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First Evaluation of the Brazilian Advanced Life Support Training (TECA A) 巴西高级生命支持培训(TECA)的首次评估
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20220199
Fabrício Nogueira Furtado, Antonio Carlos de Camargo Carvalho, Iran Gonçalves, Manoel Fernandes Canesin, Sergio Timerman, Rodrigo Marques Gonçalves, Daniela Frizon Alfieri, Dirceu Almeida
Background Cardiac arrest (CA) is a common condition associated with high mortality. The Brazilian advanced life support training TECA A (Treinamento em Emergências Cardiovasculares Avançado — Advanced Cardiovascular Emergency Training) was created to train healthcare professionals in the management of CA. However, there are no studies evaluating the effectiveness of TECA A. Objective To assess the impact of TECA A on the management of CA using a simulated CA situation. Methods Fifty-six students underwent a simulated case of CA [...]
背景:心脏骤停(CA)是一种与高死亡率相关的常见疾病。巴西高级生命支持培训TECA (Treinamento em Emergências Cardiovascular avanado -高级心血管急救培训)的创建是为了培训医疗保健专业人员管理CA。然而,没有研究评估TECA的有效性。目的通过模拟CA情况评估TECA对CA管理的影响。方法对56名学生进行模拟CA病例分析。
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引用次数: 0
Bentall-De Bono Reoperation Associated With Pseudoaneurysm and Infectious Endocarditis 假性动脉瘤和感染性心内膜炎相关的本特尔-德博诺再手术
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20230082
Janayna Rabelato, Iuri Betuel Gomes Antonio, Adnaldo da Silveira Maia, Daniel Chagas Dantas, Antonio Flávio de Almeida, Mario Issa
We present the case of a 55-year-old patient who underwent the Bentall-De Bono procedure with mechanical prosthesis in 2005 and was admitted to the emergency department in July 2020 with mixed shock. Complementary exams showed an abscess involving the prosthetic tube, two thirds of the aortic valve circumference and the left ventricle, with a neocavity of about 45 mm in diameter from the aortic sinus to the ascending aorta. The patient underwent surgical repair, with a new procedure using [...]
我们报告了一名55岁的患者,他于2005年接受了机械假体的Bentall-De Bono手术,并于2020年7月因混合性休克而入院急诊。辅助检查显示一脓肿累及假体管、主动脉瓣周长的三分之二和左心室,在主动脉窦至升主动脉处有一个直径约45mm的新腔。病人接受了手术修复,采用了一种新的手术方法。
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引用次数: 0
Publication of a Scientific Article: What Authors Need to Know 发表一篇科学文章:作者需要知道什么
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20230115
Marcella dos Santos Lopes da Silva, Cláudio Tinoco Mesquita
What are the first steps to write a scientific article? It is always important to remember who the authors of a scientific article should be, namely, the people who: (1) helped to conceive or design the work; or obtained, analyzed, or interpreted research data; and (2) participated in writing the manuscript or critically reviewed it for important intellectual content; and (3) gave final approval of the version of the text to be published; and (4) agreed to ensure that questions [...]
写一篇科学文章的第一步是什么?记住一篇科学文章的作者应该是谁总是很重要的,也就是那些:(1)帮助构思或设计这项工作的人;或获得、分析或解释研究数据;(二)参与撰写稿件或者对重要的学术内容进行评议;(三)最终审定文本的出版版本;(4)同意确保问题[…]
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引用次数: 0
The Complex Relationship Between Emotions and the Heart: Should We Care? 情绪和心灵之间的复杂关系:我们应该关心吗?
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20220216
Sarah Fagundes Grobe, L. Moura
association with hospital readmission.
与再入院有关。
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引用次数: 0
Cardiac Involvement in COVID-19: A Matter Close to the Heart, Beyond the Acute Illness COVID-19对心脏的影响:一个接近心脏的问题,而不是急性疾病
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20230024
G. Oliveira, Fausto J. Pinto
COVID-19. Thus, patients with positive troponins, myocardial dysfunction, and severe arrhythmia/ electrocardiographic alterations not explained by other methods may be candidates for CMR.
新型冠状病毒肺炎因此,肌钙蛋白阳性、心肌功能障碍和其他方法无法解释的严重心律失常/心电图改变的患者可能是CMR的候选者。
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引用次数: 2
The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease 数字技术和新策略在心脏代谢疾病患者参与和依从性中的作用
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.36660/ijcs.20230126
Márcio Krakauer, Marcella Flores, Renata Vital do Nascimento Lima, Lara Abrão Sachetti
This article explores challenges and barriers to managing cardiometabolic conditions, highlighting strategies and technologies for improving patient adherence. Approaches such as simplifying prescriptions, patient empowerment, health education, setting short-term goals, understanding social context, self-monitoring, and gamification have been effective in promoting adherence. The use of health apps for chronic diseases has also been increasing, facilitating medication adherence and self-monitoring. Integrating these approaches into clinical practice can lead to consistent outcomes and reduce care-associated costs. The Role of Digital Technology [...]
