A5111581413- Congenital Heart Disease Studies
- Coronary Artery Anomalies
- Cardiovascular Issues in Pregnancy
- Cardiac Structural Anomalies and Repair
- Tracheal and airway disorders
- Renal and Vascular Pathologies
- Maternal and Neonatal Healthcare
- Frailty in Older Adults
- Cardiac Arrhythmias and Treatments
- Kawasaki Disease and Coronary Complications
- Cervical Cancer and HPV Research
- Innovations in Medical Education
- Vascular anomalies and interventions
- Trauma Management and Diagnosis
- Cardiovascular Conditions and Treatments
- Clinical Reasoning and Diagnostic Skills
- Heart Failure Treatment and Management
- Phonocardiography and Auscultation Techniques
- Cardiovascular Effects of Exercise
- Coronary Interventions and Diagnostics
- Cardiovascular Syncope and Autonomic Disorders
- Cystic Fibrosis Research Advances
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac tumors and thrombi
- Connective tissue disorders research
Centro Universitário do Pará
2024
Clinics Hospital of Ribeirão Preto
1985-2023
Universidade de São Paulo
1993-2022
Universidade de Ribeirão Preto
2002-2021
Universidade Brasil
2007
Hospital do Coração
1995-2005
Fundação Faculdade de Medicina
1997-2005
Hospital Amaral Carvalho
2005
Universidade Federal do Rio Grande do Sul
2005
Centro Universitário de Rio Preto
2005
A large fraction of stars form in clusters containing high-mass stars, which subsequently influences the local and galaxy-wide environment. Fundamental questions about physics responsible for fragmenting molecular parsec-scale clumps into cores a few thousand astronomical units (au) are still open, that only statistically significant investigation with ALMA is able to address; instance: identification dominant agents determine core demographics, mass, spatial distribution as function...
Abstract Introduction The multi‐phase or four‐dimensional computed tomography (4D CT) has emerged as a promising technique for preoperative localization of parathyroid lesions in patients with primary hyperparathyroidism (PHPT), but little is known about its accuracy normocalcemic (NPHPT). Methods A total 18 diagnosed PHPT underwent three methods CT, TC‐99‐Sestamibi scintigraphy and ultrasonography). After surgery, the results imaging were compared operative findings, pathological...
Abstract A 57‐year‐old woman developed severe substernal chest pain radiating to the left arm accompanied by pallor and marked diaphoresis. These symptoms appeared at rest, lasted 45 minutes, terminated spontaneously. The patient had been treated for mild hypertension during last 6 months. An ECG tracing obtained beginning of treatment was unremarkable. However, an recorded shortly after end showed T‐wave inversion in all anterior leads. Coronary arteriography then performed no fixed...
The Brazilian Policy for Comprehensive Care People with Rare Diseases was implemented in 2014; however, national epidemiological data on rare diseases (RDs) are scarce and mainly focused specific disorders. To address this gap, University Hospitals, Reference Services Neonatal Screening, Diseases, all of which public health institutions, established the Network (RARAS) 2020. objective study to perform a comprehensive nationwide investigation individuals RDs Brazil. This retrospective survey...
BackgroundIn recent years, patient-reported outcomes (PROs) have received increasing prominence in cardiovascular research and clinical care. An understanding of the variability global experience PROs adults with congenital heart disease (CHD), however, is still lacking. Moreover, information on epidemiological characteristics frailty phenotype older CHD minimal. The APPROACH-IS II study was established to address these knowledge gaps. This paper presents design methodology...
The action of testosterone on the 45Ca2+ uptake and insulin secretion was studied in short-term experiments using isolated pancreatic islets Langerhans. Testosterone (1 µM) stimulated within 60 seconds incubation similar proportion than tolbutamide. Also, hormone rapidly increased release (34 %; 180 seconds) presence non-stimulatory concentrations glucose (3 mM). Impermeant testosterone-BSA significantly to a lower percentage (10 %). is specific - neither 17β-E2 nor progesterone 3 mM...
Traumatic rupture of the interventricular septum is a rare condition usually presenting in infancy and childhood. This report describes two cases: 3-year-old boy operated on soon after diagnosis was made, 15-year-old girl 12 years following causative accident. Both patients had confirmed by cardiac catheterization. The typical appearance traumatic ventricular septal defect (VSD) seen during surgical repair that successfully carried out both patients. protracted clinical course second...
We report two cases of congenital atresia the ostium left coronary artery. Case 1: a six-month-old infant presenting with serious cardiac insufficiency. A noninvasive diagnosis dilated myocardiopathy was established and clinical picture pharmacologically compensated. When patient nine months age, hemodynamic study performed that revealed artery; immediately underwent successful anastomosis internal mammary artery 2: an eleven-year-old asymptomatic boy history heart murmur from age six on,...
Descrevem-se duas experiências realizadas com o objetivo de verificar se estudantes Medicina etapas avançadas podem ser utilizados em Osce para avaliar habilidades clínicas básicas alunos iniciantes. Na primeira experiência, 6 internos e professores avaliaram 59 do currículo tradicional estações focadas na anamnese, exame físico comunicação paciente. As notas dadas pelos foram maiores que as dos todas estações, exceto uma (comunicação), mas não houve diferenças significantes entre elas, numa...
