Arquivos brasileiros de cardiologia最新文献_第8页

New Incremental Model for Predicting Mortality in Pre-Capillary Pulmonary Hypertension. 预测毛细血管前肺动脉高压死亡率的新增量模型

Arquivos brasileiros de cardiologia Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20230669

Andressa Alves de Carvalho, Wanessa Alves de Carvalho, Eliauria Rosa Martins, Agostinho Hermes de Medeiros Neto, Fernando Bacal, Marcelo Dantas Tavares de Melo

{"title":"New Incremental Model for Predicting Mortality in Pre-Capillary Pulmonary Hypertension.","authors":"Andressa Alves de Carvalho, Wanessa Alves de Carvalho, Eliauria Rosa Martins, Agostinho Hermes de Medeiros Neto, Fernando Bacal, Marcelo Dantas Tavares de Melo","doi":"10.36660/abc.20230669","DOIUrl":"10.36660/abc.20230669","url":null,"abstract":"Background: In pulmonary hypertension (PH), the identification of easily obtainable prognostic markers associated with right ventricular (RV) dysfunction and survival is needed.Objective: To evaluate the association of red cell distribution width (RDW) with clinical, echocardiographic parameters and survival in patients with pre-capillary PH, with the development of a mortality prediction model.Methods: Observational, longitudinal, and prospective study conducted from May 2019 to December 2022. Thirty-four patients with pre-capillary PH underwent two-dimensional echocardiography and complete blood count. A cutoff point of 14.5% was considered to define RDW as altered (≥14.5%) or normal (<14.5%). P values <0.05 were considered significant.Results: The median RDW was 14.4%. There was a significant difference in peripheral arterial oxygen saturation (SpO2) (p=0.028), RV strain (p=0.047), and pericardial effusion (p=0.002) between the normal and elevated RDW groups. During a median follow-up of 15 months, 20.6% died. Patients with increased RDW had a shorter overall survival (44.7%, log-rank p=0.019), which was a predictor of mortality in univariate Cox regression (HR 8.55, p=0.048). The addition of RV strain <16% and SpO2 ≤93% to the model including RDW alone showed incremental value in predicting mortality (χ2=8.2, p=0.049; χ2=12.4, p=0.041), with increased area under the receiver operating characteristic curve (0.729 vs. 0.837 vs. 0.909) and decreased probability of survival (44.7% vs. 35.6% vs. 25%, log-rank p=0.019).Conclusions: RDW provides information on the severity of pre-capillary PH by correlating with echocardiographic parameters of RV dysfunction and mortality, which is best predicted by a model including RDW, RV strain and SpO2.","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"121 7","pages":"e20230669"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11341211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unlocking Transcatheter Aortic Valve Replacement Expertise in Brazil: Lessons from National Data. 揭开巴西经导管主动脉瓣置换术的神秘面纱：从国家数据中汲取的教训。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20240302

Sofia Cabral

引用次数: 0

Importance of Clinical Examination in the Assessment of Hemodynamic Profiles and Their Relationship with Outcomes in Patients with Acute Heart Failure. 临床检查在评估急性心力衰竭患者血液动力学特征及其与预后关系中的重要性。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20240308

Suellen Rodrigues Rangel Siqueira, Vera Maria Cury Salemi

引用次数: 0

Leisure Time Physical Activity and Incidence of Arterial Hypertension in ELSA-Brasil Participants. ELSA-Brasil 参与者的闲暇体育活动和动脉高血压发病率。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20230734

Tarcísio C Souza, Sheila M A Matos, Maria da C C de Almeida, Maria J M Fonseca, Maria Del Carmen B Molina, Rosane H Griep, Cristiano P S Pitanga, Francisco J G Pitanga

{"title":"Leisure Time Physical Activity and Incidence of Arterial Hypertension in ELSA-Brasil Participants.","authors":"Tarcísio C Souza, Sheila M A Matos, Maria da C C de Almeida, Maria J M Fonseca, Maria Del Carmen B Molina, Rosane H Griep, Cristiano P S Pitanga, Francisco J G Pitanga","doi":"10.36660/abc.20230734","DOIUrl":"https://doi.org/10.36660/abc.20230734","url":null,"abstract":"Background: Evidence indicates that physical activity (PA) has a protective effect against chronic diseases, including high arterial hypertension (AH).Objective: This study investigated, longitudinally, the association between changes in leisure time physical activity (LTPA) and the incidence of hypertension in ELSA-Brasil participants.Methods: Data from 8,968 participants were analyzed at two different times (2008-2010 and 2012-2014). The International Physical Activity Questionnaire (IPAQ), long version, was used to assess LTPA. The association between LTPA and AH was tested using Poisson regression with relative risk (RR) estimation, with a significance level of 5% and a 95% confidence interval.Results: When the LTPA level variable was categorized as sufficient and insufficient, no statistically significant associations were found between LTPA and AH incidence as a function of changes in PA during follow-up. However, when the LTPA variable was categorized as inactive, little active, active, and very active, a statistically significant association was observed between LTPA and AH in participants classified as very physically active. The risk of AH was reduced by 35% among men RR 0.65 (95% CI 0.50-0.86) and by 66% among women RR 0.34 (95% CI 0.20-0.58) who maintained high levels of LTPA at both moments of follow-up.Conclusion: These results suggest that maintaining high levels of PA over time is associated with a lower risk of developing AH, highlighting the importance of PA in preventing this condition, for both men and women.","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"121 6","pages":"e20230734"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899156","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

