Milena Soriano Marcolino, T. L. Sales, J. A. Oliveira, D. R. Rios, Thaís Marques Pedroso, Laura Caetano de Sá, M. Martins, A. Ribeiro
,
，
{"title":"Health Literacy, Patient Knowledge and Adherence to Oral Anticoagulation in Primary Care","authors":"Milena Soriano Marcolino, T. L. Sales, J. A. Oliveira, D. R. Rios, Thaís Marques Pedroso, Laura Caetano de Sá, M. Martins, A. Ribeiro","doi":"10.36660/ijcs.20220158","DOIUrl":"https://doi.org/10.36660/ijcs.20220158","url":null,"abstract":",","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85495365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Food Consumption And Health Outcomes In Women During The COVID-19
: 2019冠状病毒病期间妇女的食物消费和健康状况
{"title":"Ultra-Processed Foods Consumption and Cardiovascular Health","authors":"A. S. Moreira, Débora Pinto Gapanowicz","doi":"10.36660/ijcs.20230096","DOIUrl":"https://doi.org/10.36660/ijcs.20230096","url":null,"abstract":": Food Consumption And Health Outcomes In Women During The COVID-19","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78744558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gilberto Campos Guimarães, Reila Campos Guimarães de Araújo, Karynne Borges Cabral, Cácia Régia de Paula
Background: Arterial stiffness and hypertension are strong predictors of cardiovascular disease and mortality. Angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) are first-line antihypertensive agents in reducing blood pressure and arterial stiffness. Objective : The objective of this study was to compare the effects of ACEI and ARB in reducing arterial stiffness and preventing target organ damage in patients with hypertension
{"title":"Comparison of Angiotensin Receptor Blockers and Angiotensin-Converting Enzyme Inhibitors in the Management of Arterial Stiffness and Target Organ Damage in Patients with Hypertension","authors":"Gilberto Campos Guimarães, Reila Campos Guimarães de Araújo, Karynne Borges Cabral, Cácia Régia de Paula","doi":"10.36660/ijcs.20220162","DOIUrl":"https://doi.org/10.36660/ijcs.20220162","url":null,"abstract":"Background: Arterial stiffness and hypertension are strong predictors of cardiovascular disease and mortality. Angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) are first-line antihypertensive agents in reducing blood pressure and arterial stiffness. Objective : The objective of this study was to compare the effects of ACEI and ARB in reducing arterial stiffness and preventing target organ damage in patients with hypertension","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83751608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Paula Soares de Carvalho, L. N. Aranha, Larissa Almenara Soares, R. Luiz, José F. Nogueira, G. Oliveira, G. Rosa
Background: Dietary treatment containing fiber-rich foods may contribute to lowering weight in obese women. Objective: To investigate the effect of a hypoenergetic diet combined with pumpkin seed flour (PSF) consumption on diet quality, anthropometric indices, and glucose and lipid metabolism in obese women. Methods: We conducted a randomized, double-blind, placebo-controlled, 90-day clinical trial with obese women, distributed into the following two groups: hypoenergetic diet + placebo (PG) and hypoenergetic diet + pumpkin seed flour (PSFG). A total of 100 participants were included in the PSFG (n = 47) and PG (n = 53). We evaluated neck circumference (NC); waist to height ratio; conicity index; fat mass (FM); lipid profile; blood concentrations of glucose and insulin; homeostatic model assessment for insulin resistance (HOMA-IR); quantitative insulin sensitivity check index (QUICKI); and blood pressure at baseline, 30, 60, and 90 days. Dietary analysis was determined by differences between diet quality indices before and after prescribing the experimental diet. Chi-squared, Student’s t-tests and analysis for repeated measures were used, and values were considered significant at p < 0.05. Results: The dietary pattern improved after 90 days in both groups. The PSFG presented lower NC (p < 0.001), FM (p = 0.010), triglycerides (TG) (p = 0.025), insulin (p = 0.003), and HOMA-IR (p = 0.018). The PG presented a lower diastolic blood pressure (p = 0.004) and low-density lipoprotein cholesterol (LDL-c) (p = 0.056). Conclusion: A hypoenergetic diet combined with PSF consumption contributes to lowering NC, FM, HOMA-IR, TG, and insulin concentrations.
