- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Antiplatelet Therapy and Cardiovascular Diseases
- Tracheal and airway disorders
- Head and Neck Cancer Studies
- Cardiac Structural Anomalies and Repair
- Coronary Artery Anomalies
- Transplantation: Methods and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Cardiac Imaging and Diagnostics
- Sarcoma Diagnosis and Treatment
- Viral Infections and Immunology Research
- Healthcare Policy and Management
- Peripheral Artery Disease Management
- Atherosclerosis and Cardiovascular Diseases
- Trauma Management and Diagnosis
- Healthcare Operations and Scheduling Optimization
- Colorectal and Anal Carcinomas
- Cardiac tumors and thrombi
- Congenital Heart Disease Studies
- Adipokines, Inflammation, and Metabolic Diseases
- Cancer Diagnosis and Treatment
- Hospital Admissions and Outcomes
- Organ and Tissue Transplantation Research
- Biomarkers in Disease Mechanisms
Universidade Federal de Minas Gerais
2022-2024
Hospital das Clínicas da Universidade Federal de Minas Gerais
2022-2023
Discovery Air (Canada)
2022
ORCID
2021
Unimed Belo Horizonte
2018
Harvard University
2018
Grupo Santa Casa de Belo Horizonte
2013-2017
Sociedade Brasileira de Cardiologia
2017
Hospital Socor
2014-2015
Kaiser Permanente
2002-2012
Management of squamous cell carcinoma undetermined primary tumors in the head and neck region is controversial. Here we report Southern California Kaiser Permanente experience with these patients.From January 1969 through December 1994, 106 patients were eligible for this retrospective analysis. Distribution nodal staging was as follows: 14 N1, 27 N2A, 39 N2B, 2 N2C, 24 N3. Initial treatment included excisional biopsy alone 12, radical dissection 29, radiotherapy 24, followed by 15, plus...
The management of stage I seminoma has evolved over the past 20 years. Contemporary options after orchiectomy include adjuvant radiation, chemotherapy, and observation. This analysis defines experience at Kaiser Permanente Southern California from 1990 to 2010. We examined outcomes for patients reviewed prognostic factors recurrence in those managed with observation.This is a retrospective study 502 who underwent Outcomes were relapse-free survival (RFS), overall (OS), cause-specific (CSS)....
Background: The recommendations in guidelines are based on evidence; however, there is a gap between and clinical practice.Objective: To describe the practice of prescribing evidence-based treatments for patients with acute coronary syndrome Brazil. Methods:This study carried out subanalysis ACCEPT registry, assessing epidemiological data prescription rate acetylsalicylic acid, p2y12 inhibitors, antithrombotic drugs, beta-blockers, angiotensin-converting enzyme inhibitors/...
Background: Cardiac allograft vasculopathy (CAV) is a major limitation for long-term survival of patients undergoing heart transplantation (HT).Some immunosuppressants can reduce the risk CAV.Objectives: The primary objective was to evaluate variation in volumetric growth intimal layer measured by intracoronary ultrasound (IVUS) after 1 year who received basiliximab compared with that control group.Methods: Thirteen treated at single center between 2007 and 2009 were analyzed...
Descrevemos um caso típico de síndrome do balonamento apical em uma paciente octogenária com alteração eletrocardiográfica, contratilidade ventrículo esquerdo, e que apresentou recuperação da função ventricular. A é portadora rinite alérgica fez uso excessivo descongestionante nasal horas antes episódio dor.
O pseudoaneurisma do ventrículo esquerdo (PAVE) é uma complicação rara após um infarto agudo miocárdio (IAM), com risco significativo de ruptura se não tratado. Considerando a elevada morbimortalidade cirúrgica nesse contexto, tratamentos alternativos têm ganhado importância. Este caso descreve fechamento percutâneo PAVE IAM extenso revascularização tardia.
