Cirurgia cardíaca em índios brasileiros
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1997
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Sociedade Brasileira de Cardiologia
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Abstract
Objetivo - Revisar nossa experiência no tratamento
cirúrgico de doenças cardíacas em índios de tribos em estágios primitivos da Floresta Amazônica.
Métodos - De 1988 a 1995, 18 índios foram submetidos a cirurgias cardíacas no Hospital São Paulo da EPM.
Sete pacientes tinham doença valvar, nove lesões cardíacas
congênitas, um aneurisma submitral e um arritmia. Treze
índios eram provenientes de tribos da região Amazônica,
sendo três da tribo Xavante, dois Waiapi, dois Tucano, dois
Macuxi, dois Mayoruna e um das tribos Xikrin, Guajajara,
Terena, Surui, Galibi, Cinta-larga e Pataxó.
Resultados - Foram realizadas 22 operações, com
dois óbitos hospitalares. Seguimento a longo prazo foi possível em 87,5% dos casos, com um óbito tardio. A maioria
dos casos foi devida a cardiopatias congênitas e doenças
valvares, não tendo sido observada ocorrência de doença
arterial coronária.
Conclusão - O tratamento cirúrgico das cardiopatias
possibilitou, aos pacientes índios, a recuperação funcional
e reintegração social na tribo
Abstract
Purpose - Our experience with surgical treatment of
heart diseases in indians living in the Amazon rain forest in
primitive stages was reviewed.
Methods - From 1988 to 1995, 18 patients underwent
cardiovascular surgical procedures at the São Paulo Hospital of the Escola Paulista de Medicina. Seven patients had
valvar disease, nine congenital heart defects, one submitral
aneurysm and one arrhythmia. Thirteen indians came from
tribes of the Amazon rain forest area: three from the
Xavante, two from Waiapi, two from Tucano, two from
Macuxi, two from Mayoruna, and one of each tribe of
Xikrin, Guajajara, Terena, Surui, Galibi, Cinta-Larga and
Pataxó.
Results - We performed 22 operations, with two hospital deaths. Follow-up was possible in 87.5% of cases, with
one late death. The majority of cases were due to congenital
heart defects and in this series it was noted the absence of
operations to treat coronary artery disease. The incidence
of valve disease was higher in accultured or semiaccultured indians.
Conclusion - The surgical treatment of cardiovascular
disease has made possible to the surviving indians to return
to and be accepted by their fellow tribesmen
Abstract in Spanish
Abstract in French
Description
Documento integrante de acervo pessoal doado pelos pesquisadores Ricardo Ventura Santos e Carlos Coimbra Jr.
Keywords in Portuguese
Região Norte, Mato Grosso do Sul, Mato Grosso, Amazonas, Região Centro-Oeste, Terena, Rondônia, Acervo pessoal, Amapá, Maranhão, Região Nordeste, Tucano, Tupi-Mondé, Waiapi, Mayoruna, Bahia, Doenças e Agravos Não Transmissíveis
Keywords
Brazil, Health of Indigenous Peoples, Indians, South American, Heart Defects Congenital, Heart Surgery
Keywords in Spanish
Keywords in French
DeCS
Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Doenças Cardiovasculares, Cardiopatias Congênitas, Cirurgia Cardíaca
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GOMES, Walter José; et al. Cirurgia cardíaca em índios brasileiros. Arquivos Brasileiros de Cardiologia, Rio de Janeiro, v. 68, n. 1, p. 27-30, 1997.