International Journal of Cardiovascular Sciences最新文献_第3页

Coronary Artery Disease in Women: Getting to Know Gender Related Disparities 女性冠状动脉疾病:了解性别相关差异

International Journal of Cardiovascular Sciences Pub Date : 2023-07-10 DOI: 10.36660/ijcs.20220022

Ana Gilabert-Garcia, Cristina Cristina Villarreal Guerrero, Rodrigo Dagio-Cuéllar, J. Bermudez-Gonzalez, Arantza Marie Perez-Partida, Joaquin Berarducci, J. I. Armenta-Moreno, J.A. Luna-Alvarez-Amezquita, Juan Ignacio Straface, N. Espinola-Zavaleta, E. Alexanderson

{"title":"Coronary Artery Disease in Women: Getting to Know Gender Related Disparities","authors":"Ana Gilabert-Garcia, Cristina Cristina Villarreal Guerrero, Rodrigo Dagio-Cuéllar, J. Bermudez-Gonzalez, Arantza Marie Perez-Partida, Joaquin Berarducci, J. I. Armenta-Moreno, J.A. Luna-Alvarez-Amezquita, Juan Ignacio Straface, N. Espinola-Zavaleta, E. Alexanderson","doi":"10.36660/ijcs.20220022","DOIUrl":"https://doi.org/10.36660/ijcs.20220022","url":null,"abstract":"Coronary artery disease (CAD) and ischemic heart disease (IHD) are often indistinctly used terms. Both combined have generated, over the past years, concerns about sex disparities in their presentation. From an epidemiological perspective, females have several disadvantages regarding the prevention, diagnosis, and treatment of CAD. Most of the general cardiovascular risk factors affect women more frequently, or with a higher morbidity and mortality association. Besides, atypical manifestations of the disease and uncommon forms of CAD represent a diagnostic challenge for clinicians. Even if current treatments for CAD have no apparent sex bias, women representation in clinical trials and treatment patterns analyzed in clinical practice refuse this statement. Several disparities are caused by inevitable sex-particularities, but many of them are more social, cultural, and dogmatic beliefs that have to be addressed and overhaul.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84089428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Degenerative Aortic Stenosis in Women: Challenges and Perspectives 女性退行性主动脉狭窄:挑战和观点

International Journal of Cardiovascular Sciences Pub Date : 2023-07-10 DOI: 10.36660/ijcs.20210261

Maria Cristina Meira Ferreira, D. Nercolini, Mayara Viana de Oliveira, M. A. Santos, F. Mangione, V. Lemke, Maria Sanali Moura Paiva, G. Oliveira

{"title":"Degenerative Aortic Stenosis in Women: Challenges and Perspectives","authors":"Maria Cristina Meira Ferreira, D. Nercolini, Mayara Viana de Oliveira, M. A. Santos, F. Mangione, V. Lemke, Maria Sanali Moura Paiva, G. Oliveira","doi":"10.36660/ijcs.20210261","DOIUrl":"https://doi.org/10.36660/ijcs.20210261","url":null,"abstract":"Degenerative aortic stenosis is currently a public health problem. Affecting the elderly population, this pathology has been showing an increasing prevalence as a direct result of the population aging. In this context, women have a greater life expectancy, corresponding to most of the population with degenerative aortic stenosis. Specific characteristics of this pathology in females are present in the diagnosis, pathophysiology, anatomical aspects, imaging and in therapeutic approach. Women present a more severe disease with less valve calcification than men, more concentric ventricular remodeling, higher transvalvular gradients, and less myocardial fibrosis. Less evident symptoms mean that these patients are referred later for surgical or percutaneous therapeutic treatment. The greater comorbidity presented by females and possibly due to the smaller body surface, bring specific aspects that affect the surgery results, leading to higher mortality rates and, more often, the prosthesis-patient mismatch. Percutaneous valve implantation is a good alternative, with better results in females, when compared to surgery, both in the treatment of native valves and in the treatment of a previously implanted bioprosthesis’ dysfunction. The challenges encountered for the treatment of aortic stenosis in women and their possible solutions are described in this article, focusing on the observed difference of aortic stenosis in females and their possible solutions .","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"158 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82916868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Adding the Exercise Test as a Tool in the Medical Decision-Making Process in Brugada Syndrome 在Brugada综合征的医疗决策过程中加入运动测试作为工具

