Acute Myocardial Infarction: Analysis of the Knowledge of Graduates in Medicine

Acute Myocardial Infarction Knowledge

Authors

  • Leonardo Garcia Góes Centro Universitário São Camilo-CUSC-SP https://orcid.org/0000-0001-8578-6791
  • Marina Terumi Nakandakari Centro Universitário São Camilo-CUSC-SP
  • Roberta Costa Ramos Centro Universitário São Camilo-CUSC-SP
  • Hélio Penna Guimarães Centro Universitário São Camilo-CUSC-SP

DOI:

https://doi.org/10.54143/jbmede.v1i2.21

Keywords:

Myocardial Infarction, Education, Medical, Undergraduate, Educational Measurement

Abstract

Acute myocardial infarction (AMI) is one of the main causes of death in Brazil, most of which occur within the first 24 hours of the onset of the disease, and almost half of them within the first hour. Thus, early identification of the clinical picture of AMI is of paramount importance so that there is an effective treatment in a timely manner. The present study sought to assess the knowledge of these students about AMI, in order to indicate the need to fill gaps in medical learning. This is a descriptive-exploratory quantitative study carried out with 260 students from the 5th to the 12th semester of the medical course of Brazilian institutions. Data collection occurred through the application of a questionnaire with 12 questions about the management of AMI. Data were analyzed using simple descriptive statistics. There was a prevalence of females (66.9%), who attend the state of São Paulo (86.1%), from the 5th, 6th, 7th and 9th semesters (76.1%), from 20 to 25 years old (83, 8%). The fifth semester had an average of 5, the sixth, seventh and tenth, an average of 6 and the eighth, ninth, eleventh and twelfth, an average of 7. The most correct questions were about myocardial necrosis markers (73.46%), time minimum to perform the ECG (70.76%). The ones with the highest error rates were about contraindications for thrombectomy (13.07%) and conduct not indicated for right ventricular AMI (35.77%). Medical students have insufficient knowledge regarding the management of acute myocardial infarction.

References

Passinho RS, Sipolatti WGR, Fioresi M, Primo CC. Sinais, sintomas e complicações do infarto agudo do miocárdio. Rev. enferm. UFPE on line, 2018; 247-264. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-947058

Santos JD, Meira KC, Camacho AR, Salvador PTCDO, Guimarães RM, Pierin ÂMG, Freire FHMDA. Mortalidade por infarto agudo do miocárdio no Brasil e suas regiões geográficas: análise do efeito da idade-período-coorte. Ciência & Saúde Coletiva, 23. 2018; 1621-1634. https://www.scielosp.org/article/csc/2018.v23n5/1621-1634/pt/

Bin LL. Risk Factor Differences in Acute Myocardial Infarction between young and older people: A systematic review and meta-analysis. International Journal of Cardiovascular Sciences, (AHEAD). 2019.

Milano SS, Moura Júnior OVD, Bordin AAS, Marques GL. C-reactive protein is a predictor of mortality in ST-segment elevation acute myocardial infarction. International Journal of Cardiovascular Sciences, 32(2). 2019; 118-124. https://www.scielo.br/j/ijcs/a/wNpWQZyK3jskCrmdh8x7t3p/?lang=en

Baruzzi ACDA, Stefanini E, Pispico A. Infarto agudo do miocárdio com supra de ST: trombólise em qualquer local que a medicação esteja disponível. Rev. Soc. Cardiol. Estado de Säo Paulo. 2018; 409-420. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-970540

Hoepfner C, Roma E, Lana JV, Santin AL, Borga AL, Yamamoto AC, Techentin JV. Knock on the right door. How we are treating the patient with acute myocardial infarction. International Journal of Cardiovascular Sciences, 31(5). 2018; 520-526. https://www.scielo.br/j/ijcs/a/rGW5PY9kNfTx3srdRMWRnbr/?lang=en

Oliveira GMMD, Villela PB. The Importance of the Prehospital Phase in ST Elevation Myocardial Infarction. Arquivos brasileiros de cardiologia, 111(4). 2018; 594-595. https://www.scielo.br/j/abc/a/sdvK9sZss3V7pgSccMpgmLx/?lang=en

