Clinical characteristics and prevalence of angina in coronary patients treated at cardiology outpatient clinics in the city of Cascavel, Paraná

Authors

DOI:

https://doi.org/10.33448/rsd-v12i10.43399

Keywords:

Chronic coronary artery disease; Stable angina; Myocardial ischemia.

Abstract

Introduction: Coronary artery disease affects thousands of individuals worldwide and is one of the leading causes of death in both developed and developing countries. Its significance is substantial, as nearly half of the patients affected by acute coronary syndrome do not even make it to the hospital. Objectives: To analyze the clinical profile of individuals with coronary artery disease and the prevalence of angina in this population in the city of Cascavel, Paraná. Methodology: This is a quali-quantitative study in which medical records were evaluated to establish previous and current comorbidities, the presence or absence of previous acute ischemic events, and the occurrence of angina in patients receiving outpatient care. Results: There was a predominance of individuals aged 60 to 74 years (n = 91; 60.7%) and males (n = 105; 70%). Regarding the presence of angina, 31.3% (n = 47) reported experiencing angina. Among the comorbidities presented, 40.7% (n = 61) had diabetes mellitus. Additionally, 14.7% (n = 22) were obese, 72.7% (n = 109) had dyslipidemia, and 92% (n = 138) were hypertensive. Bi-arterial disease occurred in 29.3% (n = 44) and tri-arterial disease in 28.7% (n = 43). Discussion: Among the risk factors, the most frequent were systemic arterial hypertension, dyslipidemia, diabetes mellitus, and a previous myocardial infarction episode. Conclusions: These results highlight the importance of rigorous monitoring and preventive strategies in this population to reduce the impact of cardiovascular disease.

Author Biographies

Rafaela Pfeffer, Centro Universitário da Fundação Assis Gurgacz

Centro Universitário Fundação Assis Gurgacz (FAG), Brasil.

Arthur de Souza Bordin, Centro Universitário da Fundação Assis Gurgacz

Centro Universitário Fundação Assis Gurgacz (FAG), Brasil.

Kleiton Marcos de Oliveira, Centro Universitário da Fundação Assis Gurgacz

Centro Universitário da Fundação Assis Gurgacz (FAG), Brasil.

Hugo Razini Oliveira, Centro Universitário da Fundação Assis Gurgacz

Centro Universitário da Fundação Assis Gurgacz (FAG), Brasil.

Lucas Victoy Guimarães Zengo, Centro Universitário da Fundação Assis Gurgacz

Centro Universitário da Fundação Assis Gurgacz (FAG), Brasil.

References

Alves, L., Cesar, J. A., & Horta, B. L. (2010). Prevalência de angina pectoris em Pelotas, RS. Arquivos Brasileiros de Cardiologia, 95, 179-185.

Abrams, J. (2005). Chronic stable angina. New England Journal of Medicine, 352(24), 2524-2533.

Bittencourt, M. S., Staniak, H. L., & Aiello, V. D. (2010). Caso 3: Mulher idosa com infarto agudo do miocárdio apresentou choque súbito durante administração de trombolítico. Arquivos Brasileiros de Cardiologia, 94, 132-138.

Blumenthal, D. M., Howard, S. E., Como, J. S., O’Keefe, S. M., Atlas, S. J., Horn, D. M., & Metlay, J. P. (2021). Prevalence of angina among primary care patients with coronary artery disease. JAMA Network Open, 4(6), e2112800-e2112800.

Cosin, J., Asin, E., Marrugat, J., Elosua, R., Aros, F., Reyes, M. D. L., & Vila, J. (1999). Prevalence of angina pectoris in Spain. European journal of epidemiology, 15, 323-330.

Dagenais, G. R., Yi, Q., Mann, J. F., Bosch, J., Pogue, J., Yusuf, S., & Heart Outcomes Prevention Evaluation (HOPE) study investigators. (2005). Prognostic impact of body weight and abdominal obesity in women and men with cardiovascular disease. American heart journal, 149(1), 54-60.

Ford, E. S., & Giles, W. H. (2003). Changes in prevalence of nonfatal coronary heart disease in the United States from 1971–1994. Ethnicity & disease, 13(1), 85-93.

Galon, M. Z., Meireles, G. C. X., Kreimer, S., Marchiori, G. G. A., Favarato, D., Almeida, J. A. P. D., & Capeline, L. S. (2010). Perfil clínico-angiográfico na doença arterial coronariana: desfecho hospitalar com ênfase nos muito idosos. Arquivos Brasileiros de Cardiologia, 95, 422-429.

Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., & Turner, M. B. (2013). Heart disease and stroke statistics—2013 update: a report from the American Heart Association. Circulation, 127(1), e6-e245.

Gomes, F., Telo, D. F., Souza, H. P., Nicolau, J. C., Halpern, A., & Serrano Jr, C. V. (2010). Obesidade e doença arterial coronariana: papel da inflamação vascular. Arquivos brasileiros de cardiologia, 94, 273-279.