{"title":"Effect of Hypoenergetic Diet Combined With Pumpkin Seed Flour Consumption on Obese Women","authors":"Anna Paula Soares de Carvalho, L. N. Aranha, Larissa Almenara Soares, R. Luiz, José F. Nogueira, G. Oliveira, G. Rosa","doi":"10.36660/ijcs.20220134","DOIUrl":"https://doi.org/10.36660/ijcs.20220134","url":null,"abstract":"Background: Dietary treatment containing fiber-rich foods may contribute to lowering weight in obese women. Objective: To investigate the effect of a hypoenergetic diet combined with pumpkin seed flour (PSF) consumption on diet quality, anthropometric indices, and glucose and lipid metabolism in obese women. Methods: We conducted a randomized, double-blind, placebo-controlled, 90-day clinical trial with obese women, distributed into the following two groups: hypoenergetic diet + placebo (PG) and hypoenergetic diet + pumpkin seed flour (PSFG). A total of 100 participants were included in the PSFG (n = 47) and PG (n = 53). We evaluated neck circumference (NC); waist to height ratio; conicity index; fat mass (FM); lipid profile; blood concentrations of glucose and insulin; homeostatic model assessment for insulin resistance (HOMA-IR); quantitative insulin sensitivity check index (QUICKI); and blood pressure at baseline, 30, 60, and 90 days. Dietary analysis was determined by differences between diet quality indices before and after prescribing the experimental diet. Chi-squared, Student’s t-tests and analysis for repeated measures were used, and values were considered significant at p < 0.05. Results: The dietary pattern improved after 90 days in both groups. The PSFG presented lower NC (p < 0.001), FM (p = 0.010), triglycerides (TG) (p = 0.025), insulin (p = 0.003), and HOMA-IR (p = 0.018). The PG presented a lower diastolic blood pressure (p = 0.004) and low-density lipoprotein cholesterol (LDL-c) (p = 0.056). Conclusion: A hypoenergetic diet combined with PSF consumption contributes to lowering NC, FM, HOMA-IR, TG, and insulin concentrations.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77774293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Túlio Torres Vargas, Lucas Yuji Sonoda, Maria da Graça Lepre Hawerroth, Stefania de Figueiredo Coutinho, Gabriela Gonçalves Ferreira, Mariane da Mata Morato Mendes, Marilene Ribeiro Almeida Costa, André Schmidt, A. Pazin
Background: International publications have shown that the COVID-19 pandemic has negatively impacted the indicators of care for ST-segment elevation acute myocardial infarction (STEMI), with a potential increase in morbidity and mortality. Objectives: To compare mortality, time from symptom onset to primary angioplasty (total delay [TD]), time from symptom onset to initial medical contact (patient delay [PD]), and time from initial medical contact to guidewire insertion in the hemodynamics laboratory (system delay [SD]) among patients admitted for STEMI at the Hemodynamics Service of Santa Casa de Passos, Minas Gerais, Brazil before and after the declaration of the COVID-19 pandemic by the World Health Organization, assessing the impact of the COVID-19 pandemic on STEMI care indicators. Methods: This is a before-and-after study involving patients hospitalized with STEMI undergoing primary angioplasty. Data were collected retrospectively through medical record review. Clinical and demographic profiles and outcomes between the pre-pandemic and pandemic groups were compared using the chi-square test for categorical variables or Student's t-test for continuous variables. A significance level of p < 0.05 was adopted. Results: There were no differences in TD (pre-pandemic: 300 min [± 159 min], 95% CI 277.1 to 322.6; pandemic: 300 min [± 148 min], 95% CI 274.3 to 326.6, p = 0.97). However, there was an increase in SD (pre-pandemic: 145 min [± 97 min], 95% CI 122.7 to 167.9; pandemic: 178 min [± 96 min], 95% CI 157.4 to 197.9, p = 0.037). There was no increase in PD (pre-pandemic: 145 min ± 133 min; pandemic: 130 min ± 117 min, p = 0.44), and no differences in mortality were observed (pre-pandemic: 9.7%; pandemic: 12%, p = 0.49). Conclusion: The COVID-19 pandemic increased SD in the management of STEMI in the region of Passos, Minas Gerais. There were no differences in PD, TD, and in-hospital mortality.
