Recurrent myocardial infarction from the perspective of the victim's family member: case report
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Abstract
Introduction: This study reports possible factors for recurrence of acute myocardial infarction of a patient treated in a coronary care unit from a family perspective. Case Report: This is a descriptive study with a qualitative approach, case report type. Data were collected through a semi-structured pilot interview with a relative of a patient who was admitted to the coronary care unit with recurrence of acute myocardial infarction (AMI). The family member reported that the intense physical activity performed by the patient, excessive alcohol consumption and non-adherence to drug treatment contributed to the second picture of AMI. The family member mentioned that the guidelines received during discharge were only about the prescribed drugs, highlighting the lack of guidance on lifestyle changes, especially to the nursing staff. Conclusion: The present report revealed that guidance during discharge is not effective in preventing recurrence of AMI and emphasizes the need to rethink the role of nursing professionals in relation to the guidance provided, as a way to facilitate patient adherence to drug treatment and to lifestyle changes.
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Simão AF, Précoma DB, Andrade JP, Correa Filho H, Saraiva JFK, Oliveira GMM, et al. I Diretriz Brasileira de Prevenção Cardiovascular. Arq Bras Cardiol. 2013:101(6 Supl.2):1-63. http://dx.doi.org/10.5935/abc.2013S012
Mont’Alverne Filho JR, Lemos Neto PA. Efeitos dos novos antiagregantes plaquetários prasugrel e ticagrelor, administrados up stream, sobre os achados angiográicos da angioplastia primária. Tese (Doutorado) - Universidade de São Paulo. São Paulo: 2015; p. 60-102.
Teston EF, Cecilio HPM, Santos AL, Arruda GO, Radovanovic CAT, Marcon SS. Fatores associados às doenças cardiovasculares em adultos. Rev Medicina. 2016;49(2):95-102. https://doi.org/10.11606/issn.2176-7262.v49i2p95-102
Aehlert, B. Síndromes Coronarianas Agudas. In: ACLS: Suporte avançado de vida em cardiologia: emergência em cardiologia. 4 ed. Rio de Janeiro: Elsevier; 2013; p. 211-75.
Almeida MS, Carvalho EMF, Montenegro SML, Silva OB. Síndrome coronariana aguda: diferenças epidemiológicas e desfechos clínicos entre os sexos. Tese (Doutorado) - Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz. Recife: 2015.
Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Tratado de enfermagem medico-cirurgica. Rio de Janeiro: Guanabara Koogan, 2005; p. 766-802.
Ferreira EF, Assis RC, Faria AKN, Chaves CG, Souza ASD, Zani HP, et al. Perfil epidemiológico e avaliação de fatores de risco para doença cardiovascular em pacientes atendidos em uma clínica escola de fisioterapia. Rev Educ Saúde. 2017;5(2):19-25. https://doi.org/10.29237/2358-9868.2017v5i2.p19-25
Scherer C, Stumm EMF, Loro MM, Kirchner RM. O que mudou em minha vida? Considerações de indivíduos que sofreram infarto agudo do miocárdio. Rev Eletr Enf. 2011;13(2):296-305. http://dx.doi.org/10.5216/ree.v13i2.8534
Trentini M, Paim L, Silva DMG. Pesquisa Convergente assistencial: delineamento provocador de mudanças nas práticas de saúde. Porto Alegre: Moriá, 2014; p.60-114.
Pacheco RL, Latorraca COC, Pachito DV, Rieva R. Guidelines para publicação de estudos científicos. Parte 1: como publicar relatos e series de casos. Diagn Tratamento. 2017;22(2):78-82.
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2010.