Paciente de 27 anos, portador sífilis terciária, manifestando isquemia miocárdica, com angina instável, secundária à oclusão do tronco da coronária esquerda. O diagnóstico foi confirmado pelos achados sorologia e patologia fragmento aorta.
End-stage renal disease (ESRD) is the last stage of chronic kidney disease, mainly caused by type 2 diabetes mellitus and characterized an increased mortality risk related to cardiovascular disease. Low-dose aspirin (acetylsalicylic acid or ASA) seems effectively prevent events in patients with ESRD. However, number interventional studies this population remains limited mechanisms aspirin-related bleeding remain poorly understood. Aspirin's efficacy safety may be modified presence platelet...
RESUMO Introdução: O tempo entre a instalação dos sintomas e reperfusão do vaso responsável pelo infarto agudo miocárdio com supradesnivelamento segmento ST está diretamente relacionado à morbimortalidade paciente. As diretrizes preconizam que o dispendido chegada ao hospital realização da intervenção coronária percutânea (ICP) seja de, no máximo, 90 minutos, denominado porta-balão. Poucos hospitais atingem esta meta. Este estudo teve como objetivo avaliar eficácia implementação de processos...
It is estimated that six thousand diagnostic cardiac catheterizations and two coronary angioplasties are performed per million inhabitants year1, all by retrograde approach. Roughly, for every procedures, one patient has diffuse injury of the arterial system, with involvement four extremities2. Despite difficulty access, anatomical diagnosis artery disease today no longer a barrier. currently possible to conduct studies without need invasive study, especially due improved image quality CT...
Objectives: 1) To determine feasibility and outcome of treating patients with advanced SCCHN using concurrent low- dose weekly Paclitaxel radiation therapy; 2) study the role SQ Amifostine as a protectant. Methods: Previously untreated stage III IV were eligible. From Oct 1998 to June 2001, 38 treated 30 mg/m2 given over 1 hour once day (2Gy/day;total 70 Gy), no planned breaks. There 32 disease. Primary tumor sites included oropharynx (23), larynx (7), hypopharynx (7) parotid (1). was added...
Descrevemos um caso de paciente com 70 anos, admitida quadro compatível infarto agudo do miocárdio, sinais clínicos compatíveis, bem como alterações eletrocardiográficas, enzimáticas e contratilidade. À angiografia coronária não foram evidenciadas lesões obstrutivas, o que foi confirmado pela avaliação ultrassonografia intracoronária. Os autores discutem as hipóteses levantadas para explicar miocárdio artérias coronárias normais.
Cardiac transplantation continues to be the treatment of choice for heart failure refractory optimized treatment. Two methods have high sensitivity diagnosing allograft rejection episodes and cardiac vasculopathy (CAV), important causes mortality after transplantation.To assess relationship between intravascular ultrasound (IVUS) results endomyocardial biopsy (BX) reports in follow-up patients undergoing a Brazilian reference service.A retrospective epidemiological observational study was...
O tempo porta‐balão (TPB) tornou‐se uma medida de desempenho e é foco iniciativas melhoria da qualidade assistencial. Este estudo teve como objetivo avaliar a relação entre o TPB seu impacto nos custos internação hospitalar. Pacientes tratados com intervenção coronária percutânea primária, 2008 2013, foram divididos acordo < ou ≥ 90 minutos. Todos os registrados na alta hospitalar ajustados por meio do Índice Variação Custos Médico‐Hospitalares. Foram incluídos 141 pacientes, agrupados em...
ABSTRACT Background Door-to-balloon time (DBT) has become a measure of performance and is the focus in quality care improvement initiatives. This study aimed to evaluate association between DBT its impact on hospital costs. Methods Patients treated with primary percutaneous coronary intervention 2008 2013 were divided according Results A total 141 patients included, grouped as p = 0.43). The costs, culprit artery, R$ 29,588.53 ± 16,358.85 for right artery; 48,494.62 44,015.04 left circumflex...