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Journal of Cardiac Arrhythmias最新文献

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Atrial Fibrillation and Systemic Thromboembolism – Causal Correlation or a Message of Atrial Disease? 心房颤动和全身血栓栓塞——因果关系还是心房疾病的信息?
Journal of Cardiac Arrhythmias Pub Date : 2020-01-17 DOI: 10.24207/jca.v32n3.985_in
José Tarcísio Medeiros Vasconcelos, Carlos Eduardo Duarte, Silas dos Santos Galvão Filho
{"title":"Atrial Fibrillation and Systemic Thromboembolism – Causal Correlation or a Message of Atrial Disease?","authors":"José Tarcísio Medeiros Vasconcelos, Carlos Eduardo Duarte, Silas dos Santos Galvão Filho","doi":"10.24207/jca.v32n3.985_in","DOIUrl":"https://doi.org/10.24207/jca.v32n3.985_in","url":null,"abstract":"The correlation between atrial fibrillation (AF) and thromboembolism is well known. In 1951, Raymond Daley et al. associated the occurrence of this arrhythmia to systemic embolic events with consistent information in patients with chronic rheumatic heart disease1. In this study involving 194 patients with rheumatic heart disease who were victims of thromboembolism, with autopsy information in 39 patients, the presence of AF was demonstrated in about 90% of cases. The classic Framingham study, published in 1978, was the first large study that established this same correlation in nonrheumatic individuals, showing that individuals with AF are nearly six times more likely to have a stroke than the AF-free individuals with characteristics adjusted for sex, age and blood pressure2. The inclusion of rheumatic individuals has raised this risk to approximately 18 times. Since this important publication, several studies have corroborated these findings.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47032680","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
Qual o Diagnóstico? 诊断结果是什么？
Journal of Cardiac Arrhythmias Pub Date : 2020-01-17 DOI: 10.24207/jca.v32i3.986_pt
José Tarcísio Medeiros d Vasconcelos
{"title":"Qual o Diagnóstico?","authors":"José Tarcísio Medeiros d Vasconcelos","doi":"10.24207/jca.v32i3.986_pt","DOIUrl":"https://doi.org/10.24207/jca.v32i3.986_pt","url":null,"abstract":"A imagem e os traçados foram obtidos durante manobra de estimulação para-hissiana em estudo eletrofisiológico. Pergunta-se: há um comportamento de condução retrógrada nodal ou extranodal?","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47763964","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
Importância do Desenvolvimento de Fibrilação Atrial no Pós-Operatório em Cirurgia Cardíaca: Desfechos Intra-Hospitalares em Centro Terciário de Cardiologia Catarinense 心脏手术中心房颤动发展的重要性:圣卡塔琳娜三级心脏病中心的住院结果
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.004_pt
Ricardo Pereira da Silva, Larissa Freitas Nunes Goldoni, Kárila Scarduelli Luciano, Ana Carolina Gern Junqueira, Ana Carolina Caldara Barreto, Rafael de March Ronsoni
{"title":"Importância do Desenvolvimento de Fibrilação Atrial no Pós-Operatório em Cirurgia Cardíaca: Desfechos Intra-Hospitalares em Centro Terciário de Cardiologia Catarinense","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_pt","DOIUrl":"https://doi.org/10.24207/jca.v32n2.004_pt","url":null,"abstract":"Objetivo: Determinar a incidência de fibrilação atrial no pós-operatório (FAPO) de cirurgia cardíaca, seu impacto sobre a morbimortalidade e o tempo de internação hospitalar em um centro terciário de cardiologia do estado de Santa Catarina, Brasil. Métodos: Estudo de coorte com 134 pacientes adultos submetidos à cirurgia cardíaca. Resultados: A incidência foi de 32,8%. Após análise multivariada, os pacientes que não receberam betabloqueador estiveram associados à FAPO com razão de chances risco relativo (RR) 10,73 (p < 0,001). A maior taxa de eventos cardiovasculares (acidente vascular cerebral, mortalidade e síndrome coronariana aguda) foi de 25% no grupo FAPO vs. 10% (RR 3,21; p = 0,035) o que, consequentemente, gerou tempo de internação maior nesses pacientes (19,1 vs. 12,5; p = 0,01). Conclusão: A incidência de FAPO foi elevada, ocasionou significativo aumento de morbimortalidade e tempo de internação hospitalar e consolidou o papel da terapia betabloqueadora na sua prevenção, podendo servir como base a futuras políticas de prevenção dessa intercorrência.","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":"45292704","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