Angina Pectoris and Orbita 2 Trial: Reflections on the Future of Angina Treatment. 心绞痛和 Orbita 2 试验：对心绞痛治疗未来的思考。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20230848

Eduardo Bello Martins, Eduardo Gomes Lima, Jaime Paula Pessoa Linhares Filho, Henrique Trombini Pinesi, Fabio Grunspun Pitta, Carlos Vicente Serrano Júnior

引用次数: 0

Registries and Evidence-Based Medicine. 登记和循证医学。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20240330

Fernando Antibas Atik

引用次数: 0

Monitoring Systemic Congestion in Heart Failure: Is Clinical Evaluation Sufficient? 监测心力衰竭患者的全身充血状况：临床评估是否足够？

Arquivos brasileiros de cardiologia Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.36660/abc.20240354

Silvia Moreira Ayub-Ferreira, Danielle Louvet Guazzelli

引用次数: 0

Diastolic Strain Parameters are Associated with Short Term Mortality and Rehospitalization in Patients with Advanced Heart Failure. 舒张期应变参数与晚期心力衰竭患者的短期死亡率和再住院率有关。

Arquivos brasileiros de cardiologia Pub Date : 2024-08-01 DOI: 10.36660/abc.20230670

Sefa Tatar, Abdullah İcli, Alpay Arıbaş, Nazire Belgin Akilli, Hakan Akilli, Ahmet Lütfi Sertdemir

{"title":"Diastolic Strain Parameters are Associated with Short Term Mortality and Rehospitalization in Patients with Advanced Heart Failure.","authors":"Sefa Tatar, Abdullah İcli, Alpay Arıbaş, Nazire Belgin Akilli, Hakan Akilli, Ahmet Lütfi Sertdemir","doi":"10.36660/abc.20230670","DOIUrl":"https://doi.org/10.36660/abc.20230670","url":null,"abstract":"Background: Heart failure (HF) is a leading cause of hospitalization and mortality worldwide and places a great economic burden on healthcare systems. Identification of prognostic factors in HF patients is of great importance to establish optimal management strategies and to avoid unnecessary invasive and costly procedures in end-stage patients.Objectives: In the current study, we aimed to investigate the association between diastolic strain parameters including E/e' SR, and short-term outcomes in advanced HF patients.Methods: The population study included 116 advanced HF with reduced ejection fraction (HFrEF) patients. Clinical, laboratory, and echocardiographic evaluations of the patients were performed within the first 24 hours of hospital admission. Patients were followed for one month and any re-hospitalization due to worsening of HF symptoms and any mortality was recorded. The level of significance adopted in the statistical analysis was 5%.Results: E/e' SR was significantly higher in the patient group compared to the control group (p=0.001). During one-month follow-up, 13.8% of patients died and 37.1% of patients were rehospitalized. Serum NT-ProBNP (p=0.034) and E/e' SR (p=0.033) were found to be independent predictors of mortality and ACEİ use (p=0.027) and apical 3C strain (p=0.011) were found to be independent predictors of rehospitalization in the patient group.Conclusion: Findings of the current prospective study demonstrate that E/e' SR measured by speckle tracking echocardiography is an independent and sensitive predictor of short-term mortality in advanced HFrEF patients and may have a role in the identification of end-stage HFrEF patients.","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"121 8","pages":"e20230670"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082826","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

Natriuretic Peptides and Heart Stress: Time to Screen the Asymptomatic High-Risk Population to Prevent Incident Heart Failure? 钠尿肽与心脏压力：是时候对无症状高危人群进行筛查以预防心力衰竭的发生了吗？

Arquivos brasileiros de cardiologia Pub Date : 2024-08-01 DOI: 10.36660/abc.20230910

Humberto Villacorta, Davyson Gerhardt de Souza, Antonio José Lagoeiro Jorge

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Biventricular Fatal Fulminant Myocarditis Infarct-Like Presentation in a Patient with Thymoma. 一名胸腺瘤患者的双心室致命性暴发性心肌炎梗死样表现

Arquivos brasileiros de cardiologia Pub Date : 2024-08-01 DOI: 10.36660/abc.20230868

Fabio Maramao, Fabio Stefano Maramao, Laura Sanchez Monteso, Mirella Marino

引用次数: 0