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Daniela do Carmo Rassi, Marcelo Luiz Campos Vieira, Rogerio Gomes Furtado, Fabio de Paula Turco, Luciano Henrique Melato, Viviane Tiemi Hotta, Colandy Godoy de Oliveira Nunes, Luiz Rassi, Salvador Rassi
Background: A few decades ago, patients with Chagas disease were predominantly rural workers, with a low risk profile for obstructive coronary artery disease (CAD). As urbanization has increased, they became exposed to the same risk factors for CAD of uninfected individuals. Dobutamine stress echocardiography (DSE) has proven to be an important tool in CAD diagnosis. Despite being a potentially arrhythmogenic method, it is safe for coronary patients without Chagas disease. For Chagas disease patients, however, the indication of DSE in clinical practice is uncertain, because of the arrhythmogenic potential of that heart disease...
February 2017: Arquivos Brasileiros de Cardiologia
Marly Uellendahl, Maria Eduarda Menezes de Siqueira, Eveline Barros Calado, Roberto Kalil-Filho, Dário Sobral, Clébia Ribeiro, Wilson Oliveira, Silvia Martins, Jagat Narula, Carlos Eduardo Rochitte
Background: Chagas disease (CD) is an important cause of heart failure and mortality, mainly in Latin America. This study evaluated the morphological and functional characteristics of the heart as well the extent of myocardial fibrosis (MF) in patients with CD by cardiac magnetic resonance (CMR). The prognostic value of MF evaluated by myocardial-delayed enhancement (MDE) was compared with that via Rassi score. Methods: This study assessed 39 patients divided into 2 groups: 28 asymptomatic patients as indeterminate form group (IND); and symptomatic patients as Chagas Heart Disease (CHD) group...
November 2016: Arquivos Brasileiros de Cardiologia
Jean Allan Costa, Maria Lucia Pereira Almeida, Tereza Cristina Duque Estrada, Guilherme Lobosco Werneck, Alexandre Marins Rocha, Maria Luiza Garcia Rosa, Mario Luiz Ribeiro, Claudio Tinoco Mesquita
Background: The ultraportable echocardiogram machine, with relevant portability and easiness in performing diagnoses, when in experienced hands, may contribute to the reliability of preoperative evaluation in noncardiac surgeries. Objectives: To assess cardiac function parameters in patients aged older than 60 years, candidates of elective noncardiac surgeries, classified as ASA1 or ASA 2 according to surgical risk. Methods: A total of 211 patients referred for elective surgeries, without suspicion of previous heart diseases, were included in the study...
November 2016: Arquivos Brasileiros de Cardiologia
Francisca Tatiana Moreira Pereira, Eduardo Arrais Rocha, Marcelo de Paula Martins Monteiro, Neiberg de Alcantara Lima, Carlos Roberto Martins Rodrigues Sobrinho, Roberto da Justa Pires Neto
BACKGROUND: The outcome of Chagas disease patients after receiving implantable cardioverter defibrillator (ICD) is still controversial. OBJECTIVE: To compare clinical outcomes after ICD implantation in patients with chronic Chagas cardiomyopathy (CCC) and ischemic heart disease (IHD). METHODS: Prospective study of a population of 153 patients receiving ICD (65 with CCC and 88 with IHD). The devices were implanted between 2003 and 2011. Survival rates and event-free survival were compared...
August 2016: Arquivos Brasileiros de Cardiologia
Esbeidira Aranet Arroyo-Martínez, Alejandra Meaney, Gabriela Gutiérrez-Salmeán, Juan Miguel Rivera-Capello, Vidal González-Coronado, Alejandro Alcocer-Chauvet, Genaro Castillo, Nayelli Nájera, Guillermo Ceballos, Eduardo Meaney
BACKGROUND: Remote ischemic preconditioning (RIPC) represents an attractive therapy for myocardial protection, particularly when ischemic events can be anticipated. Although several hypothetic mechanisms have been proposed, no definite molecular pathways have been elucidated. OBJECTIVE: We evaluated the effect of brachial circulation cuff occlusion on myocardial ischemic tolerance, necrosis, and nitric oxide (NO) in patients with ischemic heart disease undergoing elective percutaneous coronary interventions (PCI)...
August 2016: Arquivos Brasileiros de Cardiologia
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...
September 2016: Arquivos Brasileiros de Cardiologia
D Etxeberria Lekuona, I Méndez López, M R Mercado, J Oteiza, M Arteaga, V Jarne
Clopidogrel is a thienopyridine-class antiplatelet drug commonly used in ischemic heart disease,cerebrovascular disease and peripheral artery disease.Liver toxicity due to this drug is very infrequent.We found 16 cases in the literature, and in only two of them liver biopsy was carried out. We report the case of a 78 year old patient with multiple conditions affected by severe toxic cholestatic hepatitis due to clopidogrel and the results of the liver biopsy performed. Hepatitis was resolved after discontinuing the drug...
