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Cardiol."],"abstract":"<jats:p>Resumo  Fundamentos  A s\u00edndrome coronariana aguda (SCA) \u00e9 uma das principais causas de mortalidade no mundo. Conhecer os fatores predisponentes \u00e9 essencial para a preven\u00e7\u00e3o desta.  Objetivos  Descrever as caracter\u00edsticas etiol\u00f3gicas e epidemiol\u00f3gicas da popula\u00e7\u00e3o com SCA admitida em um pronto-socorro do Estado de S\u00e3o Paulo.  M\u00e9todos  A coorte prospectiva realizada com base nos registros de prontu\u00e1rio eletr\u00f4nico de um instituto cardiol\u00f3gico p\u00fablico localizado no Estado de S\u00e3o Paulo descreve 5.580 pacientes internados com SCA entre agosto de 2018 e outubro de 2022. Avaliou-se as principais caracter\u00edsticas epidemiol\u00f3gicas, a associa\u00e7\u00e3o entre confirma\u00e7\u00e3o de SCA e escores de risco, eventos adversos durante o internamento e no seguimento de 30 dias ap\u00f3s a alta hospitalar. O n\u00edvel de signific\u00e2ncia foi de 5%.  Resultados  Os principais fatores associados a SCA foram hipertens\u00e3o (80,38%), obesidade ou sobrepeso (72,47%) e doen\u00e7a arterial coronariana pr\u00e9via (59,11%). No escore Grace, 65,10% foram considerados de baixo risco, enquanto 81,34% no TIMI e 71,16% no HEART foram identificados como risco moderado. O cateterismo representou 84,93% dos m\u00e9todos diagn\u00f3sticos. O tratamento cl\u00ednico foi a estrat\u00e9gia adotada em 46,47% dos casos. Na evolu\u00e7\u00e3o em 30 dias, 3,10% apresentaram sangramento maior, 7,86% infarto\/reinfarto, 5,55% acidente vascular encef\u00e1lico e 2,53% evolu\u00edram para \u00f3bito.  Conclus\u00e3o  Os resultados do maior registro de SCA brasileiro at\u00e9 o momento evidenciam o impacto dos fatores de risco potencialmente modific\u00e1veis na ocorr\u00eancia de eventos isqu\u00eamicos na popula\u00e7\u00e3o local. Os achados podem contribuir para o desenvolvimento de pol\u00edticas p\u00fablicas visando a preven\u00e7\u00e3o e controle da carga da doen\u00e7a isqu\u00eamica no pa\u00eds.<\/jats:p>","DOI":"10.36660\/abc.20240165","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T12:56:14Z","timestamp":1736772974000},"source":"Crossref","is-referenced-by-count":4,"title":["S\u00edndrome Coronariana Aguda no Brasil: Registro dos Fatores Predisponentes e Perfil Populacional em um Instituto Cardiol\u00f3gico P\u00fablico de Refer\u00eancia Nacional"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2059-6484","authenticated-orcid":false,"given":"Kaliana","family":"Nascimento","sequence":"first","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4108-4653","authenticated-orcid":false,"given":"Hugo Ribeiro","family":"Ramadan","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno Mendon\u00e7a","family":"Baccaro","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinicius Vaz de Sales","family":"Bicalho","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Italo Menezes","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis Nakayama","family":"Ohe","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitor Sobreira Souza","family":"Santos","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fausto","family":"Feres","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kleber","family":"Franchini","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari","family":"Timerman","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diandro Marinho","family":"Mota","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"The Top 10 Causes of Death","year":"2020"},{"key":"ref2","series-title":"WHO Mortality Database. 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