Francisco Antonio Helfenstein Fonseca, Maria Cristina Izar
{"title":"Could Patients At Low Cardiovascular Risk Be Better Stratified?","authors":"Francisco Antonio Helfenstein Fonseca, Maria Cristina Izar","doi":"10.36660/abc.20230310","DOIUrl":"https://doi.org/10.36660/abc.20230310","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Cardoso Barbosa, Heloisa de Carvalho Torres, João Antônio de Queiroz Oliveira, Rebeca Priscilla de Melo Santos, Josiane Moreira da Costa, Leonardo Gonçalves Miranda, Adriana Silvina Pagano, Marcus Fernando da Silva Praxedes, Maria Auxiliadora Parreiras Martins
{"title":"Construction and Validation of a Protocol Targeting Patients on Oral Anticoagulation with Warfarin.","authors":"Hannah Cardoso Barbosa, Heloisa de Carvalho Torres, João Antônio de Queiroz Oliveira, Rebeca Priscilla de Melo Santos, Josiane Moreira da Costa, Leonardo Gonçalves Miranda, Adriana Silvina Pagano, Marcus Fernando da Silva Praxedes, Maria Auxiliadora Parreiras Martins","doi":"10.36660/abc.20220576","DOIUrl":"10.36660/abc.20220576","url":null,"abstract":"<p><strong>Background: </strong>Warfarin is an oral anticoagulant that is very useful in preventing thromboembolism, though it is considered a drug with a high risk of causing adverse events. Considering the practical challenges in controlling oral anticoagulation, the patients on warfarin could benefit from educational strategies aimed at behavioral changes, active participation in self-care, and adherence to drug therapy.</p><p><strong>Objective: </strong>The aim was to construct and validate the EmpoderACO protocol for behavioral changes in warfarin patients.</p><p><strong>Methods: </strong>The methodological steps were: definition of concepts and domains of self-care, identification of objectives, construction and selection of items, assessment of content validity, and pre-test in the target population.</p><p><strong>Results: </strong>Relevance, adequacy, clarity, and internal reliability of the instrument's items were assessed by a multidisciplinary judges committee (JC) through the E-surv web platform, obtaining an average agreement of ≥0.91. The understanding of the instrument measured by the target population revealed adequate clarity with a coefficient average of 0.96.</p><p><strong>Conclusion: </strong>EmpoderACO can aid in qualifying the communication process between medical professionals and patients, as well as in improving adherence to both treatment and clinical outcomes, and can be replicated in healthcare settings.</p>","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10344350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10547737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jalles Dantas de Lucena, Hudson Martins de Brito, João Victor Souza Sanders, Jonathan Barros Cavalcante, Michelly Carneiro Collyer, Cecília de Lima Leite, Helson Freitas da Silveira, Julio Cesar Campos Ferreira Filho
{"title":"Incidence and Morphological Study of Myocardial Bridge in the State of Ceará: A Cadaveric Study.","authors":"Jalles Dantas de Lucena, Hudson Martins de Brito, João Victor Souza Sanders, Jonathan Barros Cavalcante, Michelly Carneiro Collyer, Cecília de Lima Leite, Helson Freitas da Silveira, Julio Cesar Campos Ferreira Filho","doi":"10.36660/abc.20220460","DOIUrl":"https://doi.org/10.36660/abc.20220460","url":null,"abstract":"<p><strong>Background: </strong>Myocardial bridges (MB) are anatomical anomalies with possible clinical repercussions; hence, their understanding deserves attention.</p><p><strong>Objective: </strong>To determinate the prevalence and characterize MB in human hearts from the state of Ceará. Methods: Fifty hearts of adult human cadavers from the Medicine School of Federal University of Ceará, Brazil. The hearts were dissected to identify MBs that pass over part of the coronary artery. The segment of the artery (proximal, middle, and distal) with a bridge was identified. The external diameter of the artery at the proximal and distal points of the MB was measured. The length and thickness of the MB were also measured with an electronic caliper. The muscle index (MMI) of the MB was calculated as the product of length and thickness expressed in millimeters. The significance level adopted in the statistical analysis was 5%.