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S Goñi Esarte, J M Zozaya Urmeneta, M Goñi Esarte, J I Uriz Otano, I Idoate Santesteban, M T Beunza Puyol
La hepatitis isquémica es una entidad poco frecuente. Se asocia a una hipoperfusión hepática debida en primer lugar a un bajo gasto cardíaco (insuficiencia cardiaca congestiva, infarto agudo de miocardio o miocardiopatía dilatada). De forma menos frecuente puede ser secundaria a una insuficiencia respiratoria o al aumento de las necesidades de oxígeno en el contexto de una sepsis.Paciente varón de 49 años que acude al servicio de Urgencias por disnea progresiva e hipotensión, objetivándose una importante elevación de transaminasas (aspartato aminotransferasa de 5...
December 30, 2016: Anales del Sistema Sanitario de Navarra
Igor Matos Lago, Gustavo Caires Novaes, André Vannucchi Badran, Rafael Brolio Pavão, Ricardo Barbosa, Geraldo Luiz de Figueiredo, Moysés de Oliveira Lima, Jorge Luiz Haddad, André Schmidt, José Antônio Marin
Background: Despite successful opening of culprit coronary artery, myocardial reperfusion does not always follows primary percutaneous coronary intervention (PPCI). Glycoprotein IIb/IIIa inhibitors are used in the treatment of no-reflow (NR), but their role to prevent it is unproven. Objective: To evaluate the effect of in-lab administration of tirofiban on the incidence of NR in ST-elevation myocardial infarction (STEMI) treated with PPCI. Methods: STEMI patients treated with PPCI were randomized (24 tirofiban and 34 placebo) in this double-blinded study to assess the impact of intravenous tirofiban on the incidence of NR after PPCI according to angiographic and electrocardiographic methods...
November 2016: Arquivos Brasileiros de Cardiologia
Emilio Antonio Luca Gianicolo, Cristina Mangia, Marco Cervino, Antonella Bruni, Bruna De Marchi, Annibale Biggeri, Rosa Porcu, Maria Angela Vigotti
OBIETTIVI: valutare lo stato di salute della popolazione residente nel comune di Manfredonia dal 1970 al 2013. DISEGNO: analisi descrittiva dell'andamento temporale della mortalità generale, per gruppi di cause, dal 1970 al 2013. SETTING E PARTECIPANTI: i dati di mortalità e le popolazioni residenti sono di fonte Istat. Sono state esaminate 55 cause di decesso. Le analisi sono disaggregate per sesso e periodo. PRINCIPALI MISURE DI OUTCOME: sono stati elaborati i rapporti standardizzati di mortalità (SMR%), con i rispettivi intervalli di confidenza al 90% (IC90%), e i tassi di mortalità standardizzati col metodo diretto (TSD )...
September 2016: Epidemiologia e Prevenzione
Marina Parca Cavelagna Teixeira, Tatiana Peloso Reis Queiroga, Maria Dos Anjos Mesquita
Objective: To determine the frequency and risk factors of small-for-gestational-age newborns in a high-risk maternity. Methods: This is an observational, cross-sectional, and case-control study, conducted in a public tertiary care maternity hospital. Data from 998 newborns and their mothers were collected through interviews and review of medical records and prenatal care cards. Some placentas underwent histopathological analysis. The variables of small-for-gestational-age and non-small-for-gestational-age newborns and of their mothers were statistically compared by means of Student's t test, Fisher's exact test, and odds ratio...
July 2016: Einstein
Tássia Soldi Tuan, Taís Siqueira Venâncio, Luiz Fernando Costa Nascimento
Background: There is evidence of the effects of air pollution on hospital admissions due to cardiovascular diseases, including myocardial infarction. Objective: To estimate the association between exposure to air pollutants and hospital admissions due to myocardial infarction according to gender, between January 1st 2012 and December 31st 2013, in São Jose dos Campos-SP. Methods: An ecological time series study was carried out with daily data of admissions due to AMI, pollutants CO, O3, PM10, SO2, and NO2, according to gender...
September 2016: Arquivos Brasileiros de Cardiologia
Felipe C Fuchs, Jorge P Ribeiro, Flávio D Fuchs, Marco V Wainstein, Luis C Bergoli, Rodrigo V Wainstein, Vanessa Zen, Alessandra C Kerkhoff, Leila B Moreira, Sandra C Fuchs
Background: The importance of coronary anatomy in predicting cardiovascular events is well known. The use of traditional anatomical scores in routine angiography, however, has not been incorporated to clinical practice. SYNTAX score (SXscore) is a scoring system that estimates the anatomical extent of coronary artery disease (CAD). Its ability to predict outcomes based on a baseline diagnostic angiography has not been tested to date. Objective: To evaluate the performance of the SXscore in predicting major adverse cardiac events (MACE) in patients referred for diagnostic angiography...