Service experiences for adults with congenital heart disease have not been reported in our country.To describe the basic clinical profile of an outpatient tertiary care center.We compiled data on age, gender, place residence, primary diagnosis, and secondary diagnoses 413 patients treated seven years.G1 (untreated): 195 patients, 51% women, 57% between 14 30 years, 80% living region. The most frequent diseases were ventricular septal defect (VSD) (31%), atrial (ASD) (29%), pulmonary stenosis...
Background: Retention of early-taught knowledge and fundamental clinical skills, albeit essential in medical education, has not been extensively investigated.This study is aimed at assessing prospectively the retention skills related to communication with patients physical examination by fourth year students after an introductory course basic pediatric cardiology.Methods: Three cohorts aged 21-26 years volunteered for study.All (N = 130) were assessed immediately teaching period six months...
Artigo de revisão sobre as principais manifestações clínicas das cardiopatias congênitas, que se manifestam no período neonatal. A partir da presença dados clínicos, como sopro cardíaco, cianose, taquipnéia e arritmia, são discutidos os elementos clínicos associados, assim entidades mais provavelmente a eles relacionadas. Informações diagnóstico terapêutica também sumariamente apresentadas.
During the last decades, advances in diagnosis and treatment of congenital heart disease have allowed many individuals to reach adulthood. Due mainly great diagnostic diversity co-morbidities usually present this age group, these patients demand assistance a multidisciplinary facility if an adequate attention is aimed. In paper we reviewed, based international literature also on authors' experience, structural conditions that should be available for patients. We highlighted aspects like...
Relatamos o caso de um adolescente encaminhado com diagnóstico hipertensão pulmonar. A investigação não invasiva detectou comunicação interatrial seio venoso sinais No estudo hemodinâmico foi confirmado, sendo também notada compressão esquerda pelo tronco O paciente submetido à oclusão cirúrgica da e plastia redutora do Dois anos após procedimento, encontra-se bem, clínicos ecocardiográficos pulmonar discreta sem evidências, ecocardiograma, obstrução artéria coronária esquerda.
Objective: To report the institution experience with surgical treatment of adults congenital heart disease due to increasing number these patients and need for a better discussion subject.Methods: Retrospective analysis describing demographic data, risk factors results.Results: 191 between 16 74 years old were operated on.Primary correction was done in 171 cases, 93 (55%) atrial septal defect repair.Among 20 (12%) reoperations, pulmonary valve replacement six cases.The mean intensive care...
During initial evaluation of children on an outpatient basis, the index suspected heart disease may be high, particularly if we consider that innocent murmur occurs in about 50% pediatric population. This is most common cause referral to cardiologist.To report experience a public clinic southeastern region Brazil.Retrospective analysis all patients submitted cardiologic within 39 month period.Public cardiology clinic.2675 consecutive aged</=15 years referred from local and regional basic...
Naphazoline (NA) is an α-adrenergic agonist derived from imidazoline. Due to its vasoconstrictor action, it widely used as a nasal decongestant with rapid onset of action. It presents few studies on side effects, most case accidental ingestion in children under two years age. We report the relationship between NA intoxication and symptomatic bradycardia, reversed after administration intravenous Naloxone, young adult patient.
Coronary recanalization with thrombolytic agents is a new therapeutic approach to the treatment of acute myocardial infarction that can be beneficial even patients in cardiogenic shock. Although few cases have been reported literature, occlusion left main coronary artery (LMCA) has made possible by reperfusion. This communication concerns patient LMCA who was successfully treated therapy streptokinase followed revascularization myocardium seventy-two hours after reperfusion achieved.
We describe the case of a 40-day-old female patient with history breathlessness since birth who was referred to our hospital for surgical correction common arterial trunk. The invasive investigation disclosed Fallot¢s tetralogy anatomy associated an anomalous origin left pulmonary artery from ascending aorta. Immediately after diagnosis, underwent successful total defect, including simultaneous anastomosis
To access the incidence of diagnostic errors in initial evaluation children with cardiac murmurs.We evaluated our 7-years experience a public pediatric cardiology outpatient clinic. Of 3692 patients who were sent to hospital, 2603 presented heart murmur and investigated. Patients for whom disagreement existed between final diagnoses divided into following 2 groups: G1 (n=17) an diagnosis innocent cardiopathy, G2 (n=161) cardiopathy normal heart.In G1, great majority had defects mild...
In 2020, there was an estimated prevalence of more than 1.8 million adults with congenital heart disease (ACHDs) living in South America, and 677,000 Central America the Caribbean. The ACHD mortality is higher developing countries, compared developed it has been shown that concentrating this population specialized units improves their survival prognosis. Currently, Latin American (LATAM) Caribbean countries have insufficient number specialists units. Analyzing situation, Inter-American...
OBJECTIVE: To report the authors' experience with anomalous origin of left coronary artery (AOLCA) from pulmonary trunk, emphasizing preoperative data, surgical aspects and midterm results follow-up. METHODS: Retrospective analysis 11 patients operated upon at Royal Brompton Hospital October, 84 to April, 97. RESULTS: Nine infants had heart failure (HF) two other children presented dyspnea chest pain. All ECG changes. The echocardiogram identified in 7 (64%) hemodynamic studies were...