Arquivos Brasileiros de Cardiologia最新文献

{"title":"Investigation of the Relationship Between Triglycerides-Glucose İndex and Coronary Slow Flow: A Retrospective Case-Control Study.","authors":"Mustafa Kaplangoray,&nbsp;Kenan Toprak,&nbsp;Fuat Başanalan,&nbsp;Ali Palice,&nbsp;Cihan Aydın,&nbsp;Aykut Demirkıran,&nbsp;Yusuf Cekici","doi":"10.36660/abc.20220679","DOIUrl":"https://doi.org/10.36660/abc.20220679","url":null,"abstract":"<p><strong>Background: </strong>Coronary slow flow (CSF) refers to delayed distal vessel opacification in the absence of epicardial coronary artery stenosis. The etiopathogenic mechanism of CSF is still unclear.</p><p><strong>Objectives: </strong>This study investigates the relationship between CSF and the triglyceride-glucose (TyG) index.</p><p><strong>Methods: </strong>The study sample consisted of 118 CSF patients and 105 patients with normal coronary flow (NCF). The coronary flow rate was measured via the Thrombolysis in Myocardial Infarction (TIMI) frame count (TFC) method in all patients. The TyG index was calculated as the logarithm of the [fasting triglyceride (mg/dL)×fasting glucose (mg/dL)]/2 value. A significance level of < 0.05 was adopted as statistically significant.</p><p><strong>Results: </strong>The TyG index, low-density lipoprotein (LDL), body mass index (BMI), neutrophil-to-lymphocyte ratio (NLR) and TFC values, male ratio, and the ratio of smokers were higher, whereas high-density lipoprotein (HDL) levels were significantly lower in the CSF group compared to the NCF group (p<0,05). The correlation analysis revealed that CSF was significantly correlated with TyG index, BMI, NLR, and HDL values. The strongest of these correlations was between CSF and TyG index (r= 0.57, p<0.001). Additionally, the multivariate analysis revealed that TyG index, BMI, NLR ratio, and male gender were independent predictors for CSF (p<0.05). Receiver operating characteristic (ROC) curve analysis indicated that a cut-off value of ≥ 9.28 for the TyG index predicted CSF with a sensitivity of 78% and a specificity of 78.1% [Area under the curve (AUC): 0.868 and 95% Confidence Interval (CI): 0.823-0.914].</p><p><strong>Conclusion: </strong>The findings of this study revealed a very strong relationship between CSF and TyG index.</p>","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 6","pages":"e20220679"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10389274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10547682","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}

{"title":"Renin-Angiotensin System Inhibition and Beta Blockade Adrenergic May Be Useful to Attenuate Cardiotoxicity by Anthracyclines.","authors":"Mario Fritsch Neves","doi":"10.36660/abc.20230280","DOIUrl":"https://doi.org/10.36660/abc.20230280","url":null,"abstract":"Short Editorial related to the article: Renin-angiotensin System Antagonists and Beta-blockers in Prevention of Anthracycline Cardiotoxicity: a Systematic Review and Meta-analysis","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 5","pages":"e20230280"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174601","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}