September 2016: Arquivos Brasileiros de Cardiologia
Cintia Koerich, Gabriela Marcellino de Melo Lanzoni, Alacoque Lorenzini Erdmann
OBJECTIVE: to investigate the factors associated with mortality in patients undergoing coronary artery bypass grafting in a cardiovascular referral hospital in Santa Catarina. METHOD: quantitative, exploratory, descriptive and retrospective study. The medical records of 1447 patients, from 2005 to 2013, were analyzed for statistically related variables, these being: profile, hospitalization diagnosis, risk factors for coronary artery disease, complications recorded during the hospitalization, length of hospitalization and cause of death...
August 8, 2016: Revista Latino-americana de Enfermagem
Fabio Paiva Rossini Siqueira, Claudio Tinoco Mesquita, Alair Augusto Sarmet M Damas Dos Santos, Marcelo Souto Nacif
Half the patients with coronary artery disease present with sudden death - or acute infarction as first symptom, making early diagnosis pivotal. Myocardial perfusion scintigraphy is frequently used in the assessment of these patients, but it does not detect the disease without flow restriction, exposes the patient to high levels of radiation and is costly. On the other hand, with less radiological exposure, calcium score is directly correlated to the presence and extension of coronary atherosclerosis, and also to the risk of cardiovascular events...
October 2016: Arquivos Brasileiros de Cardiologia
Silvio Henrique Barberato, Sérgio Gardano Elias Bucharles, Marcia Ferreira Alves Barberato, Roberto Pecoits-Filho
BACKGROUND: Sudden cardiac death (SCD) is the leading cause of death in maintenance hemodialysis (HD) patients, but there is little information about underlying risk factors. OBJECTIVES: Evaluate the association between clinical and echocardiographic variables with SCD on HD patients. METHODS: Retrospective nested case-control study on chronic HD patients who were prospectively followed. The primary endpoint was SCD. Variables were compared by Student t test, Mann-Whitney or Chi-Square, and independent predictors of SCD were evidenced by multivariate logistic regression...
August 2016: Arquivos Brasileiros de Cardiologia
Francesco Fattirolli, Alessandra Pratesi
Cardiac rehabilitation in the elderly today often represents a utopia. The international scientific literature takes little into account this type of prescription for old people, although they represent a large and growing proportion of cardiac patients, with acute coronary syndrome or heart failure, which we have to manage in everyday life. Furthermore, interventions of health education, clinical follow up, rehospitalisation prevention and prescription of tailored exercise, are sometimes more necessary in this kind of patients, given the presence of multimorbidity, functional dependence, frailty, sarcopenia, social neglect...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Juliana de Souza Rebouças, Nereide Stela Santos-Magalhães, Fabio Rocha Formiga
Myocardial infarction is the most significant manifestation of ischemic heart disease and is associated with high morbidity and mortality. Novel strategies targeting at regenerating the injured myocardium have been investigated, including gene therapy, cell therapy, and the use of growth factors. Growth factor therapy has aroused interest in cardiovascular medicine because of the regeneration mechanisms induced by these biomolecules, including angiogenesis, extracellular matrix remodeling, cardiomyocyte proliferation, stem-cell recruitment, and others...
June 27, 2016: Arquivos Brasileiros de Cardiologia
Stephanie Macedo Andrade, Caio José Coutinho Leal Telino, Antônio Carlos Sobral Sousa, Enaldo Vieira de Melo, Carla Carolina Cardoso Teixeira, Clarissa Karine Cardoso Teixeira, Jaquiele Santos Santana, Igor Larchert Mota, Carlos José Oliveira de Matos, Joselina Luzia Menezes Oliveira
BACKGROUND: Stress echocardiography is well validated for diagnosis and risk stratification of coronary artery disease. Exercise stress echocardiography (ESE) has been shown to be the most physiological among the modalities of stress, but its safety is not well established. OBJECTIVE: To study the complications related to ESE and clinical and echocardiographic variables most commonly associated with their occurrence. METHODS: Cross-sectional study consisting of 10250 patients submitted to ESE for convenience, from January 2000 to June 2014...
August 2016: Arquivos Brasileiros de Cardiologia
M Artaiz, N Salterain, A Fernández Montero, A Hernández-Hernández, J P Canepa Leite, J Calabuig Nogués
BACKGROUND: Percutaneous coronary intervention (PCI)is currently a basic therapeutic option in patients with coronary artery disease. To carry this out specialists must be trained and accredited. It is known that the number of procedures performed each year influences results. We suggest that some low volume centres may also get good results. METHODS: Prospective analysis of clinical features and immediate results obtained in our centre following PCI performed between 2006 and 2012 and retrospective analysis of overall survival, outcome-free survival and restenosis in patients treated between 2006 and 2009...
2016: Anales del Sistema Sanitario de Navarra
Barbara Campos Abreu Marino, Guilherme Abreu Nascimento, Walter Rabelo, Marcos Antônio Marino, Roberto Luiz Marino, Antonio Luiz Pinho Ribeiro
BACKGROUND: Clinical in-stent restenosis (CISR) is the main limitation of coronary angioplasty with stent implantation. OBJECTIVE: Describe the clinical and angiographic characteristics of CISR and the outcomes over a minimum follow-up of 12 months after its diagnosis and treatment. METHODS: We analyzed in 110 consecutive patients with CISR the clinical presentation, angiographic characteristics, treatment and combined primary outcomes (cardiovascular death, nonfatal acute myocardial infarction [AMI]) and combined secondary (unstable angina with hospitalization, target vessel revascularization and target lesion revascularization) during a minimal follow-up of one year...
