Journal of Cardiac Arrhythmias最新文献_第10页

Comparação entre 2 Métodos de Fixação de Marcapasso Provisório Transvenoso: FIX-IT Trial 两种经静脉临时起搏器固定方法的比较：FIX-IT试验

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.007_pt

Raoni de Castro Galvão, Bruno Papelbaum, Raquel Almeida Lopes Neves, Fabricio Mantovani Cezar, Luciene Dias de Jesus, Jaqueline Correia Padilha, Carlos Eduardo Duarte, J. T. Medeiros de Vasconcelos, Silas dos Santos Galvão-Filho

{"title":"Comparação entre 2 Métodos de Fixação de Marcapasso Provisório Transvenoso: FIX-IT Trial","authors":"Raoni de Castro Galvão, Bruno Papelbaum, Raquel Almeida Lopes Neves, Fabricio Mantovani Cezar, Luciene Dias de Jesus, Jaqueline Correia Padilha, Carlos Eduardo Duarte, J. T. Medeiros de Vasconcelos, Silas dos Santos Galvão-Filho","doi":"10.24207/jca.v32n2.007_pt","DOIUrl":"https://doi.org/10.24207/jca.v32n2.007_pt","url":null,"abstract":"Introdução: A necessidade de marcapasso provisório (MPP) transita por diversos cenários. Alguns pacientes necessitam do dispositivo para completar um tratamento de infecção, recuperar o ritmo após infarto do miocárdio ou enquanto aguardam liberação do dispositivo defi nitivo pela operadora de saúde. Independentemente da técnica de passagem do MPP, a boa fi xação do eletrodo é fundamental, evitando-se deslocamentos e necessidade de reposicionamento, entre outras complicações. Objetivo: Comparar duas formas de fi xação de MPP, uma sob fi xação direta na pele e outra mantendo-seo introdutor venoso conectado à proteção plástica por todo cabo-eletrodo do marcapasso. Métodos: Randomizaram-se 40 pacientes, 20 em cada grupo. Registraram-se dados referentes ao tempo do procedimento, posição do cabo-eletrodo, limiares de comando, sensibilidade e complicações. Consideraram-se como desfecho primário a necessidade de reposicionamento ou troca do MPP transvenoso e secundário qualquer complicação sem a necessidade de reposicioná-lo. Resultados: Não houve diferenças signifi cativas na duração total do procedimento entre os grupos na posição inicial do eletrodo e na via de acesso utilizada. O grupo com a proteção plástica apresentou desfecho primário maior (60%) em relação ao grupo de fi xação direta (20%; p = 0,0098). Não houve diferenças em relação ao desfecho secundário (p = 1,0). O grupo com proteção plástica também apresentou mais complicações totais em relação ao outro grupo (p = 0,0262). Conclusão: A fi xação direta do cabo-eletrodo do marcapasso se mostrou mais segura em relação à fi xação com proteção plástica, reduzindo complicações como deslocamentos do cabo-eletrodo que necessitem de reposicionamento ou troca desse, sem aumento no tempo do procedimento.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47611509","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

Importance of Postoperative Atrial Fibrillation Development in Heart Surgery: Intra-Hospital Outcomes in Santa Catarina Tertiary Cardiology Center 心脏外科术后心房颤动发展的重要性：圣卡塔琳娜三级心脏病中心的院内结果

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.004_in

Ricardo Pereira da Silva, Larissa Freitas Nunes Goldoni, Kárila Scarduelli Luciano, Ana Carolina Gern Junqueira, Ana Carolina Caldara Barreto, Rafael de March Ronsoni