本文探讨了管理心脏代谢疾病的挑战和障碍,强调了提高患者依从性的策略和技术。简化处方、患者授权、健康教育、设定短期目标、了解社会背景、自我监控和游戏化等方法在促进依从性方面是有效的。慢性病健康应用程序的使用也在增加,促进了药物依从性和自我监控。将这些方法整合到临床实践中可以产生一致的结果并降低与护理相关的成本。数码科技的角色[…]
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引用次数: 0
Cardiovascular Diseases Mortality Rates in Nine Cities of Rio Grande do Sul from 2009 to 2019: Temporal Trends and Demographic Differences 2009 - 2019年南里奥格兰德州9个城市心血管疾病死亡率:时间趋势和人口差异
Q4 Medicine Pub Date : 2022-11-03 DOI: 10.36660/ijcs.20220062
Pâmela Sandri, Luiz Artur Rosa, Elias Sato de Almeida, S. G. Silva
Background : Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality statistics in Brazil and worldwide. The evaluation of the temporal and spatial distribution of mortality due to CVD is essential to support actions aimed at monitoring the implementation of health policies. Objectives: To analyze the temporal trend of mortality due to CVD from 2009 to 2019, as well as the main causes of death according to gender and age group in nine cities of Rio Grande do Sul (RS). Methods: This is an ecological study based on data from the Mortality Information System. The rates were stratified according to gender, age group and cause, which were composed of ischemic heart diseases (IHD), cerebrovascular diseases and hypertensive diseases (HD). Prais-Winsten regression was used for time trend estimates. Results: Three out of the nine cities analyzed showed a significant reduction in the overall mortality rates due to CVD in the timeframe evaluated (p<0.05). When the cause of death was analyzed, there was a decreasing trend in mortality due to IHD in Caxias do Sul, Ijuí and Porto Alegre. In these cities and also in Passo Fundo and Uruguaiana, there was a decrease in mortality due to cerebrovascular diseases. The cities of Ijuí, Porto Alegre and Santa Maria recorded an increase in hypertensive disease mortality rates. In most cities, there was an increase in rates related to greater age and male sex. Conclusion: Heterogeneity was observed in the trend of mortality due to CVD throughout the historical series, which may be related to the execution of public policies and the control of cardiovascular risk factors in the evaluated territories.
背景:心血管疾病(CVD)是巴西和世界范围内发病率和死亡率的主要原因。评价心血管疾病死亡率的时空分布对于支持旨在监测卫生政策执行情况的行动至关重要。目的:分析南里奥格兰德州(RS) 9个城市2009 - 2019年心血管疾病死亡率的时间趋势,以及按性别和年龄组划分的主要死亡原因。方法:这是一项基于死亡率信息系统数据的生态学研究。发病率按性别、年龄和病因分层,由缺血性心脏病(IHD)、脑血管病(HD)和高血压病(HD)组成。Prais-Winsten回归用于时间趋势估计。结果:在所分析的9个城市中,有3个城市在评估的时间范围内心血管疾病的总死亡率显著降低(p<0.05)。对死亡原因进行分析后发现,南卡西亚斯州、Ijuí和阿雷格里港的IHD死亡率呈下降趋势。在这些城市以及帕索丰多和乌拉圭,脑血管疾病的死亡率有所下降。Ijuí、阿雷格里港和圣玛丽亚等城市的高血压死亡率有所上升。在大多数城市,发病率的上升与年龄和男性有关。结论:在整个历史序列中,心血管疾病死亡率的趋势存在异质性,这可能与评估地区公共政策的执行和心血管危险因素的控制有关。
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引用次数: 1
Prevalence and Association Between Cognition, Anxiety, and Depression in Patients Hospitalized with Heart Failure 心力衰竭住院患者认知、焦虑和抑郁的患病率及其相关性
Q4 Medicine Pub Date : 2022-11-03 DOI: 10.36660/ijcs.20210226
V. L. Soares, C. Pereira, Ana Carla Carvalho, Tarsila Perez Mota, R. Groehs, F. Bacal, Luciana Diniz Nagem Janot de Matos
Background: Cognitive impairment, anxiety, and depression are present in patients with heart failure (HF), but their mutual correlation in hospitalized patients is not well established. Objectives: The aims of this study were to identify the presence of cognitive impairment and the most affected domain, to investigate possible associations of cognitive impairment with depression and/or anxiety, and to observe whether they correlated with occurrence of readmission within 30 days following hospital discharge. Methods: This is a prospective observational study including patients with HF from a private hospital. Psychological distress and cognition were evaluated by the Hospital Anxiety and Depression Scale (HADS) and by the Mini Mental State Exam (MMSE), respectively. Clinical data were obtained from the medical record at the time of inclusion, and outpatient follow-up was performed 30 days after discharge via telephone calls. Results: This study included 71 patients (83% men, 75 ± 11 years). Cognitive impairment was present in 53.5% of the patients, and recall memory was the most altered cognitive domain. The proportion of possible/probable anxiety and depression was 21.1% and 34.2% in patients with cognitive impairment, respectively. However, only depression demonstrated association with cognitive impairment (p = 0.018). Cognitive impairment, anxiety, and depression showed no relationship with the occurrence of readmission within 30 days. Conclusions: Cognitive impairment and depressive symptoms are prevalent and associated, and recall memory was the most altered cognitive domain in patients hospitalized with HF. However, there was no relationship between these factors and readmission within 30 days.
