Hipertensión arterial como factor pronóstico de mortalidad en pacientes ingresados con diagnóstico de fibrilación auricular permanente e Insuficiencia cardíaca, en el Hospital Luis Vernaza de Guayaquil, julio 2017 – octubre 2018.

Abstract

Introduction: Hypertension (HT) is defined by the increasing pressure ≥ 140/90 mmHg, being the main risk factor of mortality for other cardiologic pathologies, such as atrial fibrillation (AF) and heart failure (HF). The relation between HT and AF increases the risk of appearance of this last one mentioned, nevertheless, the prognostic worsens when both entities are associated with HF. Objective: Analyze the existing correlation between the presence of HT and the mortality of patients diagnosed with AF and HF, at the Luis Vernaza Hospital, during the July 2017 - October 2018. Materials and methods: The present study has an observational, objective, analytic, cross – sectional, and retrospective. The data gathering was realized by reviewing the digital clinical history on a sample of 198 patients with HT. Results: 58 patients were diagnosed with AF whose average of MAP was of 88.25 mmHg (±17.68 mmHg), 28 patients in this group have a diagnosis AF and HF, 24 of them are hypertensive, of which 18 were alive and 6 diseased. Mortality and MAP for this group of patients were correlated (mean MAP = 84.17 mmHg (± 15.73 mmHg)), resulting in -0.122 with a value of p = 0.536. Conclusions: The presence or absence of HT, and the levels of MAP do not predict mortality of the patients with AF and HF diagnosis. The MAP level is positively correlated with the presence or absence of AF.