the RIVER – the Biggest reason of the care of people with more than 65 years in the Single Health System (SUS), with approximately 300 thousand hospitalizations annually, heart failure affects more than 260 thousand brazilians every year, leading to the death about 27 thousand victims annually. And, with the aging of the population, the tendency is for the problem to increase even more. Estimates suggest that 5% to 10% of the elderly in the range of 65 to 79 years will develop the syndrome. The subject was the theme of the latest edition of the Meetings to THE GLOBE Health and Well-being of 2016, held on Wednesday at the Museum of the Environment, at the Botanical Garden, with the presentations of doctors from the Hospital Pro-Heart Alexand re Siciliano, chief of cardiac surgery, and Marcelo Montera, coordinator, clinical heart failure from the hospital.
— at least one in each five adults will have the heart tired — summarizes the cardiologist Claudio Domênico, coordinator of the event, that had the mediation of the journalist of the GLOBE, Viviane Nogueira.
Studies indicate that, after the patient becomes symptomatic, the mortality rate at two years is about 40%, and can reach 80% in men and 65% in women in the following six years. To Montera, one of the barriers is that 50% of patients don’t take their medicines as prescribed.
— And are not healthy people. Are patients with symptoms, the heart increased, shortness of breath, says.
With a profile different from the majority, the owner of casa Maria Emilia da Silva Maciel, 70 years, diagnosed with heart failure after suffering a heart attack in 2004, monsanto company 12 years ago with the problem without major scares.
— I Do everything that the doctors have and take the medicine at the right time, the same being more than ten — account.
recent technological Advances can help change the picture of who, even with drugs, can’t have a full life. Known as devices ventricular assist (VAD, its acronym in English), these "artificial hearts" have revolutionized the treatment of heart failure, restricted, before the approaches to clinics, surgeries, implantation of devices such as pacemaker and, ultimately, transplantation of the heart. Already relatively common in Europe and in the us, where about 20 thousand of them are deployed annually, these devices begin to arrive in Brazil, restoring the quality of life and increasing hope of survival of patients as the administrator of Walter Mirandela, 69-year-old.
Affected by a series of cardiovascular problems, such as hypertension and heart problems, Mirandela became more and more a victim of heart failure, which led him to hospitalization frequent. Four years ago, however, the administrator was the first patient to receive a VAD in the program created in the hospital Pro-Heart by surgeon Alexandre Siciliano, and from there to here did not have to go through more no hospitalization, in addition to resume habits such as walking in Flamengo.
— The unit has allowed the rescue of virtually all behaviours and activities that I had before the failure — account Mirandela, who also gave his testimony during the latest edition of the Encounters. — I can now do almost everything, with quality of life very good.
the Costs could exceed R$ 500 thousand
According to Mirandela, the improvement was so great that he came out of the queue for transplantation of the heart, passing on to another patient, a body that could be your. But the alternative was not cheap. At the time that did the implant, he had to get special permission from the National Agency of Sanitary Surveillance (Anvisa) to import the equipment, which had not yet been approved by the board, which disbursed US$ 110 thousand (approximately R$ 360 thousand currently). With the surgery costs, doctors ‘ fees and follow-up necessary to the price of the treatment exceeds$ 500 thousand.
— But with the large-scale use of the trend is the costs dropping — bet Siciliano. — This is because what seems a novelty to us, for we are not outside of Brazil. These devices are in use for over 15 years and have become an important option of treatment.
the Transplants are no longer the only final destination is ideal for patients
The advent of assist devices ventricular also meant the emergence of an alternative to transplants of the heart, still considered the "gold standard" for the treatment of heart failure. And they gain even more importance in the face of the notorious difficulty in getting the organs says the surgeon Alexandre Siciliano.
— In the U.S. and in Europe, these devices are being used by thousands of people who for some reason are not candidates for transplants or did not have the available organs, says, remembering that both in the us and in Europe the number of transplants of the heart has reached a plateau, in a little over two thousand a year. — But the number of patients continues to increase.
in This way, the Sicilian also expect that within ten to 20 years, these devices also are already very common in Brazil, and may even be available by the SUS, since they allow a saving of costs of many readmissions of patients with heart failure. In addition, it points out that the use of the devices gives a "rest" needed by the heart, which causes 5% of cases the body recovers and the failure to disappear.
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