Alzira Nunes

ORCID: 0000-0003-4093-955X
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About
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Research Areas
  • Cardiac Valve Diseases and Treatments
  • Cardiac Health and Mental Health
  • Cardiac Structural Anomalies and Repair
  • Infective Endocarditis Diagnosis and Management
  • Cardiovascular and exercise physiology
  • Cardiac Arrhythmias and Treatments
  • Pericarditis and Cardiac Tamponade
  • Cardiac tumors and thrombi
  • Atrial Fibrillation Management and Outcomes
  • Cerebrovascular and Carotid Artery Diseases
  • Intracranial Aneurysms: Treatment and Complications
  • Heart Rate Variability and Autonomic Control
  • Cancer Treatment and Pharmacology
  • Health Systems, Economic Evaluations, Quality of Life
  • Cardiovascular and Diving-Related Complications
  • Cardiovascular Function and Risk Factors
  • Aortic Disease and Treatment Approaches
  • Chemotherapy-induced cardiotoxicity and mitigation
  • Lipoproteins and Cardiovascular Health
  • Diabetes, Cardiovascular Risks, and Lipoproteins
  • Thermal Regulation in Medicine
  • Kidney Stones and Urolithiasis Treatments
  • German Literature and Culture Studies
  • Healthcare Regulation
  • Phytochemistry Medicinal Plant Applications

Hospital de São João
2006-2022

ORCID
2020

Centro Universitário de João Pessoa
2019

Tomsk National Research Medical Center
2017

University of Padua
2017

To assess the clinical impact of a cardiac rehabilitation program in an older population. This is retrospective analysis 731 coronary patients who attended phase 2 between January 2009 and December 2016. We compared response to (≥65 years) younger (<65 patients, analyzing changes metabolic profile (including body mass index, waist circumference lipid profile), exercise capacity, autonomic regulation parameters (such as chronotropic index resting heart rate), health-related quality life...

10.1016/j.repc.2020.04.009 article EN cc-by-nc-nd Revista Portuguesa de Cardiologia 2021-01-01

Since 2011, the European guidelines have included a specific low-density lipoprotein cholesterol (LDL-C) target, <70 mg/dl, for very high cardiovascular risk (CVR) patients. However, registries shown unsatisfactory results in obtaining this level of adequate lipid control. To assess temporal trends use lipid-lowering therapy (LLT) and attainment control CVR patients since 2011. We performed retrospective observational study including admitted two periods: first years 2011 (2011/2012) five...

10.1016/j.repc.2020.10.018 article PT cc-by-nc-nd Revista Portuguesa de Cardiologia 2021-06-08

Purpose: To study the role of left ventricle systolic function in cardiac rehabilitation program (CRP) response stage B heart failure patients. Methods: A retrospective analysis was completed 691 patients with previous myocardial infarction that underwent a CRP, classified 3 groups: preserved ejection fraction (pEF), mid-range (mrEF), and reduced (rEF). We compared to CRP analyzing relative changes estimated cardiorespiratory fitness (CRFe), resting rate (HR), chronotropic index (CI)....

10.1097/hcr.0000000000000461 article EN Journal of Cardiopulmonary Rehabilitation and Prevention 2019-11-12

Purpose: To evaluate the response of patients with obesity to a cardiac rehabilitation program (CRP), compared without obesity. Methods: We performed retrospective analysis 731 who completed phase II CRP after an acute coronary syndrome. The was assessed using relative changes in exercise capacity (EC), resting heart rate (HR), and chronotropic index (CI). Results: Only 23% had Patients showed lower EC CI at baseline end CRP. Despite that, we reported higher improvement for (median...

10.1097/hcr.0000000000000442 article EN Journal of Cardiopulmonary Rehabilitation and Prevention 2019-11-01

Background: Patent foramen ovale (PFO) closure has been compared to medical therapy for secondary prevention of recurrent cryptogenic stroke. Objectives: To produce an updated meta-analysis including only data from the primary analyses clinical trials and evaluate role PFO in Methods: Search Medline (PubMed) ISI Web Knowledge. Parameters under analysis meta-analyses were: stroke, transient ischemic attack (TIA) atrial fibrillation (AF). Comprehensive Meta-analysis Software V.2.0 (Biostat)...

10.36660/ijcs.20190075 article EN cc-by International Journal of Cardiovascular Sciences 2019-01-01

Wolff-Parkinson-White (WPW) syndrome is the most common manifestation of ventricular pre-excitation and mostly found in individuals with no structural heart disease. Although risk malignant arrhythmias low, sudden cardiac death (SCD) as first clinical WPW well documented, atrial fibrillation (AF) a rapid response main mechanism involved. Unfortunately, signs are sometimes under-diagnosed under-treated. We describe case 31-year-old man who was admitted an irregular wide complex tachycardia...