International Journal of Cardiovascular Sciences Pub Date : 2023-07-10 DOI: 10.36660/ijcs.20230053

L. Mastrocola, Fábio Mastrocola

引用次数: 0

Stroke Is Associated with Refractory Hypertension among Resistant and Refractory Patients in a Cross-Sectional Study 在一项横断面研究中，卒中与顽固性高血压在顽固性和顽固性患者中相关

International Journal of Cardiovascular Sciences Pub Date : 2023-07-10 DOI: 10.36660/ijcs.20220175

Guilherme de Andrade Costa, J. Oliveira, Luana Ferreira-Campos, A. Improta-Caria, C. Macedo, Marcelo Vincenzo Sarno, Leonardo Silva Roever Borges, Roque Aras Júnior

{"title":"Stroke Is Associated with Refractory Hypertension among Resistant and Refractory Patients in a Cross-Sectional Study","authors":"Guilherme de Andrade Costa, J. Oliveira, Luana Ferreira-Campos, A. Improta-Caria, C. Macedo, Marcelo Vincenzo Sarno, Leonardo Silva Roever Borges, Roque Aras Júnior","doi":"10.36660/ijcs.20220175","DOIUrl":"https://doi.org/10.36660/ijcs.20220175","url":null,"abstract":"Background: Refractory hypertension (RfH) is a severe phenotype of resistant hypertension (RH) linked to higher risk of stroke and other adverse cardiovascular events, but knowledge about it is still lacking. Objectives: To evaluate the association between RfH and stroke. Methods: We conducted a cross-sectional study in a referral clinic for patients with severe hypertension in the period from 2018 to 2020. RH was defined as uncontrolled blood pressure (BP) despite the use of 3 antihypertensive agents, including a diuretic, or the use of ≥ 4 agents regardless of BP control. RfH was defined as lack of BP control despite use of ≥ 5 antihypertensive agents. Individuals were classified as RfH or RH, and multivariate logistic regression models were constructed to examine the association between RfH and stroke. Results: We evaluated a total of 137 patients; 81% were female, and 93,3% were Black or multiracial. The mean age was 64.4 years. Stroke was more prevalent in the RfH group (35.7%), in comparison to the RH group (12.8%) (p value = 0.01). Unadjusted odds ratio (OR) and 95% confidence interval (CI) for factors associated with stroke were RfH (OR 3.77; 95% CI 1.45 to 9.80), systolic BP (OR 1.02; 95% CI 1.002 to 1.04) and diastolic BP (OR 1.03; 95% CI 1.001 to 1.06). Adjusted OR for factors associated with stroke were RfH (OR 3.55; 95% CI 1.02 to 12.42), systolic BP (OR 1.02; 95% CI 0.99 to 1.05) and diastolic BP (OR 1.01; 95% CI 0.96 to 1.06). Conclusion: RfH was associated with higher prevalence of stroke. Efforts are required to better understand this association to prevent adverse cardiovascular outcomes in these patients.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83517254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Monocyte Inflammatory Signaling 单核细胞炎症信号

International Journal of Cardiovascular Sciences Pub Date : 2023-07-10 DOI: 10.36660/ijcs.20230025

F. Costa

引用次数: 0

The Use of Health Information Systems for Investigations 卫生信息系统在调查中的应用

International Journal of Cardiovascular Sciences Pub Date : 2023-07-07 DOI: 10.36660/ijcs.20230020

P. H. Godoy

引用次数: 0

Effectiveness of Early Mobilization in Prevention and Rehabilitation of Functional Impairment After Myocardial Revascularization Surgery: A Systematic Review 早期运动在心肌血运重建术后功能损害预防和康复中的有效性:系统综述

International Journal of Cardiovascular Sciences Pub Date : 2023-06-30 DOI: 10.36660/ijcs.20210166

Marcia Cristina Lacerda das Judas, R. F. Fontes, Renata Ferreira de Moura, Larissa dos Santos, M. D. Almeida, Vinicius Gomes

