Repositorio
Institucional

Nazzal, Carolina

Lanas, Fernando

Luisa Garmendia, Maria

Bugueno, Claudio

Mercadal, Enrique

Garces, Eduardo

Yovaniniz, Patricio

Sanhueza, Patricio

Prevención secundaria post infarto agudo de miocardio en hospitales públicos: implementación y resultados de las garantías GES

Universal health coverage and accomplishment of secondary prevention goals among patients with acute myocardial infarction

SOC MEDICA SANTIAGO

REVISTA MEDICA DE CHILE

es

Background: In 2005, acute myocardial infarction (AMI) was included in a universal health plan (GES) to reduce inequity in care and optimize its diagnosis and treatment. Aim: To evaluate the effect of GES in risk factor control and therapeutic management among patients with AMI. Material and Methods: A survey was conducted in 2008-2009 in six public hospitals. Patients were identified from a hospital based registry of AMI and evaluated one year later with laboratory tests and an interview Results: The registry enrolled 534 patients with ST and non ST segment elevation myocardial infarction. Of these, 416 patients aged 63 12 years (25% women) were evaluated one year later. Eighty three percent were evaluated by a cardiologist and 37% by a general practitioner. Twenty two percent were evaluated by a nurse and 22% by a nutritionist. At the moment of the interview, 9% smoked, 78% were overweight or obese, 24% performed moderate or vigorous physical activity >= 150 min/week, 60% had systolic pressure > 130 mmHg and 63% a diastolic pressure > 80 mmHg. In 30%, LDL cholesterol was > 100 mg/dl and in 43%, triglycerides were > 150 mm/dl. Twenty two percent were diabetic and among them, 52% had a glycosilated hemoglobin > 7%. Forty five percent of non-diabetic patients had a fasting glucose > 100 mg/dl. Ninety three percent were in treatment with aspirin, 86% with statins, 66% with beta-blockers, and 73% with angiotensin converting enzyme inhibitors or angiotensin receptor blockers and 20% with clopidogrel. Conclusions: Despite the high proportion of patients in treatment with evidence-based therapy, many do not achieve the targets for risk factor control with the new health care model.

Artículo original

10.4067/S0034-98872013000800003

pdf

Anterior wall myocardial infarction

Chile

Practice guideline

Quality of health care

Secondary prevention

Universal coverage

CORONARY-HEART-DISEASE

CARDIOVASCULAR RISK-FACTORS

BLOOD-PRESSURE

SCIENTIFIC STATEMENT

ASSOCIATION COUNCIL

PHYSICAL-ACTIVITY

ARTERY-DISEASE

EUROASPIRE-I

METAANALYSIS

GUIDELINES

Infarto de miocardio de pared anterior

Chile

Guía de práctica clínica

Calidad de la atención sanitaria

Prevención secundaria

Cobertura universal

ENFERMEDAD CORONARIA

FACTORES DE RIESGO CARDIOVASCULAR

PRESIÓN ARTERIAL

DECLARACIÓN CIENTÍFICA

CONSEJO DE LA ASOCIACIÓN

ACTIVIDAD FÍSICA

ENFERMEDAD ARTERIAL

EUROASPIRE-I

METAANÁLISIS

DIRECTRICES

Anterior wall myocardial infarction

Chile

Practice guideline

Quality of health care

Secondary prevention

Universal coverage

CORONARY-HEART-DISEASE

CARDIOVASCULAR RISK-FACTORS

BLOOD-PRESSURE

SCIENTIFIC STATEMENT

ASSOCIATION COUNCIL

PHYSICAL-ACTIVITY

ARTERY-DISEASE

EUROASPIRE-I

METAANALYSIS

GUIDELINES

Infarto de miocardio de pared anterior

Chile

Guía de práctica clínica

Calidad de la atención sanitaria

Prevención secundaria

Cobertura universal

ENFERMEDAD CORONARIA

FACTORES DE RIESGO CARDIOVASCULAR

PRESIÓN ARTERIAL

DECLARACIÓN CIENTÍFICA

CONSEJO DE LA ASOCIACIÓN

ACTIVIDAD FÍSICA

ENFERMEDAD ARTERIAL

EUROASPIRE-I

METAANÁLISIS

DIRECTRICES

Sistema Cardiovascular y Cardiaco

Medicina General e Interna

Epidemiología

Prevención secundaria post infarto agudo de miocardio en hospitales públicos: implementación y resultados de las garantías GES

REVISTA MEDICA DE CHILE

dorada

verde

acceso abierto

CC BY

PMID 24448853

es

Artículo original

versión publicada

SOC MEDICA SANTIAGO

0034-9887

977

986

Medicina general e interna

Medicine, General & Internal

pdf

WOS:000326301700003