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2020, Number 2

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Mediciego 2020; 26 (2)

Epidemiological clinical characteristics in patients with type I cardiorenal syndrome

Alberna-Cardoso A, Baró-Rojas M, Dornes-Ramón R, Abreu-Figueredo N, Valero-Hernández A, Goire-Guevara G

Language: Spanish
References: 21
Page: 1-14
PDF size: 439.67 Kb.


ABSTRACT

Introduction: cardiorenal syndrome is of recent knowledge worldwide and requires adequate medical action from the early stages. In a classification with five typologies, type I is the most frequent.
Objective: to describe the epidemiological clinical characteristics in patients with type I cardiorenal syndrome.
Methods: a cross-sectional descriptive observational study was carried out on the universe of 56 who were admitted to the cardiology ward of the Ciego de Ávila hospital between: April/2016-March/2018. A blood sample was taken to determine the parameters under study and a telecardiogram, electrocardiogram and echocardiogram was carried out. The information was obtained from the medical records. Ethical principles were met.
Results: predominance of the male sex (55,36 %), the age group 60 years and over (39,29 %), arterial hypertension as a risk factor and finding on physical examination (62.50 %), and decompensated chronic heart failure (51,79 %) as a type of acute heart failure. Left ventricular hypertrophy (51,79 %) was the main electrocardiographic change. The cardiothoracic index was normal in more than half (58,93 %) in the telecardiogram and diastolic dysfunction predominated (58,93 %) in the echocardiogram.
Conclusions: from the epidemiological point of view, it prevailed in men aged 60 years and over, and arterial hypertension was the most frequent risk factor. From the clinical point of view, decompensated chronic heart failure such as acute heart failure, arterial hypertension as a finding on cardiovascular physical examination, hypertrophy of the left ventricle as an electrocardiographic alteration and diastolic dysfunction as an echocardiographic one.


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