{"title":"Effectiveness of Early Mobilization in Prevention and Rehabilitation of Functional Impairment After Myocardial Revascularization Surgery: A Systematic Review","authors":"Marcia Cristina Lacerda das Judas, R. F. Fontes, Renata Ferreira de Moura, Larissa dos Santos, M. D. Almeida, Vinicius Gomes","doi":"10.36660/ijcs.20210166","DOIUrl":"https://doi.org/10.36660/ijcs.20210166","url":null,"abstract":"Introduction: Myocardial revascularization surgery is associated with high morbidity and mortality, due to factors like the general anesthesia and the surgical procedure itself. Physiotherapy, combined with early mobilization (EM), can provide the patient with better functional parameters. Objective: To review, identify and describe the effectiveness of EM in the prevention and rehabilitation of functional parameters of coronary artery bypass graft surgery. Methodology: This is a systematic review conducted between February 2020 and 2021 of randomized clinical trials (RCTs) published in the Cochrane databases Library, LILACS, Scielo and Medline / PubMed. The Physiotherapy Evidence Database (PEDro) scale was used for assessment of the methodological quality of studies included. Results: Four studies were reviewed. Two articles assessed functional capacity, one using the cycle ergometer and one with inspiratory muscle training (IMT) together with active exercises and early walking. One article reported a reduction in the incidence of atelectasis and pleural effusion with EM and one article reported improvements in the alveolus-artery gradient and inspiratory muscle power using an inspiratory muscle trainer combined with EM. Conclusion: EM is effective in the prevention and rehabilitation of functional parameters after CABG surgery, by improving functional capacity, respiratory muscle power, quality of life and gas exchange, and reducing the incidence of atelectasis and pleural effusion.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85624454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between the Phytochemical Index and Risk Factors for Cardiovascular Disease in Adults 植物化学指数与成人心血管疾病危险因素的关系

International Journal of Cardiovascular Sciences Pub Date : 2023-05-15 DOI: 10.36660/ijcs.20220055

Vanessa Zanoni Carvalhaes, G. Meireles, R. M. Catarino, Rosemeire Bueno

引用次数: 0

Exercise Stress Test in The Assessment of Brugada Syndrome Patients 运动应激试验在Brugada综合征患者评估中的应用

International Journal of Cardiovascular Sciences Pub Date : 2023-05-15 DOI: 10.36660/ijcs.20220079

Camila Pinto Cavalcante Miná, E. A. V. Rocha, D. Mont’Alverne, Eduardo Arrais Rocha

{"title":"Exercise Stress Test in The Assessment of Brugada Syndrome Patients","authors":"Camila Pinto Cavalcante Miná, E. A. V. Rocha, D. Mont’Alverne, Eduardo Arrais Rocha","doi":"10.36660/ijcs.20220079","DOIUrl":"https://doi.org/10.36660/ijcs.20220079","url":null,"abstract":"Brugada syndrome (BS) is a genetic channelopathy, clinically characterized by an increased risk of sudden cardiac death. The diagnosis requires a typical electrocardiographic pattern, and data on risk stratification are limited in the literature. The aim of this study was to conduct a review on the importance of exercise stress test (EST) in risk stratification in BS. Articles were searched in the PubMed, Scielo and Google Scholar databases. From the 200 articles retrieved, eight were included, with a total of 712 patients (95% men) aged between 35 and 60 years. Severe symptoms and ventricular arrhythmias were reported by 256 patients before the EST, with syncope being reported in 70% of cases. The reviewed articles suggest that the EST is a safe method that can help in the diagnosis and risk stratification for malignant arrhythmias in patients with BS. Potential predictors of poor prognosis were: augmentation in ST-segment elevation > 0.5 mV in V1, V2 or V3 in early recovery; J-point elevation in lead > 2mm in aVR in late recovery; heart rate reduction < 40% from maximum heart rate in late recovery and occurrence of ventricular extrasystoles in early recovery.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84481526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Analyzing the Impact of Stroke in the Southeast Region of Brazil 中风对巴西东南部地区的影响分析

International Journal of Cardiovascular Sciences Pub Date : 2023-05-15 DOI: 10.36660/ijcs.20230052

G. P. Soares, T. Salim

引用次数: 0