背景:国际出版物显示，COVID-19大流行对st段抬高型急性心肌梗死(STEMI)的护理指标产生了负面影响，可能导致发病率和死亡率增加。目的:比较世界卫生组织宣布COVID-19大流行前后，巴西米纳斯吉拉斯州圣卡萨德帕索斯血液动力学服务中心收治的STEMI患者的死亡率、从症状出现到初次血管成形术的时间(总延迟[TD])、从症状出现到首次医疗接触的时间(患者延迟[PD])、从首次医疗接触到在血液动力学实验室插入导丝的时间(系统延迟[SD])。评估COVID-19大流行对STEMI护理指标的影响。方法:这是一项涉及STEMI住院患者接受初级血管成形术前后的研究。资料通过病历回顾收集。对分类变量使用卡方检验，对连续变量使用学生t检验，比较大流行前组和大流行组之间的临床和人口学概况和结果。采用p < 0.05的显著性水平。结果:TD无差异(大流行前:300 min[±159 min]， 95% CI 277.1 ~ 322.6;大流行:300分钟[±148分钟]，95% CI 274.3 ~ 326.6, p = 0.97)。然而，SD有所增加(大流行前:145分钟[±97分钟]，95% CI 122.7 ~ 167.9;大流行:178分钟[±96分钟]，95% CI 157.4 ~ 197.9, p = 0.037)。PD未增加(大流行前:145 min±133 min;大流行:130分钟±117分钟，p = 0.44)，死亡率无差异(大流行前:9.7%;大流行:12%，p = 0.49)。结论:COVID-19大流行增加了米纳斯吉拉斯州帕索斯地区STEMI管理的SD。PD、TD和住院死亡率没有差异。
{"title":"The Impact of the COVID-19 Pandemic on ST Elevation Myocardial Infarction Care Indicators at a Public Hospital in Brazil","authors":"Túlio Torres Vargas, Lucas Yuji Sonoda, Maria da Graça Lepre Hawerroth, Stefania de Figueiredo Coutinho, Gabriela Gonçalves Ferreira, Mariane da Mata Morato Mendes, Marilene Ribeiro Almeida Costa, André Schmidt, A. Pazin","doi":"10.36660/ijcs.20220009","DOIUrl":"https://doi.org/10.36660/ijcs.20220009","url":null,"abstract":"Background: International publications have shown that the COVID-19 pandemic has negatively impacted the indicators of care for ST-segment elevation acute myocardial infarction (STEMI), with a potential increase in morbidity and mortality. Objectives: To compare mortality, time from symptom onset to primary angioplasty (total delay [TD]), time from symptom onset to initial medical contact (patient delay [PD]), and time from initial medical contact to guidewire insertion in the hemodynamics laboratory (system delay [SD]) among patients admitted for STEMI at the Hemodynamics Service of Santa Casa de Passos, Minas Gerais, Brazil before and after the declaration of the COVID-19 pandemic by the World Health Organization, assessing the impact of the COVID-19 pandemic on STEMI care indicators. Methods: This is a before-and-after study involving patients hospitalized with STEMI undergoing primary angioplasty. Data were collected retrospectively through medical record review. Clinical and demographic profiles and outcomes between the pre-pandemic and pandemic groups were compared using the chi-square test for categorical variables or Student's t-test for continuous variables. A significance level of p < 0.05 was adopted. Results: There were no differences in TD (pre-pandemic: 300 min [± 159 min], 95% CI 277.1 to 322.6; pandemic: 300 min [± 148 min], 95% CI 274.3 to 326.6, p = 0.97). However, there was an increase in SD (pre-pandemic: 145 min [± 97 min], 95% CI 122.7 to 167.9; pandemic: 178 min [± 96 min], 95% CI 157.4 to 197.9, p = 0.037). There was no increase in PD (pre-pandemic: 145 min ± 133 min; pandemic: 130 min ± 117 min, p = 0.44), and no differences in mortality were observed (pre-pandemic: 9.7%; pandemic: 12%, p = 0.49). Conclusion: The COVID-19 pandemic increased SD in the management of STEMI in the region of Passos, Minas Gerais. There were no differences in PD, TD, and in-hospital mortality.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85186219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariana Barbosa Lopes, L. N. Aranha, Lara Ribeiro Pinto, Paula Critina Moreira dos Santos Lino, R. Luiz, G. Oliveira, G. Rosa
