A5034390355- Cardiac Imaging and Diagnostics
- Cardiac Valve Diseases and Treatments
- Coronary Interventions and Diagnostics
- Cardiomyopathy and Myosin Studies
- Cardiac pacing and defibrillation studies
- Cardiovascular Function and Risk Factors
- Acute Myocardial Infarction Research
- Mechanical Circulatory Support Devices
- Nosocomial Infections in ICU
- Advanced MRI Techniques and Applications
- Cardiac and Coronary Surgery Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Trypanosoma species research and implications
- Cardiac Arrhythmias and Treatments
- Bee Products Chemical Analysis
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Ischemia and Reperfusion
- Family and Patient Care in Intensive Care Units
- Atrial Fibrillation Management and Outcomes
- Intensive Care Unit Cognitive Disorders
- Infection Control in Healthcare
- Venous Thromboembolism Diagnosis and Management
- COVID-19 Clinical Research Studies
- Infective Endocarditis Diagnosis and Management
- Antibiotic Use and Resistance
Hospital Ana Nery
2019-2025
Universidade Federal da Bahia
2005-2024
Hospital São Rafael
2021-2023
D’Or Institute for Research and Education
2023
Universidade de São Paulo
2012-2017
American Heart Association
2017
American College of Cardiology
2017
Fundação de Amparo à Pesquisa do Estado de São Paulo
2017
Creative Commons
2017
Worldwide Clinical Trials (United States)
2017
Abstract There is limited contemporary prospective real-world evidence of patients with chronic arterial disease in Latin America. The Network to control atherothrombosis (NEAT) registry a national observational study known coronary (CAD) and/or peripheral (PAD) Brazil. A total 2,005 were enrolled among 25 sites from September 2020 March 2022. Patient characteristics, medications and laboratorial data collected. Primary objective was assess the proportion who, at initial visit, accordance...
Limited data is available to evaluate the burden of device associated healthcare infections (HAI) [central line bloodstream infection (CLABSI), catheter urinary tract (CAUTI), and ventilator pneumonia (VAP)] in low and-middle-income countries. Our aim investigate population attributable mortality fraction absolute difference HAI a broad critically ill patients from Brazil. Multicenter cohort study September 2019 December 2023 with prospective individual patient collection. VAP, CLABSI, CAUTI...
There is a growing tendency of looking for "dying with dignity", rather than to prolong death and suffering terminal patients on intensive care units (ICU). This study aims evaluate medical practices that suggest therapeutic limitation (TL) in who died an adult ICU.A retrospective exploratory was carried out records general ICU private hospital Salvador-BA, between January August 2003, after at least 24 hours from the admission. The were classified, relation their deaths, in: "not responding...
Tricuspid valve repair during mitral replacement surgery remains a controversial topic. The risk-benefit ratio in some populations uncertain, especially rheumatic heart disease patients. Therefore, we aimed to evaluate the impact of concomitant tricuspid on surgical mortality patients undergoing cardiac due who have moderate severe functional regurgitation.
Recently, it was demonstrated that allopurinol, a xanthine oxidase inhibitor, has cardiovascular and anti-ischaemic properties may be metabolic antianginal agent option.Objective: The objective of this study to evaluate the effect allopurinol as third drug for patients with stable coronary artery disease (CAD).
Although the release of cardiac biomarkers after percutaneous (PCI) or surgical revascularization (CABG) is common, its prognostic significance not known. Questions remain about mechanisms and degree correlation between release, volume myocardial tissue loss, long-term significance. Delayed-enhancement magnetic resonance (CMR) consistently quantifies areas irreversible injury. To investigate quantitative relationship injury biomarkers, we will evaluate extent in patients undergoing PCI CABG...
There are conflicting data regarding the efficacy of implantable cardioverter-defibrillator (ICD) in Chagas disease (CD) patients. This study aims to evaluate short-term outcome after ICD for secondary prevention, a population where CD is prevalent cause heart failure (HF).Consecutive patients with HF and reduced left ventricular ejection fraction (LVEF), who underwent implantation prevention SCD. Clinical demographic were collected investigate mortality predictors at 1 year. During period,...
Cardiac resynchronization therapy (CRT) is a therapeutic modality for patients with heart failure (HF). The effectiveness of this treatment event reduction based on clinical trials where the population Chagas' disease (DC) underrepresented.To evaluate prognosis after CRT in which CD an endemic cause HF.A retrospective cohort conducted between January 2015 and December 2016 that included HF left ventricular ejection fraction (LVEF) less than 35% undergoing CRT. Clinical demographic data were...
Data are scarce regarding hospital infection control committees and compliance with prevention (IPC) recommendations in Brazil, a country of continental dimensions. We assessed the main characteristics (ICCs) on healthcare-associated infections (HAIs) Brazilian hospitals.This cross-sectional study was conducted ICCs public private hospitals distributed across all regions. were collected directly from ICC staff by completing an online questionnaire during on-site visits through face-to-face...
Abstract SARS-CoV-2 and its different variants caused a “wave wave” pandemic pattern. During the first wave we demonstrated that standardized Brazilian green propolis extract (EPP-AF®) reduces length of hospital stay in adult patients with COVID-19. Afterwards, decided to evaluate impact EPP-AF hospitalized during third pandemic. BeeCovid2 was randomized, double-blind, placebo-controlled clinical trial COVID-19 patients. Patients were allocated receive an oral dose 900 mg/day EPP-AF® or...