May 2015: Arquivos Brasileiros de Cardiologia
Wilson Ranu Ramirez Nunez, Michiko Regina Ozaki, Adriana Mendes Vinagre, Edgard Ferro Collares, Eros Antonio de Almeida
BACKGROUND: In pathological situations, such as acute myocardial infarction, disorders of motility of the proximal gut can trigger symptoms like nausea and vomiting. Acute myocardial infarction delays gastric emptying (GE) of liquid in rats. OBJECTIVE: Investigate the involvement of the vagus nerve, α 1-adrenoceptors, central nervous system GABAB receptors and also participation of paraventricular nucleus (PVN) of the hypothalamus in GE and gastric compliance (GC) in infarcted rats...
February 2015: Arquivos Brasileiros de Cardiologia
Ana Carla Pereira de Araujo, Bruno F de Oliveira Santos, Flavia Ricci Calasans, Ibraim M Francisco Pinto, Daniel Pio de Oliveira, Luiza Dantas Melo, Stephanie Macedo Andrade, Irlaneide da Silva Tavares, Antonio Carlos Sobral Sousa, Joselina Luzia Menezes Oliveira
Background: Studies have demonstrated the diagnostic accuracy and prognostic value of physical stress echocardiography in coronary artery disease. However, the prediction of mortality and major cardiac events in patients with exercise test positive for myocardial ischemia is limited. Objective: To evaluate the effectiveness of physical stress echocardiography in the prediction of mortality and major cardiac events in patients with exercise test positive for myocardial ischemia. Methods: This is a retrospective cohort in which 866 consecutive patients with exercise test positive for myocardial ischemia, and who underwent physical stress echocardiography were studied...
October 28, 2014: Arquivos Brasileiros de Cardiologia
María P López Lereu, Vicente Bodí, Juan Sanchis, Diego García, Mauricio Pellicer, Antonio Losada, Francisco J Chorro, Jordi Estornell, Begoña Igual, Alicia Maceira, Joaquín Martín, Angel Llàcer
INTRODUCTION AND OBJECTIVE: To assess the reliability of early analysis of the most frequently used cardiac magnetic resonance (CMR)-derived indexes for predicting systolic function recovery and ventricular remodeling in patients after a first acute myocardial infarction with a patent culprit artery. PATIENTS AND METHOD: 17 patients were studied with an initial CMR protocol that included regional assessment of wall thickness and wall thickening, low-dose dobutamine response, first-pass gadolinium myocardial perfusion imaging and delayed enhancement...
September 2004: Revista Española de Cardiología
Magda Heras, Jaume Marrugat, Fernando Arós, Xavier Bosch, José Enero, Miguel A Suárez, Pedro Pabón, Pablo Ancillo, Angel Loma-Osorio, Juan J Rodríguez, Isaac Subirana, Joan Vila
INTRODUCTION AND OBJECTIVES: To assess recent changes in the management of patients with acute myocardial infarction (AMI) and their impact on mortality using data from the PRIAMHO I and II registries (1995 and 2000). PATIENTS AND METHODS: Of the 168 public hospitals in Spain, 24 and 58 contributed to the 1995 and 2000 PRIAMHO registries, respectively. RESULTS: Patients in the PRIAMHO II registry (n=6221) were significantly older, more often female, and proportionally more likely to have coronary risk factors or a previous myocardial infarction, or to have undergone revascularization than those in PRIAMHO I (n=5242)...
March 2006: Revista Española de Cardiología
Juan-Antonio Fournier, Carmen Delgado-Pecellín, Aurelio Cayuela, Soledad Cabezón, María-Dolores Mendoza
The significance of the high-sensitivity C-reactive protein (hs-CRP) level in percutaneous coronary interventions (PCIs) is unclear. Troponin-T and hs-CRP levels were measured before PCI, after stenting, and 8 h, 24 h, and 30 days after the procedure in 68 consecutive patients who received bare-metal stents. The study endpoints were death, nonfatal myocardial infarction, and the need for revascularization. The mean follow-up time after PCI was 16.6 months. Patients who experienced an event had higher hs-CRP levels 24 h (P=...
2008: Revista Española de Cardiología
Carlos Peña, Michel Jaquet, Julio Salgado, Virginia Pubul, Alvaro Ruibal, Begoña Vázquez
Acute unilateral pulmonary edema is an unusual clinical condition occasionally associated with severe mitral valve insufficiency. We describe a patient diagnosed as having unilateral pulmonary edema after an acute anterior myocardial infarction. Echocardiograms performed in the acute phase ruled out mitral insufficiency. A perfusion lung scan showed left-sided pulmonary hypoperfusion. The diagnosis of acquired hypoplasia of the left pulmonary artery tree was made by chest computed tomography. The pathogenesis and differential diagnosis are discussed...
July 2005: Revista Española de Cardiología
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