{"title":"Importance of Postoperative Atrial Fibrillation Development in Heart Surgery: Intra-Hospital Outcomes in Santa Catarina Tertiary Cardiology Center","authors":"Ricardo Pereira da Silva, Larissa Freitas Nunes Goldoni, Kárila Scarduelli Luciano, Ana Carolina Gern Junqueira, Ana Carolina Caldara Barreto, Rafael de March Ronsoni","doi":"10.24207/jca.v32n2.004_in","DOIUrl":"https://doi.org/10.24207/jca.v32n2.004_in","url":null,"abstract":"Objective: To determine the incidence of postoperative atrial fibrillation (PAF) of cardiac surgery, its impact on morbimortality and duration of hospital stay in a tertiary cardiology center of the state of Santa Catarina, Brazil. Methods: Cohort study with 134 adult patients submitted to cardiac surgery. Results: the incidence was 32.8%. After multivariate analysis, patients who did not receive beta-blockers were associated with PAF with a relative risk odds ratio (RR) 10.73 (p <0.001). The highest rate of cardiovascular events (cerebrovascular accident, mortality, and acute coronary syndrome) was 25% in the PAF group. 10% (RR 3.21; p = 0.035) which, consequently, generated longer hospitalization time in these patients (19.1 vs. 12.5; p = 0.01). Conclusion: the incidence of PAF was high, caused a significant increase in morbimortality and duration of hospital stay, and consolidated the role of beta-blocker therapy in its prevention, and may serve as a basis for future prevention policies.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47502189","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

Reflexões sobre o estudo CABANA (Catheter Ablation versus Antiarrhythmic Drug Therapy for Atrial Fibrillation Trial) Reflexões sobre o estudo CABANA(导管消融与抗心律失常药物治疗心房颤动试验)

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.989_pt

J. T. Medeiros de Vasconcelos

引用次数: 1

Qual o diagnóstico? 诊断结果是什么？

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.993_pt

Cristiano de Oliveira Dietrich

引用次数: 0

Morte Súbita por Taquicardia Ventricular Polimórfi ca Catecolaminérgica em Criança 儿童儿茶酚胺能多态性室性心动过速猝死

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.006_pt

Isabella João Milan, Fernando Mello Porto, Halim Cury Filho, Adão Bento de Lucena Neto, José Marco Nogueira Lima

引用次数: 0

Effects of epicardial fat reduction on P-wave duration of morbidly obese patients submitted to bariatric surgery: an observational study 心外膜脂肪减少对接受减肥手术的病态肥胖患者P波持续时间的影响：一项观察性研究

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.009_in

A. Fernandes-Cardoso, M. Santos-Furtado, J. Grindler, Alfredo José Fonseca, Carlos Matheus Rodrigues Oliveira, Nemer Luiz Pichara, R. Cleva, Marco Aurélio Santo

{"title":"Effects of epicardial fat reduction on P-wave duration of morbidly obese patients submitted to bariatric surgery: an observational study","authors":"A. Fernandes-Cardoso, M. Santos-Furtado, J. Grindler, Alfredo José Fonseca, Carlos Matheus Rodrigues Oliveira, Nemer Luiz Pichara, R. Cleva, Marco Aurélio Santo","doi":"10.24207/jca.v32n2.009_in","DOIUrl":"https://doi.org/10.24207/jca.v32n2.009_in","url":null,"abstract":"Introduction: Epicardial fat (EF) is biologically active and, through its paracrine effect, interacts with the atrial myocardium and may be involved in the atrial remodeling observed in obese individuals. P-wave duration (PWD) is a non-invasive marker of atrial conduction time and reflects changes related to atrial remodeling. The effects of the reduction of EF induced by bariatric surgery on PWD have not yet been defined. Methods: We prospectively recruited 22 morbidly obese patients with no other comorbidities at the Unidade de Cirurgia Bariátrica (Bariatric Surgery Unit) of Unviversidade de São Paulo’s Hospital das Clínicas. The patients were submitted to clinical and laboratorial evaluations, 12-lead eletrocardiography (ECG), two-dimensional echocardiogram and 24 h Holter. The same evaluation was performed 12 months after bariatric surgery. In order to make a comparison of the continuous variables, we used the paired and Wilcoxon T tests. To evaluate the association between independent variables, a regression model was used for repeated measures. Results: A total of 20 patients completed the protocol (age: 36.35 ± 10.26 years, 18 women). There was a significant reduction of PWD, body mass index (BMI) and EF after bariatric surgery (p<0.05). There was also an average reduction of 11.55 ± 8.49 ms in PWD. In the multiple regression analysis, an association was observed between the reduction of PWD and the reduction of EF and BMI. Conclusions: In morbidly obese patients with no other comorbidities, the reduction of EF after bariatric surgery was associated with an improvement in atrial remodeling indicated by a significant reduction in PWD.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49509619","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