Background: The COVID-19 pandemic has changed food consumption. Objective: Evaluate the association between metabolic phenotypes, changes in food consumption during the pandemic, and health outcomes in obese women. Methods : Cross-sectional observational study including 491 women without previous diagnosis of chronic diseases, evaluated according to metabolic phenotype. During the pandemic, a subsample was re-evaluated by online questionnaires via Google Forms. Analyzed anthropometric, biochemical, and dietary data as well as health outcomes (coronary artery disease, type 2 diabetes, hypertension, dyslipidemia or death). Information on mortality was collected from the Internal Affairs Office of the State of Rio de Janeiro and the Health Department of the State of Rio de Janeiro. Statistical analysis was performed using the statistical program SPSS 21, with Mann-Whitney test, Pearson’s chi-squared, Spearman correlation, and binary logistic regression, at a significance level of 5%. Results : The anthropometric, glucose, and lipid profiles showed significant differences between the metabolically healthy and metabolically unhealthy groups (p = 0.00). Before the pandemic, women in the metabolically unhealthy group had higher dietary intakes of lipids (p = 0.01), saturated fat (p = 0.01) and sodium (p = 0.04), during the pandemic, they consumed more energy (p = 0.04), lipids (p = 0.02), saturated fat (p = 0.02), proteins (p = 0.03) and sodium from ultra-processed foods (p = 0.03). Consequently, health outcomes were more prevalent in the metabolically unhealthy group (p = 0.00). Conclusion : Observed that metabolically healthy women had qualitatively better food intake and fewer health outcomes throughout the study.
{"title":"Food Consumption and Health Outcomes in Women During the COVID-19 Pandemic","authors":"Mariana Barbosa Lopes, L. N. Aranha, Lara Ribeiro Pinto, Paula Critina Moreira dos Santos Lino, R. Luiz, G. Oliveira, G. Rosa","doi":"10.36660/ijcs.20220066","DOIUrl":"https://doi.org/10.36660/ijcs.20220066","url":null,"abstract":"Background: The COVID-19 pandemic has changed food consumption. Objective: Evaluate the association between metabolic phenotypes, changes in food consumption during the pandemic, and health outcomes in obese women. Methods : Cross-sectional observational study including 491 women without previous diagnosis of chronic diseases, evaluated according to metabolic phenotype. During the pandemic, a subsample was re-evaluated by online questionnaires via Google Forms. Analyzed anthropometric, biochemical, and dietary data as well as health outcomes (coronary artery disease, type 2 diabetes, hypertension, dyslipidemia or death). Information on mortality was collected from the Internal Affairs Office of the State of Rio de Janeiro and the Health Department of the State of Rio de Janeiro. Statistical analysis was performed using the statistical program SPSS 21, with Mann-Whitney test, Pearson’s chi-squared, Spearman correlation, and binary logistic regression, at a significance level of 5%. Results : The anthropometric, glucose, and lipid profiles showed significant differences between the metabolically healthy and metabolically unhealthy groups (p = 0.00). Before the pandemic, women in the metabolically unhealthy group had higher dietary intakes of lipids (p = 0.01), saturated fat (p = 0.01) and sodium (p = 0.04), during the pandemic, they consumed more energy (p = 0.04), lipids (p = 0.02), saturated fat (p = 0.02), proteins (p = 0.03) and sodium from ultra-processed foods (p = 0.03). Consequently, health outcomes were more prevalent in the metabolically unhealthy group (p = 0.00). Conclusion : Observed that metabolically healthy women had qualitatively better food intake and fewer health outcomes throughout the study.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79430902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
standard mean difference -0.95, 95% CI -1.35 to -0.55) after procedure. Overall, for the other assessed outcomes, no statistical difference was found. The quality of evidence was considered low according to the GRADE profile. Anesthetics with epinephrine used in dentistry may have considerable effects upon the sensing and function of cardiac implantable electronic devices [pacemaker, implantable cardioverter-defibrillator (ICD)]. 6 In this sense, ICD therapy discharge can result from induced ventricular arrhythmia or due to inappropriate detection, such as sinus tachycardia, atrial arrhythmia
