<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232020000100020</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202000449</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Características clínicas e comorbidades associadas à mortalidade por insuficiência cardíaca em um hospital de alta complexidade na Região Amazônica do Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characteristics and comorbidities associated with heart failure mortality in a highly complex hospital in the Amazon Region of Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Características clínicas y comorbilidades asociadas a mortalidad por insuficiencia cardíaca en un hospital de alta complejidad en la Región Amazónica de Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Weydder Tavares da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tyll]]></surname>
<given-names><![CDATA[Milene Gouvêa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Ana Cristina Cardoso de Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moura]]></surname>
<given-names><![CDATA[Giovanna Pontes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veríssimo]]></surname>
<given-names><![CDATA[Adriana de Oliveira Lameira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Pará Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade da Amazônia  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundação Hospital de Clínicas Gaspar Vianna  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232020000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232020000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232020000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVOS: Identificar as características clínicas e socioepidemiológicas de pacientes com insuficiência cardíaca (IC) no atendimento de emergência em um hospital de alta complexidade na Região Amazônica do Brasil, assim como, as comorbidades associadas à mortalidade dos pacientes com IC descompensada.  MATERIAIS E MÉTODOS: Estudo longitudinal e prospectivo, realizado em um hospital público de referência para emergência cardiológica na Região Norte do Brasil. Fizeram parte da pesquisa 125 pacientes com IC descompensada.  RESULTADOS: Evidenciou-se que a principal etiologia da IC foi hipertensão arterial sistêmica (39,2%), seguida de cardiomiopatia dilatada idiopática (25,6%), sendo que a etiologia menos comum foi miocardite (0,8%). A causa mais comum de descompensação foi a má adesão à terapia medicamentosa dos pacientes (41,6%), seguida de infecções (21,6%). Os principais sintomas apresentados pelos pacientes foram dispneia (96,0%) e edema de tornozelos bilateral (72,0%). Quanto à mortalidade, não houve relação estatisticamente significativa entre o perfil hemodinâmico à admissão com a mortalidade dos pacientes com IC descompensada (p = 0,4559).  CONCLUSÃO: Com relação às características clínicas, o principal perfil hemodinâmico encontrado foi o frio e congesto, considerado o de pior prognóstico. A má adesão à terapia medicamentosa e infecções foram as principais causas de descompensação, apesar de não ter sido encontrada correlação estatisticamente significante das mesmas com a mortalidade. Assim, deve-se orientar o paciente quanto à adesão correta ao acompanhamento do tratamento medicamentoso e aos sintomas da IC congestiva, para que procure ajuda em tempo hábil e, com isso, melhore sua qualidade de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVES: To identify the clinical and socio-epidemiological characteristics of patients with heart failure (HF) in emergency care at a highly complex hospital in the Amazon Region of Brazil, as well as the comorbidities associated with the mortality of patients with decompensated HF.  MATERIALS AND METHODS: Longitudinal and prospective study, carried out in a public hospital of reference for cardiological emergency in the Northern Region of Brazil. This study included 125 patients with decompensated HF.  RESULTS: The main etiology of HF was systemic arterial hypertension (39.2%), followed by idiopathic dilated cardiomyopathy (25.6%), with the least common etiology being myocarditis (0.8%). The most common cause of decompensation was patients' poor adherence to drug therapy (41.6%), followed by infections (21.6%). The main symptoms presented by the patients were dyspnea (96.0%) and bilateral ankle edema (72.0%). As for mortality, there was no statistical significance between the hemodynamic profile at admission and the mortality of patients with decompensated HF (p = 0.4555).  CONCLUSION: Regarding clinical characteristics, the main hemodynamic profile found was cold and congestion, considered the worst prognosis. Poor adherence to drug therapy and infections were the main causes of decompensation, although no statistically significant correlation was found with mortality. Thus, patients should be instructed on the correct adherence to drug treatment and how to identify congestive HF symptoms, so that they can seek help in time and thereby improve their quality of life.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEM  OBJETIVOS: Identificar las características clínicas y socioepidemiológicas de pacientes con insuficiencia cardíaca (IC) en la atención de emergencia en un hospital de alta complejidad en la Región Amazónica de Brasil, bien como las comorbilidades asociadas a la mortalidad de los pacientes con IC descompensada.  MATERIALES Y MÉTODOS: Estudio longitudinal y prospectivo, realizado en un hospital público de referencia para emergencia cardiológica en la Región Norte de Brasil. Participaron de la investigación 125 pacientes con IC descompensada.  RESULTADOS: Se evidenció que la principal etiología de la IC fue la hipertensión arterial sistémica (39,2%), seguida de la miocardiopatía dilatada idiopática (25,6%), y que la etiología menos común fue la miocarditis (0,8%). La causa más común de descompensación fue la mala medicación de los pacientes (41,6%), seguida de las infecciones (21,6%). Los principales síntomas que presentaron los pacientes fueron disnea (96,0%) y edema bilateral de tobillo (72,0%). En cuanto a la mortalidad, no hubo relación estadísticamente significativa entre el perfil hemodinámico al ingreso con la mortalidad de pacientes con IC descompensada (p = 0,4559).  CONCLUSIÓN: En cuanto a las características clínicas, el principal perfil hemodinámico encontrado fue frío y congestionado, considerado el de peor pronóstico. La mala terapia con medicamentos y las infecciones fueron las principales causas de descompensación, aunque no se encontró una correlación estadísticamente significativa con la mortalidad. Por lo tanto, el paciente debe ser guiado con respecto al seguimiento correcto del tratamiento y los síntomas congestivos de la IC, para que pueda buscar ayuda de manera oportuna y, así, mejorar su calidad de vida.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Insuficiência Cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[Prognóstico]]></kwd>
<kwd lng="pt"><![CDATA[Perfil de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Cardiopatias]]></kwd>
<kwd lng="en"><![CDATA[Heart Failure]]></kwd>
<kwd lng="en"><![CDATA[Prognosis]]></kwd>
<kwd lng="en"><![CDATA[Health Profile]]></kwd>
<kwd lng="en"><![CDATA[Heart Diseases]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia Cardíaca]]></kwd>
<kwd lng="es"><![CDATA[Pronóstico]]></kwd>
<kwd lng="es"><![CDATA[Perfil de Salud]]></kwd>
<kwd lng="es"><![CDATA[Cardiopatías]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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