Synopsis of Most Relevant Articles on Cardiac Arrhythmias 心律失常相关文章综述

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jac.v32i2.991_in

Bruno Papelbaum

引用次数: 0

Comparison of Two Transvenous Temporary Pacemaker Fixation Methods: FIX-IT Trial 两种经静脉临时起搏器固定方法的比较:FIX-IT试验

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/ca.v32n2.007_in

Raoni de Castro Galvão, Bruno Papelbaum, Raquel Almeida Lopes Neves, Fabricio Mantovani Cezar, Luciene Dias de Jesus, Jaqueline Correia Padilha, Carlos Eduardo Duarte, J. T. Medeiros de Vasconcelos, Silas dos Santos Galvão-Filho

{"title":"Comparison of Two Transvenous Temporary Pacemaker Fixation Methods: FIX-IT Trial","authors":"Raoni de Castro Galvão, Bruno Papelbaum, Raquel Almeida Lopes Neves, Fabricio Mantovani Cezar, Luciene Dias de Jesus, Jaqueline Correia Padilha, Carlos Eduardo Duarte, J. T. Medeiros de Vasconcelos, Silas dos Santos Galvão-Filho","doi":"10.24207/ca.v32n2.007_in","DOIUrl":"https://doi.org/10.24207/ca.v32n2.007_in","url":null,"abstract":"Introduction: the necessity for a temporary pacemaker (TP) goes through several scenarios. Some patients require the device to complete an infection treatment, regain the pace after myocardial infarction, or while awaiting the release of the definitive device by the health care provider. Regardless of the TP passage technique, good electrode fixation is essential, avoiding dislocation and the necessity for repositioning, among other complications. Objective: to compare two forms of TP fixation, one under direct fixation to the skin and the other keeping the venous introducer connected to the plastic protection through the pacemaker electrode lead. Methods: Forty patients were randomized, 20 in each group. Data regarding the procedure time, electrode lead position, command thresholds, sensitivity, and complications were recorded. The primary outcome considered was the necessity for repositioning or exchange of transvenous TP and secondary any complication without the necessity to reposition it. Results: There were no significant differences in the total duration of the procedure between the groups in the initial position of the electrode and the access route used. The group with plastic protection had a higher primary outcome (60%) than the direct fixation group (20%; p = 0.0098). There were no differences regarding the secondary outcome (p = 1.0). The group with plastic protection also had more total complications compared to the other group (p = 0.0262). Conclusion: Direct fixation of the pacemaker electrode lead was safer concerning the fixation with plastic protection, reducing complications such as electrode dislocation requiring repositioning or replacement without increasing the procedure time.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46793482","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

Management of Hemorrhage Related to Direct Action Oral Anticoagulant Medication 直接作用口服抗凝药物所致出血的处理