标准均差-0.95,95% CI -1.35至-0.55)。总体而言，对于其他评估结果，没有发现统计学差异。根据GRADE概况，证据质量被认为是低的。牙科中使用的肾上腺素麻醉药可能对心脏植入式电子设备(起搏器、植入式心律转复除颤器)的传感和功能产生相当大的影响。从这个意义上说，ICD治疗放电可能是由于诱发的室性心律失常或由于不适当的检测，如窦性心动过速、房性心律失常
{"title":"Safety of Dental Anesthesia in ICD Recipients","authors":"R. A. Teixeira","doi":"10.36660/ijcs.20230023","DOIUrl":"https://doi.org/10.36660/ijcs.20230023","url":null,"abstract":"standard mean difference -0.95, 95% CI -1.35 to -0.55) after procedure. Overall, for the other assessed outcomes, no statistical difference was found. The quality of evidence was considered low according to the GRADE profile. Anesthetics with epinephrine used in dentistry may have considerable effects upon the sensing and function of cardiac implantable electronic devices [pacemaker, implantable cardioverter-defibrillator (ICD)]. 6 In this sense, ICD therapy discharge can result from induced ventricular arrhythmia or due to inappropriate detection, such as sinus tachycardia, atrial arrhythmia","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86037257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
findings, the authors of the study have highlighted that the majority of hospitalizations due to AMI occurred in males and in the age group between 60 and 69 years, with males also being more frequently observed among the in-hospital death certificates due to AMI, for which the age group of 70 to 79 years was the most frequent, responsible for almost a third of these deaths. The most predominantly declared skin color described among those hospitalized for AMI and for in-hospital deaths from this cause was White. The microregion involving the state capital and the metropolitan region was responsible for more than 60% of the relative frequency of hospitalizations and in-hospital deaths due to AMI in the state of RJ. The authors also indicate that, although males were more frequently observed (56.5%) in the outcome of in-hospital death due to AMI, the rate of in-hospital death among women hospitalized due to AMI was described as being higher (16.8%) than that of men (12.3%)
{"title":"Sociodemographic Disparities in Acute Myocardial Infarction in Rio de Janeiro State","authors":"B. Markman-Filho, Liana Gonçalves-Macedo","doi":"10.36660/ijcs.20230043","DOIUrl":"https://doi.org/10.36660/ijcs.20230043","url":null,"abstract":"findings, the authors of the study have highlighted that the majority of hospitalizations due to AMI occurred in males and in the age group between 60 and 69 years, with males also being more frequently observed among the in-hospital death certificates due to AMI, for which the age group of 70 to 79 years was the most frequent, responsible for almost a third of these deaths. The most predominantly declared skin color described among those hospitalized for AMI and for in-hospital deaths from this cause was White. The microregion involving the state capital and the metropolitan region was responsible for more than 60% of the relative frequency of hospitalizations and in-hospital deaths due to AMI in the state of RJ. The authors also indicate that, although males were more frequently observed (56.5%) in the outcome of in-hospital death due to AMI, the rate of in-hospital death among women hospitalized due to AMI was described as being higher (16.8%) than that of men (12.3%)","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90665657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanelise Zortea, K. Curvello, D. Pilger, A. Douros, L. F. Leal, Tatiana da Silva Sempé, T. D. S. D. Pizzol
,
，