背景:心力衰竭(HF)患者存在认知障碍、焦虑和抑郁,但其在住院患者中的相互关系尚未得到很好的证实。目的:本研究的目的是确定认知障碍的存在和最受影响的领域,调查认知障碍与抑郁和/或焦虑的可能关联,并观察它们是否与出院后30天内再入院的发生相关。方法:这是一项前瞻性观察研究,包括来自私立医院的心衰患者。采用医院焦虑抑郁量表(HADS)和迷你精神状态测验(MMSE)分别评估患者的心理困扰和认知能力。从纳入时的病历中获取临床资料,出院后30天通过电话进行门诊随访。结果:本研究纳入71例患者(男性83%,75±11岁)。53.5%的患者存在认知障碍,回忆记忆是改变最多的认知领域。认知障碍患者可能/可能出现焦虑和抑郁的比例分别为21.1%和34.2%。然而,只有抑郁症与认知障碍相关(p = 0.018)。认知障碍、焦虑和抑郁与30天内再入院的发生无关。结论:认知障碍和抑郁症状普遍存在并相关,回忆记忆是心衰住院患者中改变最多的认知领域。然而,这些因素与30天内再入院没有关系。
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引用次数: 1
The Impact of Cardiovascular Risk Factors and Renal Disease on Outcomes in Patients Hospitalized with COVID-19: An Observational Study from Two Public Hospitals in Brazil 心血管危险因素和肾脏疾病对COVID-19住院患者预后的影响:巴西两家公立医院的观察性研究
Q4 Medicine Pub Date : 2022-09-19 DOI: 10.36660/ijcs.20220041
H. Villacorta, D. Ávila, Tulio Possati de Souza, Ana Luíza Carraro de Souza, Gabriel Alverca Meyas, Mayara Cristina Villela Santos, J. Mendonca, Luciene Maria Mendes da Costa, Beatriz de Paula Sousa, Maria Victoria Borges de Oliveira, Júlia Correia Cardoso Guimarães, U. Melo
Abstract Background Cardiovascular risk factors are prognostic factors in coronavirus disease 2019 (COVID-19) and have been scarcely studied in Brazil. Objective The aim of this study was to assess the impact of cardiovascular risk factors on the outcomes of patients admitted for COVID-19. Methods From July 2020 to February 2021, 200 patients from two public hospitals were enrolled. Patients were included if they had typical symptoms or signs of COVID-19, a positive real-time polymerase chain reaction test (RT-PCR) for COVID-19, and an age above 18 years. This is a prospective, observational, and longitudinal study. Data were collected within 24 h of admission. The primary endpoint was a combination of hospital lethality, mechanical ventilation, hemodialysis, or length of hospital stay >28 days. Continuous variables were compared with the Student's t-test for independent samples or the Mann-Whitney test. For comparisons of proportions, the χ 2 test was applied. ROC curves and survival curves were constructed. Multivariate logistic regression was performed to identify independent predictors of events. The level of significance was 0.05. Results There were 98 (49%) events during the hospital course, and 72 (36%) died in the hospital. Patients with a primary endpoint were older and more likely to have a history of hypertension, diabetes, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). Vital signs at admission associated with events were diastolic blood pressure, respiratory rate, and oxygen saturation in ambient air (O 2 Sat). Serum creatinine >1.37 mg/dL at admission had a sensitivity of 51.6 and a specificity of 82% to predict the primary endpoint, with an area under the curve (AUC) of 0.68. In multivariate analysis, age, diabetes, CKD, and COPD were independent predictors of the primary endpoint. Age and CKD were independent predictors of in-hospital lethality. Conclusion Cardiovascular risk factors, such as diabetes and CKD, were related to a worse prognosis in patients hospitalized with COVID-19 in this sample from two public hospitals in the state of Rio de Janeiro.