Hamm, C. W., Terres, W., & Bleifeld, W. (1990). Platelet activation in patients with unstable angina. In Unstable angina (pp. 81-91). Berlin, Heidelberg: Springer Berlin Heidelberg.

Hemingway, H., McCallum, A., Shipley, M., Manderbacka, K., Martikainen, P., & Keskimäki, I. (2006). Incidence and prognostic implications of stable angina pectoris among women and men. Jama, 295(12), 1404-1411.

Javitz, H. S., Ward, M. M., Watson, J. B., & Jaana, M. (2004). Cost of illness of chronic angina. Am J Manag Care, 10(11 Suppl), S358-69.

Kalache, A., Veras, R. P., & Ramos, L. R. (1987). O envelhecimento da população mundial: um desafio novo. Revista de Saúde Pública, 21, 200-210.

Krogh, V., Trevisan, M., Panico, S., Farinaro, E., Mancini, M., Menotti, A., & Research Group ATS-RF2 of the Italian National Research Council. (1991). Prevalence and correlates of angina pectoris in the Italian nine communities study. Epidemiology, 26-32.

Lotufo, P. A., Malta, D. C., Szwarcwald, C. L., Stopa, S. R., Vieira, M. L., & Bensenor, I. M. (2015). Prevalência de angina do peito pelo questionário de Rose na população brasileira: análise da Pesquisa Nacional de Saúde, 2013. Revista Brasileira de Epidemiologia, 18, 123-131.

Manson, J. E., Colditz, G. A., Stampfer, M. J., Willett, W. C., Rosner, B., Monson, R. R., & Hennekens, C. H. (1990). A prospective study of obesity and risk of coronary heart disease in women. New England journal of medicine, 322(13), 882-889.

Manson, J. E., Willett, W. C., Stampfer, M. J., Colditz, G. A., Hunter, D. J., Hankinson, S. E., & Speizer, F. E. (1995). Body weight and mortality among women. New England Journal of Medicine, 333(11), 677-685.

Mansur, A. D. P., Armaganijan, D., Amino, J. G., Sousa, A. C., Simão, A. F., Brito, A. X. D., & Mathias Junior, W. (2004). Diretrizes de doença coronariana crônica angina estável. Arquivos Brasileiros de Cardiologia, 83, 2-43.

Mansur, A. D. P., & Favarato, D. (2012). Mortalidade por doenças cardiovasculares no Brasil e na região metropolitana de São Paulo: atualização 2011. Arquivos brasileiros de cardiologia, 99, 755-761.

Moore, K. L., & Dalley, A. F. (2011). Anatomia orientada para a clínica.

National Heart, Lung, and Blood Institute. (2012). National Institutes of Health NH, Lung, and Blood Institute. Morbidity & Mortality.

Oflar, E., Sahin, M. H., Demir, B., Ertugrul, A. S., Oztas, D. M., Beyaz, M. O., & Caglar, F. N. T. (2022). Interleukin-35 levels in patients with stable coronary artery disease. Arquivos Brasileiros de Cardiologia, 118, 400-408.

Oliveira, G. M. M. D., Brant, L. C. C., Polanczyk, C. A., Biolo, A., Nascimento, B. R., Malta, D. C., & Ribeiro, A. L. P. (2020). Estatística Cardiovascular–Brasil 2020. Arquivos brasileiros de Cardiologia, 115, 308-439.

Pinheiro, D. D. S., & Jardim, P. C. B. V. (2021). Mortalidade por Doença Isquêmica do Coração no Brasil–Disparidades no Nordeste. Arquivos Brasileiros de Cardiologia, 117, 61-62.

Santos, E. B., & Bianco, H. T. (2018). Atualizações em doença cardíaca isquêmica aguda e crônica. Revista da Sociedade Brasileira de Clínica Médica, 16(1), 52-58.

Serrano Jr, C. V., Timerman, A., & Stefanini, E. (2009). Tratado de cardiologia SOCESP. In Tratado de cardiologia SOCESP.

Members, W. C., Virani, S. S., Newby, L. K., Arnold, S. V., Bittner, V., Brewer, L. C., & Williams, M. S. (2023). 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of patients with chronic coronary disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 82(9), 833-955.

World Health Organization. (2023). Global Health Estimates: Top 10 causes of death.

Yeghiazarians, Y., Braunstein, J. B., Askari, A., & Stone, P. H. (2000). Unstable angina pectoris. New England Journal of Medicine, 342(2), 101-114.

Published

05/10/2023

How to Cite

PFEFFER, R.; BORDIN, A. de S. .; OLIVEIRA, K. M. de .; OLIVEIRA, H. R. .; ZENGO, L. V. G. . Clinical characteristics and prevalence of angina in coronary patients treated at cardiology outpatient clinics in the city of Cascavel, Paraná. Research, Society and Development, [S. l.], v. 12, n. 10, p. e39121043399, 2023. DOI: 10.33448/rsd-v12i10.43399. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43399. Acesso em: 22 nov. 2024.

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Section

Health Sciences