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.008_in

Isabela Ramos Ali Ganem, L. C. Behrmann Martins, Carlos Eduardo Mendonça Tomé

{"title":"Management of Hemorrhage Related to Direct Action Oral Anticoagulant Medication","authors":"Isabela Ramos Ali Ganem, L. C. Behrmann Martins, Carlos Eduardo Mendonça Tomé","doi":"10.24207/jca.v32i2.008_in","DOIUrl":"https://doi.org/10.24207/jca.v32i2.008_in","url":null,"abstract":"Introduction: Direct Oral Anticoagulant – DOACs) are a new class of anticoagulant that directly inhibit the trombine (dabigatran) or Xa factor (rivaroxabane , edoxabane and apixabane) in the coagulation cascade. These medications are being more frequently used for the treatment and prevention of thrombolytic events, mainly in patients with atrial fibrillation, in substitute to varfrine or other vitamin K antagonists (VKAs). Although the incidence of hemorrhage is higher in AVKs than in DOACs, these events may also occur in this group, even in the form of intracranial hemorrhage (ICH), with risk of death. Nowadays, DOACs indications have progressively enhanced and the availability of their specific reverse agents certainly will enhance the safety of their usage. Idarucizumab,\u0000reverse agent of dabigatrane, and alpha andexanet, reverse agent of Xa factor, have been approved by the Food and Drug Administration in the United States and ciraparantag may be approved in a near future. Objective: To review the literature on the manage of hemorrhage related to the use of DOACs. Methods: Review of literature that used articles from 1998 to 2017, from several platforms and journals. Conclusion: DOACs constitute a great advance in prophylaxis and treatment of thrombolytic diseases, which presents elevated morbidymortality, and hemorrhages are the main adverse events related to their usage, being rarely necessary the immediate reverse of the anticoagulation. However, the existence of DOACs specific reverse agents enhance the safety of patients, whose anticoagulation may be rapidly reversed if necessary.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41959672","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

Manejo das Hemorragias Relacionadas aos Anticoagulantes Orais de Ação Direta 直接作用口服抗凝剂相关出血的处理

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.008_pt

Isabela Ramos Ali Ganem, Luiz Claudio Behrmann Martins, Carlos Eduardo Mendonça Tomé

{"title":"Manejo das Hemorragias Relacionadas aos Anticoagulantes Orais de Ação Direta","authors":"Isabela Ramos Ali Ganem, Luiz Claudio Behrmann Martins, Carlos Eduardo Mendonça Tomé","doi":"10.24207/jca.v32i2.008_pt","DOIUrl":"https://doi.org/10.24207/jca.v32i2.008_pt","url":null,"abstract":"Introdução: Os anticoagulantes orais diretos (direct oral anticoagulant – DOACs) são uma nova classe de anticoagulantes que inibem diretamente a trombina (dabigatrana) ou o fator Xa (rivaroxabana, edoxabana e apixabana) na cascata da coagulação. Esses estão sendo cada vez mais utilizados para tratamento e prevenção de eventos tromboembólicos, principalmente em pacientes com fibrilação atrial, em substituição à varfarina ou outros antagonistas de vitamina K (AVKs). Embora a incidência de hemorragias seja maior nos AVKs do que nos DOACs, elas também podem ocorrer nesse grupo, até mesmo na forma de hemorragia intracraniana (HIC) com risco de morte. Atualmente as indicações dos DOACs vêm aumentando progressivamente, e a disponibilização de seus agentes reversores específicos certamente aumentará a segurança e, consequentemente, sua utilização. O idarucizumab, reversor da dabigatrana, e o andexanet alfa, reversor dos inibidores do fator Xa, foram aprovados pelo Food and Drug Administration (FDA) dos Estados Unidos e o ciraparantag poderá ser aprovado em um futuro próximo. Objetivo: Revisar a literatura sobre o manejo da hemorragia relacionada ao uso dos DOACs. Métodos: Revisão da literatura que utilizou artigos de 1998 a 2017, de diversas plataformas e revistas. Conclusão: Os DOACs constituem um grande avanço na profilaxia e tratamento da doença tromboembólica, que cursa com elevada morbimortalidade, e as hemorragias são os principais eventos adversos relacionados ao seu uso, sendo raramente necessária a reversão imediata da anticoagulação. No entanto, a existência dos reversores específicos dos DOAcs aumenta a segurança dos pacientes, que poderão ter sua anticoagulação revertida rapidamente, se necessário.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43791701","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