A5074087401- Cardiac Valve Diseases and Treatments
- Telemedicine and Telehealth Implementation
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Imaging and Diagnostics
- COVID-19 and healthcare impacts
- Patient Satisfaction in Healthcare
- Streptococcal Infections and Treatments
- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Aortic Disease and Treatment Approaches
- Healthcare Systems and Technology
- Hemodynamic Monitoring and Therapy
- Cardiovascular Function and Risk Factors
- Public Health in Brazil
- Emergency and Acute Care Studies
- Phonocardiography and Auscultation Techniques
- Viral Infections and Immunology Research
- Blood Pressure and Hypertension Studies
- Cardiovascular Issues in Pregnancy
- Atrial Fibrillation Management and Outcomes
- Healthcare Regulation
- Cardiac Structural Anomalies and Repair
- Medication Adherence and Compliance
- Patient Safety and Medication Errors
Instituto do Coração
2009-2024
Hospital Israelita Albert Einstein
2010-2024
Universidade de São Paulo
2012-2024
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2016-2024
Universidade Brasil
2024
Associação Fundo de Incentivo à Pesquisa
2023
Hospital do Coração
2022
Hospital São Paulo
2021-2022
Hospital Samaritano de São Paulo
2021
Sociedade Brasileira de Cardiologia
2020
1. Introduction There are currently a wide modalities of interventional strategies – both transcatheter and surgical which can be indicated for patients with valvular heart diseases (VHD), the objective reducing morbidity mortality. The correct timing indication type treatment linked to precise anatomical functional diagnosis VHD, comprehensive global evaluation patient. 2020 Update Brazilian Guidelines in addition compiling [...]
Tabela 2 -Estratificação de risco cardíaco para procedimentos não cardíacos Alto (Risco ≥ 5,0%) Cirurgias vasculares (aórtica, grandes vasos, vascular periférica) urgência ou emergência Intermediário 1,0% e < Endarterectomia carótida correção endovascular aneurisma aorta abdominal Cirurgia cabeça pescoço intraperitoneais intratorácicas ortopédicas prostáticas Baixo 1,0%) Procedimentos endoscópicos superficiais
During in situ simulation, interprofessional care teams practice an area where clinical occurs. This study aimed to detect latent safety threats (LST) a training program, which combined simulation scenarios with just-in-time and just-in-place self-directed task emergency department. We hypothesized this simulation-based actual areas allows the detection of at least one LST per scenario. prospective observational (April 2015–March 2016) involved 135 physicians, nurses, nurse technicians....
Background Few data exist on the degree of interstitial myocardial fibrosis in patients with classical low-flow, low-gradient aortic stenosis (LFLG-AS) and its association left ventricular flow reserve (FR) dobutamine stress echocardiography. This study sought to evaluate diffuse measured by T1 mapping cardiac magnetic resonance technique LFLG-AS without FR. Methods Prospective including 65 consecutive (41 [mean age, 67.1±8.4 years; 83% men] 24 high-gradient used as controls) undergoing...
Infective endocarditis continues to be a significant concern and may undergoing an epidemiological transition. Were studied 1804 consecutive episodes of infective between 1978 2022. The mean age was 48 (±19), 1162 (64%) patients were male. Temporal trends in demographic data, comorbidities, predisposing conditions, microorganisms, complications in-hospital death have been over the decades (1978-1988, 1989-1999, 2000-2010 2011-2022). outcomes clinical characteristics modeled using nonlinear...
ObjectiveTo analyze the antibiotic prescription rate in low-risk patients evaluated at a telemedicine program that adopts stewardship protocols.MethodsAdult who accessed single direct-to-consumer center (Jan/2019–Feb/2020) were retrospectively enrolled. Diseases amenable to antimicrobial treatment classified under five diagnostic groups: upper respiratory tract infection (URI), acute pharyngotonsillitis (PT), sinusitis (AS), urinary (UTI), and diarrhea (AD). Physicians trained on advised...
Heart failure is the leading cause of cardiac-related hospitalizations. Limited access to reevaluations and outpatient appointments restricts application modern therapies. Telemedicine has become an essential resource in healthcare system because its countless benefits, such as higher more frequent faster titration medications. This narrative review aimed demonstrate evidence unresolved issues related use telemedicine patients with heart failure. No studies have examined prevention; however, [...]