10.1016/j.repc.2019.06.008 article EN cc-by-nc-nd Revista Portuguesa de Cardiologia 2022-09-14

A sepse é uma condição médica grave que requer intervenções terapêuticas multidisciplinares. Este estudo teve como objetivo avaliar o impacto das estratégias anestésicas no manejo da e suas implicações nos desfechos clínicos, abordando mortalidade, tempo de internação qualidade vida. metodologia adotada foi revisão integrativa literatura, com busca realizada nas bases dados PubMed, Scopus Web of Science, considerando estudos dos últimos dez anos (2013-2023) investigassem em pacientes...

10.70164/jmbr.v1i5.383 article PT cc-by-nc-nd Journal of Medical and Biosciences Research. 2024-11-26

Since 2011, the European guidelines have included a specific low-density lipoprotein cholesterol (LDL-C) target, <70 mg/dl, for very high cardiovascular risk (CVR) patients. However, registries shown unsatisfactory results in obtaining this level of adequate lipid control. To assess temporal trends use lipid-lowering therapy (LLT) and attainment control CVR patients since 2011. We performed retrospective observational study including admitted two periods: first years 2011 (2011/2012) five...

10.1016/j.repce.2020.10.021 article PT cc-by-nc-nd Revista Portuguesa de Cardiologia (English Edition) 2021-09-01

Background: Cardiac rehabilitation is recommended in patients after heart valve surgery despite limited evidence.The CopenHeartVR trial found a positive effect on physical capacity 4 months weeks, but no mental health.However, the long term effects of cardiac yet unknown.Purpose: To assess comprehensive versus usual care for and health.Methods: 147 participants were included trial.After surgery, randomly allocated 1:1 to either (intervention group) or "usual care" without exercise (control...

10.1093/eurheartj/ehx502.p2495 article EN European Heart Journal 2017-08-01

A 57-year-old woman with smoking habits was admitted in our Emergency Department oppressive chest pain, nausea, vomiting and syncope.Four days before admission, the patient referred similar pain hours of evolution.At hospital she conscious presented polypnea, hypotension, tachycardia signs decreased peripheral perfusion.A 12-lead electrocardiogram showed a sinus 4 mm ST elevation DI aVL leads depression inferior leads.Arterial blood gas revealed lactic acidosis systemic inflammatory...

10.1093/ehjci/jex265 article EN European Heart Journal - Cardiovascular Imaging 2017-12-01

Cardiac rhythm disturbances are common in sleep apnea patients. The authors report on a 74-year-old female patient with atrial fibrillation, background history of arterial hypertension, obesity, and obstructive apnea. Holter monitoring was performed, 5 different occasions. Pauses were seen every monitoring, the number which varied between 10 72. All pauses occurred during sleeping period adjacent hours (23:00-8:59 hours) single exception. In this patient, we can speculate that...

10.1016/j.pbj.0000000000000005 article EN PubMed 2018-10-01

Videocapsule endoscopy (VCE) is a non-invasive method for examining the small bowel. VCE retention most feared complication of these devices and patency capsule (PC) may be used to safely perform VCE.

10.1055/s-0039-1681705 article EN Endoscopy 2019-03-18

Videocapsule endoscopy (VCE) is a non-invasive method for examining the small bowel. VCE retention most significant complication of these devices and patency capsule (PC) may be used to safely perform VCE, in patients with an increased risk retention.

10.1055/s-0039-1681911 article EN Endoscopy 2019-03-18

Abstract Introduction Cancer therapies have been linked to a wide variety of side effects, with cardiotoxicity being the most significant one. Early detection subclinical cardiac dysfunction in cancer patients (pts) is necessary order prevent unfavorable outcomes. High-sensitivity troponin I (hsTI) levels proposed as predictors therapy related and may guide cardioprotective initiation. Purpose To describe incidence treatment (CTRCD) population breast pts under chemotherapy single center...

10.1093/ehjci/jez319.1109 article EN European Heart Journal - Cardiovascular Imaging 2020-01-01

Abstract Introduction Left ventricular pseudoaneurysm is a rare mechanical complication of myocardial infarction, and its incidence has decreased with the widespread use reperfusion therapies. Pseudoaneurysm result free wall rupture contained by pericardial adherences mural thrombi, which contain bleeding prevent cardiac tamponade. Clinical Presentation A 68-year-old woman who had hypertension, diabetes mellitus chronic kidney disease (caused diabetic nephropathy) was first admitted acute...

10.1093/ehjci/jez319.377 article EN European Heart Journal - Cardiovascular Imaging 2020-01-01

Abstract Introduction Cardiac dysfunction is a well-documented side effect of cancer treatment, with significant morbidity and mortality. Cardio-oncology units play vital role in the early identification management therapy related cardiovascular effects provide multidisciplinary care for patients. Purpose To describe incidence treatment cardiac (CTRCD) population breast patients (pts) under chemotherapy single center cardio-oncology unit, to assess its predictors. Methods We retrospectively...

10.1093/ehjci/jez319.336 article EN European Heart Journal - Cardiovascular Imaging 2020-01-01
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