Sinopse de Artigos Mais Relevantes em Arritmias Cardíacas 心律失常相关文章综述
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.991_pt
Bruno Papelbaum
{"title":"Sinopse de Artigos Mais Relevantes em Arritmias Cardíacas","authors":"Bruno Papelbaum","doi":"10.24207/jca.v32i2.991_pt","DOIUrl":"https://doi.org/10.24207/jca.v32i2.991_pt","url":null,"abstract":"Sinopse de artigos","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":"47419462","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
Guidelines for Performing Nuclear Magnetic Resonance Imaging Examinations in Patients with Cardiac Electronic Devices 心脏电子设备患者核磁共振成像检查指南
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/10.24207/jca.v32n2.994_in
Antonio Vitor Moraes Junior, Bruno Pereira Valdigem, Cecilia Monteiro Boya Barcelos, Celso Salgado de Melo, Wilson Lopes Pereira, Hilton Muniz Leão Filho, Marco Antônio Rocha Mello, Cyro Antônio F Fonseca Junior, Fernando Eduardo Nunes Mariz, Marcelo Rodrigues de Abreu, Patrícia Prando Cardia, Paulo Roberto Vieira de Andrade, Simone Kodlulovich Renha, Alexander Dal Forno, Andre Luiz Buchele D´Avila, Ricardo Alkmin Teixeira, Veridiana Silva de Andrade
{"title":"Guidelines for Performing Nuclear Magnetic Resonance Imaging Examinations in Patients with Cardiac Electronic Devices","authors":"Antonio Vitor Moraes Junior, Bruno Pereira Valdigem, Cecilia Monteiro Boya Barcelos, Celso Salgado de Melo, Wilson Lopes Pereira, Hilton Muniz Leão Filho, Marco Antônio Rocha Mello, Cyro Antônio F Fonseca Junior, Fernando Eduardo Nunes Mariz, Marcelo Rodrigues de Abreu, Patrícia Prando Cardia, Paulo Roberto Vieira de Andrade, Simone Kodlulovich Renha, Alexander Dal Forno, Andre Luiz Buchele D´Avila, Ricardo Alkmin Teixeira, Veridiana Silva de Andrade","doi":"10.24207/10.24207/jca.v32n2.994_in","DOIUrl":"https://doi.org/10.24207/10.24207/jca.v32n2.994_in","url":null,"abstract":"It is estimated that up to 75% of patients with cardiac implantable electronic devices (CIEDs) will have an indication for nuclear magnetic resonance imaging (MRI) throughout their lives. Th is population has been historically excluded from the list of patients considered eligible for this examination due to the characteristics of the devices.","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":"43491539","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
Qual o Diagnóstico? 诊断是什么?
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.990_pt
Jose Mario Baggio Junior, Joubert Ariel Pereira Mosquera, Luis Gustavo Ferreira Gomes, Wagner Luis Gali, Alvaro Valentim Lima Sarabanda
{"title":"Qual o Diagnóstico?","authors":"Jose Mario Baggio Junior, Joubert Ariel Pereira Mosquera, Luis Gustavo Ferreira Gomes, Wagner Luis Gali, Alvaro Valentim Lima Sarabanda","doi":"10.24207/jca.v32i2.990_pt","DOIUrl":"https://doi.org/10.24207/jca.v32i2.990_pt","url":null,"abstract":"Paciente DT, 23 anos, sexo feminino, com transposição corrigida de grandes artérias, bloqueio atrioventricular total com QRS estreito (Fig. 1), submetida a implante de marcapasso bicameral aos 13 anos, com troca de gerador há três anos. Possui boa capacidade funcional, mas queixa-se de fadiga diante de esforços intensos.","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":"46769517","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
Efeitos da Redução da Gordura Epicárdica na Duração da Onda P de Obesos Mórbidos Submetidos à Cirurgia Bariátrica: um Estudo Observacional 心外膜脂肪减少对肥胖手术患者P波持续时间的影响：一项观察研究
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.009_pt
Acácio Fernandes-Cardoso, Meive Santos-Furtado, José Grindler, Alfredo José Fonseca, Carlos Rodrigues Oliveira, Nemer Luiz Pichara, R. Cleva, Marco Aurélio Santo
{"title":"Efeitos da Redução da Gordura Epicárdica na Duração da Onda P de Obesos Mórbidos Submetidos à Cirurgia Bariátrica: um Estudo Observacional","authors":"Acácio Fernandes-Cardoso, Meive Santos-Furtado, José Grindler, Alfredo José Fonseca, Carlos Rodrigues Oliveira, Nemer Luiz Pichara, R. Cleva, Marco Aurélio Santo","doi":"10.24207/jca.v32n2.009_pt","DOIUrl":"https://doi.org/10.24207/jca.v32n2.009_pt","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":"44734852","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
Reflections on CABANA Trial (Catheter Ablation versus Antiarrhythmic Drug Therapy for Atrial Fibrillation Trial) 对CABANA试验的思考（心房颤动导管消融与抗心律失常药物治疗试验）
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.989_in
J. T. Medeiros de Vasconcelos
