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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/62521
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dc.creatorLuiz Guilhermepassagliapt_BR
dc.creatorLuisa Campos Caldeira Brantpt_BR
dc.creatorJosé Luiz Padilha da Silvapt_BR
dc.creatorBruno Ramos Nascimentopt_BR
dc.creatorAntonio Luiz Pinho Ribeiropt_BR
dc.date.accessioned2024-01-09T19:31:08Z-
dc.date.available2024-01-09T19:31:08Z-
dc.date.issued2021-
dc.citation.volume35pt_BR
dc.citation.issue2pt_BR
dc.citation.spage202pt_BR
dc.citation.epage213pt_BR
dc.identifier.doi10.36660/ijcs.20200378pt_BR
dc.identifier.issn23594802pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/62521-
dc.description.resumoBackground: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInternational Journal of Cardiovascular Sciences-
dc.rightsAcesso Abertopt_BR
dc.subjectAcute Coronary Syndromept_BR
dc.subjectText Messagespt_BR
dc.subjectRisk Factorspt_BR
dc.subjectTelemedicine.pt_BR
dc.subject.otherAcute Coronary Syndromept_BR
dc.subject.otherText Messagingpt_BR
dc.subject.otherRisk Factorspt_BR
dc.subject.otherTelemedicine.pt_BR
dc.titleText messages to promote secondary prevention after acute coronary syndrome (impacs trial)pt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://doi.org/10.36660/ijcs.20200378pt_BR
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