Revista gaucha de enfermagem · 2026
Telemetry-based insights: clinical indicators linked to unfavorable outcomes in heart failure.
СтатьяНазвание и аннотация: Перевод в очереди
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Cruz Rafaela da Silva, Lemos Dayanna Machado, Luz Kely Regina da, Souza Letícia Pereira de, Eugênio Cláudia Severgnini, Caballero Larissa Gussatschenko, Fantin Simone de Souza, Silva Eneida Rejane Rabelo Da, Saffi Marco Aurélio Lumertz
Аннотация
OBJECTIVE: Evaluate the clinical profile of heart failure patients under telemetry and identify associations with unfavorable outcomes.
METHODS: Cross-sectional study from 2019 to 2024 at a public university hospital. Coronary Care Unit nurses collected data from electronic medical records, which were analyzed using SPSS®. The project was approved by the Ethics Committee (Nº. 2019-0046).
RESULTS: Out of 425 medical records, 43% showed events, primarily non-sustained ventricular tachycardia (14.8%). After arrhythmic events, 29.6% underwent urgent electrocardiogram, 30.1% had pharmacological adjustments, and 15.7% died after transfer to the Coronary Care Unit. Significant associations included unfavorable outcomes in males (p=0.038), while diabetes mellitus was protective (p=0.004). Previous arrhythmias were also associated with adverse outcomes. Notably, event incidence was significant within the first 10 days of telemetry.
CONCLUSION: Pre-existing arrhythmias and male sex were associated with composite unfavorable outcomes in heart failure patients remotely monitored by telemetry.
METHODS: Cross-sectional study from 2019 to 2024 at a public university hospital. Coronary Care Unit nurses collected data from electronic medical records, which were analyzed using SPSS®. The project was approved by the Ethics Committee (Nº. 2019-0046).
RESULTS: Out of 425 medical records, 43% showed events, primarily non-sustained ventricular tachycardia (14.8%). After arrhythmic events, 29.6% underwent urgent electrocardiogram, 30.1% had pharmacological adjustments, and 15.7% died after transfer to the Coronary Care Unit. Significant associations included unfavorable outcomes in males (p=0.038), while diabetes mellitus was protective (p=0.004). Previous arrhythmias were also associated with adverse outcomes. Notably, event incidence was significant within the first 10 days of telemetry.
CONCLUSION: Pre-existing arrhythmias and male sex were associated with composite unfavorable outcomes in heart failure patients remotely monitored by telemetry.