Miranda GNB, Ribeiro LLPA, Ibiapaba MCC, Rodrigues IC, Lourenço RP, Messias KLM. Análise do Conhecimento e Preparação de Estudantes de Medicina Acerca do Infarto Agudo do Miocárdio (IAM) e sua Abordagem Emergencial. In: VI congresso brasileiro de medicina de emergência adulto e pediátrico, 6., Ceará. Anais [...] . Fortaleza: Abramede, 2018. v. 1. http://abramede2018.web15f60.uni5.net/anais/edicao-atual

Piegas LS, Timerman A, Feitosa GS, Nicolau JC, Mattos LAP, Andrade MD, Mathias Junior W. V Diretriz da Sociedade Brasileira de Cardiologia sobre tratamento do infarto agudo do miocárdio com supradesnível do segmento ST. Arquivos brasileiros de cardiologia, 105(2). 2015; 1-121. https://www.scielo.br/j/abc/a/VPF5J5cmYSyFFfM8Xfd7dkf/?lang=pt

da Educação Superior C. Ministério da Educação. Brasília: Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. 2015. http://www.schwartzman.org.br/simon/pdf/geres.pdf

Apple FS. Tissue specificity of cardiac troponin I, cardiac troponin T and creatine kinase-MB. Clinica chimica acta, 284(2). 1999; 151-159. https://www.sciencedirect.com/science/article/abs/pii/S0009898199000777

Ferguson JL, Beckett GJ, Stoddart M, Walker SW, Fox KAA. Myocardial infarction redefined: the new ACC/ESC definition, based on cardiac troponin, increases the apparent incidence of infarction. Heart, 88(4). 2002; 343-347. https://heart.bmj.com/content/88/4/343.short

Koukkunen H, Penttilä K, Kemppainen A, Penttilä I, Halinen MO, Rantanen T, Pyörälä K. Differences in the diagnosis of myocardial infarction by troponin T compared with clinical and epidemiologic criteria. The American journal of cardiology, 88(7). 2001; 727-731. https://www.sciencedirect.com/science/article/abs/pii/S0002914901018410

Apple FS, Wu AH, Jaffe AS, Panteghini M, Christenson RH, NACB COMMITTEE MEMBERS, Mair J. National Academy of Clinical Biochemistry and IFCC Committee for Standardization of Markers of Cardiac Damage Laboratory Medicine practice guidelines: analytical issues for biomarkers of heart failure. Circulation, 116(5). 2007; e95-e98. https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.107.185266

Andersen HR, Nielsen TT, Vesterlund T, Grande P, Abildgaard U, Thayssen P, DANAMI-2 Investigators. Danish multicenter randomized study on fibrinolytic therapy versus acute coronary angioplasty in acute myocardial infarction: rationale and design of the DANish trial in Acute Myocardial Infarction-2 (DANAMI-2). American heart journal, 146(2). 2003; 234-241. https://www.sciencedirect.com/science/article/abs/pii/S0002870303003168

Jolly S, Newton G, Horlick E, Seidelin PH, Ross HJ, Husain M, Dzavik V. Effect of vasopressin on hemodynamics in patients with refractory cardiogenic shock complicating acute myocardial infarction. The American journal of cardiology, 96(12). 2005; 1617-1620. https://www.sciencedirect.com/science/article/abs/pii/S0002914905015833

Feitosa GC, Albuquerque D, Nicolau JC. II Diretriz da Sociedade Brasileira de Cardiologia para o tratamento do infarto agudo do miocárdio. Arq Bras Cardiol, 74(Supl II). 2000; 1-46.

Published

2021-10-06

How to Cite

Garcia Góes, L., Nakandakari, M. T., Costa Ramos, R. ., & Penna Guimarães, H. (2021). Acute Myocardial Infarction: Analysis of the Knowledge of Graduates in Medicine: Acute Myocardial Infarction Knowledge. Brazilian Journal of Emergency Medicine, 1(2), e21013. https://doi.org/10.54143/jbmede.v1i2.21

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