{"title":"Isolated Aneurysmal Dilatation of the Right Atrium, with Surgical Resolution, in a 53-Year-Old Adult.","authors":"Edmar Atik,&nbsp;Alessandra Costa Barreto,&nbsp;Maria Angélica Binotto,&nbsp;Marcelo B Jatene","doi":"10.36660/abc.20220870","DOIUrl":"https://doi.org/10.36660/abc.20220870","url":null,"abstract":"Introdução A dilatação aneurismática isolada do átrio direito é uma anomalia congênita rara. Sua identificação ocorre em vários grupos etários, desde o feto até a idade adulta. A manifestação clínica dessa anomalia é variada, conforme a magnitude da dilatação, desde pacientes assintomáticos, em geral em crianças e jovens, até presença de arritmias supraventriculares de difícil controle, insuficiência cardíaca direita, obstrução de vias aéreas, pneumonia e eventos tromboembólicos, em adultos. O diagnóstico é estabelecido após verificação de cardiomegalia em exames rotineiros radiográficos e confirmado posteriormente por ecocardiograma. Chama a atenção nesta patologia o tamanho desproporcional do átrio direito em relação às outras cavidades cardíacas, estando o anel tricúspide também dilatado, mas com valva tricúspide conservada. A insuficiência tricúspide que acompanha o quadro decorre assim da dilatação do anel valvar. A recomendação da correção cirúrgica daí passa a ser profilática na idade infantil dada a boa evolução verificada posteriormente. O diagnóstico diferencial engloba a anomalia de Ebstein, o derrame pericárdico e tumores torácicos mediastinais. O tratamento antiarrítmico e a medicação antitrombótica, representada por AAS, geralmente iniciam a conduta clínica, dada a presença de arritmias supraventriculares e de trombos cavitários, mais encontrados na idade adulta.1-12 A cirurgia de ressecção atrial, idealizada inicialmente por Morrow e Behrendt em 1968,13 foi orientada aos pacientes sintomáticos. O bom resultado cirúrgico foi atestado por esses autores em mulher de 23 anos, com flutter atrial e cardiomegalia, com aneurisma do átrio direito. Verificou-se nesta paciente boa evolução, em ritmo sinusal e sem sintomas após a correção efetuada. Desde esse início, tornou-se preconizada a conduta cirúrgica, tendo se estendido mesmo a pacientes assintomáticos, como procedimento eletivo e preventivo das complicações conhecidas.1,2 Seu diagnóstico durante a vida fetal tem orientado a conduta cirúrgica eletiva nos primeiros anos de vida.2,3 A evolução longa descrita em alguns casos não operados, com 69 e 88 anos de idade, não expressa benignidade em geral, como observado nesta doença com muitas complicações evolutivas.4,5","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 6","pages":"e20220870"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174599","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}

{"title":"Intracardiac Echocardiography Must Be Used in All Patients Who Underwent AF Ablation?","authors":"Cristiano F Pisani,&nbsp;Mauricio Scanavacca","doi":"10.36660/abc.20230290","DOIUrl":"https://doi.org/10.36660/abc.20230290","url":null,"abstract":"Short editorial related to the article: Atrial Fibrillation Ablation: Impact of Intracardiac Echocardiography in Reducing Procedure Time and Hospitalization","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 5","pages":"e20230290"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174600","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}

{"title":"In Search of the Perfect Marker.","authors":"Luiz Maurino Abreu","doi":"10.36660/abc.20230193","DOIUrl":"https://doi.org/10.36660/abc.20230193","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 4","pages":"e20230193"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178450","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}

{"title":"The Clinical Impact of Cardiovascular Symptoms on Post-Acute COVID-19 Syndrome.","authors":"Giovanni Possamai Dutra,&nbsp;Bruno Ferraz de Oliveira Gomes","doi":"10.36660/abc.20230282","DOIUrl":"https://doi.org/10.36660/abc.20230282","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 5","pages":"e20230282"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167893","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}

{"title":"Blood Pressure Measurement: There's More Than Meets the Arm.","authors":"Rodrigo Bezerra,&nbsp;Audes D M Feitosa,&nbsp;Wilson Nadruz","doi":"10.36660/abc.20230274","DOIUrl":"https://doi.org/10.36660/abc.20230274","url":null,"abstract":"Rodrigo Bezerra,1,2 Audes D. M. Feitosa,2 Wilson Nadruz1,3 Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, PE – Brasil Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Universidade de Pernambuco, Recife, PE – Brasil Departamento de Medicina Interna, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP – Brasil Minieditorial referente ao artigo: Influência da Gordura do Braço sobre Medida Indireta da Pressão Sanguínea: Uma Abordagem Estatística e de Machine Learning","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 5","pages":"e20230274"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174603","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}

