<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932022000100081</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2022.09.01.81</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Causas de muerte en pacientes adultos con insuficiencia cardíaca internados Hospital Nacional en el periodo 2017 - 2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Causes of death in adult patients with heart failure admitted to the National Hospital in the period 2017-2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Martinez]]></surname>
<given-names><![CDATA[Hugo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Jarolin]]></surname>
<given-names><![CDATA[Dora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondelli Martinez]]></surname>
<given-names><![CDATA[Lis Faviola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte Arevalos]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olmedo Mercado]]></surname>
<given-names><![CDATA[Edis Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez Franco]]></surname>
<given-names><![CDATA[Elvis Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giménez Vazquez]]></surname>
<given-names><![CDATA[Fabiola de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes Ovelar]]></surname>
<given-names><![CDATA[Alma María Carmelita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>81</fpage>
<lpage>89</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932022000100081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932022000100081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932022000100081&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la insuficiencia cardíaca presenta una elevada mortalidad intrahospitalaria y tras el alta, siendo una causa frecuente de reingreso hospitalario por descompensación cardíaca.  Objetivos: determinar las causas de muerte en pacientes adultos con insuficiencia cardíaca internados Hospital Nacional, Itauguá, Paraguay, en el periodo 2017 - 2021  Metodología: estudio observacional descriptivo retrospectivo de corte trasverso, que incluyó a 103 adultos, de ambos sexos, con insuficiencia cardíaca.  Resultados:  la edad media fue 60 ± 14 años (27 - 92 años), la mayoría de los pacientes eran varones (54,37%), de procedencia urbana (57,28 %), con estudios primarios (65,05%), secundarios (31,07%) y con comorbilidades (99,03%). La principal comorbilidad fue la hipertensión arterial (28,16%). Las principales patologías intercurrentes fueron las patologías de causa infecciosa (56,25%). La media de la fracción de eyección fue 43 ± 11% (17 - 68%). La patología cardiaca más frecuente fue la cardiopatía hipertensiva (53,40%) seguida de la isquémica (35,92%). La media del BNP fue 1823 pg/dL. La mayoría de los pacientes tenían una fracción de eyección disminuida (70,87%) seguida de la conservada (29,13%). La mortalidad fue 41,7%. La principal causa de muerte fue la causa extracardiaca (62,79%) con las patologías infecciosas como la más común (44,44%). Al analizar los factores relacionados con la mortalidad se constató que la edad &#8805; 60 años y el presentar patología intercurrente estuvo relacionado con la mortalidad (p&lt; 0,05).  Conclusiones: la mortalidad fue 42% y la principal causa de muerte fue de causa extra cardiaca (62,7%), siendo las patologías intercurrentes de causa infecciona las más frecuentes. Los predictores de mortalidad fueron la edad igual o mayor a 60 años y la presencia de patologías intercurrentes (p &lt;0.05).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Heart failure presents a high in-hospital and after discharge mortality, being a frequent cause of hospital readmission due to cardiac decompensation.  Objectives: To determine the causes of death in adult patients with heart failure admitted to the National Hospital, Itauguá, Paraguay, in the period 2017 - 2021.  Methodology: Retrospective descriptive observational cross-sectional study, which included 103 adult men and women with heart failure.  Results: The mean age was 60±14 years (27-92 years), most of the patients were men (54.37%), of urban origin (57.28%), with primary studies (65.05%), secondary (31.07%) and with comorbidities (99.03%). The main comorbidity was arterial hypertension (28.16%). The main intercurrent pathologies were pathologies of infectious cause (56.25%). The mean ejection fraction was 43±11% (17-68%). The most frequent cardiac pathology was hypertensive heart disease (53.40%) followed by ischemic heart disease (35.92%). The mean BNP was 1823 pg/dL. Most of the patients had a decreased ejection fraction (70.87%) followed by a preserved one (29.13%). Mortality was 41.7% and the main cause of death was extracardiac (62.79%) with infectious pathologies as the most common (44.44%). When analyzing the factors related to mortality, it was found that age &#8805; 60 years and presenting intercurrent pathology was related to mortality (p&lt;0.05).  Conclusions: Mortality was 42% and the main cause of death was non-cardiac (62.7%), with intercurrent pathologies caused by infection being the most frequent. The predictors of mortality were age equal to or greater than 60 years and the presence of intercurrent pathologies (p &lt;0.05).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[insuficiencia cardiaca]]></kwd>
<kwd lng="es"><![CDATA[causas de muerte]]></kwd>
<kwd lng="es"><![CDATA[factores predisponentes]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad.]]></kwd>
<kwd lng="en"><![CDATA[heart failure]]></kwd>
<kwd lng="en"><![CDATA[causes of death]]></kwd>
<kwd lng="en"><![CDATA[predisposing factors]]></kwd>
<kwd lng="en"><![CDATA[comorbidity.]]></kwd>
</kwd-group>
</article-meta>
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