{"title":"Reflections on CABANA Trial (Catheter Ablation versus Antiarrhythmic Drug Therapy for Atrial Fibrillation Trial)","authors":"J. T. Medeiros de Vasconcelos","doi":"10.24207/jca.v32i2.989_in","DOIUrl":"https://doi.org/10.24207/jca.v32i2.989_in","url":null,"abstract":"Atrial fibrillation has been consolidated in recent decades as a serious public health problem, considering its notorious increase in prevalence with aging combined with increased population survival. Data from the Framingham Heart Study indicate that, even in an optimal scenario of absence of classic risk factors for its occurrences, such as smoking, alcohol abuse, obesity, hypertension, diabetes, and heart disease, about 10% of individuals aged 80 or over and about 25% of those aged 90 or over will have atrial fibrillation. These rates substantially increase when added to single or combined risk factors. Despite its already well-known association with the occurrence of thromboembolic stroke, the presence of atrial fibrillation has been identified as an independent mortality risk factor in large population studies.","PeriodicalId":33934,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41819578","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
Orientações para Realização de Exames de Ressonância Magnética Nuclear em Pacientes com Dispositivos Eletrônicos Cardíacos 心脏电子设备患者核磁共振检查指南
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32n2.994_pt
Antonio Vitor Moraes Junior, Bruno Pereira Valdigem, Cecilia Monteiro Boya Barcelos, Celso Salgado de Melo, Wilson Lopes Pereira, Hilton Muniz Leão Filho, Marco Antônio Rocha Mello, Cyro Antônio F Fonseca Junior, Fernando Eduardo Nunes Mariz, Marcelo Rodrigues de Abreu, Patrícia Prando Cardia, Paulo Roberto Vieira de Andrade, Simone Kodlulovich Renha, Alexander dal Forno, Andre Luiz Buchele D´Avila, Ricardo Alkmin Teixeira, Veridiana Silva de Andrade
{"title":"Orientações para Realização de Exames de Ressonância Magnética Nuclear em Pacientes com Dispositivos Eletrônicos Cardíacos","authors":"Antonio Vitor Moraes Junior, Bruno Pereira Valdigem, Cecilia Monteiro Boya Barcelos, Celso Salgado de Melo, Wilson Lopes Pereira, Hilton Muniz Leão Filho, Marco Antônio Rocha Mello, Cyro Antônio F Fonseca Junior, Fernando Eduardo Nunes Mariz, Marcelo Rodrigues de Abreu, Patrícia Prando Cardia, Paulo Roberto Vieira de Andrade, Simone Kodlulovich Renha, Alexander dal Forno, Andre Luiz Buchele D´Avila, Ricardo Alkmin Teixeira, Veridiana Silva de Andrade","doi":"10.24207/jca.v32n2.994_pt","DOIUrl":"https://doi.org/10.24207/jca.v32n2.994_pt","url":null,"abstract":"Estima-se que até 75% dos pacientes com dispositivos cardíacos eletrônicos implantáveis (DCEIs) terão indicação de exame de ressonância nuclear magnética (RNM) ao longo da vida. Pelas características dos dispositivos, esses foram excluídos historicamente do rol de pacientes considerados elegíveis ao exame.","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":"43156135","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
Sudden Death by Catecholaminergic Polymorphic Ventricular Tachycardia in Children 儿茶酚胺能多态性室性心动过速致儿童猝死
Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI: 10.24207/jca.v32i2.006_in
Isabella João Milan, Fernando Mello Porto, Halim Cury Filho, Adão Bento de Lucena Neto, José Marco Nogueira Lima
{"title":"Sudden Death by Catecholaminergic Polymorphic Ventricular Tachycardia in Children","authors":"Isabella João Milan, Fernando Mello Porto, Halim Cury Filho, Adão Bento de Lucena Neto, José Marco Nogueira Lima","doi":"10.24207/jca.v32i2.006_in","DOIUrl":"https://doi.org/10.24207/jca.v32i2.006_in","url":null,"abstract":"Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is a severe cardiac arrhythmogenic hereditary illness, which affects children and young adults with a structurally healthy heart. Its prevalence is of one case in 10 thousand inhabitants. It is a potentially fatal illness, part of the differential diagnosis of syncope in children. The present study has the purpose of relating the case of a child that, during the investigation of convulsive syncope, presented sudden death aborted due to CPVT and to describe the diagnosis difficulties of the case, comparing with data from the literature","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":"41898092","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
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