Journal of medical research and practice

Vancini RL,Vancini-Campanharo
CR,Lira, Claudio A. B. de,Atallah
ÁN,Gois, Aécio F. T. de.
Journal of medical research and practice
Available at www.jmrp.info
Letter to the editor
ISSN NO- 2162-6391 (Print)
2162-6375 (Online)
CODEN JPBSCT
Cardiac Arrest In People Infected By HIV: Are Education Programs
Important For Health Professionals And Caregivers?
Rodrigo L. Vancini, PhD1, Cássia R. Vancini-Campanharo, BsC2, Claudio A. B. de Lira, PhD3,*,
4
4
Álvaro N. Atallah, PhD , Aécio F. T. de Góis, PhD
Author Affiliations
1
Centro de Educação Física e Desportos (CEFD),
Universidade Federal do Espírito Santo (UFES), Espírito
Santo (ES), Brazil
2
Escola Paulista de Enfermagem, Universidade Federal
de São Paulo (UNIFESP), São Paulo (SP), Brazil
3
Setor de Fisiologia Humana e do Exercício, Faculdade
de Educação Física, Universidade Federal de Goiás
(UFG), Goiânia (GO), Brazil
4
Departamento de Medicina, Universidade Federal de
São Paulo/Escola Paulista de Medicina (UNIFESP), São
Paulo (SP), Brazil
Author’s contribution:
All authors contributed equally to this paper.
The name of the department and institution to
which the work should be attributed:-
1.Centro de Educação Física e Desportos (CEFD),
Universidade Federal do Espírito Santo (UFES), Espírito
Santo (ES), Brazil
2.Escola Paulista de Enfermagem, Universidade Federal
de São Paulo (UNIFESP), São Paulo (SP), Brazil
3.Setor de Fisiologia Humana e do Exercício,
Universidade Federal de Goiás (UFG), Goiânia (GO),
Brazil
4.Departamento de Medicina, Universidade Federal de
São Paulo/Escola Paulista de Medicina (UNIFESP), São
Paulo (SP), Brazil
Send your reprint request to
Claudio Andre Barbosa de Lira,
Faculdade de Educação Física, Universidade Federal de
Goiás, Câmpus Samambaia, Caixa Postal 131 -CEP:
74001-970 Goiânia - Goiás – Brasil or at
E-mail: [email protected]
Phone/Fax Number: +55-62-3521105.
Dear Editor,
We recently conducted a prospective study in the emergency department of a public hospital (São
Paulo Hospital - SPH) in São Paulo City, Brazil. The SPH is one of the most important in São Paulo City
and provides public health service for patients from different regions of Brazil. Annually, SPH has more
than 1,080,000 consultations and 31,200 admissions. About 4,000 outpatients, including 1,000 in the
emergency department, are served daily1. Because of these large numbers; we believe that assistance
provided by SPH reflects the diversity of the Brazilian population. The aim of our study was to
characterize a sample of patients who had suffered cardiac arrest and identify risk factors associated
with mortality and morbidity. The sample was composed of 285 patients who were followed for 1 year
after a cardiac arrest. In the sample, three patients were infected with HIV: two Caucasian males, ages
57 and 65 years, who unfortunately died during emergency care, and a 51-year old Caucasian male
who survived for 1 year after the event.
As individuals infected with HIV have experienced longer life expectancy with the evolution of
pharmacological therapy, their rates of cardiovascular disease have increased progressively. These
patients have higher rates of cardiovascular disease than uninfected controls, likely due to a
combination of traditional risk factors, HIV-related inflammation, and antiretroviral therapy2. Tseng et
al.3 determined the incidence of sudden cardiac death in patients with HIV. They followed 2,860
consecutive patients attended in a public HIV clinic. They found that sudden cardiac deaths comprise
an unexpectedly high proportion of overall deaths in this HIV cohort and that sudden cardiac death
occurred at a rate more than four times expected in the general population, with similar risk factors.
As cardiac symptoms were common in victims of sudden cardiac death, the authors suggested that
aggressive primary prevention of cardiovascular disease should be considered in HIV-infected
individuals, especially those with traditional risk factors.
As cardiac arrest is potentially fatal and is the most common cause of death in many countries 4 and as
HIV-infected individuals are at higher risk of death by sudden cardiac death than the general
2014 Volume no 3 Issue 2
25
Vancini RL,Vancini-Campanharo
CR,Lira, Claudio A. B. de,Atallah
ÁN,Gois, Aécio F. T. de.
Journal of medical research and practice
population2,3. Thus, education programs for cardiac arrest recognition targeted to health professionals
and caregivers can improve the prognoses of individuals infected by HIV. Additionally, it is necessary
5
to disseminate basic life support knowledge to the general population , especially for caregivers and
family members, because this knowledge could increase the chance of survival before the arrival of
advanced life support.
REFERENCES
1.Carvalho AS. Hospital São Paulo –
Hospital universitário da UNIFESP.
[internet]. São Paulo; 2012. [accessed in
2013
jul.
15].
Disponível
em:
www.hospitalsaopaulo.org.br/quemsomos.
2.Hsue PY, Giri K, Erickson S, et al.
Clinical features of acute coronary
syndromes in patients with human
immunodeficiency
virus
infection.
Circulation. 2004;109:316–9.
3.Tseng ZH, Secemsky EA, Dowdy D, et
al. Sudden cardiac death in patients
with human immunodeficiency virus
infection.
J
Am
Coll
Cardiol.
2012;59:1891-6.
4.Go AS, Mozaffarian D, Roger VL, et al.
On behalf of the American Heart
Association Statistics Committee and
Stroke Statistics Subcommittee. Heart
disease and stroke statistics - 2013
update: a report from the American
Heart
Association.
Circulation.
2013;127:e6-e245.
5.Berg RA, Hemphill R, Abella BS, et al.
Part 5: Adult Basic Life Support. 2010
American Heart Association Guidelines
for Cardiopulmonary Resuscitation and
Emergency
Cardiovascular
Care.
Circulation. 2010;122:685-705.
Article citation:
Vancini RL, Vancini-Campanharo CR, de Lira, CAB, Atallah ÁN, de Gois, AFT. Cardiac Arrest In People Infected By
HIV: Are education programs important for health professionals and Caregivers?. J Med Res Prac.
2014;03(02):25-26.
Conflict of interest :- Author have none to declare.
Source of funding :-None
Copy right © 2014 Journal of medical research and practice
2014 Volume no 3 Issue 2
26