</p><p><strong>Results: </strong>MB was confirmed in 40% of sample. Approximately one third of the sample had only 1 MB. MB was most frequently found over the anterior interventricular branch of the left coronary artery (59.25%, p=0.02), and its prevalence in other branches was much lower (22.23%). The most affected segments of arteries were the superior (44.44%) and medium (40.74%). The mean diameter of arteries proximal to the MB was 2.38±0.97mm (range=0.78-5.15mm), and the diameter distal to the MB was 1.71±0.75mm (range=0.42-3.58mm). The length was measured as mean=8.55±5.27mm, while the mean thickness was 0.89±0.33mm.</p><p><strong>Conclusion: </strong>A high prevalence of MB is more likely to affect the left coronary artery system with larger MMI than other affected branches.</p>","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabela Bispo Santos da Silva Costa, Edielle de Sant Anna Melo, Armando Furtado, Juliana Barbosa Sobral-Alves, Stephanie Itala Rizk, Luiz Alberto Benvenuti, Carlos E Rochitte, Carlos Manuel de Almeida Brandão, Pablo Maria Pomarentzeff, Cristina Salvadori Bittar, Filomena Regina Barbosa Gomes Galas, José Otavio Costa Auler Junior, Paulo Marcelo Gehm Hoff, Roberto Kalil Filho, Fabio Biscegli Jatene, Ludhmila Abrahão Hajjar
{"title":"Carcinoid Heart Disease: A Case Report and Literature Review.","authors":"Isabela Bispo Santos da Silva Costa, Edielle de Sant Anna Melo, Armando Furtado, Juliana Barbosa Sobral-Alves, Stephanie Itala Rizk, Luiz Alberto Benvenuti, Carlos E Rochitte, Carlos Manuel de Almeida Brandão, Pablo Maria Pomarentzeff, Cristina Salvadori Bittar, Filomena Regina Barbosa Gomes Galas, José Otavio Costa Auler Junior, Paulo Marcelo Gehm Hoff, Roberto Kalil Filho, Fabio Biscegli Jatene, Ludhmila Abrahão Hajjar","doi":"10.36660/abc.20220245","DOIUrl":"https://doi.org/10.36660/abc.20220245","url":null,"abstract":"Isabela Bispo Santos da Silva Costa,1,2,3 Edielle de Sant`Anna Melo,1 Armando Furtado,2 Juliana Barbosa SobralAlves,1,2 Stephanie Itala Rizk,1,2 Luiz Alberto Benvenuti,2 Carlos E. Rochitte,2 Carlos Manuel de Almeida Brandão,2 Pablo Maria Pomarentzeff,2 Cristina Salvadori Bittar,1,2 Filomena Regina Barbosa Gomes Galas,2,3 José Otavio Costa Auler Junior,2 Paulo Marcelo Gehm Hoff,1 Roberto Kalil Filho,2,3 Fabio Biscegli Jatene,2 Ludhmila Abrahão Hajjar1,2 Universidade de São Paulo Instituto do Câncer do Estado de São Paulo,1 São Paulo, SP – Brasil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo,2 São Paulo, SP – Brasil Hospital Sírio-Libanês,3 São Paulo, SP – Brasil","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mafalda Carrington, Pedro Silvério António, Natacha Rodrigues, Afonso Nunes-Ferreira, Ana Bernardes, Fausto J Pinto, João de Sousa, Pedro Marques
{"title":"New Technique for Preserving Cephalic Vein Flow in Pacemaker Implantation Ipsilateral to Arteriovenous Fistula.","authors":"Mafalda Carrington, Pedro Silvério António, Natacha Rodrigues, Afonso Nunes-Ferreira, Ana Bernardes, Fausto J Pinto, João de Sousa, Pedro Marques","doi":"10.36660/abc.20220926","DOIUrl":"https://doi.org/10.36660/abc.20220926","url":null,"abstract":"although there is not enough evidence to recommend device implantation contralateral to an arteriovenous fistula. 3 Small observational studies have demonstrated that arteriovenous fistula construction in patients with CIED may increase primary arteriovenous fistula failure on the same side, 8 and that there is a higher incidence of central venous stenosis in patients with ipsilateral CIED and arteriovenous fistula, comparing to patients with contralateral strategy. 9 In a retrospective cohort, 2 there were higher rates of central vein intervention in ipsilateral cases, even if the need for intervention in arteriovenous hemodialysis accesses were similar in both groups. In that study, ipsilateral cases corresponded more frequently to patients in which arteriovenous fistulas were constructed after CIED implantation (81%) and contralateral cases to patients with arteriovenous fistulas prior to CIED implantation (56%), thus suggesting that the maturity of the arteriovenous fistula may play an important role in the prevention of deep venous","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Cristina Costa de Almeida, Marildes Luiza de Castro
