perfil de pacientes com infarto do miocárdio em um hospital universitário no interior de minas gerais

Abstract

Introduction: ST-segment elevation myocardial infarction (STEMI) is the most severe acute coronary syndrome. Sex stands out among the non-modifiable risk factors. Objective: Analyzing the sociodemographic and clinical profile of individuals with STEMI subdivided between sexes. Method: Observational, cross-sectional study, with non-probability sampling with a quantitative approach. Carried out at the Hospital de Clínicas de Uberlândia of the Universidade Federal de Uberlândia (HCU-UFU), with a sample of 145 individuals with STEMI. Anthropometric data were measured. In order to collect sociodemographic, clinical and lifestyle data, the instrument created by the researchers themselves was used. The results were evaluated using bivariate statistical analysis. For inferential analyses, a significance level of 5% (α=0.05) was adopted. Results: There was a prevalence of males (71%) and a significant difference between the sexes: the majority of white (p = 0.037), married (p = 0.000), employed (p = 0.000), with a higher average income family (p = 0.001) and per capita income (p = 0.017) individuals are male. There is a prevalence of smoking in females (p = 0.042), while in males there is a prevalence of ex-smokers (p = 0.038), individuals with longer pack years (p = 0.040) and who use alcoholic beverages (p = 0.009 ). Prevalence of intermittent claudication (p = 0.003) and higher respiratory rate in females (p = 0.008). In the blood count, the prevalence of higher reference intervals for red blood cells (p = 0.002), hemoglobin (p = 0.001) and hematocrit (p = 0.001) was observed in males. Regarding treatment, only the BCC medication class was prevalent in females (p = 0.025). Final considerations: IMCSST showed prevalence in males and significant associations between the groups and some variables studied, demonstrating social, behavioral and biological differences. These results are important to understand the distinctions between the sexes and how these can impact the course of IMCSST as a whole.