{"title":"Adherence and Quality of Life in Non-Valvular Atrial Fibrillation With Direct Oral Anticoagulants Versus Vitamin K Antagonists: A Systematic Review","authors":"Vanelise Zortea, K. Curvello, D. Pilger, A. Douros, L. F. Leal, Tatiana da Silva Sempé, T. D. S. D. Pizzol","doi":"10.36660/ijcs.20220115","DOIUrl":"https://doi.org/10.36660/ijcs.20220115","url":null,"abstract":",","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"329 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72391719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
to women’s higher post-operative mortality, higher frailty, and elevated risk of patient prosthesis mismatch, due to smaller annular sizes. 5-7 However, after the advent of transcatheter aortic valve replacement (TAVR), this disparity has decreased, with an equal representation of women in the utilization of this procedure in the main studies. 8,9 Curiously, despite worse pre-procedural female profile and higher rates of bleeding and vascular complications, TAVR has demonstrated improved long-term survival in women, compared to men. 10 Moreover, women have shown improved reverse remodeling of myocardial hypertrophy post-procedure, compared to men. 11 This study highlighted the discussion of this critical topic, adding relevant information about innate physiological differences in AS between men and women, but gaps still remain in the current knowledge, and future randomized trials are necessary to elucidate them. Furthermore, the equality in representation of women among TAVR studies does not necessarily translate to equal care and, particularly, optimal timing of valve intervention. Future research should focus on exploring the advantages of using sex-specific guidelines for indicating valve procedures, taking into account the inherent physiological sex variations in AS phenotypes and identifying healthcare factors that may contribute to unequal treatment of women with severe AS.
{"title":"Beyond Sex-Based Differences: Exploring the Complexities of Aortic Stenosis in Women","authors":"Pâmela Cavalcante, F. Tarasoutchi","doi":"10.36660/ijcs.20230042","DOIUrl":"https://doi.org/10.36660/ijcs.20230042","url":null,"abstract":"to women’s higher post-operative mortality, higher frailty, and elevated risk of patient prosthesis mismatch, due to smaller annular sizes. 5-7 However, after the advent of transcatheter aortic valve replacement (TAVR), this disparity has decreased, with an equal representation of women in the utilization of this procedure in the main studies. 8,9 Curiously, despite worse pre-procedural female profile and higher rates of bleeding and vascular complications, TAVR has demonstrated improved long-term survival in women, compared to men. 10 Moreover, women have shown improved reverse remodeling of myocardial hypertrophy post-procedure, compared to men. 11 This study highlighted the discussion of this critical topic, adding relevant information about innate physiological differences in AS between men and women, but gaps still remain in the current knowledge, and future randomized trials are necessary to elucidate them. Furthermore, the equality in representation of women among TAVR studies does not necessarily translate to equal care and, particularly, optimal timing of valve intervention. Future research should focus on exploring the advantages of using sex-specific guidelines for indicating valve procedures, taking into account the inherent physiological sex variations in AS phenotypes and identifying healthcare factors that may contribute to unequal treatment of women with severe AS.","PeriodicalId":32690,"journal":{"name":"International Journal of Cardiovascular Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78548081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：