背景心血管危险因素是2019冠状病毒病(COVID-19)的预后因素,在巴西研究甚少。目的评估心血管危险因素对COVID-19住院患者预后的影响。方法于2020年7月至2021年2月选取两所公立医院的200例患者。如果患者具有COVID-19的典型症状或体征,实时聚合酶链反应检测(RT-PCR)呈阳性,年龄在18岁以上,则纳入患者。这是一项前瞻性、观察性和纵向研究。入院后24小时内收集数据。主要终点是医院致死率、机械通气、血液透析或住院时间>28天的组合。用独立样本的学生t检验或Mann-Whitney检验比较连续变量。对于比例的比较,采用χ 2检验。绘制ROC曲线和生存曲线。采用多元逻辑回归来确定事件的独立预测因子。显著性水平为0.05。结果住院期间共发生事件98例(49%),死亡72例(36%)。主要终点的患者年龄较大,更有可能有高血压、糖尿病、慢性阻塞性肺疾病(COPD)和慢性肾脏疾病(CKD)的病史。入院时与事件相关的生命体征为舒张压、呼吸频率和环境空气氧饱和度(o2 Sat)。入院时血清肌酐>1.37 mg/dL预测主要终点的敏感性为51.6,特异性为82%,曲线下面积(AUC)为0.68。在多变量分析中,年龄、糖尿病、CKD和COPD是主要终点的独立预测因子。年龄和CKD是院内死亡率的独立预测因子。结论来自里约热内卢州两家公立医院的样本中,心血管危险因素,如糖尿病和CKD,与COVID-19住院患者预后较差有关。
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引用次数: 0
Diet Quality and Associated Factors in Atherosclerotic Cardiovascular Disease Patients with and without Diabetes at a Specialized Outpatient Clinic in the City of Pelotas, Brazil 巴西佩洛塔斯市一家专科门诊的伴有和不伴有糖尿病的动脉粥样硬化性心血管疾病患者的饮食质量及相关因素
Q4 Medicine Pub Date : 2022-09-19 DOI: 10.36660/ijcs.20200323
F. Dobke, Aline Longo, B. Ribas, B. Weber, E. Bertoldi, L. Borges, R. Bertacco
Background: In most cases, atherosclerotic cardiovascular disease (ACVD) is preventable through primary prevention and control of traditional risk factors, such as smoking cessation, regular physical activity, and adherence to healthy dietary patterns. The assessment of diet quality of ACVD patients would be important for a dietary intervention. Objectives: This study aimed to evaluate diet quality of ACVD patients and its association with clinical conditions. Methods: This cross-sectional study was nested within a randomized clinical trial entitled “Programa Alimentar Cardioprotetor Brasileiro.” Baseline data of 80 patients from Pelotas, Brazil, were obtained. Food consumption was assessed using 24-h food recall and the Revised Diet Quality Index (IQD-R). Data on smoking status and comorbidities were reported by the patients during medical history taking. To analyze the associations between IQD-R and clinical variables, unpaired Student’s t-test or the analysis of variance was performed. The significance level was 5%. Results: Most of the sample consisted of men (66.5%), elderly individuals (52.50%), patients with hypertension (78.75%), dyslipidemia (58.75%), and overweight (73.75%). The average IQD-R score was 56.7 ± 12.6 points. Better quality of diet was observed for patients with diabetes compared to those without diabetes (61.1 ± 11.8 versus 54.0 ± 12.6 points; p=0.014). Conclusion: There is a need to improve diet quality of ACVD patients. Patients ACVD and diabetes had better diet quality compared to those without diabetes.
背景:在大多数情况下,动脉粥样硬化性心血管疾病(ACVD)是可以通过一级预防和控制传统的危险因素来预防的,如戒烟、定期体育活动和坚持健康的饮食模式。评估ACVD患者的饮食质量对饮食干预具有重要意义。目的:本研究旨在评价ACVD患者的饮食质量及其与临床状况的关系。方法:这项横断面研究嵌套在一项名为“Programa Alimentar Cardioprotetor Brasileiro”的随机临床试验中。获得了来自巴西Pelotas的80例患者的基线数据。采用24小时食品召回和修订饮食质量指数(IQD-R)评估食品消耗。患者在病史采集过程中报告吸烟状况及合并症数据。为了分析IQD-R与临床变量之间的相关性,采用非配对学生t检验或方差分析。显著性水平为5%。结果:以男性(66.5%)、老年人(52.50%)、高血压患者(78.75%)、血脂异常患者(58.75%)、超重患者(73.75%)为主。平均IQD-R评分为56.7±12.6分。糖尿病患者的饮食质量优于非糖尿病患者(61.1±11.8分对54.0±12.6分;p = 0.014)。结论:ACVD患者的饮食质量有待提高。与非糖尿病患者相比,ACVD合并糖尿病患者的饮食质量更好。
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引用次数: 1
期刊
International Journal of Cardiovascular Sciences
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