The technical difficulty in the revascularization of circumflex artery territory with off-pump surgery may compromise outcome this method clinical follow-up. We aimed to evaluate cardiac events patients stable coronary disease and severe obstruction system, undergoing bypass grafting (CABG) or without cardiopulmonary bypass. MASS III was a single-centre study that evaluated 308 multivessel randomized on-pump (153) (155) CABG. Of total, 260 (84.4%) had, on angiography, at least one 70% (141...
The diagnosis of peri-procedural myocardial infarction is complex, especially after the emergence high-sensitivity markers necrosis. In this study, patients with normal baseline cardiac biomarkers and formal indication for elective on-pump coronary bypass surgery were evaluated. Electrocardiograms, biomarkers, magnetic resonance imaging late gadolinium enhancement performed before procedures. Myocardial was defined as more than ten times upper reference limit 99th percentile troponin I...
Ischemic preconditioning is a powerful mechanism of myocardial protection and in humans it can be evaluated by sequential exercise tests. Coronary Artery Disease the presence diabetes mellitus may associated with worse outcomes. In addition, some studies have shown that interferes negatively development ischemic preconditioning. However, still unknown whether influence expression patients stable multivessel coronary artery disease. This study will include 140 diabetic non-diabetic chronic,...
We aim to evaluate in-hospital events and long-term clinical outcomes in patients over 60 years of age with stable coronary artery disease preserved left ventricular ejection fraction undergoing off-pump or on-pump bypass grafting. The MASS III was a single-center randomized trial that 308 function assigned for: 155 153 CABG. Of this, 176 (58.3%) were older at the time randomization (90 of-pump 86 on-pump). primary short-term end point composite myocardial infarction, stroke, overall...
Performing a coronary angiography in patients with heart failure of unknown etiology is often justified by the diagnostic assessment ischemic disease. However, clinical benefit this strategy not known.To evaluate prevalence disease angiographic criteria and reduced ejection fraction etiology, as well its impact on therapy decisions.Consecutive outpatients systolic dysfunction, who had an indication for to clarify were assessed from 1 January 2009 December 31, 2010. Patients diagnosed artery...
JUSTIFICATIVA E OBJETIVOS: O ambiente hospitalar, especialmente o de uma Unidade Terapia Intensiva (UTI), devido à complexidade do atendimento prestado, bem como a estrutura física, barulho, os equipamentos e movimentação das pessoas, é tido gerador estresse para pacientes. objetivo deste estudo foi identificar estratificar estressores pacientes internados em UTI, na perspectiva próprio paciente, familiares profissionais saúde. MÉTODO: Estudo corte transversal realizado entre junho novembro...
The release of myocardial necrosis biomarkers after off-pump coronary artery bypass grafting (OPCAB) frequently occurs. However, the correlation between biomarker and diagnosis procedure-related infarction (MI) (type 5) has been controversial. This study aimed to evaluate amount pattern cardiac elective OPCAB in patients without evidence a new MI on magnetic resonance (CMR) imaging with late gadolinium enhancement (LGE). Patients normal baseline referred for were prospectively included. CMR...
Resumo Fundamento: Em associação às estatinas, os inibidores da pró-proteína convertase subtilisina/kexina tipo 9 (PCSK9) demonstraram ser eficazes na redução de eventos cardiovasculares em pacientes alto risco. Objetivo: Analisar a custo-efetividade implementação evolocumabe para com risco no contexto do Sistema Único Saúde (SUS) Brasil. Métodos: Um modelo Markov foi utilizado, baseando-se uma amostra ambulatorial doença arterial coronariana. Os desfechos primários analisados foram infarto...
We aim to evaluate in-hospital events and long-term clinical outcomes in patients over 60 years of age with stable coronary artery disease preserved left ventricular ejection fraction undergoing off-pump or on-pump bypass grafting. The MASS III was a single-center randomized trial that 308 function assigned for: 155 153 CABG. Of this, 176 (58.3%) were older at the time randomization (90 of-pump 86 on-pump). primary short-term end point composite myocardial infarction, stroke, overall...
There is no description of cysticercosis affecting heart function. In the present report, authors describe case a 46-year-old woman with cardiac and failure, presenting echocardiographic findings suggestive restrictive cardiomyopathy myocardial microcalcifications infiltration by disease.
This study aimed to evaluate the amount and pattern of cardiac biomarker release after elective percutaneous coronary intervention (PCI) in patients without evidence a new myocardial infarction (MI) procedure as assessed by magnetic resonance (CMR) with late gadolinium enhancement (LGE).The necrosis biomarkers PCI frequently occurs. However, correlation between diagnosis procedure-related MI type 4a has been controversial.Patients normal baseline who were referred for prospectively included....
Chagas cardiomyopathy is the most prevalent non-ischaemic in Latin America, with high morbidity and mortality even today. Treatment of these patients based on use medications for heart failure. This study evaluated a case series disease who used sacubitril/valsartan at referral hospital this Brazil. After 6 months, there was symptomatic improvement individuals assessed by New York Heart Association (NYHA) functional class, 44.3% reduction absolute number classified as III-IV period (P =...