{"title":"Fructose Consumption Alters Biogenic Amines Associated with Cardiovascular Disease Risk Factors.","authors":"Fabiane Valentini Francisqueti-Ferron,&nbsp;Matheus Antônio Filiol Belin,&nbsp;Thiago Luiz Novaga Palacio,&nbsp;Artur Junio Togneri Ferron,&nbsp;Jéssica Leite Garcia,&nbsp;Juliana Silva Siqueira,&nbsp;Erika Tiemi Nakandakare-Maia,&nbsp;Taynara Aparecida Vieira,&nbsp;Hugo Tadashi Kano,&nbsp;Fernando Moreto,&nbsp;Giuseppina Pace Pereira Lima,&nbsp;Camila Renata Corrêa,&nbsp;Igor Otavio Minatel","doi":"10.36660/abc.20220770","DOIUrl":"https://doi.org/10.36660/abc.20220770","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVD) are the major cause of mortality worldwide, whose most prominent risk factor is unhealthy eating habits, such as high fructose intake. Biogenic amines (BAs) perform important functions in the human body. However, the effect of fructose consumption on BA levels is still unclear, as is the association between these and CVD risk factors.</p><p><strong>Objective: </strong>This study aimed to establish the association between BA levels and CVD risk factors in animals that consumed fructose.</p><p><strong>Methods: </strong>Male Wistar rats received standard chow (n=8) or standard chow + fructose in drinking water (30%) (n=8) over a 24-week period. At the end of this period, the nutritional and metabolic syndrome (MS) parameters and plasmatic BA levels were analyzed. A 5% level of significance was adopted.</p><p><strong>Results: </strong>Fructose consumption led to MS, reduced the levels of tryptophan and 5-hydroxitryptophan, and increased histamine. Tryptophan, histamine, and dopamine showed a correlation with metabolic syndrome parameters.</p><p><strong>Conclusion: </strong>Fructose consumption alters BAs associated with CVD risk factors.</p>","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 6","pages":"e20220770"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167892","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}

{"title":"Managing Women's Cardiovascular Diseases: It's Everyone's Job.","authors":"Gláucia Maria Moraes de Oliveira,&nbsp;Nanette Kass Wenger","doi":"10.36660/abc.20230250","DOIUrl":"https://doi.org/10.36660/abc.20230250","url":null,"abstract":"Correspondência: Gláucia Maria Moraes de Oliveira • Universidade Federal do Rio de Janeiro – Av. Pedro Calmon, 550. CEP 21941-901, Rio de Janeiro, RJ – Brasil E-mail: glauciamoraesoliveira@gmail.com Palavras-chave Mulheres; Doenças Cardiovasculares As doenças cardiovasculares (DCVs) são a principal causa de carga de doença no mundo. Dados recentes do projeto Global Burden of Disease (GBD) de 2021 apresentaram valores de 3568,0 DALYs por 100 mil habitantes (disability-adjusted life years, ou anos de vida ajustados por incapacidade; um DALY representa a perda equivalente a um ano de vida saudável) e 162,2 mortes por 100 mil habitantes, com uma prevalência de 6905,6 por 100 mil habitantes no Brasil.1 Enquanto progressos consideráveis foram feitos na redução de mortes por DCVs no Brasil de 1980 ao início da década 2020, houve um aumento preocupante na mortalidade bruta e nos DALYs nos últimos anos, principalmente entre as mulheres, devido a infarto do miocárdio, entre outras causas.2 Assim, novas estratégias são necessárias para melhorar a saúde cardiovascular.2,3","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 5","pages":"e20230250"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10174604","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}

{"title":"Brazilian Interventional Cardiology and Chronic Coronary Occlusions: Where Are We?","authors":"José Mariani Junior","doi":"10.36660/abc.20230172","DOIUrl":"https://doi.org/10.36660/abc.20230172","url":null,"abstract":"","PeriodicalId":8399,"journal":{"name":"Arquivos Brasileiros de Cardiologia","volume":"120 4","pages":"e20230172"},"PeriodicalIF":2.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10176900","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}