2016: Anales del Sistema Sanitario de Navarra
Hugo Bizetto Zampa, Dalmo Ar Moreira, Carlos Alberto Brandão Ferreira Filho, Charles Rios Souza, Camila Caldas Menezes, Henrique Seichii Hirata, Luciana Vidal Armaganijan
Background: The QRS-T angle correlates with prognosis in patients with heart failure and coronary artery disease, reflected by an increase in mortality proportional to an increase in the difference between the axes of the QRS complex and T wave in the frontal plane. The value of this correlation in patients with Chagas heart disease is currently unknown. Objective: Determine the correlation of the QRS-T angle and the risk of induction of ventricular tachycardia / ventricular fibrillation (VT / VF) during electrophysiological study (EPS) in patients with Chagas disease...
October 28, 2014: Arquivos Brasileiros de Cardiologia
Michele Raja, Silvia Raja
OBJECTIVE: The aim of this study is to provide information about lithium effectiveness and safety in the treatment of old patients with mood disorders. METHODS: The study is naturalistic in nature and design and considers all patients aged ≥75 years attending our center in the past 10 years. We obtained patients' socio-demographic and clinical characteristics, the worst Global Assessment of Functioning score assigned in the course of treatment, the Clinical Global Impression (CGI) score at the beginning of treatment, the CGI-Improvement (CGI-I) highest score achieved in the follow-up, and drop-out rates...
July 2014: Rivista di Psichiatria
José F Varona, Juan M Guerra
Right-sided endocarditis is exceptional in non-drug addict patients without previous heart disease. Few cases have been published, and its diagnosis sometimes presents a significant clinical challenge. We describe a 57-year-old patient with no history of parenteral drug addiction or vascular catheter use, who had tricuspid valve endocarditis in a morphologically normal valve. The clinical debut was characterized by acute febrile syndrome, purpura (petechia) on the legs, and oligoarthritis. This entity usually has a good prognosis and responds well to treatment, and presents certain common clinical features (persistent fever, pulmonary lesions, anemia and microscopic hematuria) that can lead the clinician to suspect the diagnosis...
October 2004: Revista Española de Cardiología
Jorge Cervantes-Salazar, Juan Calderón-Colmenero, Samuel Ramírez-Marroquín, Alexis Palacios-Macedo, Alejandro Bolio-Cerdán, Alfredo Vizcaíno Alarcón, Pedro Curi-Curi, Manuel de la Llata, Julio Erdmenger-Orellana, Julieta González, Federico García-Soriano, Alejandro Calderón, Luis Casillas, Filiberto Villanueva, Roberto Sánchez-Ramírez, Héctor Osnaya, Juan Carlos Necoechea, Carlos Alva-Espinoza, Guillermo Prado-Villegas
INTRODUCTION: Current world tendency is the detection of health problems in order to offer solution alternatives by means of the development of computarized data bases. OBJECTIVE: To present the results of a computerized data base developed for the registry of pediatric cardiac surgery with the support of Asociación Mexicana de Especialistas en Cardiopatías Congénitas (AMECC, A.C.). MATERIAL AND METHODS: A one-year analysis (from August 1, 2011 to July 31, 2012) of a computerized data base was performed with the support of AMECC and the participation of the most important Mexican institutions for pediatric surgical heart disease health care, particularly for the uninsured population...
November 2013: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
Daniela do Carmo Rassi, Marcelo Luiz Campos Vieira, Ana Lúcia Martins Arruda, Viviane Tiemi Hotta, Rogério Gomes Furtado, Danilo Teixeira Rassi, Salvador Rassi
BACKGROUND: Echocardiography provides important information on the cardiac evaluation of patients with heart failure. The identification of echocardiographic parameters in severe Chagas heart disease would help implement treatment and assess prognosis. OBJECTIVE: To correlate echocardiographic parameters with the endpoint cardiovascular mortality in patients with ejection fraction < 35%. METHODS: Study with retrospective analysis of pre-specified echocardiographic parameters prospectively collected from 60 patients included in the Multicenter Randomized Trial of Cell Therapy in Patients with Heart Diseases (Estudo Multicêntrico Randomizado de Terapia Celular em Cardiopatias) - Chagas heart disease arm...
March 2014: Arquivos Brasileiros de Cardiologia
Enrique López Mora
No abstract text is available yet for this article.
July 2013: Archivos de Cardiología de México
J Pérez-Lescure Picarzo, D Crespo Marcos, F Centeno Malfaz
This article sets out the recommendations for the prevention of infective endocarditis (IE), contained in the guidelines developed by the American Heart Association (AHA) and the European Society of Cardiology (ESC), from which the recommendations of the Spanish Society of Paediatric Cardiology and Congenital Heart Disease have been agreed. In recent years, there has been a considerable change in the recommendations for the prevention of IE, mainly due to the lack of evidence on the effectiveness of antibiotic prophylaxis in prevention, and the risk of the development of antibiotic resistance...
