A5015064428- Cardiovascular and exercise physiology
- Sepsis Diagnosis and Treatment
- Heart Failure Treatment and Management
- Aortic Disease and Treatment Approaches
- Cardiac, Anesthesia and Surgical Outcomes
- Congenital Heart Disease Studies
- Viral Infections and Immunology Research
- Trauma Management and Diagnosis
- Transplantation: Methods and Outcomes
- Trypanosoma species research and implications
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular anomalies and interventions
- Acute Myocardial Infarction Research
- Cardiac pacing and defibrillation studies
- Cardiac Health and Mental Health
- Nosocomial Infections in ICU
- Mechanical Circulatory Support Devices
- Mesenchymal stem cell research
- Cardiac Arrest and Resuscitation
- Health Systems, Economic Evaluations, Quality of Life
- Growth Hormone and Insulin-like Growth Factors
- Central Venous Catheters and Hemodialysis
- Sexual function and dysfunction studies
- Cardiovascular Function and Risk Factors
- Signaling Pathways in Disease
São Camilo Hospital
2005-2013
Universidade de São Paulo
1996-2008
Hospital Sepaco
1999
Universidade Estadual de Londrina
1988
Background— Erectile dysfunction (ED) is common in patients with congestive heart failure (CHF). ED reduces quality of life, and it may affect compliance, thereby impairing the success CHF treatment. Methods Results— In first phase (fixed-dose double-blind, randomized, placebo-controlled, two-way crossover study), we studied 23 men effects 50 mg sildenafil on exercise neurohormonal activation. Patients underwent a treadmill 6-minute cardiopulmonary walking (6′WT) test followed by maximal...
National studies on decompensated heart failure (DHF) are key to the understanding of this condition in our midst.To determine characteristics DHF patients an emergency department.A total 212 diagnosed with who had been admitted department (EU) a cardiology hospital were prospectively evaluated. Clinical variables, form presentation and causes decompensation studied. In 100 patients, ancillary tests, prescription vasoactive drugs, length stay mortality also analyzed.There was predominance...
The 6-minute walk test is an way of assessing exercise capacity and predicting survival in heart failure. was suggested to be similar that daily activities. We investigated the effect motivation during failure.We studied 12 males, age 45 +/- years, ejection fraction 23 7%, functional class III. Patients underwent following tests: maximal cardiopulmonary on treadmill (max), with walking rhythm maintained between relatively easy slightly tiring (levels 11 13 Borg scale) (6EB), using usual...
CONTEXT AND OBJECTIVE Acute coronary syndromes (ACS) are a common cause of intensive care unit (ICU) admission. Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry Coronary Events) has had the best performance. However, clinicians generally use from heterogeneous populations critically ill patients, such as APACHE IV (Acute Physiologic Chronic Health Evaluation IV) SAPS 3 (Simplified Physiology Score 3). The aim this study was...
To describe the clinical features and outcomes of patients admitted with influenza A (H1N1) infection in two private hospitals' intensive care units São Paulo, Brazil, during 2009 pandemics.A retrospective cohort study was conducted to evaluate demographic data, initial presentation, prognostic scores [Simplified Acute Physiology Score (SAPS) 3 Sequential Organ Failure Assessment (SOFA)], comorbidities, treatment confirmed pandemic diagnosis from July September 2009.22 were admitted. Median...
It has been reported that growth hormone may benefit selected patients with congestive heart failure. A 63-year-old man refractory failure waiting for transplantation, depending on intravenous drugs (dobutamine) and presenting progressive worsening of the clinical status cachexia, despite standard treatment, received replacement (8 units per day) optimization management. Increase in both serum levels (from 0.3 to 0.8 mg/l) IGF-1 130 300ng/ml) was noted, association improvement, better...
Visando um melhor resultado estético pode-se optar por técnicas minimamente invasivas na correção cirúrgica das cardiopatias congênitas. Entre os acessos utilizados realizamos a esternotomia parcial em 20 pacientes pediátricos para de comunicação interatrial (CIA). Após análise deste grupo concluímos tratar-se técnica segura, fácil execução e com ótimo estético. Não ocorreram complicações específicas relacionadas ao acesso cirúrgico.
Os autores relatam o uso de perfusão cerebral retrógrada e anterógrada para proteção cerebral, em normotermia, durante tratamento cirúrgico dissecção aguda aorta do Tipo 1. O paciente foi considerado neurologicamente apto ao ser submetido Mini Mental State Examination, no pós-operatório tardio. acreditam que a associação dos métodos possa se constituir uma alternativa nas operações aneurismas dissecções da aorta, após avaliação seu emprego série significante pacientes.
O grande atrativo da Operação de Senning como descrita originalmente é a utilização das paredes do próprio átrio paciente para realização dos túneis venosos. A atrioseptostomia por balão, utilizada atualmente na maioria casos transposição grandes artérias (TGA), cria comunicações interatriais. Com isso, necessário enxertos biológicos ou sintéticos (Dacron, Teflon e pericárdio bovino) septação esquerdo. Doze crianças consecutivas, com idades 5 meses 4 anos (média = 20 meses), foram submetidas...
É descrito caso de secção da aorta torácica descendente, após a emergência arteria subclávia esquerda decorrente trauma fechado do tórax. O diagnóstico precoce e o rápido tratamento cirúrgico foram fundamentais para excelente evolução pós-operatória. emprego circulação extracorpórea átrio esquerdo-femoral interposição tubo Dacron restabelecendo fluxo arterial, foi fundamental prevenção paraplegia por lesão medula espinhal já levemente isquémica.