE - Brazil.,Clínica e Hospital São Lucas, Aracaju, SE - Brazil
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