{"title":"Triglycerides-Glucose İndex and Coronary Slow Flow: A New Diagnostic Tool?","authors":"Maria Cristina Costa de Almeida, Marildes Luiza de Castro","doi":"10.36660/abc.20230373","DOIUrl":"https://doi.org/10.36660/abc.20230373","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10389683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristian Rodrigues do Nascimento, Rodrigo Mendes, Carlos Alberto de Lima Botelho Filho, Romero Henrique de Almeida Barbosa, Pedro Pereira Tenório
{"title":"Analysis of low-density lipoprotein in diabetic patients using the Martin/Hopkins and Sampson equationsReply.","authors":"Cristian Rodrigues do Nascimento, Rodrigo Mendes, Carlos Alberto de Lima Botelho Filho, Romero Henrique de Almeida Barbosa, Pedro Pereira Tenório","doi":"10.36660/abc.20220859","DOIUrl":"https://doi.org/10.36660/abc.20220859","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10176074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paôla de Oliveira Souza, José Maria Parente de Oliveira, Letícia Helena Januário
{"title":"Influence of Arm Fat on the Indirect Measurement of Blood Pressure: A Statistical and Machine Learning Approach.","authors":"Paôla de Oliveira Souza, José Maria Parente de Oliveira, Letícia Helena Januário","doi":"10.36660/abc.20220484","DOIUrl":"10.36660/abc.20220484","url":null,"abstract":"<p><strong>Background: </strong>The indirect measurement of blood pressure (BP) is known to be influenced by many factors such as the technique, observer, and equipment; however, the influence of arm composition has not been investigated yet.</p><p><strong>Objective: </strong>To identify the influence of arm fat on the indirect measurement of blood pressure using statistical inference and machine learning models.</p><p><strong>Methods: </strong>Cross-sectional study, with 489 healthy young adults aged from 18 to 29 years old. Measurements of arm length (AL), arm circumference (AC) and arm fat index (AFI) were taken. BP was measured in both arms simultaneously. Data were processed using Python 3.0 and its specific packages for descriptive analysis, regression and cluster analysis. Significance levels: 5% for all calculations.</p><p><strong>Results: </strong>BP and anthropometric measurements were different between the hemi-bodies. In the right arm, systolic blood pressure (SBP), AL and AFI were higher, while AC was similar compared with the left arm. AL and AC showed positive correlation with SBP. According to the regression model, for a fixed value of AC and AL, SBP readings could be reduced by a mean of 1.80 mmHg in the right arm, and 1.62 mmHg in the left arm for every 10% increase in AFI. Clustering analysis corroborated the regression results.</p><p><strong>Conclusion: </strong>There was a significant influence of AFI on BP readings. SBP had a positive correlation with AL and AC, and a negative correlation with AFI, suggesting the need for further investigations on the relationship between BP and percentages of arm muscle and fat.</p>","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10232428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gustavo Augusto Ferreira Mota, Mariana Gatto, Cristina Schmitt Gregolin, Sérgio Luiz Borges de Souza, Marina Politi Okoshi
{"title":"mRNA, miRNA, lncRNA, ceRNA: The Future of Cardiovascular Research?","authors":"Gustavo Augusto Ferreira Mota, Mariana Gatto, Cristina Schmitt Gregolin, Sérgio Luiz Borges de Souza, Marina Politi Okoshi","doi":"10.36660/abc.20230209","DOIUrl":"https://doi.org/10.36660/abc.20230209","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10232427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}