科研之友
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摘要
objectives: to observe the epidemiologic caractheristics of the patients intaked during five years in a internal medicine department, with heart failure. methods: a cross-sectional study of the intaked patients in the internal medicine service in the hospital cl赤nico universitario de santiago de compostela between 1999 to 2003. the variables analized were: sex, age, days of hospital stay, number of intaked by failure cardiac, reason for admission (guide symptom), hypertension, diabetes mellitus, cardiac disease, fibrillation atrium, previous treatment with beta-blockers, blood pressure in the admission moment, to make echocardiography, disfunction systolic, etiology, deceased, treatment at the end. the statistical analysis was performed with cualitative and cuantitative measures, chi-cuadrado and t-student, and multivariant analyses. results: 248 patients were accepted for the study. we observed more women than men (55.2%) and bigger median age (79 years oldvs. 73 years old in men, p %26lt; 0.001). the mean income was 13.61 days and a median of 11 days. the 41,8% of the patients had hypertension, 30.9% diabetes mellitus and 81,9% had someone heart disease. the aetiologies of heart failure most frequents were ischemic cardiopathy (27.2%) and hypertension (24.2%). the most frequent simptom was the dyspnea (68.9%). it made echocardiography in 20.9% of patients and 45.1% showed systolic disfuntion. the only factor related with this small percentage of echocardiographies was the incoming time. the most frequent etiology was respiratories infections (39.5%). the 8.6% of patients was decesed. the pharmacologic treatment more prescribed were the diuretics (86.9%) and transcutaneus nitrates (49.5%). it was indicated ecai or aar-ii in the 86.9% of patients and beta-blockers in 0.9%. conclusions: the number of echocardiograms practiced to the patients is smaller that the number advised by international associations and smaller to the cardiologist registers. the beta-blockers and ec
