Perfil do atendimento emergencial de arritmias cardíacas

Abstract

Objective: to evaluate the profile of cardiac arrhythmias in the Emergency Department during the 12-month period. Methods: observational and cross-sectional, descriptive and analytical study that analyzed 127 patients treated for cardiac arrhythmias in an emergency sector. Results: the sample population was composed mainly of women (57.4%), with a predominance of the age group between 70 and 79 years of age (38.6%). The most common cardiac arrhythmias were total atrioventricular block (48.8% of bradyarrhythmia) and atrial fibrillation (48.8% of tachyarrhythmia). The most common clinical manifestations were syncope, adynamia, palpitations, chest pain and lipothymia / vertigo. The procedures adopted varied according to the specific diagnosis and the presence or absence of signs of hemodynamic instability. Bradyarrhythmias showed a better prognosis, with no associated deaths, whereas tachyarrhythmias had a mortality rate of 3.1%. Conclusion: cardiac arrhythmias are characterized as medical emergencies, and it is essential that the professional responsible for the reception in the emergency room leads the case in order to prevent the progression of the condition for hemodynamic instability or to treat it correctly in order to avoid unfavorable outcomes.