A5030645419- Streptococcal Infections and Treatments
- Infective Endocarditis Diagnosis and Management
- Phonocardiography and Auscultation Techniques
- Cardiac Arrhythmias and Treatments
- Ultrasound in Clinical Applications
- Acute Myocardial Infarction Research
- Cardiovascular Issues in Pregnancy
- Viral Infections and Immunology Research
- Parasites and Host Interactions
- Antimicrobial Resistance in Staphylococcus
- Central Venous Catheters and Hemodialysis
- Cardiac Valve Diseases and Treatments
- Trypanosoma species research and implications
- Inflammasome and immune disorders
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- Telemedicine and Telehealth Implementation
- Cardiovascular Health and Risk Factors
- Research on Leishmaniasis Studies
- Dermatological and COVID-19 studies
- Advanced Sensor Technologies Research
- Blood Pressure and Hypertension Studies
- Global Health and Epidemiology
- Global Public Health Policies and Epidemiology
- Cardiac Structural Anomalies and Repair
Hospital das Clínicas da Universidade Federal de Minas Gerais
2015-2020
Instituto de Ensino e Pesquisa Santa Casa
2020
Universidade Estadual de Montes Claros
2018-2020
Children's National
2016-2019
Santa Casa de Montes Claros - Irmandade Nossa Senhora das Mercês
2018
Diamant (Germany)
2015-2018
Universidade Federal de Minas Gerais
2016-2017
Background: The 2012 World Heart Federation Criteria are the current gold standard for diagnosis of latent rheumatic heart disease (RHD). Because data and experience using these criteria have grown, there is opportunity to simplify develop outcome prediction tools. We aimed a simple echocardiographic score applicable RHD screening with potential predict progression. Methods: This study included 3 cohorts used derivation (n=9501), validation (n=7312), assessment outcomes (n=227). In cohort,...
Background Considering the limited accuracy of clinical examination for early diagnosis rheumatic heart disease ( RHD ), echocardiography has emerged as an important epidemiological tool. The ideal setting screening is yet to be defined. We aimed evaluate prevalence and pattern latent in schoolchildren (aged 5–18 years) compare effectiveness between public schools, private primary care centers Minas Gerais, Brazil. Methods Results PROVAR (Rheumatic Valve Disease Screening Program) study uses...
Introduction Heart disease (HD) accounts for high morbidity and mortality in Brazil. Underserved populations often suffer long delays diagnosis. We aimed to evaluate the feasibility of integrating screening echocardiography (echo) with remote interpretation established primary care system (PC) Brazil assess HD prevalence. Methods Over 11 months, 20 healthcare workers (four physicians, four nurses, 12 technicians) at 16 PC centres were trained on simplified handheld echo protocols. Three (SC)...
Background The global burden of rheumatic heart disease is nearly 33 million people. Telemedicine, using cloud-server technology, provides an ideal solution for sharing images performed by non-physicians with cardiologists who are experts in disease. Objective We describe our experience telemedicine to support a large outreach screening programme the Brazilian state Minas Gerais. Methods Programa de Rastreamento da Valvopatia Reumática (PROVAR) prospective cross-sectional study aimed at...
Abstract Background Echocardiographic screening represents an opportunity for reduction in the global burden of rheumatic heart disease. A focussed single-view protocol could allow rapid training healthcare providers and patients. Objective The aim this study was to determine sensitivity specificity a hand-held echocardiographic diagnosis disease children. Methods total nine readers were divided into three reading groups; each interpreted 200 echocardiography studies retrospectively as...
Introducao Cardiopatia reumatica (CR) e a consequencia cardiaca da febre aguda (FRA), doenca inflamatoria causada pela faringite estreptococica. Embora prevalencia de CR esteja diminuindo em paises alto poder aquisitivo, o subdesenvolvimento economico social prevencao primaria deficiente principalmente aquisitivo baixo medio – perpetuam um cenario que permanece endemica. Estima-se ainda afete aproximadamente 33 milhoes pessoas no mundo. De acordo com Organizacao Mundial [...]
Objectives Echocardiographic (echo) screening is an important tool to estimate rheumatic heart disease (RHD) prevalence, but the natural history of screen-detected RHD remains unclear. The PROVAR+ ( Programa de RastreamentO da VAlvopatia Reumática ) study, which uses non-experts, telemedicine and portable echo, pioneered in Brazil. We aimed assess mid-term evolution Brazilian schoolchildren (5–18 years) with echocardiography-detected subclinical performance a simplified score consisting five...
Impact of heart disease (HD) on pregnancy is significant.We aimed to evaluate the feasibility integrating screening echocardiography (echo) into Brazilian prenatal primary care assess HD prevalence.Over 13 months, 20 healthcare workers acquired simplified echo protocols, utilizing hand-held machines (GE-VSCAN), in 22 centres. Consecutive pregnant women unaware underwent focused echo, remotely interpreted USA and Brazil. Major was defined as structural valve abnormalities, more than mild...
Introduction A novel handheld dual-electrode stick is a portable atrial fibrillation (AF) screening device (AFSD). We evaluated AFSD performance in primary care patients referred for echocardiogram (echo). Methods The has light indication of irregular rhythm and single-lead ECG recording. Patients were instructed to hold the 1 min, AF was recorded. 12-lead performed all AFSD-positive 250 with negative screen. Echos based on clinical risk score: high-risk sampling low-risk underwent complete...
Introduction Access to public subspecialty healthcare is limited in underserved areas of Brazil, including echocardiography (echo). Long waiting lines and lack a prioritisation system lead diagnostic lag may contribute poor outcomes. We developed tool for use primary care, aimed at improving resource utilisation, by predicting those highest risk having an abnormal echo, thus need referral. Methods All patients the existing care list echo were invited participation underwent clinical...
Introduction: Access to public health care is limited in Brazil, especially remote areas and many patients remain on long waiting lists for echocardiography (echo). Advances handheld echo telemedicine provide an opportunity integration of screening cardiovascular disease into the existing primary system. This may improve early detection heart (HD) guide prioritization referrals. We aimed test accuracy identify significant HD this setting. Methods: Patients echos were eligible answered a...
Background: Echocardiography (echo) is the most sensitive tool for rheumatic heart disease (RHD) detection. However, widespread screening programs are non-existent due to lack of financial and expert human resources in endemic areas. Task-shifting non-experts perform RHD promising; however, investigations into workforce composition replicable training schemes needed. Objective: Test non-experts’ ability conduct following a brief, standardized, computer-based course. Methods: Six with variety...
Introduction: Access to public healthcare is limited in Brazilian underserved areas, and long waiting lists remain for echocardiography (echo). We aimed develop a tool optimize indications shorten standard echo primary care. Methods: Patients list were enrolled. For derivation, patients underwent clinical questionnaire, simplified 7-view screening by non-physicians with handheld devices (GE-VSCAN), (Vivid-Q) experts. Two models adjusted, one including variables other adding screen-detected...
Introduction: The accuracy of clinical examination is limited for early diagnosis Rheumatic Heart Disease (RHD). 2012 World Federation (WHF) Criteria provides standardized echocardiographic (echo) guidelines RHD. There sparse data on echo prevalence RHD in Brazil. Objective: Assess the students (6-18 years) from public schools low-income areas Belo Horizonte, Methods: Over 4-days, experts used standard portable machines (GE, Vivid-Q) and WHF to determine prevalence. All consented present...