Adenosine is an antiarrhythmic drug that slows conduction through the atrioventricular node and acts as a coronary blood vessel dilator. This case report highlights two unusual life-threatening events following use of adenosine to revert supraventricular tachycardia in structurally normal heart: non-sustained polymorphic ventricular myocardial infarction. A 46-year-old woman presented emergency department with two-hour history palpitations was diagnosed tachycardia. Vagal maneuvers were...
SUMMARY Introduction: the EuroSCORE II and STS are most used scores for surgical risk stratification indication of transcatheter aortic valve implantation (TAVI). However, its role as a tool mortality prediction in patients undergoing TAVI is still unclear. Objective: to evaluate performance predictors in-hospital 30-day TAVI. Methods: we included 59 symptomatic with severe stenosis that underwent between 2010 2014. The variables were analyzed using Student's t-test Fisher's exact test...
To analyze telemedicine diagnostic accuracy in patients with respiratory infections during COVID-19 pandemic compared to face-to-face evaluation the emergency department.
Objective: To characterize variables associated with referral to the emergency department following Telemedicine consultation during COVID-19 pandemic. Methods: Cross-sectional retrospective study conducted between March and May 2020, a sample of 500 adult patients. The inclusion criterion was manifestation respiratory symptoms, regardless type. Results: mean age patients 34.7±10.5 years, 59% were women. Most (62.6%) perceived their own health status as malaise some (41.4%) self-diagnosed...
Abstract Background Corynebacterium diphtheriae ( C. ) infections, usually related to upper airways involvement, could be highly invasive. Especially in developing countries, non-toxigenic strains are now emerging as cause of invasive disease like endocarditis. The present case stands out for reinforcing the high virulence this pathogen, demonstrated by multiple systemic embolism and severe valve deterioration. It also emphasizes importance a coordinated interdisciplinary work address all...
Cardiovascular diseases remain the leading cause of mortality in Brazil.Nevertheless, a significant portion Brazilian population still faces challenges accessing specialized care and undergoing complementary exams, especially remote areas.Currently, data transmission assessment are possible, but obtaining echocardiographic images relies on trained professional on-site.This pilot study aimed to assess feasibility Point-of-Care Ultrasound (POCUS) tele-echocardiography administered by general...
To assess the prevalence of white-coat normortension, hypertension, and effect.We assessed 670 medical records patients from League Hypertension Hospital das Clínicas Medical School University S o Paulo. White-coat hypertension (blood pressure at office: mean 3 measurements with oscillometric device > or = 140 90 mmHg, both, ambulatory blood monitoring during wakefulness < 135/85) normotension (office 140/90 on were analyzed in 183 taking no medication. The effect (difference between office...
Background:The safety of direct-to-consumer telemedicine (TM) is closely related to red flag detection and correct referrals. The adherence referral criteria from current guidelines not well quantified. Objective:To analyze the emergency department (ED) rate in TM encounters acutely ill patients calling a center that adopts stewardship protocols. Methods:This retrospective observational unicentric study, between March 2020 2022, with who spontaneously sought urgent virtual medical...
Purpose Stroke is the second leading cause of global adult mortality and primary disability. A rapid assessment by a neurologist for general reperfusion treatments in ischemic strokes linked to decreased Telestroke strategy that allows neurological consultations with experienced professionals, even remote emergency contexts. No randomized studies have compared face-to-face care outcomes telestroke care. Whether neurologists an institution achieve better results remotely than person also...
The quantification of self-triage effectiveness, guided by mobile applications, in urgent direct-to-consumer telemedicine (TM) encounters requires further investigation. objective this study was to evaluate the outcomes referral guidance provided a symptom-based self-management application decision algorithm context remote care assessments.
Rapid-cycle deliberate practice (RCDP) is a simulation-based educational strategy that consists of repeating simulation scenario number times to acquire planned competency. When the objective cycle achieved, new initiates with increased skill complexity. There have been no previous randomized studies comparing after-event debriefing clinical manikin-based RCDP in adult cardiopulmonary resuscitation (CPR).We invited physicians from post-graduate program on Emergency Medicine Hospital...
Chest pain is a frequent, potentially life-threatening condition in the emergency department and requires immediate investigation treatment. This case report highlights rare differential diagnosis of pleuritic chest pain: epipericardial fat necrosis. A 29-year-old man presented with normal clinical evaluation, electrocardiography, point-of-care ultrasound, unremarkable laboratory tests. The initial hypothesis was acute pleuritis. radiography revealed peri-cardiac nonspecific findings,...