March 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Jadelson Pinheiro de Andrade, José Antônio Marin-Neto, Angelo Amato Vincenzo de Paola, Fábio Vilas-Boas, Gláucia Maria Moraes Oliveira, Fernando Bacal, Edimar Alcides Bocchi, Dirceu Rodrigues Almeida, Abílio Augusto Fragata Filho, Maria da Consolação Vieira Moreira, Sérgio Salles Xavier, Wilson Alves de Oliveira Junior, João Carlos Pinto Dias
No abstract text is available yet for this article.
2011: Arquivos Brasileiros de Cardiologia
C Medrano López, L García-Guereta, L Fernández Pineda, P Malo Concepción, E Maroto Alvaro, J Santos de Soto, J Lirio Casero, P Suárez Cabrera, F Caballero Martínez
BACKGROUND: Following the results of the CIVIC study, the SECPCC proposes to revise its recommendations for the prevention of RSV, taking into account the new evidence, as well as the preventive experience of paediatric cardiologists. For this purpose a structured method of professional consensus has been chosen. OBJECTIVES: To develop a Spanish clinical consensus on preventing infection by RSV under the auspices of the Sociedad Española de Cardiología Pediátrica y Cardiopatías Congénitas...
June 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
C Medrano López, L García-Guereta Silva, J Lirio Casero, J García Pérez
INTRODUCTION: We compare hospitalisation rates for acute respiratory tract infection in children younger than 24 months with significant congenital heart disease without Down's syndrome with those with Down's syndrome with or without congenital heart disease. MATERIAL AND METHODS: This was an epidemiological, multicentre (53 Spanish hospitals), observational and prospective study, from October 2006 to April 2007. A total of 1085 patients were followed-up, of which 806 did not have Down's syndrome and 279 with Down's syndrome: 135 with significant, 38 with non significant and 105 without congenital heart disease...
July 2009: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Vivencio Barrios, Carlos Escobar, Vicente Bertomeu, Nekane Murga, Carmen de Pablo, Alberto Calderón
Cardiopatía Isquémica Crónica e Hipertensión Arterial en la Práctica Clínica en España (CINHTIA) was a survey designed to assess the clinical management of hypertensive outpatients with chronic ischemic heart disease. Sex differences were examined. Blood pressures (BP) was considered controlled at levels of <140/90 or <130/80 mm Hg in diabetics (European Society of Hypertension/European Society of Cardiology 2003); low-density lipoprotein cholesterol (LDL-C) was considered controlled at levels <100 mg/dL (National Cholesterol Education Program Adult Treatment Panel III)...
October 2008: Journal of Clinical Hypertension
JoEllyn M Abraham, C Michael Gibson, Gonzalo Pena, Ricardo Sanz, Amjad AlMahameed, Sabina A Murphy, Jesús Blanco, Juan Alonso-Briales, Juan Lopez-Mesa, Federico Gimeno, Pedro L Sánchez, Francisco Fernández-Avilés et al.
UNLABELLED: Higher angiographic perfusion score (APS) following percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) has been shown to be associated with improved clinical outcomes. The association between APS after STEMI and left ventricular remodeling as assessed by volumetric parameters derived from left ventriculography has not been assessed. METHODS: The APS (the arithmetic sum of the TIMI Flow Grade (TFG) and TIMI Myocardial Perfusion grade (TMPG) before and after percutaneous coronary intervention (PCI), range of 0-12) was assessed in 168 patients from the GRACIA-2 trial...
April 2009: Journal of Thrombosis and Thrombolysis
Francisco Fernández-Avilés, Joaquín J Alonso, Gonzalo Peña, Jesús Blanco, Juan Alonso-Briales, Juan López-Mesa, Felipe Fernández-Vázquez, José Moreu, Rosa A Hernández, Alfonso Castro-Beiras, Rafael Gabriel, C Michael Gibson, Pedro L Sánchez
AIMS: In patients with acute myocardial infarction and ST-segment elevation (STEMI), primary angioplasty is frequently not available or performed beyond the recommended time limit. We designed a non-inferiority, randomized, controlled study to evaluate whether lytic-based early routine angioplasty represents a reasonable reperfusion option for victims of STEMI irrespective of geographic or logistical barriers. METHODS AND RESULTS: A total of 212 STEMI patients were randomized to full tenecteplase followed by stenting within 3-12 h of randomization (early routine post-fibrinolysis angioplasty; 104 patients), or to undergo primary stenting with abciximab within 3 h of randomization (primary angioplasty; 108 patients)...
April 2007: European Heart Journal
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